1. St. Mary’s Family Medicine Residency
Michael Olson, Ph.D., LMFT

2. Objectives Present Key Summary Points related to Suicide: RISK FACTORS
PREVENTION, SIGNS AND SYMPTOMS
RESOURCES
Not an expert, recognize others in attendance from community (Marth Graf, executive director of western colorado suicide prevention foundation, Jenn Daniels (WCSPF and NAMI chapter director).
that are a part of national and local chapters/foundations for suicide awareness and prevention.
Not spending a lot of time reporting data and groups today. We know it is a problem among many age groups, genders, ethnicities, leading cause of death of youth
Leading cause of death among teens in Colorado
Rates continue to climb (rank 7th nationally for suicide rates)
GLBTQ community at 2-3X increased risk for MH problems
25% of Suicide Completers have been in the ED the month prior
45% have Seen their PCP in the month prior
30% are in treatment with a MHP
American Foundation of Suicide Prevention

3. Risk Factors Characteristics/conditions
No Single Cause (Stress/Coping)
Data & Prevalence
Health Factors: Mental Health Conditions, Substance Abuse Disorders, Serious or chronic health conditions and/or pain.
Environmental Factors: Stressful life events, prolonged stress factors (harassment, bullying, relationships), access to lethal means, exposure to another person’s suicide or graphic/sensationalized accounts of suicide
Historical Factors: Previous attempts, family history of attempts
Not an expert, recognize others in attendance from community (Marth Graf, executive director of western colorado suicide prevention foundation, Jenn Daniels (WCSPF and NAMI chapter director).
that are a part of national and local chapters/foundations for suicide awareness and prevention.
Not spending a lot of time reporting data and groups today. We know it is a problem among many age groups, genders, ethnicities, leading cause of death of youth
Leading cause of death among teens in Colorado
Rates continue to climb (rank 7th nationally for suicide rates)
GLBTQ community at 2-3X increased risk for MH problems
25% of Suicide Completers have been in the ED the month prior
45% have Seen their PCP in the month prior
30% are in treatment with a MHP
American Foundation of Suicide Prevention

4. Signs and Symptoms: Warning Signs
Talk:
Being a burden, feeling trapped, unbearable pain, no reason to live, killing themselves
Behavior:
Increased use of alcohol and/or drugs,
Looking for ways to kill themselves,
Acting recklessly, withdrawing/isolating, sleep disruption, saying “good-bye,” giving away prized possessions, aggression.
Change in behavior or new behavior after event
Mood:
Depression, anhedonia (decreased interest/pleasure in things), rage/irritability, anxiety
Most people who take their lives exhibit one or more of the warning signs, either through what they say or what they do.

5. Signs and Symptoms: Warning Signs
Know the 5 Signs:
Not feeling like yourself
Feeling agitated
Feeling withdrawn
Caring for yourself (difficulty)
Feeling hopeless
We all have mental health, need early detection and prevention. Being willing to notice and talk to the person early and provide support and resources can make a difference.

6. Resources: You Can Make a Difference
Colorado Crisis Services
Text START to
(Western Colorado)
(American foundation for suicide prevention)
Mind Springs Crisis Line:
District51 Training: 1/3, 1/27 –MH first aid for youth
Disaster Mental Health Coalition: Community Partnership led by Traci Harris, (MS).
SMFMR Residents, Behavioral Team (Education & Support)

7. Resources: SMFMR Team
Sherm Straw, MD, FMR Program Director & Faculty Randall Reitz, Ph.D., LMFT Michael Olson, Ph.D., LMFT (FMR/Crisis Task Force) Family Medicine Residents Becky Ela, LCSW (HIV Collaborative Clinic) Dan Blocker, MS (Doctoral Fellow) Rachel Hughes, MS (Doctoral Fellow) Ann Cox, NP Amy Davis, MD (HIV Collaborative Clinic) Amy Gallagher, Ph.D. (MS)
Others in the hospital working to address these issues (Pastoral Care, Social Work, Administration/Leadership). Part of the Crisis Response Task Force Committee lead by Sister Barbara that has brought a multidisciplinary team together to look at how we are addressing issues that come up among our patients, staff, and associates.
All of our residents can be a resource/support to this effort.
Community teams and resources, will address these in last slide. Acknowledge those from community here today who are invested in this topic and are providing support, training, and interventions throughout our county and the western slope.

8. Resources: Monthly Communication Slides Monthly News & Views EAP
COPIC Training for safety event follow up
Click for Help – resources will be in one place
Violence against associated protocol debrief template
Compassion Fatigue (held in November)
Applied Suicide Intervention Skills Training (ASIST) and Brief Suicide Intervention Training
Care Notes
Contact a Chaplain
Mind Springs Tool Kit