together Mike Rainsford - HSE Mental Health Promotion / Suicide - - PowerPoint PPT Presentation

Suicide Prevention: working together

Mike Rainsford - HSE Mental Health Promotion / Suicide Resource Officer.

Total suicide rate per 100,000 population in the EU

34.0 29.0 28.6 23.6 23.5 22.5 22.5 19.8 17.3 16.7 16.6 15.2 15.1 14.2 13.7 13.1 12.4 12.2 12.2 10.4 10.3 8.7 7.9 7.6 4.9 3.9

Lithuania Slovenia Hungary Latvia Belgium Estonia Finland France Austria Czech Republic Poland Denmark Sweden Bulgaria Slovakia Germany Romania Portugal Luxembourg Netherlands Ireland Spain Italy United Kingdom Malta Greece

Based on W.H.O. Data accessed in Jan 2012

Youth suicide rate (15-24yr olds) per 100,000 population in the EU

20.1 19.4 15.2 14.4 13.9 12.4 11.3 11.0 10.8 9.4 9.1 7.5 7.5 7.4 7.4 7.2 6.4 5.8 5.0 4.9 4.8 3.9 3.8 3.7 1.9 0.0 Lithuania Finland Estonia Ireland Latvia Belgium Luxembourg Poland Slovenia Sweden Austria Denmark Slovakia Czech Republic Hungary France Netherlands Germany Romania Bulgaria United Kingdom Spain Italy Portugal Greece Malta

Based on W.H.O. Data accessed Jan 2012

Suicide: Some Facts

 Suicide is now the leading

cause of death among young people in Ireland (aged 15-24)



Ireland currently has the fourth highest rate of youth suicide (15-24 yrs) in the European Union



In terms of total population Ireland ranks 20th

International evidence for suicide prevention

 Improved understanding of suicide prevention

among the general population

 Building individual emotional resilience  Encourage help-seeking and access to self-help  Integration of primary care and mental health

services for people at risk of suicide

 Community response plans to suicide  Provision of suicide prevention training to the

community and health service staff

 Responsible reporting of suicide by the media  Provision of appropriate treatment for persons

who self-harm.

Improved understanding of suicide prevention among the general population

 Information,awareness

campaigns, leaflets, training, workshops.

 Working with schools,

teacher training.

 World Mental Health

week

Building Individual Emotional Resilience

 Psychosocial training programmes, self-help,

mental health promotion,social prescribing for health and wellbeing....

Encourage help-seeking and access to self-help

 Information, signposting, social prescribing,

Alive2Thrive website, www.reachout.com, www.spunout.ie

TV / Cinema Ad

Integration of primary care and mental health services for people at risk of suicide

 Development of primary care

teams.

 Suicide Crisis Assessment Nurse

service (SCAN)

 Dialectical Behaviour Therapy

(DBT)

 Social prescribing for health and

wellbeing.

 Mind Full of Health service

Community response plans to suicide

 Learning from local

response plans, 2014 developing community action plans for suicide prevention

 Local template for

planning group in consultation with the National Office for Suicide Prevention.

Working together..

 Education / NEPs  Voluntary organisations,

Mental Health Ireland, Grow, Stopsuicide, Grasp Life, Living Links, GAA, Family Resource Centres, Samaritans,

 HSE – Mental Health

Services, Psychology

 Gardai, church leaders,

communities.

Provision of suicide prevention training to the community and health service staff

ASIST - Suicide Intervention Skills over 1,500 people trained in Sligo and Leitrim Lives saved ?

Responsible reporting of suicide by the media

 National guidelines

available developed by the Samaritans and the National Office for suicide prevention.

A national programme focused on reducing access to means of suicide

 Take into account, ease of access to

medication eg, pain killers, access to firearms, signage eg. bridges,piers, rivers,railways etc..

Provision of appropriate treatment response for persons who self-harm

 Sligo General 2 x Liaison

nurses.

 Increase in dialectical

behaviour therapists

 Self-harm awareness

training.

Risk factors

 Social isolation / being alone  Poverty  Stress: anxiety and/or depression  Bereavement / loss  Alcohol and drug misuse (80%)  Relationship breakdown  Financial problems  Bullying / abuse  Unemployment  Illness / despair  Stigma  Access to means

Risk factors

The most frequently reported precipitating factors in the month prior to suicide include breakdown of a relationship, loss of a job, financial difficulties, legal troubles and difficulties with the Gardai, experience of a traumatic event and anniversary of an important death.

Thoughts, feelings, actions..

 When we are well, there is a balance

between our logical, rational mind and

• ur emotions.

 When we get very distressed, our

negative emotions can overwhelm our logical brain.

 Negative emotions can lead to confused

thinking and negative, self-destructive behaviours.

 We become overwhelmed and hopeless

in the face of our problems..

Barriers to help seeking..

