1. BE THAT FRIEND Suicide Awareness and Prevention

2. Faces of Suicide https://www.youtube.com/watch?v=J_Qq3bpipgo' https://www.youtube.com/watch?v=J_Qq3bpipgo

3. Learning Objectives Recognize someone at risk for suicide. Demonstrate increased knowledge of intervention skills. Describe knowledge of referral resources and how to refer someone for help.

4. Call to Community and Churches Much of the work of suicide prevention must occur at the community level, where human relationships breathe life into public policy. American communities are home to scores of faith-based and secular initiatives that help reduce risk factors and promote resiliency factors associated with many of our most pressing social problems, including suicide. Dr David Satcher, US Surgeon General National Strategy for Suicide Prevention 2001

5. Statistics  Suicide has moved up to the 2nd leading cause of death for youth ages 10-24.  Suicide is the 2nd leading cause of death for college- age youth.  Suicide is PREVENTABLE.  90% youth that attempt suicides that are unsuccessful or blocked, never attempt suicide again.

6. Predisposing Factors Race  Caucasian Gender  Male Mental health diagnoses  Depression  Mood Disorders  Impulse or Conduct Disorders Substance abuse

7. Predisposing Factors Personality traits  High Achievers  Aggressive  Impulsive*  Socially withdrawn  Negative tendencies  Excessive risk-taking

8. Risk Factors Easy access to lethal means Local clusters of suicide Lack of social support and sense of isolation Inadequate mental health care Stigma associated with mental health issues

9. National Best Practice Registry http://www.sprc.org/bpr Open the conversation. Ask the Question.

10. Suicide Gatekeeper Training Q uestion, P ersuade, R efer Ask A Question, Save A Life QPR

11. QPR is not intended to be a form of counseling or treatment. QPR is intended to offer hope through a citizen emergency response. QPR

12. Suicide Myths and Facts MythNo one can stop a suicide, it is inevitable. FactIf people in a crisis get the help they need, they will probably never be suicidal again. Myth Confronting a person about suicide will only make them angry and increase the risk of suicide. FactAsking someone directly about suicidal intent lowers anxiety, opens up communication and lowers the risk of an impulsive act. Myth Only experts can prevent suicide. Fact Suicide prevention is everybody’s business, and anyone can help prevent the tragedy of suicide

13. Myths And Facts About Suicide MythSuicidal people keep their plans to themselves. FactMost suicidal people communicate their intent sometime during the week preceding their attempt. Myth Those who talk about suicide don’t do it. FactPeople who talk about suicide may try, or even complete, an act of self-destruction. Myth Once a person decides to complete suicide, there is nothing anyone can do to stop them. Fact Suicide is the most preventable kind of death, and almost any positive action may save a life. How can I help? Ask the Question...

14. QPR Suicide Clues and Warning Signs The more clues and signs observed, the greater the risk. Take all signs seriously!

15. QPR Direct Verbal Clues: “I wish I were dead.” “I’m going to commit suicide.” “I’m going to end it all.” “If (such and such) doesn’t happen, I’ll kill myself.”

16. QPR Indirect Verbal Clues: “I’m tired of life, I just can’t go on.” “My family would be better off without me.” “Who cares if I’m gone anyway.” “I just want out.” “I won’t be around much longer.” “Pretty soon you won’t have to worry about me.”

17. QPR Behavioral Clues: Any previous suicide attempt Acquiring a gun or stockpiling pills Co-occurring depression, moodiness, hopelessness Putting personal affairs in order Giving away prized possessions Sudden interest or disinterest in religion Drug or alcohol abuse, or relapse after a period of recovery Unexplained anger, aggression and irritability

18. QPR Situational Clues: Being fired or being expelled from school A recent unwanted move Loss of any major relationship Death of a spouse, child, or best friend, especially if by suicide Diagnosis of a serious or terminal illness Sudden unexpected loss of freedom/fear of punishment Anticipated loss of financial security Loss of a cherished therapist, counselor or teacher Fear of becoming a burden to others

19. Q UESTION Less Direct Approach: “Have you been unhappy lately? Have you been very unhappy lately? Have you been so very unhappy lately that you’ve been thinking about ending your life?” “Do you ever wish you could go to sleep and never wake up?”

20. Q UESTION Direct Approach: “You know, when people are as upset as you seem to be, they sometimes wish they were no longer here. I’m wondering if you’re feeling that way, too?” “You look pretty upset, are you thinking of ending your life? “Are you thinking about hurting yourself?” NOTE: If you cannot ask the question, find someone who can.

