1. 1 EARLY START PEI SUICIDE PREVENTION AD HOC COMMITTEE PROPOSAL Olivia Celis Carlotta Childs-Seagle Rocio Gonzalez Sam Bloom & James Cunningham

2. 2 WHO DIES FROM SUICIDE? (CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION) 10 TH ranking cause of death in California Older adults over the age of 85 have the highest suicide rate in California Suicide is the 3 rd largest cause of death between the ages of 16 to 25 Males are three times more likely than females to die by suicide than women Women attempt suicide three times more than men, and are more likely to be hospitalized for self-inflicted injuries

3. Draft California Stategic Plan on Suicide Prevention 3 CALIFORNIA DATA SUICIDE ATTEMPTS (2006)

4. 4 LOS ANGELES COUNTY DATA SUICIDE RATE BY SA/AGE (2003) 0 - 1516 - 2526 - 5960+TOTAL SA 10.0 3.855.49.9 SA 20.00.42.534.97.7 SA 30.00.41.023.15.4 SA 40.0 1.247.08.4 SA 50.0 1.533.610.2 SA 60.00.61.424.93.8 SA 70.02.13.029.46.5 SA 80.0 1.733.87.3 0.00.51.932.67.0

5. 5 EARLY START PRINCIPLES Coincide with statewide projects Consistence with PEI & Early Start Feasibility Short start-up Meets community needs Leveraging Transformation as necessary

6. 6 MHSOAC RECOMMENDATIONS: Build a system of suicide prevention at State and Local levels Provide technical assistance, resources to develop and implement suicide prevention Increase the capacity & quality of local suicide prevention hotlines Increase the capacity of the workforce to effectively prevent suicide

7. 7 Suicide Prevention Transformation: Didi Hirsch “24/7 Crisis Hotline” Increase County-wide capacity & quality of local suicide hotline (MHSOAC & CA DMH Guidelines) National Lifeline Certification Collaboration with NIMH & SAMHSA Transformed under ASIST (Columbia Univ.) 1. Prevention 2. Early Intervention

8. 8 Pacific Clinics Latina Youth Program High TAY suicide SA7 Underserved community EBP – CBT & Columbia Teen Screen 1.Prevention 2.Early Intervention Suicide Prevention Transformation:

9. 9 Suicide Prevention Expansion Suicide Prevention Specialist Teams CA DMH Early Start Guideline Recommendation: Liaison to State DMH infrastructure: Age group specialists 1. Prevention Training, Resources, Needs Assessment, Integration & Coordination of County-wide Suicide Prevention activities

10. 10 Suicide Prevention Expansion Health Care Partners Specialty Program (>risk co-morbidity) 60+Suicide Rate Co-location in Primary Care Centers EBP: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial) 2. Early Intervention

11. 11 Suicide Prevention Expansion Web-Based Training & Resources Partner with Educational Community Jason Flatt Act Increasing capacity of Workforce 1. Prevention Suicide Prevention Training

12. 12 Suicide Prevention Expansion Service Programs: Expansion of Local Hotline to underserved & ethnic communities Promotion & Expansion of Peer Support for survivors & bereaved Partner with hospitals for follow-up post suicide attempt Partner with law enforcement & first responders 1. Prevention 2. Early Intervention

13. 13 Suicide Prevention Estimated Budget Transformation: “24/7 Crisis Hotline” $ 450,000 Latina Youth Program $ 375,000 Expansion of Services: DMH SP Teams $ 850,000 Health Care Partners $ 350,000 Web-based Training $ 255,000 Proposed New Services $1,050,000 TOTAL $3,330,000

14. 14 Thank You for Your Attention.