Washington County PHAC Meeting Washington County PHAC Meeting Washington County PHAC Meeting Washington County PHAC Meeting October 13, 2015 October 13, 2015 October 13, 2015 October 13, 2015 Suicide Prevention at Suicide Prevention at Suicide Prevention at Suicide Prevention at Washington County Washington County Washington County Washington County Meghan Crane, MPH Suicide Prevention Coordinator Washington County Public Health Meghan_crane@co.washington.or.us Phone: 503-846-4748
OVERVIEW Data Overview Data Overview Data Overview Data Overview Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention Washington County’s Focus on Suicide Prevention • How we got where we are • Suicide Prevention Council • Zero Suicide Initiative • Get Trained to Help • Other prevention activities Intervention Intervention Intervention Intervention • What to look for • How to help • Where to get help
NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG NOT JUST THE TIP OF THE ICEBERG The picture for only one year USA: 2013 Population: 316,128,839 Reported suicides: 41,149 Unreported suicides: 5% to 25% more suicides Suicide behaviors: 40 to 100 times greater than number of suicides Number of people affected: Each suicide behavior may affect a few or a very large number 15,806,442 People with thoughts of suicide: LivingWorks Education Inc. www.livingworks.net
DATA Nationally Nationally Nationally Nationally 1 person every 13 minutes • Oregon has the 11 th highest suicide rate in the US • Oregon Oregon Oregon Oregon A leading cause of death for Oregon youth ages 10-24 • Leading cause of death for Oregon Veterans under age of 45 • Firearms were the most common means in 2012 • Washington County Washington County Washington County Washington County Average of 64 suicides per year 2003-2012. • Suicides deaths and rates have been increasing: 75 (2014), 71 (2013), and 93 (2012) • White males over 65 have the • highest rates Firearms, poisoning, and • suffocation are most common means Data Source: USA suicide 2015: Official final data for the American Association of Suicidology; Oregon Violent Death Reporting System; Oregon Violent Death Reporting System
OREGON SUICIDE RATE BY COUNTY Data Source: Oregon Violent Death Reporting System
METHOD OF SUICIDE WASHINGTON COUNTY Data Source: Oregon Violent Death Reporting System 2003-2011
www.co.washington.us/suicide
HOW WE GOT HERE SUICIDE HEALTHY COLUMBIA LIVE WELL PREVENTION WILLAMETTE WASHINGTON COUNCIL COLLABORATIVE COUNTY (Formed 2012) (2013) (2014)
HOW WE GOT HERE SUICIDE HEALTHY COLUMBIA LIVE WELL PREVENTION WILLAMETTE WASHINGTON COUNCIL COLLABORATIVE COUNTY (Formed 2012) (2013) (2014) SUICIDE PREVENTION GET TRAINED TO COUNCIL BECOMES SPC ADOPTION OF HELP LIVE WELL “ZERO IS POSSIBLE” (Aug. 2014) COMMITTEE (May 2014)
HOW WE GOT HERE SUICIDE HEALTHY COLUMBIA LIVE WELL PREVENTION WILLAMETTE WASHINGTON COUNCIL COLLABORATIVE COUNTY (Formed 2012) (2013) (2014) SUICIDE PREVENTION GET TRAINED TO COUNCIL BECOMES SPC ADOPTION OF HELP LIVE WELL “ZERO IS POSSIBLE” (Aug. 2014) COMMITTEE (May 2014) DEDICATED SUICIDE GARRETT LEE SMITH PREVENTION SUMMIT OF HOPE GRANT RECEIVED COORDINATOR (May 2015) HIRED (Sept. 2014) (JULY 2015)
Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention Work plan based on 2012 National Strategy for Suicide Prevention Strategic Direction 1: Healthy and Empowered Individuals, Families and Strategic Direction 1: Healthy and Empowered Individuals, Families and Strategic Direction 1: Healthy and Empowered Individuals, Families and Strategic Direction 1: Healthy and Empowered Individuals, Families and • Community Community Community Community Examples: Best practice media recommendation education and • distribution and supporting existing prevention strategies Strategic Direction 2: Clinical and Community Prevention Services Strategic Direction 2: Clinical and Community Prevention Services Strategic Direction 2: Clinical and Community Prevention Services Strategic Direction 2: Clinical and Community Prevention Services • Examples: Promote lethal means reduction education and promote • community trainings Strategic Direction 3: Treatment and Support Services Strategic Direction 3: Treatment and Support Services Strategic Direction 3: Treatment and Support Services Strategic Direction 3: Treatment and Support Services • Example: work with local healthcare system to implement the Zero • Suicide Initiative Strategic Direction 4: Surveillance, Research, and Evaluation Strategic Direction 4: Surveillance, Research, and Evaluation Strategic Direction 4: Surveillance, Research, and Evaluation Strategic Direction 4: Surveillance, Research, and Evaluation • Examples: Suicide Fatality Review and SPC tracking/evaluation •
ZERO SUICIDE ZERO SUICIDE ZERO SUICIDE ZERO SUICIDE IN HEALTH AND BEHAVIORAL HEALTH CARE The foundational belief of Zero Suicide is that suicide deaths for individuals under care within health and behavioral health systems are preventable. A concept and a practice A commitment to suicide prevention in health & behavioral health systems A set of tools & strategies
ZERO SUICIDE: ZERO SUICIDE: A SHIFT IN ZERO SUICIDE: ZERO SUICIDE: PERSPECTIVE From: From: To: To: From: From: To: To: Accepting suicide as inevitable Every suicide is preventable Stand alone training & tools Overall systems & cultural change Specialty referral to niche staff Part of everyone’s job Individual clinician judgment & Standardized screening, actions assessment, risk stratification, and intervention Hospitalization during episodes of Productive interactions throughout, crisis continuity of care “If we can save one life…” “How many deaths are acceptable?”
Community Trainings Community Trainings Community Trainings Community Trainings • ASIST: Applied Suicide Intervention Skills Training • Mental Health First Aid (Adult and Youth) • CALM: Counseling on Access to Lethal Means • QPR: Question, Persuade, Refer
PREVENTION STRATEGIES Implementing suicide prevention in schools Implementing suicide prevention in schools Implementing suicide prevention in schools Implementing suicide prevention in schools • Clear policies and procedures • Gatekeepers • Training (Staff, Students, Parents) • Screening Assessment/Tool Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Good Behavior Game Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Upstream Prevention: Washington County Adverse Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative Childhood Experiences (ACEs) Initiative
SUICIDE FACTS Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. Talking about suicide responsibly does not increase risk. People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be People who are thinking about suicide don’t want to die, they want to be out of pain. out of pain. out of pain. out of pain. Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. Those who are suicidal are almost always ambivalent. There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about There are almost always warning signs that someone is thinking about suicide. suicide. suicide. suicide. Means matters! Means matters! Means matters! Means matters! SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE SUICIDE IS PREVENTABLE
WHAT TO LOOK FOR WHAT TO LOOK FOR WHAT TO LOOK FOR WHAT TO LOOK FOR Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of Talking, writing, posting about death, dying or suicide or themes of • Helplessness • Hopelessness • Perceived burdensomeness Mental Health Disorders Mental Health Disorders Mental Health Disorders Mental Health Disorders • Mood Disorders, Psychotic Disorders • Substance Use • Rage, anger, revenge Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Previous Attempts (survivor of suicide loss/attempt) Access to Lethal Means Access to Lethal Means Access to Lethal Means Access to Lethal Means 17 17 17 17
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