Suicide Prevention & Resource Access: A Brief Introduction - - PowerPoint PPT Presentation

Suicide Prevention & Resource Access: A Brief Introduction

MATT MAGRÁNS-TILLERY CANDIDATE FOR MASTER OF HEALTHCARE ADMINISTRATION ASSISTANT DIRECTOR OF TRAUMA & ADDICTION KNOXVILLE LEADERSHIP FOUNDATION

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Facts About Suicide

 47,173 people died by suicide in 2017 in the United States.  1,110 people died by suicide in 2016 in Tennessee.  1,163 people died by suicide in 2017 in Tennessee.  Approximately 5% of the population (330,015 people) had thoughts of

suicide in Tennessee in 2015.

 Over 1 million people attempt suicide each year, according to a

recent SAMHSA study.

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CDC/AFSP/AAS

Facts About Suicide

 Suicide is the 10th leading cause of death for all age groups.  Suicide is the 2nd leading cause of death for ages 15-24.  Someone dies by suicide approximately every 12 minutes.  Someone aged 10-24 dies by suicide approximately every 1 hour

and 48 minutes.

 Suicide is now the 1st leading cause of death for ages 10-24.

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CDC/AAS

Tennessee Youth Risk Behavior Survey 2015

16% considered suicide 14.2% made plans 9.9% made an attempt 3.8% made an attempt

medical attention

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2017 Rates Of Suicide/100,000/Year

 National rate = 14.5  Tennessee rate = 17.4

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AFSP/TDOH

Suicide in East Tennessee

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AFSP/TDOH

COUNTY 2012 2013 2014 2015 2016 Anderson 8 (10.6) 19 (25.1) 9 (11.9) 16 (21.1) 17 (22.4) Blount 14 (11.3) 25 (20.0) 15 (11.9) 14 (11.0) 27 (21.0) Campbell 6 (14.8) 8 (19.9) 6 (15.0) 6 (15.1) 7 (17.6) Claiborne 10 (31.1) 10 (31.7) 8 (25.3) 8 (25.2) 11 (34.6) Cocke 7 (19.7) 6 (16.9) 7 (19.8) 13 (37.0) 8 (22.7) Grainger 7 (30.9) 3 (13.2) 6 (26.3) 3 (13.1) 5 (21.7) Hamblen 9 (14.3) 16 (25.4) 6 (9.5) 19 (30.0) 21 (32.9) Jefferson 9 (17.2) 5 (9.6) 4 (7.6) 6 (11.3) 9 (16.8) Knox 77 (17.4) 57 (12.8) 66 (14.7) 67 (14.8) 72 (15.8) Loudon 8 (16.1) 6 (11.9) 12 (23.6) 11 (21.5) 4 (7.8) Monroe 9 (19.9) 7 (15.5) 6 (13.3) 11 (24.0) 13 (28.3) Morgan 4 (18.2) 3 (13.7) 2 (9.2) 6 (27.9) 7 (32.5) Roane 13 (24.3) 16 (30.2) 9 (17.1) 14 (26.5) 12 (22.7) Scott 4 (18.1) 2 (9.1) 6 (27.3) 5 (22.8) 9 (41.0) Sevier 17 (18.4) 16 (17.1) 19 (20.0) 18 (18.8) 20 (20.7) Union 5 (26.2) 5 (26.2) 6 (31.4) 5 (26.2) 9 (47.0) TENNESSEE 956 (14.8) 1,017 (15.7) 945 (14.4) 1,065 (16.1) 1,110 (16.2)

COUNTY 2014 2015 2016 2017

Anderson

9 (11.9) 16 (21.1) 17 (22.4) 11 (14.4)

Blount

15 (11.9) 14 (11.0) 27 (21.0) 29 (22.3)

Campbell

6 (15.0) 6 (15.1) 7 (17.6) 10 (25.2)

Claiborne

8 (25.3) 8 (25.2) 11 (34.6) 6 (19.0)

Cocke

7 (19.8) 13 (37.0) 8 (22.7) 6 (16.9)

Grainger

6 (26.3) 3 (13.1) 5 (21.7) 1 (4.3)

Hamblen

6 (9.5) 19 (30.0) 21 (32.9) 10 (15.6)

Jefferson

4 (7.6) 6 (11.3) 9 (16.8) 9 (16.7)

Knox

66 (14.7) 67 (14.8) 72 (15.8) 83 (18.0)

Loudon

12 (23.6) 11 (21.5) 4 (7.8) 6 (11.5)

Monroe

6 (13.3) 11 (24.0) 13 (28.3) 8 (17.3)

Morgan

2 (9.2) 6 (27.9) 7 (32.5) 4 (18.5)

Roane

9 (17.1) 14 (26.5) 12 (22.7) 19 (35.8)

Scott

6 (27.3) 5 (22.8) 9 (41.0) 9 (40.9)

Sevier

19 (20.0) 18 (18.8) 20 (20.7) 29 (29.7)

Union

6 (31.4) 5 (26.2) 9 (47.0) 4 (20.6)

TENNESSEE

945 (14.4) 1,065 (16.1) 1,110 (16.2) 1,163 (17.3)

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Sri Lanka & Pesticides



Suicide by ingestion of pesticides is among leading causes of death



Mid- to Late-1990s, restrictions placed on sales of most highly human- toxic pesticides



Suicide rates dropped 50% from 1996 to 2005



Saving the lives of 20,000 persons during the given time period



Nonfatal poisonings and suicides by other means had no decreases Source: Gunnell 2007, International Journal of Epidemiology

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United Kingdom & Domestic Gas

 Prior to 1960, domestic gas was leading cause of suicide

death in the UK

 By 1970, nearly all domestic gas in the UK was non-toxic  Suicide rates dropped by nearly one-third  Non-gas suicides slightly increased  Source: Kreitman 1976, British Journal of Preventive &

Social Medicine

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Means Matters

 Suicidal crises are often relatively brief  Most persons with lived experiences took actions quickly

and with little planning

 90% of those who survive even nearly-lethal lived

experiences do not go on to later die by suicide

 See: www.meansmatter.org

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Gender and Suicide - 2016

 Men are nearly 4 times more likely to die by suicide than women.  Women attempt suicide 3 times as often as men.

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77% 23%

Deaths by Gender, 2016

Males Females

Reducing Stigma

 Introduction to resources  Referrals to Behavioral Health  Providers with lived experiences  Being advocates for and stewards of prevention in our

• wn communities

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Tennessee Suicide Prevention Network

 Prevention

 QPR – Question, Persuade, Refer

 1-3 Hour training  Intended to offer hope, not a form a counseling or treatment  Gatekeepers

 ASIST – Applied Suicide Intervention Skills Training

 Two-Day training  Comprehensive & based on skills building

 Mental Health First Aid

 8 Hour training  Assist persons with ongoing or acute MH problems

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Tennessee Suicide Prevention Network

 Postvention

 Postvention Team

 Schools  Business Offices  Skilled Nursing Facilities  College Campus Groups  Community Mental Health Centers

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Policies & Procedures

 Quality Improvement Teams  Departmental Strategies  Systems Strategies  What to say vs. What not to say  Development  Implementation

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Questions?

 www.TSPN.org  Matt Magráns-Tillery  mtillery@klf.org  865-607-8561

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