21. Tips for Asking the Question If in doubt, don’t wait, ask the question If the person is reluctant, be persistent Talk to the person alone in a private setting Allow the person to talk freely Give yourself plenty of time Have your resources handy; QPR Card, phone numbers, counselor’s name and any other information that might help Remember: How you ask the question is less important than that you ask it

22. P ERSUADE Establish a positive relationship through active listening. Give them your full attention. Do not rush to judgment. Offer hope in any form. HOW TO PERSUADE SOMEONE TO STAY ALIVE

23. P ERSUADE Then Ask: Will you go with me to get help?” “Will you let me help you get help?” “Will you promise me not to kill yourself until we’ve found some help?” YOUR WILLINGNESS TO LISTEN AND TO HELP CAN REKINDLE HOPE, AND MAKE ALL THE DIFFERENCE.

24. R EFER The best referral  Take the person directly to someone who can help. The next best referral  Get a commitment from them to accept help, then making the arrangements to get that help. The third best referral  Give them referral information and try to get a good faith commitment not to complete or attempt suicide. Any willingness to accept help at some time, even if in the future, is a good outcome. Suicidal people often believe they cannot be helped, so you may have to do more.

25. Local Referral Sources Mental Health America of Greenville County has a crisis line and online info/support. Services are based out of Greenville: http://www.mhagc.org/crisisline.php Referrals can be made to the local Mental Health Centers – Anderson, Oconee or Pickens – for ongoing treatment.

26. Resiliency Factors Family support and cohesion, including good communication. Peer support and close social networks. School and community connectedness. Cultural or religious beliefs that discourage suicide and promote healthy living. Adaptive coping and problem-solving skills, including conflict-resolution. General life satisfaction, good self-esteem, sense of purpose. Easy access to effective medical and mental health resources.

27. For Effective QPR Say: “I want you to live,” or “I’m on your side...we’ll get through this.” Get Others Involved. Ask the person who else might help. Family? Friends? Brothers? Sisters? Pastors? Priest? Rabbi? Bishop? Physician?

28. For Effective QPR Join a Team. Offer to work with clergy, therapists, psychiatrists or whomever is going to provide the counseling or treatment. Follow up with a visit, a phone call or a card, and in whatever way feels comfortable to you, let the person know you care about what happens to them. Caring may save a life.

29. Student in crisis Instructor Campus Mental Health Counselor Chaplain & Pastor Parents Close Friends Psychiatrist QPR Network

30. Follow Up Follow up after the appointment. Continue to check on the individual at intervals to see how they are doing. Pray for them, let them know that you are praying for them. Get them involved in a small group. Share the Suicide Prevention Guide from the Scriptures.

31. The Spirit of the Lord is upon me, because he hath anointed me to preach the gospel to the poor; he hath sent me to heal the brokenhearted, to preach deliverance to the captives, and recovering of sight to the blind, to set at liberty them that are bruised Luke 4:18 King James Bible

32. Take the Pledge!

33. NBR Resources for Educators Suicide Prevention from the Scriptures document http://www.sprc.org/bpr/section-II/student-mental- health-and-law Society for the Prevention of Teen Suicide http://www.sptsusa.org/educators

34. NBP Resources for Parents http://www.sprc.org/bpr/section-III/not-my-kid-what-parents- should-know-about-teen-suicide http://www.sprc.org/bpr/section-III/it%E2%80%99s-time- talk-about-it-family-guide-youth-suicide-prevention http://www.sprc.org/bpr/section-III/depression-and-bipolar- wellness-guides-parents-and-teens Parents as Partners: A Suicide Prevention Guide for Parents. Save.org What is Depression? Save.org

35. Resources for the Faith Community Customized Information for Clergy www.sprc.org/featured_resources/customized/clergy Safe and Effective Messaging for Suicide Prevention www.sprc.org/library/SafeMessagingfinal

36. AFSP Teen Suicide Prevention Resources Link for “Find Help” section of AFSP website: http://www.afsp.org/preventing- suicide/find-help http://www.afsp.org/preventing- suicide/find-help Link for AFSP programs for teachers, parents, youth, and community leaders in helping to understand suicide risk factors and warning signs, and support efforts to assist those at risk to get the help they need: http://www.afsp.org/preventing- suicide/our-education-and-prevention-programsrisk factors and warning signshttp://www.afsp.org/preventing- suicide/our-education-and-prevention-programs Suicide Prevention Resource Center - Parents as Partners: A Suicide Prevention Guide for Parents (can be printed) http://www.sprc.org/bpr/section-III/parents-partners-suicide-prevention-guide- parents National Association of School Psychologists – Preventing Youth Suicide: Tips for Parents and Educators (can be printed) http://www.nasponline.org/resources/crisis_safety/suicideprevention.aspx Society for the Prevention of Teen Suicide http://www.sptsusa.org/parents/

37. QUESTIONS?