Learning Objectives E xpla in wha t QPR me a ns I de ntify risk - PowerPoint PPT Presentation

QPR Staff suicide prevention training Na me  T itle / F a c ility  e ma il 

Learning Objectives  E xpla in wha t QPR me a ns  I de ntify risk fa c to rs a nd e a rly wa rning sig ns o f suic ide  Apply QPR princ iple s to he lp sa ve a life OR find so me o ne who c a n

Please remember:  T his is ma y b e a n unc o mfo rta b le to pic  Ma ny pe o ple ha ve b e e n to uc he d b y suic ide in so me wa y  T his is a sa fe c la ssro o m  Ple a se re spe c t the fe e ling s a nd vie ws o f a ll he re to da y  I f yo u ha ve re c e ntly lo st so me o ne to suic ide , this tra ining ma y b e to o diffic ult fo r yo u rig ht no w

US 2013 Statistics Cause of De ath All Age s Suic ide 41,149 Mo to r Ve hic le 35,369 Ho mic ide 16,121 I nfo rma tio n pro vide d b y the Ce nte r fo r Dise a se Co ntro l a nd Pre ve ntio n (CDC) fro m the Na tio na l Vita l Sta tistic s Re po rt (NVSR) “De a ths: fina l Da ta fo r 2013”.

Wisconsin 2013 Statistics Cause of De ath All Age s Suic ide 854 Mo to r Ve hic le 561 Ho mic ide 178 Wisc o nsin De pa rtme nt o f He a lth Se rvic e s, Divisio n o f Pub lic He a lth, Offic e o f He a lth I nfo rma tic s, “Wisc o nsin De a ths, 2013” pub lishe d Ma rc h 2015.

WI DOC Statistics Sinc e 1998, Wisc o nsin DOC ha s lo st 39 Co rre c tio na l Pro fe ssio na ls to Suic ide = Mo re tha n 2 o f us pe r ye a r

QPR QPR Ask a Que stio n, Save a L ife

QPR QPR Que stio n, Pe rsuade , Re fe r

QPR QPR  QPR is no t inte nde d to b e a fo rm o f c o unse ling o r tre a tme nt.  QPR is inte nde d to susta ining life until he lp a rrive s – like CPR.  QPR is inte nde d to o ffe r ho pe thro ug h po sitive a c tio n

QPR QPR MYTHS & & FACTS  Myth - No o ne c a n sto p a suic ide , it is ine vita b le .  F ac t - If pe ople in a c r isis ge t the he lp the y ne e d, the y will pr obably ne ve r be suic idal again.

QPR QPR MYTHS & & FACTS  Myth - Co nfro nting a pe rso n a b o ut suic ide will o nly ma ke the m a ng ry a nd inc re a se the risk o f suic ide .  F ac t - Asking some one dir e c t and c ar ing que stions about suic idal inte nt lowe r s anxie ty, ope ns up c ommunic ation and lowe r s the r isk of an impulsive ac t.

QPR QPR MYTHS & & FACTS  Myth - Only e xpe rts c a n pre ve nt suic ide .  F ac t - Suic ide pr e ve ntion is e ve r ybody’s busine ss and anyone c an he lp pr e ve nt the tr age dy of suic ide .

QPR QPR MYTHS & & FACTS  Myth - Suic ida l pe o ple ke e p the ir pla ns to the mse lve s.  F ac t - Most suic idal pe ople c ommunic ate the ir inte nt some time dur ing the we e k pr e c e ding the ir atte mpt.

QPR QPR MYTHS & & FACTS  Myth - T ho se who ta lk a b o ut suic ide do n’ t do it.  F ac t - Pe ople who talk about suic ide may tr y, or e ve n c omple te , an ac t of se lf- de str uc tion.

QPR QPR MYTHS & & FACTS  Myth - Onc e a pe rso n de c ide s to c o mple te suic ide , the re is no thing a nyo ne c a n do to sto p the m.  F ac t - Suic ide is the most pr e ve ntable kind of de ath, and almost any positive ac tion may save a life . Many that sur vive an atte mpt say, “I r e gr e tte d it the mome nt I.......”

QPR QPR Suic ide Risk F ac tor s And Clue s/ War ning Signs T he mo re c lue s a nd sig ns o b se rve d, the g re a te r the risk. T a ke a ll sig ns se rio usly!

F ir e Dr ill E xe r c ise ! I n te a ms, list a s ma ny r isk fac tor s suic ide a s yo u and war ning signs for c a n c o me up with!

Ris Risk Fac Factors for Suic Suicide  Me nta l he a lth diso rde rs - the se c a n inc lude : de pre ssio n, a nxie ty diso rde rs, b ipo la r, e tc .  F a mily histo ry o f suic ide  Se rio us me dic a l c o nditio n a nd/ o r pa in  Drug a nd/ o r a lc o ho l de pe nde nc e / a b use  I mpulsivity a nd a g g re ssio n  Histo ry o f tra uma o r a b use  Ho pe le ssne ss

QPR QPR Dire rect Ve Verb rbal C Clues:  “I ’ ve de c ide d to kill myse lf.”  “I wish I we re de a d.”  “I ’ m g o ing to c o mmit suic ide .”  “I ’ m g o ing to e nd it a ll.”  “I f (suc h a nd suc h) do e sn’ t ha ppe n, I ’ ll kill myse lf.”

