Washington County PHAC Meeting Washington County PHAC Meeting - - PowerPoint PPT Presentation

Washington County PHAC Meeting Washington County PHAC Meeting Washington County PHAC Meeting Washington County PHAC Meeting October 13, 2015 October 13, 2015 October 13, 2015 October 13, 2015 Suicide Prevention at Suicide Prevention at Suicide Prevention at Suicide Prevention at Washington County Washington County Washington County Washington County

Meghan Crane, MPH Suicide Prevention Coordinator Washington County Public Health Meghan_crane@co.washington.or.us Phone: 503-846-4748

Data Overview Data Overview Data Overview Data Overview Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention

• How we got where we are
• Suicide Prevention Council
• Zero Suicide Initiative
• Get Trained to Help
• Other prevention activities

Intervention Intervention Intervention Intervention

• What to look for
• How to help
• Where to get help

OVERVIEW

Reported suicides: Unreported suicides: 5% to 25% more suicides Suicide behaviors: 40 to 100 times greater than number of suicides Number of people affected: Each suicide behavior may affect a few or a very large number People with thoughts of suicide: USA: 2013 Population: 316,128,839 41,149

15,806,442

NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG

The picture for only one year

LivingWorks Education Inc. www.livingworks.net

Nationally Nationally Nationally Nationally

• 1 person every 13 minutes
• Oregon has the 11th highest suicide rate in the US

Oregon Oregon Oregon Oregon

• A leading cause of death for Oregon youth ages 10-24
• Leading cause of death for Oregon Veterans under age of 45
• Firearms were the most common means in 2012

Washington County Washington County Washington County Washington County

• Average of 64 suicides per year 2003-2012.
• Suicides deaths and rates have been increasing: 75 (2014), 71 (2013), and 93 (2012)
• White males over 65 have the

highest rates

• Firearms, poisoning, and

suffocation are most common means

Data Source: USA suicide 2015: Official final data for the American Association of Suicidology; Oregon Violent Death Reporting System; Oregon Violent Death Reporting System

DATA

OREGON SUICIDE RATE BY COUNTY

Data Source: Oregon Violent Death Reporting System

Data Source: Oregon Violent Death Reporting System 2003-2011

METHOD OF SUICIDE WASHINGTON COUNTY

www.co.washington.us/suicide

HOW WE GOT HERE

SUICIDE PREVENTION COUNCIL (Formed 2012) HEALTHY COLUMBIA WILLAMETTE COLLABORATIVE (2013) LIVE WELL WASHINGTON COUNTY (2014)

HOW WE GOT HERE

SUICIDE PREVENTION COUNCIL (Formed 2012) HEALTHY COLUMBIA WILLAMETTE COLLABORATIVE (2013) LIVE WELL WASHINGTON COUNTY (2014) SUICIDE PREVENTION COUNCIL BECOMES LIVE WELL COMMITTEE (May 2014) GET TRAINED TO HELP (Aug. 2014) SPC ADOPTION OF “ZERO IS POSSIBLE”

HOW WE GOT HERE

SUICIDE PREVENTION COUNCIL (Formed 2012) HEALTHY COLUMBIA WILLAMETTE COLLABORATIVE (2013) LIVE WELL WASHINGTON COUNTY (2014) SUICIDE PREVENTION COUNCIL BECOMES LIVE WELL COMMITTEE (May 2014) GET TRAINED TO HELP (Aug. 2014) SPC ADOPTION OF “ZERO IS POSSIBLE” GARRETT LEE SMITH GRANT RECEIVED (Sept. 2014) SUMMIT OF HOPE (May 2015) DEDICATED SUICIDE PREVENTION COORDINATOR HIRED (JULY 2015)

Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention

• Strategic Direction 1: Healthy and Empowered Individuals, Families and

Strategic Direction 1: Healthy and Empowered Individuals, Families and Strategic Direction 1: Healthy and Empowered Individuals, Families and Strategic Direction 1: Healthy and Empowered Individuals, Families and Community Community Community Community

