NYC Guide to Suicide Prevention, Services and Resources

This guide was produced by The Samaritans of New York with funding from the New York State Office of Mental Health

The Samaritans Suicide Prevention Hotline (212) 673-3000 24 hours/7 days a week community-based, completely confidential Always there when you need someone to talk to...

2015 For updates, go to www.samaritansnyc.org Overview How toUseThisGuide The AudiencefortheGuide The PurposeofThisGuide NYC Guide to Suicide Prevention, Services andResources NYC GuidetoSuicidePrevention,Services Suicide CanBePrevented Suicide AsaPublicHealthProblem 2

(212) 673-3000 © provide care to people whoare indistress orat-risk for suicide orwhohave lost aloved oneto suicide by The NYC Guideto Suicide Prevention, Services and Resources is designed to address theneeds of those who agencies, government officials and policy analysts over the past 25 years. caregivers through our public education program and from collaborations with hundreds of non-profit 24-hour suicide prevention hotline,has observed first-hand working with over 30,000 lay and professional This is somethingthe Samaritans of New York, thecommunity-based organization that operates NYC’s and resources to beeffective. for theircare feel uncomfortable and inadequate, often believing that they donot have theknowledge, tools Responding to people whoare depressed, incrisis and possibly suicidal frequently makes those responsible want attention misconceptions that interfere inhelping people incrisis include abelief that people whoare suicidal most significant myth beingthat talking about suicide might give someonetheidea (it does not).Other about helping people whoare suicidal which, inturn, often negatively impacts our ability to respond; the Talk of suicide makes most people uncomfortable. Afact that leads to many of themisconceptions we have specific social, environmental, familial and genetic factors. countless and complex reasons, someof themidentifiable orable to bediagnosed, others tied to less individuals, families and communities as well. People experience depressive and/or suicidal feelings for age, race, economic background, culture and sexual identity and can have lasting effects that impact Suicide, the10thleading cause of death intheUS,is apublic health problem that touches people of every • • • • immediate needs and therole you are providing. Possibilities include: Scan thepages of this booklet first to get a settings. It can also beused by those whoare experiencing depression orsuicidal feelings themselves. guidance counselors and emergency response staff working in community, academic, recreational or clinical includes family members, friends and colleagues as well as social workers, psychologists, case managers, individuals whoare depressed, indistress, are experiencing trauma orsomeform of mental illness. This This Guidecan beused by everyone whoprovides personal orprofessional care, support ortreatment to providing themwith key linkages to resources, tools, research and support services. The Samaritans of New York, Inc. 2015 additional coping tools, access to resources and treatment and lettingthemknow they are not alone. people whoare depressed and incrisis to get through theirdifficult times, providing them with Suicide prevention is not about death and dying but life and living and exploring options, helping whoattempt suicide The good news is that, frequently, suicide can beprevented. Infact, as many as 70%of thepeople for expert feedback, training and technical support inaddressing specific issues. for guidance and information onhow to access effective resources and support services for developing specific guidelines and a plan for trying to helpsomeone in crisis for acomprehensive overview of theprimary components of suicide prevention 24 hours aday 7 days aweek and if someoneis determined to kill themself, do something to let others know before they act. feel who are overwhelmed,depressed, incrisis orsuicidal. Free, non-judgmental emotional support for those for its contents thenuse theGuideinaccordance with your Community-based. Completely confidential. NYC Guide to Suicide Prevention, Services and Resources THE SAMARITANS OF NEW YORK there is nothinganyone can doabout it . just

Overview andStatisticsReferencesResources Overview A LookAtStatisticsandTrends ofAt-Risk Populations © American Association of Suicidology Foundation for Suicide Prevention The primary sources ofinformation and statistics for this section includebut are not limited to: Lives, Vol.1: Suicide Awareness Voices of Education suicide loss each loss directly impacts at least six people; meaning that close to 600individuals become a Suicide Survivors documented as precipitating events inindividual deaths by suicide. four times thesuicide rate of those employed. Economic strain and personal financial crises have been between unemployment, theeconomy and suicide, with unemployed individuals having between two and the WorkplaceIn show increases inattempts by young Latinas, younger and older Asian-American females and young LGBTQ. depression annually, 8.5% reportasuicide attempt,3%anattempt that required medical care. Recent trends NYC suicides are committed by males age25-54. About 30%of NYC’s public highschool students experience in women, Hispanics, those with low incomes and chronic diseases like asthma and diabetes. Over 50%of New York City from aninpatient orresidential settingfor those at significant risk. means increases suicide risk inindividuals with depression. Suicide risk can beexacerbated after discharge 30% of all suicides; 7%of individuals with alcohol dependence will dieby suicide. Ready access to lethal A previous attempt is theleading indicator of suicide risk, with alcohol and substance abuse afactor in about Many of those whoare depressed don’t realize they have depression. who commit suicide, 20% visited aprimary care physician thesame day as theirsuicide, 40%within aweek. Though theelderly make up 13% of thepopulation, they represent 18%of thesuicides. Amongolder adults age, most significantly after 65; for women, rates peak between 45-54,and after age 75. 25-34, 4thof males 35-54,3rd of women 15-24, 4thof women 25-44, etc. Suicide rates for menrise with Incidence the largest percentage from elderly and older middle-age men. men but menbeingfour times more likely to die.Infact, 75% of all suicides intheUS are committed by men, Over 5,000,000 Americans have attempted suicide, with women attempting three times more frequently than and anestimated 4% will have suicidal thoughts. problem, thoughless than one-third seek treatment. Depression affects nearly 10% of adults inagiven year and AIDS combined. As many as 90%of thepeople whodiefrom suicide have adiagnosable mental health Overview The Samaritans of New York, Inc. 2015 veterans, Asians and Latinas and others. the unemployed, homeless, immigrants, victims of violence, sexual abuse and bullying, returning number of older adults, chronic sick and mentally ill, those with alcohol and substance abuse problems, This includes but is not limited to students at our 26colleges, our large GLBTQ community, thelarge being inoneplace than anywhere intheworld. strongly than inNYC whose rich cultural diversity leads to more populations that are highrisk for suicide what theireducation, economic orsocial standing orpersonal relationships. Nowhere is this seenmore Anyone can experience thedepressive, stressful ortraumatic feelings that can lead to suicide, nomatter To contact Samaritans of New York: (212)673-3661(education program) or Borough President Gail Brewer and theNeuberger Berman Foundation. Levin, Vallone, Wills, Mendez,Levine, Kallos, Gibson, Torres, Weprin and Cumbo as well as Manhattan made possible by funding provided by New York City Council Members Garodnick, Crowley, Koo, Williams, Prevention support and initial funding for this project as well as our friends onthe The Samaritans of New York wishes to thank theNew York State Office of Mental Health fortheirongoing Suicide is the2nd leading cause of death of teenagers, 2nd of college students, 2nd of males Suicide leads to over 36,000 deaths annually intheUS,causing as many fatalities as homicide every day. Suicide survivors are at increased risk of suicide themselves. http://www.naminys.org/images/uploads/pdfs/SUI_11.pdf and themany experts whooffered theirtimeand services. The2015 revision of this guide was About 6%of NYC adults reportclinically significant emotional distress with highest rates seen Over 5,000,000 Americans have lost aloved oneto suicide, with research suggesting that Aminimum of 7%of full-time workers battle depression. Astrong relationship exists www.afsp.org

www.suicidology.org

www.save.org

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NYC Guide to Suicide Prevention, Services and Resources Centers for Disease Control and Prevention

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A Public Health Strategy for Suicide Prevention, Saving

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Suicide Prevention Resource Center New York City Task Force forSuicide [email protected]

www.cdc.gov American www.sprc.org survivor of

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For updates, go to www.samaritansnyc.org Overview For updates, go to www.samaritansnyc.org Helping Someone in Crisis Create aSafeEnvironment Responding toSomeoneWhoisDepressedorinCrisis Identify Warning Signs,RiskandProtective Factors andTrustEstablish Rapport 4

