Zero Suicide in Texas (ZEST) Zero Suicide in Texas (ZEST) Collaborative Call: June 2015 DSHS: DSHS: Jenna Heise TIEMH: TIEMH: Molly Lopez Erica Shapiro

 Six slots for audiotape submissions on the 15 th of each month, beginning this month, to ensure adequate time for review and feedback  Sign up for a slot using Google Docs. Please let me know if you need it re- sent.  Select whether an audiotape of an actual (or mock) session will be submitted  If a mock session is selected, have your “client” contact Erica Shapiro by to be assigned a REMINDER: SIGN UP FOR SAFETY PLANNING INTERVENTION TAPE SUBMISSION

UPCOMING TRAININGS  Zero Suicide Summit  State Suicide Prevention Conference  ASIST and SafeTalk  ASK (Beaumont, Austin, Fort Worth, Houston)  60+ people attended CALM training here in Austin on Monday accompanied by first responders

SPECIAL POPULATIONS Goal: Staff members are aware of the risk and protective factors for individuals within special populations and are competent at engaging and supporting the unique needs of individuals within the community they serve.

RATIONALE The relationship between beliefs, values, and culture, and risk for suicide requires competent exploration in a trusting therapeutic relationship The relationship between beliefs, values, and culture, and risk for suicide requires competent exploration in a trusting therapeutic relationship Critical for workforce who serve individuals at risk of suicide to have understanding of potential impact of these factors on the individual and treatment process Critical for workforce who serve individuals at risk of suicide to have understanding of potential impact of these factors on the individual and treatment process Some special populations of individuals have been found to have unique risk/protective factors Some special populations of individuals have been found to have unique risk/protective factors An individual’s beliefs, values, and culture can play an important role in the factors that contribute to suicidal risk, as well as those serving as potential protective factors.

UNDERSTANDING IMPACT: BELIEFS, VALUES, CULTURE Suicide experts have identified several core areas theorized to be related to suicide risk/protective factors: Suicide experts have identified several core areas theorized to be related to suicide risk/protective factors: Core areas represent issues that behavioral health providers may want to explore when understanding an individual’s unique beliefs, values, and culture Core areas represent issues that behavioral health providers may want to explore when understanding an individual’s unique beliefs, values, and culture Acculturation/cultural mistrust Acculturation/cultural mistrust Perceptions of family/community responsibility Perceptions of family/community responsibility Beliefs about suicide/death Beliefs about suicide/death Beliefs about mental health/help seeking Beliefs about mental health/help seeking

SUICIDE RISK IN YOUNG PEOPLE: LGBT COMMUNITY Recent research has documented that adolescent sexual minorities are at increased risk for suicidal behaviors when compared heterosexual peers Prevalence of suicide attempts for youth within LGBT: 20-53% LGBT youth have not been found to compromise a disproportionately large percentage of completed suicides Discrimination Research underscores the toll that discrimination experienced in every day life takes on LGBT youth Increase in suicidal behavior may be due in part to such discrimination Can inhibit individuals from accessing/getting help when needed Can prevent those in helping positions from asking questions regarding sexuality/identity

RISK/PROTECTIVE FACTORS IN YOUNG PEOPLE: LGBT COMMUNITY

FAMILY ACCEPTANCE AND SUICIDE RISK: LGBT COMMUNITY LGBT youth experience an increase in suicide attempts/ideation near the time of disclosure Theorized due to stress related to coming out and fear of (or actual) family rejection LGBT young adults who reported high levels of family rejection compared to those who reported little or no family rejection were: 8.4 times more likely to report having attempted suicide 5.9 times more likely to report high levels of depression 3.4 times more likely to use illegal drugs 3.4 times more likely to report having engaged in unprotected sexual intercourse Family Acceptance Project

MILITARY PERSONNEL, VETERANS, AND THEIR FAMILIES: SUICIDE RISK Suicide is the second most common cause of death in the U.S. Armed Forces Issue is also significant for veterans An estimated 22 veterans die by suicide every day (rates in 2010) Young male veterans under age 30 are three times more likely to commit suicide than their non-military counterparts This issue also impacts families Increased family discord, decreased satisfaction in marital relationships, increased psychological distress for children

RISK FACTORS IN THE MILITARY/VETERAN COMMUNITY Risk Factors Specific to Military Personnel Risk Factors Specific to Veterans

SUICIDE RISK IN RACIAL/ETHNIC GROUPS Racial/ethnic groups differ in epidemiology of suicide/risk and protective factors/patterns of help seeking Racial/ethnic groups differ in epidemiology of suicide/risk and protective factors/patterns of help seeking Providers should be aware of these group differences when working with individuals, while recognizing that each individual is unique in their beliefs, values, and culture Providers should be aware of these group differences when working with individuals, while recognizing that each individual is unique in their beliefs, values, and culture Suicide Rates in the U.S. & Texas by Race/Ethnicity ( )

Moving Beyond: Community Outreach To ensure effective/engaging suicide prevention services/supports are available to individuals from special populations, it is essential to Engage members of these community groups in planning/evaluating these programs Behavioral health organization can also partner with faith leaders, community cultural leaders, and cultural organizations to ensure cultural brokers have the skills needed for identifying individuals in their community who are at risk for suicide and make appropriate referrals Sponsoring gatekeeper trainings targeting individuals with these organizations (e.g., faith leaders, traditional/native healers, community health workers, etc.) can be helpful/build partnerships Community partnerships can assist the behavioral health organization in understanding the needs of the individuals they represent

ZEST GROUPS & MEETING DATES Wednesdays, 2pm CST Fridays, 9am CST Border RegionTropical Coastal PlainsHarris Hill CountryBluebonnet ATCICSpindletop TarrantTri County *Denton Month Wednesdays, 2pm CST Fridays, 9am CST October (2014)ALL GROUPS: Weds 2pm, Oct 29 th NovemberNov 19 th Nov 21 st DecemberDec 17 th Dec 19 th January (2015)Jan 28 th Jan 30 th February Safety Planning Training MarchMar 25 th Mar 27 th AprilApr 22 nd Apr 24 th MayMay 27 th May 29 th JuneJun 24 th Jun 26 th July Jul 29 th Jul 31 st AugustAug 26 th Aug 28 th SeptemberSep 23 rd Sep 25 th