1. BCCO PCT #4 PowerPoint AND Intermediate CIT Course TCOLE Course # 3841 Texas Commission On Law Enforcement PARTICIPANT HANDOUT UNIT THREE

2. 2 Unit Goal 3.0 suicide danger To develop a knowledge base concerning suicide and the evaluation of danger levels.

3. 3.0 Texas Mental Health Association will experience a mental disorder ___ of all Americans will experience a mental disorder at some point in their lives had some form of diagnosable mental health disorder ___ million Texans (3.6 million adults and 1.2 children) had some form of diagnosable mental health disorder in 2013 (24%)

4. suicides homicides There are __.__ times more suicides than homicides, with an average of 6 deaths each day by suicide in Texas 3.0 Texas Mental Health Association – Cont’d

5. Latest statistics reported in 2013 states that 121 ______ people committed _________ in 2012 than in 2011. This is a six percent increase in one year. 3.0 Texas Mental Health Association – Cont’d

6. The gender breakdown was reported at 1,772 males vs. 442 females (i.e., about __ men for _______ woman) suicide -___ Highest rates of suicide are in the ___ -___ age group (15.2 per 100,000 ), with the second being the ____-year- and-older age group (18 per 100,000) 3.0 Texas Mental Health Association – Cont’d

7. 7 3.1 3.1 Suicide myths suicide Commonly stated myths about suicide :

8. 8 3.1 Myths about Suicide MYTH: MYTH: People who talk about __________ won’t commit __________. MYTH: MYTH: People who commit ________ are “crazy.”

9. MYTH: MYTH: Once the person begins to __________, the _______ has ended. MYTH: suicide suicide MYTH: Prior unsuccessful suicide attempts means there will never be a ____________ suicide. 3.1 Myths about Suicide Continued

10. ____% suicides mental illness ____% of suicides are reportedly related to untreated or under-treated mental illness with the most common being ______________. 3.2 Suicide Relationship with Mental Illness

11. % disorder % schizophrenia suicide Nearly __ % of people diagnosed with ___________ disorder and ____ % diagnosed with schizophrenia die from suicide. 3.2 Suicide Relationship with Mental Illness Continued

12. 3.3 “Suicide by COP” severe mental illness killedpolice “People with severe mental illness are killed by police in justifiable _________ at a rate nearly four times greater than the general public.”

13. suicidecop police fatal shootings “One study”…found that incidents determined to be suicide by cop accounted for ____ percent of all police _____________ and ____ percent of all fatal shootings 3.3 “Suicide by COP” Continued

14. intended to commit suicide law enforcement The study found that suspects involved in such cases intended to commit suicide, specifically wanted to be shot by and by provoking law enforcement officers into ___________ them.” 3.3 “Suicide by COP” Continued

15. driving ______________ “In 1997, John Q. Mental was driving ______________ on the Long Island Expressway. police gun advanced on them stop When the police pulled him over, he brandished what turned out to be a _____ gun he had purchased earlier that day and advanced on them, despite warnings to stop. 3.3 “Suicide by COP” Continued

16. police him The police _____ and ______ him. to the officer who shot me They found 10 letters in his car, including one addressed “ to the officer who shot me ”. Officer needed It said: “ Officer, it was a ______. I’m sorry to get you involved. I just needed to ______ 3.3 “Suicide by COP” Continued

17. I had to do this Please send my letters and break the news slowly to my family and let them know I had to do this. And that I love them very much. Please remember that this was my doing I’m sorry for getting you involved. Please remember that this was my doing. You had no way of ________.” 3.3 “Suicide by COP” Continued

18. SHARE “Real World” Experiences Combat Veteran PTSD wanted to go out like a warrior Combat Veteran suffering from severe PTSD after 1-deployment to IRAQ and 2-deployments to Afghanistan “wanted to go out like a warrior”

19. 3.4 Evaluating Individual’s Level of Suicidal Danger A. Evaluating the Levels of Danger A. Evaluating the Levels of Danger: 1. 1. ______________ ? 2. 2. Nature of current _____________? 3. 3. Method and ____________? 4. 4. Prior ____________?

20. A. Evaluating the Levels of Danger A. Evaluating the Levels of Danger: 5. __________ 5. __________ vs. ____________? 6. ______________ 6. ______________ status? 7. 7. Chance for ____________? 8. 8. Social ______________? 3.4 Evaluating Individual’s Level of Suicidal Danger – Cont’d

21. B. Danger to themselves B. Danger to themselves: 1. ____________ 1. ____________ (actions/words) 2. _______ 2. _______ neglect for personal safety 3. __________ 3. __________ ______ (action/words) 4. __________ 4. __________ /__________ available 3.4 Evaluating Individual’s Level of Suicidal Danger – Cont’d

22. C. ____________ to others C. ____________ to others: 1. ____________ 1. ____________ (actions/words) 2. 2. Specific person _______________ 3. _________ 3. _________, ______, ___________ 4. ________ 4. ________, _________, __________ (intent/actual) 3.4 Evaluating Individual’s Level of Suicidal Danger – Cont’d

23. 23 Statistics

24. 24 Statistics

25. 25 Suicide Video #1 (View #1 ‘Depression, Suicide’ video from “Train the Trainer” course materials) (View #2 ‘Depression, suicide’ video from “Train the Trainer ‘course materials) Suicide Video #2

26. Questions?

27. 27 DEFINE & PROCESS Process: Define & Explain 3.0: Define & Explain 3.0: Your knowledge base concerning suicide and the evaluation of danger levels.

28. 28 DEFINE & PROCESS Process: Define & Explain 3.1: Define & Explain 3.1: Commonly stated myths about suicide

29. 29 DEFINE & PROCESS Process: Define & Explain 3.2: Suicide and its relationship with mental illness

30. 30 DEFINE & PROCESS Process: Define & Explain 3.3: Define & Explain 3.3: Concept of “suicide by cop

31. 31 DEFINE & PROCESS Process: Define & Explain 3.4: Define & Explain 3.4: Record questions that will assist in evaluating an individual’s current level of suicidal danger

32. SOURCES All Course Sources and/or Resources are listed in your Participant Handout Bexar County Constable Office PCT#4 Crisis Intervention TRAINING (CIT) Course # 3841

33. “Knowledge is “POWER” Stay informed, stay SAFE, stay Vigilant & stay Alive”

34. TAKE A 10-MINUTE BREAK