© likelihood of suicide and enhance resilience: PROTECTIVE FACTORS • • • • • • • experiencing depression and/or suicide ideation: • • • • • • increase therisk potential for suicide: RISK FACTORS current situation. relationships that reduce that person’s risk. This will helpus to develop aclearer picture of theindividual’s behaviors and states of mind that are warning signs of depression; and thebehaviors, environments and Recognize thecircumstances and environments that can increase anindividual’s risk for suicide; the state of mind and thegreater thelikelihood they will seek support and allow us to help. and feeling. The more comfortable aperson feels with us, themore we can learn about theirsituation and saying without immediately expressing your own opinion. The focus should beonwhat theperson is thinking Demonstrate your concern by engaging theperson inaconversation, listening carefully to what he/she is distractions from otherpeople, phone calls oractivities. where you will not beinterrupted; where heorshe can receive your undivided attention and focus without Do your best to provide theperson you are responding to with anenvironment that is private quiet, and WARNING SIGNS • • • • statements like: ‘Iwish Iwas dead,’ ‘Noonewill announcing aplan to kill himorherself impulsive and/or risk-taking behavior extreme alcohol and/or substance abuse difficulty in adjusting togenderidentity a heightened fixation with death or violence a sudden worsening of school performance loss of job, income, unemployment, benefits cultural/religious beliefs supporting suicide barriers to accessing health care/treatment social isolation and/or alienation any type of loss of parent orloved one previous self-destructive orsuicidal behavior miss mewhenI’mgone’or‘Ithink I’ll just disappear.’ connectedness to community, school, organizations restricted access to lethal methods of suicide access to medical and mental health care supportive and caring family and friends The Samaritans of New York, Inc. 2015 • • • these approaches consist of thefollowing steps: public health experts may use different approaches when responding to someoneindistress, most of mind before attempting to helpanindividual whois depressed orindistress. Though crisis response and Whether you are afamily member, friend orhealth professional, it is always beneficial to have a plan in

identify warning signs,identify risk and establish rapport and trust create asafe environment protective factors

Some of theissues tied to background, history, environment and/or circumstances that

Some of theaffects, behaviors and actions that are often related toanindividual

Some of thekey behaviors, environments and relationships that reduce the

NYC Guide to Suicide Prevention, Services and Resources • • • • • • • • • • • •

• • • • • • talking orwritingabout suicide ordeath sudden giving away of prized possessions obtaining aweapon orotherlethal means self-destructive and violent behavior towards others recent orongoingimpulsive and aggressive acts being a victim of bullying, sexual abuse, violence violent mood swings, changes inpersonality changes ineating and sleeping habits • • • problems tied to sexual identity and relationships unwillingness to access helpdueto stigma easy access to lethal means (especially guns) history of trauma, abuse, violence orneglect alcohol orotherform of substance abuse personal/family history of suicide, psychiatric disorder provide ongoing support decide best course of action explore available resources assess and determine suicide risk cultural and religious beliefs that discourage suicide access to immediate and ongoingsupport and care learned skills and behaviors (e.g., problem-solving, conflict resolution, angermanagement, etc.)

Prevention ReferencesandResources Explore Available Resources Provide OngoingSupport Decide BestCourseofAction Assess andDetermineSuicideRisk © lethal means (including guns, controlled substances orany materials that could beused to harm oneself). importance, if theperson is significantly depressed or has thoughts of suicide, and identify remove all access to available, decide what else you need to learn orwho you need to talk to inorder to respond effectively. Of most protective factors, his/her state of mind and level of suicide risk Using what you have learned from talking to theperson you are responding to services like hotlines and mobile crisis units, support groups, education and information, technical etc. support, the response. Resources may include referrals for ongoingclinical care, immediately accessible crisis response professional’s ability to maintain ongoingsupport for theperson indistress and increases theeffectiveness of Utilizing professional, familial, spiritual and otherresources increases thefamily member, friend orhealth (click “Safety Planning Guide”and“Patient Safety Plan Template”) www.sprc.org/for-providers/primary-care-tool-kit-tools high risk for suicide. Accompanied by asafety plan template. and sources of support for patients whohave beendeemed involved in developing asafety plan of coping strategies Safety Planning Guide html/doh/downloads/pdf/chi/chi26-9.pdf suicidal patients and treatment options. questionnaires), information about medication, managing suicide risk (includes PHQ-2 &PHQ-9depression screening provides tools for recognizing depression, assessing Detecting & Treating Depression inAdults Samaritans-Suicide-Awareness-and-Prevention-Booklet.pdf www.samaritansnyc.org/wp-content/uploads/2013/08/ and misconceptions, active listening tools, etc. including establishing understanding rapport, myths comprehensive approach to helping people indistress, for Caregivers &Service Providers Samaritans ‘ICan Help!’ visualized the individual’s “intent” to attempt suicide, that can measure the“severity” of anindividual’s depression, risk assessment models that can measure individual’s depressive feelings and/or thoughts tied to suicide. These include depression screening tools There are different methods and tools that can be easily accessed and utilized to determine the extent of an Access for Helpand Support” for programs and services to helppeople whoare depressed, indistress orsuicidal. information and references inthis guidethat address these and similar topics, and aseparate section,“Resourcesof to sources other are There section. this in covered The referencestopics below provide more in-depthinformation onthe of thecommunity, colleagues, etc. to ensure thebest results and prevent caregiver stress and burnout. do not goit alone of followup, support and utilization of resources. For thebenefit of theperson you are helping as well as yourself, Responding to aperson whois indistress orsuicidal is often anongoingprocess that requires a consistent level The Samaritans of New York, Inc. 2015 • • determine answers to thefollowing questions: In thecontext of what you have seen,heard and know about theindividual you are responding to, Does theperson have aplan inplace to attempt Is theperson expressing thoughts about suicide suicide and themeans available to doso? or has heorshe donesointherecent past? theact (like theassessment tool shown below). . Implement amulti-faceted team approach consisting of family, health professionals, members Explains goals, methods and design

Suicide Awareness &Prevention This booklet offersa www.nyc.gov/

NYC DOHMH degree ofrisk, capability NYC Guide to Suicide Prevention, Services and Resources

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Has theperson ever attempted suicide inthe Has theperson set aspecific time to act onhis past orhad afamily member that did so? or herplan and whenis it? prevention and measures. several detailed references for assessment models treating those who are depressed and suicidal contains Counselors inPreventing Suicide The Role of Clinical Social Workers and Mental Health Multiple versions/languages. suicidal occurrences and non-suicidal self-injury. lethality and severity; and distinguishes between in adolescents and adults. Assesses behavior, ideation, Frequently used inclinical practice to assess suicidality Columbia-Suicide SeverityRating Scale(C-SSRS) www.sprc.org/library/srisk.pdf section of perspectives inassessing risk. environmental and social-cultural, to provide across- factors. Separates risk factors into biopsychosocial, interactive relationship between risk and protective Risk and Protective Factors for Suicide — and theresources and other supports that are to attempt orhow much heorshe has www.sprc.org/basics/roles-suicide- — his/her warning signs, risk and www.cssrs.columbia.edu

This guidefor Discusses the

For updates, go to www.samaritansnyc.org Helping Someone in Crisis For updates, go to www.samaritansnyc.org Postvention and Suicide Survivors Those NeedingPostventionSupport The ImpactofStigma Experiencing aSuicideLoss Postvention andSuicideSurvivors 6