QPR QPR Indirect Ind ct V Verbal C Clues:  “I ’ m tire d o f life , I just c a n’ t g o o n.”  “My fa mily wo uld b e b e tte r o ff witho ut me .”  “Who c a re s if I ’ m de a d a nywa y.”  “I just wa nt o ut.”  “I wo n’ t b e a ro und muc h lo ng e r.”  “Pre tty so o n yo u wo n’ t ha ve to wo rry a b o ut me .”  “I just wa nt the pa in to sto p.”

QPR QPR Behav havioral ral C Clues:  Any pre vio us suic ide a tte mpt  Ac q uiring a g un o r sto c kpiling pills  Co -o c c urring de pre ssio n, mo o dine ss, ho pe le ssne ss  Putting pe rso na l a ffa irs in o rde r  Giving a wa y prize d po sse ssio ns  Sudde n inte re st o r disinte re st in re lig io n

QPR QPR Behav havioral ral C Clues:  Drug o r a lc o ho l a b use , o r re la pse a fte r a pe rio d o f re c o ve ry  Une xpla ine d a ng e r, a g g re ssio n a nd irrita b ility  Sudde n c ha ng e o f b e ha vio r fro m de pre ssive sympto ms to jo y a nd pe a c e  Sle e ping to o little o r to o muc h  Withdra wing o r I so la ting – e xc e ssive a b se nte e ism fro m wo rk

QPR QPR Situa uatio ional C l Clue ues:  Be ing fire d o r b e ing e xpe lle d fro m sc ho o l  A re c e nt unwa nte d mo ve  L o ss o f a ny ma jo r re la tio nship  De a th o f a spo use , c hild, o r b e st frie nd, e spe c ia lly if b y suic ide  Dia g no sis o f a se rio us o r te rmina l illne ss a nd/ o r c hro nic pa in

QPR QPR Situa uatio ional C l Clue ues:  Sudde n une xpe c te d lo ss o f fre e do m/ fe a r o f punishme nt/ humilia tio n  Antic ipa te d lo ss o f fina nc ia l se c urity  L o ss o f a c he rishe d the ra pist, c o unse lo r o r te a c he r  F e a r o f b e c o ming a b urde n to o the rs  Ha ra ssme nt o r b ullying  T a lking a b o ut fe e ling s o f b e ing tra ppe d

QPR QPR Tips f for or A Asking th the Suicide Qu Questi tion:  I f in do ub t, do n’ t wa it, a sk the q ue stio n  I f the pe rso n is re luc ta nt, b e pe rsiste nt  T a lk to the pe rso n a lo ne in a priva te se tting  Allo w the pe rso n to spe a k fre e ly  Give yo urse lf ple nty o f time  Ha ve yo ur re so urc e s ha ndy; QPR Ca rd, E AP pho ne numb e r, lo c a l c o unse lo r’ s na me a nd a ny o the r info rma tio n tha t mig ht he lp How you a sk the que stion is le ss impor ta nt tha n tha t you a sk it.

Question Less Dire rect ct A Appro proach: ach:  “Ha ve yo u b e e n unha ppy la te ly? ”  “Ha ve yo u b e e n so ve ry unha ppy la te ly tha t yo u’ ve b e e n thinking a b o ut e nding yo ur life ? ”  “Do yo u e ve r wish yo u c o uld g o to sle e p a nd ne ve r wa ke up? ”

Question Dire rect Appr Approach:  “Yo u kno w, whe n pe o ple a re a s upse t a s yo u se e m to b e , the y so me time s wish the y we re de a d. I ’ m wo nde ring if yo u’ re fe e ling tha t wa y to o ? ”  “Yo u lo o k pre tty mise ra b le , I wo nde r if yo u’ re thinking a b o ut suic ide ? ”  “Are yo u thinking a b o ut killing yo urse lf? ”  “Are yo u thinking a b o ut suic ide ? ” If you c a nnot a sk the que stion, find some one who c a n.

How Not ow Not to to As Ask the he Qu Question:  “Yo u’ re no t suic ida l, a re yo u? ”  “Yo u wo uldn’ t do a nything stupid, wo uld yo u? ”

Persuade How How to to Persuade S Som omeon one to to Sta tay A Alive:  L iste n to the pro b le m a nd g ive the m yo ur full a tte ntio n  Re me mb e r, suic ide is no t the pro b le m, o nly the so lutio n to a pe rc e ive d inso lub le pro b le m  Do no t rush to judg me nt  Offe r ho pe in a ny fo rm  No rma lize fe e ling s o f suic ide to he lp the pe rso n o pe n up

Persuade Then A Ask:  “Will yo u g o with me to g e t he lp? ”  “Will yo u le t me he lp yo u g e t he lp? ”  “Will yo u pro mise me no t to kill yo urse lf until we ’ ve fo und so me he lp? ” YOUR WIL L INGNE SS T O L IST E N AND T O HE L P CAN RE KINDL E HOPE , AND MAKE AL L T HE DIF F E RE NCE

Refer  Suic ida l pe o ple o fte n b e lie ve the y c a nno t b e he lpe d, so yo u ma y ha ve to do mo re .  T he b e st re fe rra l invo lve s ta king the pe rso n dire c tly to so me o ne who c a n he lp.  T he ne xt b e st re fe rra l is g e tting a c o mmitme nt fro m the m to a c c e pt he lp, the n ma king the a rra ng e me nts to g e t tha t he lp.  T he third b e st re fe rra l is to g ive re fe rra l info rma tio n a nd try to g e t a g o o d fa ith c o mmitme nt no t to c o mple te o r a tte mpt suic ide . Any willing ne ss to a c c e pt he lp a t so me time , e ve n if in the future , is a g o o d o utc o me .