1. “As a society, we do not like to talk about suicide.” David Satcher, M.D., Ph.D. Former Surgeon General of the U.S.

2. Suicide The Truth about Suicide: Facts, Myths, and Intervention Strategies

3. Suicide Statistics Every day, approximately 1500 Americans attempt suicide Every day, approximately 86 Americans commit suicide It is estimated that there are 25 attempts for every 1 death by suicide In the U.S., 30,000 people kill themselves each year

4. Suicide stats. Cont’d Suicide is the 8 th leading cause of death in the U.S. Suicide ranks 3 rd as a cause of death among young (15-24) Americans Suicide is the 2 nd leading cause of death among college students Young people ages 15-24 make up the largest increase in suicides during the past 30 years

5. Suicide stats. Cont’d 90% of those who die by suicide have a diagnosable psychiatric disorder at the time of death 4 times more men than women kill themselves, but 3 times more women attempt Firearms is the most commonly used method of suicide.

6. Depression The risk of suicide in people with major depression is about 20 times that of the general population. Difference between depression and “normal” sadness

7. Depression Symptoms Depressed or irritable mood Loss of interest or pleasure in activities Loss or increase of appetite Insomnia or hypersomnia Loss of energy Feelings of worthlessness Feelings of guilt Difficulty concentrating Thoughts of death, suicidal ideations

8. Warning Signs Any depression symptoms Actions to clear up one’s affairs or make amends Neglect of personal hygiene or appearance Giving away prized possessions or valuables Talk about God, death, dying Alcohol and/or drug abuse Giving verbal clues, “I am no use to anyone anymore” “I just want to go to sleep and not wake up.”

9. Risk Factors Previous suicide attempt Physical, sexual, emotional abuse victims Possession of firearms Impulsivity Genetic predispositions, family history Psychiatric diagnoses

10. Suicide Myths Talking to someone about suicidal thoughts increases risk If you talk about suicide, you won’t really do it Once someone has decided to commit suicide, there is nothing you can do. Most who attempt suicide fully want to die. If someone has already made an attempt and survived, will not make another attempt Suicidal people are always angry when you intervene.

11. How to approach a suicidal friend B e aware of the warning signs. E ncourage your friend to talk. A sk if he/she is thinking about suicide. F ind out if he/she has a plan. R emain calm and understanding. Don’t act shocked. I nterested and supportive. E mphathetic. N ever be sworn to secrecy. D irect to a professional.

12. The “Don’ts” of Suicide Interventions Don’t lecture, blame, or judge friends Don’t criticize a friend’s choices or behaviors Don’t deny the friend’s suicidal ideas Don’t keep the suicidal risk a secret Don’t overreact, try to remain clam and practice what you know

13. National & Community Resources National Hopeline Network: 1-800-SUICIDE National Suicide Prevention Lifeline: 1-800-273-TALK Counseling & Psychological Services (8 a.m-5 p.m.): (828) 227-7469 Counseling & Psychological Services (after hours): (828) 227-7301 Smoky Mountain Center- 24 hour crisis line: 1-800-849-6127