© sobriety ortrigger anincrease inorreturn to self-destructive behavior. or mental illness, especially depression and mood and anxiety disorders; and undermine anindividual’s are usually associated with post-traumatic stress. The loss may also exacerbate analready existing physical The impact of asuicide loss can besodramatic that asurvivor may experience symptoms and behaviors that counselors, therapists, clergy, members of law enforcement and others whomay have known theindividual. relationship with theperson whodied fit this category but sodo caregivers, teachers, coaches, guidance Obviously family members, close friends and colleagues, loved ones and others whohave had apersonal closely related insomemanner to thedeceased. those whoare most vulnerable, have experienced otherdramatic losses, traumas ormental illness orwere Though every individual touched by theloss from suicide is significant, extra attention should be placed on memorial services dueto many people’s discomfort with the subject and fears tied to addressing it. denied thecomfort and solace from family and friends that thebereaved normally receive at funerals and do not want to talk about it when,like any traumatic loss, theopposite is true. Survivors often being report Adding to that pain and increasing theirisolation is thebelief that those wholose aloved oneto suicide to dosomethingto prevent it. prevent thedeath; stemming from thebelief that, somehow, they should have seenthesigns and beenable feelings of guilt and shame, sometimes actually beingblamed (orblaming themselves) for not beingable to Due to stigma and themany misconceptions people have about suicide, survivors often experience intense The term “suicide survivor” refers to people whohave lost aloved oneto suicide. Survivors experience the emotions and states of mind are much more acute and longer-lasting. that most people experience whenthey lose someonethey love or are close to, but frequently these same emotions (anxiety, despair, anger, denial, shock, isolation, etc.) and major life-changing circumstances The Samaritans of New York, Inc. 2015 current activities, utilizing resources like hotlines and counseling). use of coping tools (e.g.,engaging family members and/or spiritual maintaining support, involvement in impacted, to increase their“protective factors” and support network and to encourage resilience and The goal of postvention is to ease orreduce theeffects of that loss and thegrieving process for those care, support and safety to those touched directly orindirectly by this traumatic loss. Postvention refers to theresponses, activities and strategies utilized after adeath from suicide to provide healing component of thebereavement process. survivors And, are at higherrisk for suicide themselves. who lose aloved oneto suicide are, often, denied the familial and social support sonecessary to the Suicide survivors face factors that are unique to this type of loss; most importantly, thefact that those • • and emphasis, most of theirpostvention responses to try maintain abalance of: Postvention should beginas soonas possible. Though peerand public health experts intheirfocusvary • • • clearly focused messaging while monitoring communications and social media addressing theissue directly while establishing asafe, protective environment engaging all members of thecommunity—parents, teachers, students, mental health professionals, helping to normalize thesituation while expanding support networks/access to resources carefully planning and managing tributes and events while watching for those ‘at-risk’ clergy, funeral directors, etc.—in theplanning and implementation. NYC Guide to Suicide Prevention, Services and Resources

Postvention ResourcesandResearch Developing PostventionResponses © postvention responses and/or responding to those whohave lost loved ones to suicide. depth information, guidelines, training, etc. to assist those with theresponsibility of implementing effective The resources, research and books listed onthis and thefollowing page provide additional and more in- Suicide. section entitled:Recommendations For on Reporting suicide prevention Especially experts. helpful is the dissemination, etc., utilizing someof theworld’s key messaging, social reporting, networking, information This website provides anoverview of topics tied to Media Guidelines for on Reporting Suicide www.sprc.org/sites/sprc.org/files/Survivors.pdf providers inresponding to suicide survivors. understanding that will assist friends, family and An introduction intended to develop sensitivity and SPRC Customized Information: Survivors will prevent apainful situation from gettingworse and helpgain cooperation and sensitivity. procedures have been followed and eyewitness statements taken. Understanding theirroles and responsibilities to adeath as apotential crime scene (nomatter how obvious it is to those at thesite) until all thenecessary Medical Examiner and Law Enforcement blame (from self and others) and career status. to thepersonal impact,thecaregiver faces questions of confidence, competence, professional responsibility, someone they have beenworking with orcaring for to suicide is very similar to family and loved ones. Inaddition Caregivers and Clinicians death as inevitable ortheresult of aheroic orcourageous act. commit suicide as well as stories that seek to make thelistener/reader with identify thedeceased orportray the graphic depiction of thesuicide through pictures ordetailed descriptions of themeans theperson used to Media Reporting impacted by thecontagion orcopycat phenomenon. have someprevious experience with trauma ormental illness. Teenagers and young adults are most likely to be other members of that community to act ontheirown suicidal impulses, especially if they are already at risk or Contagion and Copycats those whohave beenexposed to orexperienced someprevious form of trauma ormental illness. strongly by thedeath, especially those whowere closest to thedeceased, whoidentified with himorherand ThoseAt-Risk Identifying fame ornotoriety they had not beenable to achieve previously. glamorizing of thesuicide act ortheimplication that, by taking his orherown life, theindividual gained alevel of must bebalanced with monitoring and managing spontaneous tributes to theperson whodied to prevent the SpontaneousTributes and Shrines misinformation and thepossibility of it revealing others whoare at risk. be disseminated. All messaging—especially through social networking—should bemonitored for sensationalism, and its impact as well as thefact that there is aplan inplace, steps are beingtaken and support is available must The following highlight someof thekey issues to consider whendeveloping apostvention plan: be deeply impacted and/or overwhelmed by theemotions that result from atragedy. So it is with suicide. As 9/11has taught us, anindividual does not have to bedirectly orpersonally connected to atraumatic event to workplace, and inthecommunity at-large. group, team and class members, professional and support staff, etc., throughout theschool, organization or begin inas timely amanner as possible. Postvention can take place onmany levels—among individuals, family, Since news about thesuicide will spread rapidly through word of mouth, e-mail and themedia, responses should M The Samaritans of New York, Inc. 2015 essaging and Social Networking

www.reportingonsuicide.org —working with themedia and others whodisseminate information is important to prevent —when asuicide occurs it may, under somecircumstances, influence orencourage —though often overlooked, research suggests that caregivers’ response to theloss of —observe and gather feedback onindividuals that appear to beimpacted most —clear communication to all those touched by acknowledging it, theloss —respecting theneed for those touched by thedeath to express theirgrief —the police and medical examiner are required by law to respond http:// NYC Guide to Suicide Prevention, Services and Resources 646-284-5790 Survivor Outreach Program Coordinator, Gail Tuohey, can request anoutreach visit by contacting theNYC bereaved survivors and theirfamilies. Survivors volunteers that will meet in-person with newly- AFSP Survivor Outreach Program Programmatic Issues, click Postvention andCrisis Response) www.sprc.org/library_resources/listing/search tips for professionals, recommendations for clergy, etc. wide variety of postvention topics, caregiver support, of clinical studies, research and articles focusing ona SPRC Library Postvention Resources www.afsp.org/outreachprogram Provides trained A detailed list

(under (under 7

For updates, go to www.samaritansnyc.org Postvention and Suicide Survivors For updates, go to www.samaritansnyc.org Postvention and Suicide Survivors 212-632-4770 (call before attending) monthly,Rabbi Simkha Y. Weintraub professional facilitated, 2nd Wednesday/ people of all faiths welcomed, 6thfloor,St., Manhattan, 7-8:30 pm NY Jewish Healing Center, 135 West 50th Jewish Survivors of aClose One’s Suicide M’kom Shalom: APlace of Peace for Susan Holden 718-273-6776 facilitated,3rd Tuesday/monthly, 6:30 pm,all ages/all suicide losses, peer Church, 233 Westcott Blvd, Staten Island, SurvivorsAfter Suicide component of asurvivor’s care and ongoinghealing process. and asafe and supportive environment as they cope with theirloss. It is suggested that asupport group should bebut one The following list provides information onfree support groups for those whohave lost aloved oneto suicide and seek solace Groups Support Suicide Survivor Manhattan, Brooklyn, Queens and Staten Island. Call national hotline for specific information. 877-969-0010 The Compassionate Friends children ages 4-18 and theircaregivers, inManhattan. 212-229-2273 A Caring The Billy Hand, Esposito Foundation Bereavement Program survivor might choose to attend that can befound through Internet searches orcalling 311. Other bereavement groups 8