 Stigma - suicide, mental illness - taboo subjects  Guilt, shame, depression  Low self-esteem, self-worth  Don’t want to be a burden  Don’t want to be seen as weak  Don’t know how to talk about it  Confused thinking  Don’t know who to talk to  Death represents relief from the pain

Barriers to help -seeking

 Depression is treatable but many young men may

be reluctant to seek help because of the stigma or shame associated with the condition.

 Others may not recognise that they are suffering

from depression and may present to their GP with a physical complaint not realising that there are underlying emotional difficulties.

Talking is key – a problem shared

is a problem halved

Talking to someone, the journey to hope

The Strength of Community in Challenging Times

• Building Resilience Together

What is Resilience?

 A classic definition of resilience is the ability to bounce

back, cope and/or deal with stressful or challenging situations.

 It also means that as a human being we adapt and

change to these situations or challenges in a way that will not leave us with lasting consequences, either, physically, emotionally or psychologically.

 Developing a greater level of resilience won’t stop bad or

stressful things from happening, but can reduce the level

• f disruption a stressor has and the time taken to

recover.

Why Build Your Resilience?

 Reduces impact of stressful events.  Reduces recovery time.  Enables one to maintain perspective and hope while experiencing negative emotions.

We can all build our resilience and that of our community.

• Resilience is not a trait that people either have or do

not have.

• It involves behaviours, thoughts and actions that can

be learned and developed in anyone

• Remember - Building resilience is a process

Why are Some People More Resilient than Others?

 Factors that influence how a person reacts to a stressful or

challenging experience include:

 Individual health and wellbeing – e.g. social skills, problem

solving skills, physical health

 Individual factors – genetics, personality  Life history and experience – past events and relationships, how

we have coped in the past

 Social and community support – family, friends, work colleagues,

school environments. Feeling connected to others.

 Patterns of thinking – the way your mind works (this is partly

related to genetics and partly to your environment)

Other Factors which promote Resilience

 The capacity to make realistic plans and take steps to

carry them out

 Self-care – the time you spend looking after yourself.

 A positive view of yourself and confidence in your

strengths and abilities

 The capacity to manage strong feelings and

impulses Resilience can be developed!

7 Skills of Resilience

 Recognizing your feelings  Reaching out – emotional literacy  Staying hopeful (optimistic)  Analysing the cause of problems and managing

stress

 Believing in your ability  Empathy  Give yourself thinking time

What influences our thinking?

 Unhelpful Thinking Habits  Our style of explaining things  Deep core beliefs about ourselves  Our physical and emotional wellbeing

Start paying attention to your initial thoughts. Check if your thinking is helpful and constructive or destructive and damaging.

Unhelpful Thinking Habits

All or Nothing Thinking Overgeneralization Jumping to Conclusions Filtering out the Positive Mind Reading Making a Mountain out

• f a Molehill

Should Statements Personalization

(Beck, 1995; Burns, 1989)

 Skills to move forward:  Catching that unhelpful, initial reaction  Stopping the chain of unhelpful self talk  Create thinking time, be a detective , examine

what is really going on

 Challenge negative thinking, substitute with

more reasonable thinking

Towards Resilient Thinking…

The Language of Resilience

I I HAVE I I AM I I CAN

Positive sense of self!

Common Symptoms of Stress

Cognitive: Emotional: Memory problems Inability to concentrate Continuous worry Racing thoughts Feeling Down Feeling overwhelmed Irritability (short temper) Inability to relax Physical: Behavioral: Excessive Perspiration Chest pains/ elevated heart Frequent colds/illness Nausea, dizziness or headaches Increase /decrease appetite Nervous habits Difficulty/irregular sleeping Excessive use of alcohol, cigarettes or drugs

Stress Control

Free Course to Manage Stress

‘We all live in stressful times. Understanding how stress can impact on our lives and learning what we can do about it is key to strengthening

• ur resilience and ability to cope.’

HSE, Mental Health Ireland, Grow, Family Resource Centres

The Six Sessions

6 sessions of 90 minutes

 Session 1. Welcome to Stress Control  Session 2. Controlling your body  Session 3. Controlling your thoughts  Session 4. Controlling your actions  Session 5. Controlling your Panic  Session 6. Controlling your sleep and

Controlling your future.

Some Local Resilience Projects



Public Speaking Project and other schools programmes



Local seminars and Public Talks



Youth Mental Health Initiative



Social Prescribing Project



‘Walking Back to Happiness’



ASIST/SafeTalk/Tune Up Suicide Intervention Training



‘Winning New Opportunities’ programme



Stress Control ……and many more…..check out stands!

www.alive2thrive.ie Sligo/Leitrim positive mental health website

 Pdf.available to download from

www.nosp.ie

“Our greatest glory is not in never falling, but in rising every time we fall”

• Confucius

Reflection

We may not be able to control the wind but we can learn to adjust our sails…