• Examples: Best practice media recommendation education and

distribution and supporting existing prevention strategies

• Strategic Direction 2: Clinical and Community Prevention Services

Strategic Direction 2: Clinical and Community Prevention Services Strategic Direction 2: Clinical and Community Prevention Services Strategic Direction 2: Clinical and Community Prevention Services

• Examples: Promote lethal means reduction education and promote

community trainings

• Strategic Direction 3: Treatment and Support Services

Strategic Direction 3: Treatment and Support Services Strategic Direction 3: Treatment and Support Services Strategic Direction 3: Treatment and Support Services

• Example: work with local healthcare system to implement the Zero

Suicide Initiative

• Strategic Direction 4: Surveillance, Research, and Evaluation

Strategic Direction 4: Surveillance, Research, and Evaluation Strategic Direction 4: Surveillance, Research, and Evaluation Strategic Direction 4: Surveillance, Research, and Evaluation

• Examples: Suicide Fatality Review and SPC tracking/evaluation

ZERO SUICIDE ZERO SUICIDE ZERO SUICIDE ZERO SUICIDE IN HEALTH AND BEHAVIORAL HEALTH CARE

The foundational belief of Zero Suicide is that suicide deaths for individuals under care within health and behavioral health systems are preventable.

A concept and a practice A commitment to suicide prevention in health & behavioral health systems A set of tools & strategies

ZERO SUICIDE: ZERO SUICIDE: ZERO SUICIDE: ZERO SUICIDE: A SHIFT IN PERSPECTIVE

From: From: From: From: To: To: To: To:

Accepting suicide as inevitable Every suicide is preventable Stand alone training & tools Overall systems & cultural change Specialty referral to niche staff Part of everyone’s job Individual clinician judgment & actions Standardized screening, assessment, risk stratification, and intervention Hospitalization during episodes of crisis Productive interactions throughout, continuity of care “If we can save one life…” “How many deaths are acceptable?”

Community Trainings Community Trainings Community Trainings Community Trainings

• ASIST: Applied Suicide Intervention Skills Training
• Mental Health First Aid (Adult and Youth)
• CALM: Counseling on Access to Lethal Means
• QPR: Question, Persuade, Refer

PREVENTION STRATEGIES

Implementing suicide prevention in schools Implementing suicide prevention in schools Implementing suicide prevention in schools Implementing suicide prevention in schools

• Clear policies and procedures
• Gatekeepers
• Training (Staff, Students, Parents)
• Screening Assessment/Tool

Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative

Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be

• ut of pain.
• ut of pain.
• ut of pain.
• ut of pain.

Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about suicide. suicide. suicide. suicide. Means matters! Means matters! Means matters! Means matters!

SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE

SUICIDE FACTS

17 17 17 17

Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of

• Helplessness
• Hopelessness
• Perceived burdensomeness

Mental Health Disorders Mental Health Disorders Mental Health Disorders Mental Health Disorders

• Mood Disorders, Psychotic Disorders
• Substance Use
• Rage, anger, revenge

Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Access to Lethal Means Access to Lethal Means Access to Lethal Means Access to Lethal Means

WHAT TO LOOK FOR WHAT TO LOOK FOR WHAT TO LOOK FOR WHAT TO LOOK FOR

18 18 18 18

Show you care: “I’m concerned about you.” Listen—without judging or giving advice. Take all talk of suicide seriously. Stay calm and stay with the person. Ask directly about suicide. “Are you thinking about suicide?” If the person says “yes” do not leave them alone. Make a plan for safety. Call the Washington County Crisis Line at 503-291-9111 Call the National Suicide Prevention Hotline 1-800-273-8255 Call 911 and request Mental Health Response Team (MHRT)

TIPS FOR HOW TO HELP: INTERVENTION

Washington County Crisis Line (503) 291-9111 911/ Request MHRT National Suicide Prevention Lifeline (Local Lines for Life) 1- 800-273-TALK Youth Line: 1-877-968-8491text teen2teen at 839863 NAMI (503) 356-6835

WHERE TO GET HELP: CRISIS LINES

EVERYONE HAS A ROLE IN PREVENTING SUICIDE WWW.CO.WASHINGTON.US/SUICIDE

Know the Warning Signs Ask the Question Get Trained to Help Know the Crisis Line Numbers