© Center of NY: provided by NYS OMH. Contact the Suicide Prevention development for various professions. Free training suicide and provide specific knowledge and skill to reduce risk and promote healing following a CONNECT Suicide Postvention Training www.afsp. diverse populations and communities. materials inanaccessible format applicable to for action,do’s and don’ts,templates, and sample overview of key considerations, general guidelines Developed by AFSP and SPRC, thetoolkit includes an After a Suicide: A Toolkit for Schools memorialdo_donot.pdf www.nasponline.org/resources/crisis_safety/ ‘Don’ts’, National Assn of School Psychologists. Memorial Activities at School www.sprc.org/library/aftersuicide.pdf Services and OtherPublic Memorial a SuicideAfter principles-for-developing-protocols.pdf plan. survivors, risk factors, contagion, implementing a involved inPostvention, including responding to A comprehensive summary of themajor elements Principles for Providing Postvention Responses email: The Samaritans of New York, Inc. 2015 http://www.togethertolive.ca/sites/default/files/ [email protected] Bethany Lutheran org/schools http://www.theconnectprogram.org Recommendations for Religious , for those whohave suffered thedeath of a child or friend, various groups available in There are othergroups that are designed to respond to losses from any cause that asuicide

AList of ‘Do’s and 212-842-1460 (call before attending) Marcia Gelman Resnick 3rd Thursday/monthly peer/professional facilitated 6:30-8 pm,for parents/all ages 611 Broadway, Suite 415, Manhattan, Parents Who Lost Children To Suicide Feigelman, 718-380-8205 Wednesday/monthly, Bill &Beverly pm, peer/professional facilitated, 2nd non-religious/all welcome, 7:15-9:30 Tikvah, 3315 Hillside Avenue, LI, Long Island Survivors of Suicide Observances.

Designed

or or NYC Guide to Suicide Prevention, Services and Resources Loss or Suicide My Son... My Son help suicide survivors cope with theirloss. 1999. Atouching, informative and invaluable guideto Loved One No Time to Say Goodbye: the Suicide Surviving of a insight and perspective into thesurvivor experience. 1983. Amoving and enlightening book providing Survivors/Loss%20Survivors/SOS_handbook.pdf etc. what to expect, challenges faced, anger, acceptance, tool for survivors providing anoverview of theprocess, SOS Handbook for Survivors of Suicide http://mypage.iu.edu/~jmcintos/therapists_mainpg.htm loss resulting from thesuicide of apatient/client. them inresponding to theirpersonal and professional and education to mental health professionals to assist AAS Clinician-Survivor Task Force http://lifegard.tripod.com/After_a_Suicide.pdf response of law enforcement at thescene, etc. mental illness, misconceptions, what not to say, A good overview with topics including: suicide and a Suicide,After nyspi/material/MediaContagionAndSuicide.pdf http://www.columbia.edu/itc/hs/medical/bioethics/ suicide that encourage help-seeking behavior. educatesArticle themedia about ways to present Gould American al, et. Behavioral Scientist, 2003. Media Contagion and Suicide Amongthe Young , bereavement tied to all causes of death, for www.acaringhand.org

http://www.suicidology.org/Portals/14/docs/ Temple , Carla Fine,Doubleday Publishing, NYC, Fodor [email protected] peer-to-peer facilitated, Stephanie Kraut who lost asibling, 2nd Tuesday/monthly, Suite 803, Manhattan, 7-8:30 pm,for those SiblingGroup Support with-suicide-loss 3041 or info. ondates and location call 212-673- peer/ professional facilitated, 7-9 pm,for plus/all suicide losses, 1st Wed &3rd Tues, Group Place’‘Safe Suicide Survivor Support

, Iris Bolton, Bolton Press Atlanta, A Postvention Primer for Providers , A Guide to Healing After Death, [email protected] Samaritans of New York, age18-

www.samaritansnyc.org/coping Provides support 1140Broadway, A self-help Aself-help , Kimberly

- Training, EducationalResourcesandTools you may need to contact thenames ororganizations listed below and follow theirinstructions. qualified individuals, schools and agencies. To utilize these trainings, tools, webinars and other materials The following training programs, on-line educational resources, tools and webinars are available for free to www.kognito.com/products/highschool to appropriate support service. distress and approach anat-risk student for referral teachers to recognize indicators of psychological simulation designed to prepare highschool staff/ One-hour online, interactive gatekeeper training Kognito: At-Risk for High School Educators pages/intro generates discussion. develop prevention skills using ashortfilm that of language, suicide risk, etc. Program helps teens Addresses sexual orientation, genderidentity, impact audiences inNYC school and community settings. by trained facilitators for youth and professional The Trevor Project: Lifeguard Workshop NAMISignatureCourses/tabid/75/Default.aspx www.naminycmetro.org/Education parents/caregivers of children with amental illness). illness maintain health and recovery); basics (for illness); peer-to-peer (to helpthose with amental (for caregivers of someoneliving with asevere mental their parents, caregivers, including: family-to-family ongoing courses for individuals with amental illness, National Alliance onMental Illness prevention/training/qpr.html as onehour. Can belearned intheGatekeeper course inas little how to question, persuade, and refer someoneto help. to recognize thewarning signs of asuicide crisis and QPR –Question, Persuade, Refer training/safeTalk.html www.omh.ny.gov/omhweb/suicide_prevention/ aid resources. first suicide and describes how to connect themto suicide over theageof persons 15to identify with thoughts of a-half to three-hour training that prepares anyone SafeTALK: Suicide Alertness for Everyone training/asist.html www.omh.ny.gov/omhweb/suicide_prevention/ immediate risk of suicide. recognize and review risk and interveneto prevent dominated course designed to helpcaregivers A two-day intensive, interactive and practice- ASIST(AppliedIntervention Skills Suicide Training) TRAINING PROGRAMS ON-LINE & OTHER TRAINING TOOLS © The Samaritans of New York, Inc. 2015 -to-lifeguard-workshops www.omh.ny.gov/omhweb/suicide_ www.thetrevorproject.org/

Teaches people how / NAMIoffers

Presented

A two-and- NYC Guide to Suicide Prevention, Services and Resources

evidence-based programs, etc. search function ontopics like: high-risk populations, best practices, program evaluations and provides a research initiatives, information ontraining programs, collects and distributes suicide information and This federally funded center is anational library that Suicide Prevention Resource Center (SPRC) etc. inasafe, moderated space. quotes, photos, videos, songs, messages of support, as well as creative content like poetry, inspirational their stories of recovery, tragedy, struggle orhope can talk about what they are experiencing by sharing struggling with mental health problems where they provide acommunity for teens and young adults OK2Talk (Tumblr) www.uft.org/our-rights/brave bullying with anarray of resources and tools. support to bepro-active inconfronting and stopping parents and students with thetools, knowledge and of Teachers’ BRAVE campaign provides educators, Be BRAVE Against Bullying centers. and adirect link to New York State college counseling help themselves orafriend; self-assessment tool resource for college students with information to Ulifeline Depression Initiative NYC Department of Health &Mental Hygiene: www.sprc.org/training Information Series for specific issues and topics). paced courses and webinars (also seetheCustomized prevention programs and initiatives, including self- curricula designed to build capacity for suicide SPRC TrainingInstitute www.practiceinnovations.org licensed and OASAS certified programs only] videos, consumer interviews, quizzes, etc. [for OMH for people with co-occurring disorders; utilizes learning tool for agency staff onintegrated treatment Focus onIntegrated Treatment york-city-department-of-health-and-mental-hygiene www.slideserve.com/astra/depression 7), and patient handouts. tools for depression, anxiety and suicide (PHQ&GAD- detecting and treating depression inadults, screening Anonymous and confidential online www.ulifeline.org NAMI’s’goal with OK2Talk is to Materials for providers to aid in -institute Provides online and class

