Funded by SAMHSA through the Garrett Lee Smith Campus Suicide Prevention Grant Program Cohort 1 and Cohort 3 ASU Campus Care

Four Campuses in the Phoenix, AZ metropolitan area- over 50 miles area Fall 2010 enrollment 70,440 o 9,544 first year students o 12,500 university housing students (approx.)

…thinking in LARGE VOLUME Wellness Counseling Other campus partners

7.7% of ASU students reported seriously considering attempting suicide during the school year 4600 ASU students… enough to fill Gammage Auditorium twice

1.4% reported having made an attempt- which is around 660 ASU Students

7.7% seriously considered attempting suicide during the school year 1.1 % had made an attempt

Focus Only on High Risk Low High Suicide risk Mortality threshold Population Identify and treat high-risk

Treating Only High Risk Low High Suicide risk Mortality threshold Population Identify and treat high-risk

Focus on Population Low High Suicide risk Mortality threshold Population Move population risk

10 Spectrum

IOM Report  Emphasis on prevention  Inclusion of mental health promotion  Back to fundamentals

Emphasis on Prevention  Informed by a public health approach – concerned with: – Preventing, not just treating disease. – Health of the population. – Identifying and intervening with known risk factors. – Population health results from the interaction of a range of factors beyond the individual. -- IOM Report, p. 19

Mental Health Promotion  Prevention emphasizes the avoidance of risk factors  Promotion: focus on healthy outcomes: – promote supportive family, school, and community environments; and – identify and imbue in young people protective factors: traits that enhance well-being and provide the tools to avoid adverse emotions and behaviors.

Mental Health Promotion Definition: “…includes efforts to enhance individuals’ ability to achieve developmentally appropriate tasks (competence) and a positive sense of self-esteem, mastery, well-being, and social inclusion and to strengthen their ability to cope with adversity.”

SPRC/Jed Foundation Comprehensive Approach

thinking beyond the counseling center leveraging resources “prevention + response” Counseling Center perspective shifts…

Prevention – River Babies

Working “Upstream” Suicide Attempt Suicide Death Ideation/ Planning Heightened Risk MH/ Substance Abuse Disorders Prevention Means Restriction ID & Refer Whole Population MH Promotion Warning Signs MH Treatment Increase Help-Seeking Crisis Mgmt Social Networks Life Skills Langford, 2009

Thinking Beyond the Counseling Center College/University Partners – Reduce fear and stigma – See selves as part of the solution Understand role and role boundaries – Address alternate messages Counseling Center Staff – Think preventative – Work as actively as part of college/university community – Engage with others collaboratively

Stress Distress

First experience Stress Most students who Experience distress

So the idea is to address risk here …so fewer end up here

Strategies for Prevention Universal Prevention Caring community Involvement Feeling words Communication Reduce stigma Stress mgmt Coping Problem solving Connection Positive relationships Fitness Rest/sleep Healthy eating Selective Prevention Barriers to help Warning signs Alcohol abuse Identify students at risk Ask about suicide risk Assist someone to get help Referral resources Indicated Prevention Counseling Management of difficult students Crisis intervention

Strategy / ActivityDesired Results Awareness and Skill Building Training Facilitate protective environment Recognize stress/distress Referrals Social Marketing Enhance stress management and coping Recognize stress/distress Referrals/help seeking Active Minds / Peer Education Support healthy norms Reduce stigma Referrals/help seeking Online Health Assessment Awareness of health status Increase participation in wellness Healthy lifestyles Referrals/help seeking Feel Better Workshop Self awareness Improved life skills Stress Management Presentation and Activities Awareness of stress cues /stressors Increase participation in wellness Healthy lifestyles Referrals / help seeking Coalition Campus wide support for mental health Enhance understanding of department roles

Awareness and Skill Building Training  Work together to create a caring campus.  Identify isolated students and get them involved.  Create opportunities for involvement.  Use feeling words to cultivate norms for expressing feelings.  Provide opportunities for caring communication.  Use effective and compassionate listening skills.  Identify students at risk of suicide.  Refer them to resources that can help.

Suicidal Behavior Take OHA ASU Suicide Prevention Logic Model Training Social Marketing Referrals Help-seeking Protective environment Connection & involvement Healthy lifestyle Stress Management Peer Education Feel Better Workshop Coalition Change in culture/norms Protective environment Participation in wellness

Suicidal Behavior Take OHA ASU Suicide Prevention Logic Model Training ID stress and distress Social Marketing Referrals Help-seeking ID qualities and benefits of healthy campus Protective environment Referrals to wellness programs Connection & involvement Healthy lifestyle Stress Management Peer Education Stigma reduction Feel Better Workshop Coalition Policies & programs Change in culture/norms Protective environment Knowledge/ attitudes Awareness of health/ stress status /habits Activism/ visibility Participation in wellness

Online Wellness Program  Semester Survey of Participants shows: – Achieving program objectives Increased knowledge of personal health status. Increased knowledge of health and wellness. Increased knowledge and utilization of campus wellness resources.

Increase knowledge of personal health status

Results

Students at Risk Source: American College Health Association- National College Health Assessment (2009) (n=2,230) Group Percentage who seriously considered attempting suicide in the past 12 months LGBTIQ Disabled Minority First year freshmen International On-campus residents General

Questions?