The United Federation

(click onCPI Initiatives) Self-paced, online

www.sprc.org

http://ok2talk.org/ -initiative-new-

For updates, go to www.samaritansnyc.org Training and Educational Tools For updates, go to www.samaritansnyc.org Sources of Research 10

adults/a-model-school-policy-on-suicide-prevention prevention-programs/programs-for-teens-and-young- www.afsp.org/preventing-suicide/our-education-and- in need of establishing, oramendingrevising them. suicide prevention policies inmiddle and highschools educators/administrators implement comprehensive research-based, easily adaptable document will help • adults/more-than-sad prevention-programs/programs-for-teens-and-young- www.afsp.org/preventing-suicide/our-education-and- who work with teens are better prepared to respond. warning signs of youth suicide soteachers and others many states; program seeks to increase knowledge of complies with requirements for teacher education in • school administrators, such as: The foundation offers aseries of tools for teachers and American Foundation for Suicide Prevention www.preventsuicideNY.org programs across New York. programs and initiatives and upcoming training information, local prevention and postvention website provides anoverview of suicide prevention NYS Office of Mental Health’s suicide prevention center Suicide Prevention Center of New York www.nimh.nih.gov/health sheets by age,genderand population. symptoms, statistics, treatment, clinical trials, fact suicide, PTSD, eating disorders, etc. including signs, extensive information onmood disorders, depression, National Institute of Mental Health (NIMH) www.cdc.gov/ViolencePrevention/suicide journal and professional podcasts, articles, etc. programs, clinical research and scientific information, statistics, populations, risk groups, strategies, extensive suicide prevention information including Centers for Disease Control &Prevention (CDC) https://findtreatment.samhsa.gov/ facilities, address, phone and services provided problems, continually updates lists of qualified for substance abuse, addictionand/ormental health on-line tool for persons seeking treatment facilities • samhsa.gov/TreatmentLocator/faces/about.jspx private and public facilities tool lists licensed, certified orotherwise approved • http://store.samhsa.gov health promotion, planning, cultural competence, etc.) the public (onmood disorders, treatment, screening, • providers and consumers including: publications and tools to assist caregivers, health Administration provides anarray of programs, services, the US Substance Abuse &Mental Health Services SAMHSA © Model School Policy on Suicide Prevention (PDF) MoreThan(PowerPoint) Sad Behavioral Health Treatment Services Locator, Substance Abuse Treatment Facility Locator, Free articles and publications The Samaritans of New York, Inc. 2015 https://findtreatment. for professionals and

on-line on-line

NYC Guide to Suicide Prevention, Services and Resources based and best practice guidance; developing a and intervention readiness, including: evidence- evaluating theirsite’s existing suicide prevention workshop designed to engage highschool teams in a one-day, SPRC Best Practice, interactive Creating Suicidein Schools Safety(CSSS) WEBINARS www.nami.org illness, feedback from NAMIconsumer volunteers. resources for those directly impacted by mental of literature and research, support group listings, affected by mental illness. Website provides review improving thelives of individuals and theirfamilies National advocacy organization dedicated to National Alliance onMental Illness (NAMI) assistance. providers to ask and share information and technical cultural competence, etc. Listserv allows school children of substance abuse, bullying, bereavement, include violence prevention, child abuse/neglect, Information, training aids, resources ontopics that UCLA: School Mental Health Project web/course.htm actionallianceforsuicideprevention.org/files/cssrs_ http://zerosuicide.sprc.org/sites/zerosuicide. receive certificate of completion valid for two years. modules also available. Following training, raters by optional case study questions. Online learning a 30-minute interactive slide presentation followed suicide assessment. Can be administered through training for use of C-SSRS questionnaire, used for Columbia Suicide SeverityRating Scale(C-SSRS) org/files/monitor_suicidal_individuals/course.htm http://zerosuicide.sprc.org/sites/zerosuicide.sprc. suicide ideation orafter a suicide attempt. an emergency visit, whenthere is increased a crisis--during thetimeof transition from follow-up and monitoring for individuals after demonstrates how to provide structured Individuals Structured Followup &Monitoring for Suicidal course.htm actionallianceforsuicideprevention.org/files/sp/ http://zerosuicide.sprc.org/sites/zerosuicide. application for smartphones and otherdevices. Online learning module is available, as is no-cost can utilize at varying states of risk orsuicidal crisis. pre-screened and rehearsed plan of actionthat they with astudent orclient, and provides themwith a suicide risk, this tool is developed incollaboration an evidence-based clinical intervention to reduce Safety Planning Intervention (SPI) creating-suicide-safety-schools School Psychologists. low ornocost. Endorsed by theNYS Association of safety and health that are subsidized oravailable at plan; learning about resources to enhance school comprehensive suicide prevention and response

http://smhp.psych.ucla.edu this 30-minute training module

www.sprc.org/bpr/section-III/

listed and has beenconfirmed at thetimeof this printing. groups and otherorganizations that provide care support, ortreatment. The information is based onthat provided by those The following list consists of crisis response services, community-based non-profits, government agencies, consumer Resources toAccessforHelpandSupport www.veteranscrisisline.net 1-800-273-8255, press #1, 24/7 prevention coordinators. lists NYC VA centers, clinics and suicide website provides online chat support and many of whomare veterans themselves; families; staffed by caring responders, support to veterans incrisis and their free, confidential hotlineprovides Line Crisis Veterans environmental/poison-control.shtml www.nyc.gov/html/doh/html/ 212-689-9014 24/7 (TDD), 212-POISONS (764-7667), 24/7 nurses certified inpoison information. staffed by registered pharmacists and free, confidential, emergency service Poison Control Center Hotline mobile-crisis.shtml www.nyc.gov/html/doh/html/mental/ provides information to contact directly. counseling, referrals, etc. Website provide assessments, interventions, overcome resistance to treatment. Teams health intervention and follow-up to psychological crisis whorequires mental anyoneserve experiencing orat risk of a Crisis Teams (MCT) Mobile www.800lifenet.org 24/7 212-982-5284 (TTY), 1-877-990-8585, Asian, 24/7 1-877-AYUDESE, Spanish,24/7 1-800-LIFENET, English, 24/7 accessing mobile crisis units. health professionals; and assistance in abuse information; referrals to mental prevention, mental health and substance free, confidential, multi-lingual crisis LifeNet www.samaritansnyc.org 212-673-3000, 24/7 and assesses individual for suicide risk. non-judgmental communications model to talk to. Every call follows Samaritans depressed orsuicidal and need someone support for those whoare overwhelmed, free, completely confidential emotional Suicide Prevention Hotline Samaritans 24-Hour services to thesite of anemergency. resulting indispatch of necessary Accesses police, fire, EMS orambulance for immediate emergency response. 911 Immediate Assistance © The Samaritans of New York, Inc. 2015

am. After hours, calls are directed to options. Available 8:30pmto 12:30 help clarify concerns and explore have beenspecially trained to listen, service provided by teenagers who Teen LineOnline Text MessagingServices www.nyfoundling.org/crisis 1-888-435-7553, 24/7 their children’s safety; free service. violence orany situation that impacts out child, are the victims of domestic are suicidal, have arunaway oracting- fear they will harm theirchildren, who or respite services for parents who preventative and mental health referrals 24-Hour Parent Helpline www.nyfoundling.o 1-888-435-7553, 24/7 or extended hospital stay for illness, etc. mother’s stay insubstance abuse rehab to 21 days under circumstances like: of its kind inNYC. Stay may beextended if siblings) 24/7 and is theonly service between theages of 0-10(slightly older, a temporary safe haven for children Crisis Nursery at New York Foundling youth-programs/nineline www.covenaNnthouse.org/homeless- 1-800-999-9999, M-Su, 4-8pm immediate help. allowing callers to beconnected with social service and child welfare agencies, Counselors utilize adatabase of 30,000 their caregivers for crisis counseling. free, confidential hotline for youth and Ni TextTermsOfService.aspx www.veteranscrisisline.net/ Text 838255, 24/7 with VA orenrolled in VA health care. one. You do not have to beregistered veterans orthose concerned about in responding to apersonal crisis for provide free, confidential support caring, qualified VA professionals Administration) Veterans Crisis Line(Veterans https://teenlineonline.org/talk-now/ apply. Text 839863 type: TEEN. Standard message and data rates may Didi Hirsch Health Center, Los Angeles. neli ne Hotline(Covenant House) NYC Guide to Suicide Prevention, Services and Resources rg/crisis -nursery -nu rsery qualified VA professionals. Can be used free and confidential support concerned about one,online chat offers available to veterans incrisis orthose Confidential VeteransChat Online Chat www.crisistextline.org/ Text 741-741 Type: LISTEN, 24/7 message support from counselors. problems to ahotlineand receive text medium. Teenagers can text intheir information they need via thetext access to free, emotional support and any type of crisis, providing them serves young people ages 13-25 in TextCrisis Line counseling?content_id=267030 www.militaryonesource.mil/ access to use this service. Requires acomputer and Internet sessions) and solution-focused. Counseling is short-term (up to 12 service members and theirfamilies. duty, National Guard and Reserve free, counseling provided to active Online Non-medical Counseling Military OneSource Confidential get-help-now#tc http://www.thetrevorproject.org/pages/ daily, 3-9pm using service are provided. Available volunteer counselors. Guidelines on that24) provides live helpfrom trained messaging service for LGBTQ youth (13- free, confidential, secure instant TrevorChat Support.aspx Support/Online-Community/Online_ www.compassionatefriends.org/Find_ using service are provided. bereavement sessions. Guidelines on similar experiences as well as general friendship from those whoshare supply encouragement support, and death of achild. The chat rooms (over theageof 18)grieving the parents, grandparents and siblings connecting and sharing among live chat community encourages The Compassionate Friends aspx?account=Veterans%20Chat net/ChatTermsOfService. www.veteranscrisisline. service provided, 24/7 with VA healthcare. Guidelines onusing even if you’re not registered orenrolled

from from 11

For updates, go to www.samaritansnyc.org Resources Community For updates, go to www.samaritansnyc.org Community Resources ww 212-925-2009 with grief and bereavement. friends and caregivers; and those dealing threatening physical illness, theirfamily, diagnosis of HIV/AIDS, cancer orotherlife- and spiritual support for anyone with a free weekly groups offer emotional Friends InDeed www.acaringhand.org 212-229-CARE(2273) professionals, schools and businesses. grief and bereavement consultation for group for children, teens and caregivers; primary caregivers including 10-wk peer and teenagers ages 4-18and their free bereavement services for children Foundation Bereavement Center A Caring The Billy Hand, Esposito www.compassionatefriends.org 1-877-969-0010, M-F, 9-5(CST) after thedeath of a child of any age. (parents, grandparents, adult siblings) forums for bereaved family members free support groups and online support Compassionate Friends Bereavement andSupport www.volunteerlogin.org/chat/ M–F 4pm-12am, Sat 12–5pm. Guidelines onusing service are provided. etc. All conversations are confidential. family concerns, relationship problems, safer-sex information, school bullying, that helps transgender and questioning individuals support for gay, lesbian, bisexual, free, confidential, one-on-onepeer Online Peer-Support Chat GLBT National HelpCenter gethelp/lifelinechat.aspx www.suicidepreventionlifeline.org/ provided. 7days, 2pmto 2am. asked. Guidelines onusing service are current social situation, etc. are regarding safety, feelings of depression, time, orjust need to talk. Questions despairing, goingthrough ahard services for those whoare depressed, intervention and suicide prevention online emotional crisis support, centers intheLifeLine network provide National Suicide LifeLine Chat www.imalive.org/index.php service are provided. 24/7 resource options.Guidelines onusing judgmental support and individualized the pseudonym “Alex,” offer non- trained volunteers, all of whomuse people incrisis. Chats answered by service that provides live helpto free, confidential online chat IMAlive (Kristin Brooks HopeCenter) w.friendsindeed.org 12

with coming-out issues, © The Samaritans of New York, Inc. 2015 www.mdsg.org/support-groups.php friends. 212-533-6374 depression as well as theirfamily and for people with bipolar disorder and weekly Manhattan-based support groups Mood Disorders Support Groups we-do/respite-center#support-line http://www.communityaccess.org/what- 646-741 HOPE (4673) 7days 4pmto 12am been trained to provide support to others. experiences with mental illness whohave of individuals with theirown personal distress, thecalls are answered by astaff for people experiencing emotional Parachute NYC Peer Support Line www.naminycmetro.org 212-684-3264, M-Th 12-7, F 12-6 provides community support, resources. friends, caregivers. Confidential helpline illness ages 18+and family members, support groups for those with mental of New York City National Alliance onMental Illness 5200 immigration orhealth status. 212-206- patients regardless of socio-economic, health, reproductive care; serves health, social services, women’s for ages 18+provides health, mental comprehensive free health care clinic NYC Free Clinic Health Services Mental Healthand www.cancercare.org 1-800-813-HOPE (4673), M-Th 9-7, F 9-5 oncology social workers. financial assistance, etc. Staffed by provides support groups, counseling, loved ones, caregivers and thebereaved; support for people with cancer, their CancerCare suicide-loss www.samaritansnyc.org/surviving 212-673-3041 a loved oneto suicide. people (ages 18and older) whohave lost free, confidential support groups for Suicide SurvivorGroups Support SamaritansPlace Safe pp.asp www.calvaryhospital.org/site/ Bronx and Brooklyn. 718-518-2125 Spanish group available. Meetings inthe Pre-registration required. English &adult adult child, adults wholost aparent, etc. spouses/partners, parents wholost an violence orany othercause. Groups for death of aloved onedueto illness, (12-18) and children (6-11)grieving the free support groups for adults, teenagers Calvary Hospital Bereavement Services http://nycfreeclinic.med.nyu.edu ?c=ktJUJ9MPIsE&b=3304883 NYC Guide to Suicide Prevention, Services and Resources

-a-

serving diverseserving communities. Vida health clinics and housing programs illnesses and/orHIV/AIDS include mental services for individuals with mental Comunilife care.shtm www.nyc.gov/html/doh/html/living/hiv- living with HIV inNew York City. uninsured and underinsured individuals Ryan White Part AProgram Program for will find resources that are funded by the service providers. Healthcare providers health care, housing, and supportive New York City has resources for HIV-related NYC HIV Care, Treatment and Housing www.gmhc.org job training, physical therapy. 212-367-1000 syringe access, legal assistance, nutrition, groups, ahelpline, testing, family support, use programs include counseling, support health, harm reduction and substance women (HIV+and negative). Mental advocacy services for youth, menand provides HIV/AIDS prevention, care and GMHC www.cidny.org (Manhattan) 646-442-1520 (Queens) consumer workshops. 212-674-2300 access. Referrals, training for providers, employment assistance, health care assistance, transition services for youth, includes benefits counseling, housing free services for people with disabilities Center for Independence of theDisabled www.postpartumny.org 1-855-631-0001 (English & Spanish) on postpartum depression. groups, therapists and programs focused lists resources including NYC support free helpline providing referrals. Website The Postpartum Resource Center of NY www.hmhonline.org in Manhattan and Queens.212-349-3724 housing, etc.; serves citywide, located substance abuse and recovery, supported Asian clients, continuing day services, Chinese, Japanese, Korean and Southeast individual and group counseling for Hamilton Madison House www.asianmentalhealth.org providers Asian serving community. listing programs and private practice bereaved, etc.) and service directory resources (for children, youth, elderly, suicide prevention and mental health Mental Health New York Coalition for Asian American www.comunilife.org Latinas ages 12-17. 718-364-7700 suicide prevention program serves young health services to all ages; Life is Precious Guidance Center (Bronx) provides mental l

www.jbfcs.org services. 212-582-9100 counseling and domestic violence children, adults and families; includes health and social services for network of community-based mental Services Jewish Board of Family and Children’s www.coalitionforthehomeless.org 212-776-2000 and job training. intervention, housing, youth services women and children include crisis programs for homeless men, Coalition for theHomeless www.catholiccharitiesny.org 1-888-744-7900 information and referral. relationship issues. Bilingual, behaviors, life changes, trauma, with anxiety, depression, troubling and family counseling service to help families; includes individual, couple services for children, youth and Catholic Charities BehavioralMental.shtml About-HospServices-OurServices- www.nyc.gov/html/hhc/html/about/ boroughs. 212-442-0352, M-F 9-5 lists hospitals and services inall five and chemical dependency. Website services, including mental health all HHC facilities offer behavioral health Office of Behavioral Health Health &Hospitals Corporation (HHC) and Services Comprehensive Programs 212-821-9200 accompany vision loss, M-F, 9-5. anxiety, fear and depression that often with vision loss, especially tied to support services for individuals Lighthouse International www.hospiceworld.org 1620, M-F 9-4:30 illness and bereavement. 1-800-331- concerns and fears related to terminal callers theopportunity to share their palliative care programs; also provides information about local hospice and HospiceLink www.ahrcnyc.org 780-4491, M-F, 9-5 and caregiver respite services. 212- programs, substance abuse treatment family therapy, support groups, day brain injury, etc.). Counseling, disabilities (autism, traumatic intellectual and developmental services for individuals with AHRC NYC © The Samaritans of New York, Inc. 2015

www.lighthouse.org

women’s health, homeless services, HIV/AIDS treatment, social work, primary medical care, mental health, The Institute for Family Health support groups during and after prison with info., referrals, counseling, provide families/friends of people in Family Resource Center &Hotline child/youth support programs, etc. transitional services, case management, families/loved ones; counseling, incarcerated individuals and their services for currently and formerly Osborne Association www.fegs.org 212-366-8400 212-524-1789 -(TTY) services are multilingual. rehabilitation, family Many support. outpatient clinics, psychiatric and relationship issues, etc.; includes family conflict, self-esteem, parenting and adults experiencing depression, services include support for children System F•E•G•S Health &Human Services www.cucs.org or otherspecialneeds.212-801-3300 income, livingwithamentalillness homeless, formerlylow- family; servesindividualswhoare matters affectingtheindividualor illness, substanceuseandother referrals fordomesticviolence,mental counseling, short-term benefits and legal assistance, financial free, confidentialservicesinclude Center for Urban Community Services www.institute2000.org website for clinic phone numbers) regardless of ability to pay. (see adults, families. Accepts all patients counseling for children, adolescents, program offers completely confidential for theuninsured. Mental health clinics inManhattan and theBronx diabetes and dental care, and free www.nylag.org boroughs.212-613-5000 social work staff; sites inall five protection; training for health/ patients inmedical settings, immigrant entitlements, foreclosure prevention, illness; includes legal services tied to with adisability, chronic orserious immigrants, at-risk youth, people seniors, victimsofdomestic violence, free civil legal services for low income New York Legal Assistance Group www.osborneny.org 718-637-6560 (Brooklyn) 718-707-2600 (Bronx), incarceration. NYC Guide to Suicide Prevention, Services and Resources

foster parents, etc. members such as parents, grandparents, Office of Advocacy can assist community responding to abused children. ACS immediate assistance and guidance in investigations; can also provide concerns related to openchild protective answer questions and address ongoing hospitals,childcare providers, etc.) to reporters (such as schools, nonprofits, a special hotlinefor mandated Services (ACS), Office of Safety First NYC Administration for Children’s reporters) 1-800-638-5163 24/7 (TDD), 1-800-635-1522,24/7 (for mandated 1-800-342-3720,(for24/7 the public) prior child abuse ormaltreatment reports. investigation and identifies if there are to thelocal Child Protective Service for State. It relays information from thecall cases of child abuse orneglect inNY call theRegister to report suspected Central Register Child Abuse &Neglect State Children andYouth 212-941-9090, control,birth etc. internship programs, sexual health and immigration, LGBTQ programs, jobs and for youth infoster care, legal and assistance, health and dental, services English for non-English speakers, GED advisement, tutoring, counseling, 12-21, with programs including college free, confidential services for youth aged The Door www.childrensaidsociety.org 212-949-4800 referrals,etc. including counseling, group therapy, health services for children and families justice; clinics provide bilingual mental healthsupport, and counseling, juvenile foster care, pregnancy prevention, family multiple community programs including Children’sAid Society www.aboutourkids.org guide, etc. 212-263-6622 health provider directory, medication in youth, etc., A-Z disorder guide,mental help for children, how disorders present provides tips onseeking professional identity, eating disorders, etc.); website (anxiety, ADHD, mood, autism, sexual with psychiatric and learning disorders treatments for children and adolescents evaluation, therapy and specialized NYU Child Study Center ombudsman.shtml www.nyc.gov/html/acs/html/child_safety/ 212-676-9421 (Office of Advocacy) 718-543-7233 (Office of Safety First) www.door.org

For updates, go to www.samaritansnyc.org Resources Community For updates, go to www.samaritansnyc.org Community Resources www.cornellcares.com psychiatrist. grief, loss), ask questions of ageriatric emotional issues, end-of-life care, providers, patient handouts (cognitive/ Provider Directory with over 1,000 Includes NYC Medicare Mental Health assessments and interventions. geriatric mental health and psychosocial tools, info. and resources to make especially mental health. Includes website with services for theelderly, CornellCARES Older Adults www.ulifeline.org country. the as across counseling centers inNew York as well screening tool and direct link to college provides aself-assessment depression depression orsuicide ideation; a friend whomay beexperiencing information to helpthemselves or resource for college students with anonymous, confidential online Ulifeline www.transitionyear.org problems, stress, depression, etc. manage thetreatment of emotional information to identify, address and of mental health services); provides of depression and/orneed continuity who are already dealing with someform transition (especially for young people before, during and after the college students focus onemotional health online resource to helpparents and Transition YearProject www.safehorizon.org/streetwork 646-602-6404, M, T, Th, F 2-7 Lower East Side Drop-In Center 212-695-2220, M, T, Th, F 12-5 Harlem Drop-In Center and supportive setting. to socialize inasafe, non-judgmental showers, clothing and theopportunity identification, housing, hot meals, psychiatric services, helpinobtaining to age24 include legal, medical and free services for children and youth up Streetwork Project (Safe Horizon) www.resourcesnyc.org 212-677-4660, M-Th 9-4 confidential. to develop theirfull potential; free and children are provided theopportunity professionals access services to ensure and support to helpparents and all special needs. Provides referrals serves families and children with Special Needs Resources for Children with 14

www.thetrevorproject.org Lifeline: 1-866-488-7386, 24/7 orientation and genderidentity. people with questions surrounding sexual Trevor” is anonline resource for young someone to listen without judgment; “Ask prevention lifeline for LGBTQ youth offers free, confidential crisis and suicide The Trevor Lifeline http://www.translifeline.org/ 8860 7days/see site for hours transgender people experience. 877-565- and educated intherange of difficulties them. Volunteers are “trans identified” connect callers to services that can help preventing self-harm but will also try to transgender people, volunteers focus is hotline staffed by transgender people for Trans Lifeline LGBTQ www.phoenixhouse.org/locations 1-800-DRUG-HELP (378-4435) programs for teenagers, etc. residential programs, after-school and day for mothers with children, outpatient and those with mental health issues, programs support services includes treatment for intervention, treatment and recovery by substance abuse. Prevention, early supports individuals and families affected Services Program Phoenix House, Substance Abuse www.oasas.ny.gov 1-877-846-7369, 24/7 gambling throughout New York State. alcoholism, drugabuse and/or problem toll free and confidential referrals for social events; helpfindinga physician, including counseling, support groups, free program for adults 60orolder NY Presbyterian Hospital HealthOutreach Addiction Hotline Substance Abuse www.sageusa.org 212-741-2247, M-F 9-5 program for caregivers and care recipients. education programs, social activities); community services (discussion groups, and group counseling, case management); and social services program (individual services for LGBT older adults include clinical Bisexual & Transgender Elders (SAGE) Services and Advocacy for Gay, Lesbian, http://nyp.org/services/healthoutreach.html evaluation of care options.212-932-5844 assessment, recommendations and etc. Caregivers service offers needs to handle depression, stress, isolation, counseling, groups, follow-up referrals for caregivers. Support services include assistance and assistance insurance NYC Guide to Suicide Prevention, Services and Resources /new-york Hotline: 212-714-1141, 24/7 and referrals. violence; provides counseling, advocacy crimes, police misconduct and HIV-related assault, domestic violence, pick-up support to victims of bias violence, sexual communities. Offers free and confidential serves LGBTQ and HIV-affected NYC Anti-Violence Project www.gaycenter.org groups. 646-556-9300 family resources support, and community bereavement services), youth enrichment, (counseling, education, prevention and mental health and wellness programs The LGBT Community Center www.hmi.org 674-2400 help findinghousing, etc.referrals). 212- (individual and family counseling, meals, exploration) and supportive services health and wellness, job readiness, career families include after-school services (arts, services for LGBTQ youth 13-24 and their Hetrick-Martin Institute www.poppanewyork.org 888-COPS-COP (267-7267), 24/7 professionals. health mental to refer can depression, alcohol abuse, family problems; professional problems such as trauma, stress, and retired) experiencing personal or support to NYC police officers (current nonprofit provides free, confidential peer Assistance (POPPA) Police Organization Providing Peer www.nyc.gov/html/fdny/html/units/csu 212-570-1693, 24/7 and confidential. treatment; treatment and referrals. Free support groups; substance abuse day individual, couple and family counseling; EMS and civilian employees; includes direct treatment and referrals to all Fire, provides mental health evaluations, FDNY Counseling Services Unit Uniformed Services www.avp.org & Spanish)(English www.safehorizon.org 1-800-621-HOPE (4673), 24/7 accepted). Crime victims hotline: counseling center (sliding scale, Medicaid emergency shelters, transitional housing, confidential hotlines, domestic violence trafficking, elder abuse; includes free and physical assault/street crime, human assault, loss of loved one to homicide, abuse, rape, domestic violence, sexual programs/services devoted to sexual Safe Horizon Victim-Related Services

Adult Protective Services, NYC Human Samaritan Village Veterans Program Mobile Applications Resources Administration residental treatment program for veterans case management program that arranges dealing with substance abuse and who A Friend Asks (Jason Foundation) for services and support for physically and/ may have co-existing mental health this free app is designed to teach or mentally impaired adults (18 and older) issues (PTSD, combat trauma, mood users how to recognize the signs that who are at risk of harm and are unable to disorders, etc.); men’s program in NYC; someone close to them may be thinking manage their own resources, carry out daily women’s program in Ellenville, NY. Also about suicide, and the best way to reach living activities or protect self from abuse, provides residential and outpatient out to them. Includes how to determine neglect, exploitation or other hazardous treatment, homeless services, etc. for suicide risk and a do’s and don’ts list on situations without assistance. 212-630-1853 veterans and non-veterans. 718-657-6195 maintaining sensitivity. (Android, iOS) www.nyc.gov/html/hra/html/services/ www.samvill.org/people-we-serve/veterans adult.shtml MY3 (National Suicide Lifeline) Military OneSource targeted for those who are depressed Domestic and Sexual Violence Hotline free service for active duty, Guard and or suicidal themselves, with the goal of (New York State) Reserve (regardless of activation status) enhancing their support network and citywide referrals for victims of domestic and their families; includes face-to-face developing their own Safety Plan of violence and sexual assult to agencies counseling, and telephone and online contacts, activities, resources to utilize offering shelter, counseling, support consultations that help with short-term during periods of distress and suicidal groups, etc.; confidential adjustment issues, work life topics and feelings, so that they can easily act 1-800-942-6906, 24/7 (English & Spanish) emotional well-being issues such as work when they recognize their own warning www.nyscadv.org/contact-us and home relationship issues, grief, loss, signs. (Android, iOS) and adjustment to situational stressors. New York Asian Women’s Center 1-800-342-9647, 24/7 Operation Reach Out support programs and shelter services www.MilitaryOneSource.com aimed at veterans and military families, for women and their children affected by this app is for people having suicidal domestic violence and abuse; confidential thoughts as well as friends, family hotline (info and referrals, emergency Additional Samaritans or service members concerned that shelter, safety planning, etc.); services Resource Guides, Education & someone they know might be suicidal. for children who have witnessed or Technical Support Services The app comes with numerous video experienced abuse (free counseling, vignettes offering suicide counseling, art therapy, support groups; survivors In addition to this guide, Samaritans has do’s and dont’s when reaching out to a of human trafficking (free counseling, developed two free additional guides for potentially suicidal loved one and other emergency shelter, etc.). Hotline: 1-888- use by caregivers, health providers, family resources. (iOS) 888-7702, 24/7 (English & Asian languages) and friends of those responding to and/ www.nyawc.org or treating individuals who are in distress, Suicide Safe by SAMHSA this app is depressed and/or impacted by suicide. a suicide prevention learning tool for Survivors of Incest Anonymous primary care and behavioral health lists self help, 12-step support groups in Suicide Prevention, Crisis Response providers based on the nationally NYC-Tri-State area 1st Sunday monthly for and Safety Planning Guide, provides recognized Suicide Assessment Five- people 18 years or older that are survivors a framework for the development of step Evaluation and Triage (SAFE-T) of child sexual abuse. school, agency or community group practice guidelines. App offers tips on www.sianewyork.org suicide prevention, crisis response and how to communicate effectively with safety planning, with active linkages to patients and their families, how to Veterans resources, tools, research and planning determine appropriate next steps and guidelines. http://samaritansnyc.org/ make referrals to community resources. Veterans Administration wp-content/uploads/2014/09/Prevention- (Android, iOS) clinics, medical and community living Planning-Guide-National.pdf centers in all five boroughs. Services Safety Plan include mental health (PTSD, military New York City Guide for Survivors of designed to provide individuals with sexual trauma, TBI, substance abuse, Suicide Loss, provides an overview of an emergency plan and prevention etc.), readjustment counseling, homeless resources, research, activities, support resources for suicide crises, this app assistance, geriatric care, caregiver support, groups and other helpful information to helps individuals identify their own pastoral care, hospice and palliative assist survivors of suicide loss as they suicide warning signs, create coping care, women’s health, etc. (website lists move forward their path to healing; strategies, identify positive contacts and locations and services). 212-686-750o with active linkages to resources, tools, social settings to distract from the crisis, (Manhattan) 718-836-6600 (Brooklyn) 718- research and survivor support services. enhance protective factors and reduce 526-1000 (Queens) 718-584-9000 (Bronx) http://www.samaritansbeyondsurviving. their access to lethal means. www.nynj.va.gov org/pdf/NYC-Survivors-Suicide-Loss- Guide.pdf (Android, iOS) Veterans Resource Center (NAMI) website with resources for veterans and Samaritans Suicide Prevention, Crisis active duty military personnel, their families Communications & Technical Support and advocates tied to mental illness, PTSD, Samaritans provides individually tailored To access this Guide online or homelessness, traumatic brain injury, VA suicide prevention, crisis response, communications and other training to view periodic updates, go to: benefits, etc.; online discussion forum for www.samaritansnyc.org veterans provides support and information. programs to schools, agencies and other www.nami.org/template. groups for a fee as well as consultations cfm?section=Veterans_Resources and technical support. 212-677-3009.