Fatality Review Project 2016 | 13Th Annual Report
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Sample Suicide Intervention Protocols
SUICIDE PREVENTION Suicide Prevention Training for Students SOS-Signs of Suicide curriculum is taught every year in all middle schools and high schools. Each school has a representative who has access to the Google Doc and will update the date the program will be taught. They will also state if Crisis Team members are needed. Safe2Tell and Text-a-Tip are anonymous ways for students to report risk-taking behavior to adults. All tips are investigated and many tips have resulted in positive interventions with students for a variety of problems. These are to be taught at all levels, Elementary-High School. There is a link on each school website. 1-877-542-SAFE-(7233) ACT – Acknowledge-Care-Tell. This acronym is taught in SOS. All secondary schools are encouraged to publicize the importance of informing an adult of all worrisome behaviors. Suicide Intervention Protocols are completed by psychologists, social workers and counselors should a student make suicidal statements to peers or an adult. Based on the assessment, appropriate follow up resources are given to the family. District Crisis Team support – in the event of a suicide attempt or completed suicide, District Crisis Team members provide support and evidence-based suicide prevention and postvention services for schools. Training for Staff Applied Suicide Intervention Skills Training (ASIST) is an internationally recognized “gatekeeper” program designed to give adults skills to be more comfortable, confident and competent in helping prevent the immediate risk of suicide. All Mental Health and Counselors are trained upon entering the District. ASSIST –refresher training. Each year, we will offer refresher training for all mental health staff. -
SUICIDE and FIRST RESPONDERS' ROLE
SUICIDE and FIRST RESPONDERS’ ROLE WHO ARE FIRST RESPONDERS? While this is true, it is important to consider that first responders also are used as a resource by and First responders, also known as first interveners, for people who are suffering emotional, mental include a variety of public officials who deal with health and substance abuse issues. emergency situations on a day-to-day basis. This Unfortunately, most first responders are not group includes, but is not limited to firefighters, specifically trained in the area of mental illness. police officers, EMTs, paramedics and emergency Many are unaware of the common warning signs department personnel. When calls or visits are of suicide and do not know the appropriate action made for individuals needing emergency to take when they encounter someone who is assistance, whether by that individual or on their exhibiting suicidal behavior. behalf, first responders are the first professionals to come into contact with the situation. First Being the first point of contact with individuals in responders uphold a duty to shield those in their emergency situations, first responders’ community from harm. knowledge and handling of emergency situations greatly influences the end result of these crises. In WHY THE ROLE OF FIRST RESPONDERS IS SO situations involving suicide, the end result is IMPORTANT ultimately fatal if not handled properly. First responders, with the appropriate knowledge and Situations that first responders encounter may be training, can save lives in suicidal situations. of suicidal nature, especially those that are mental health emergencies. The Illinois Violent Death PREVENTION/INTERVENTION STRATEGIES FOR FIRST Reporting System indicates 72 percent of Illinois RESPONDERS suicides occurred at the victim’s residence. -
Dispatch Support Information
Emergency Services Dispatch Support Information Reference and Resource Handbook Edition 1.0 Emergency Services Call Takers and Dispatchers Supporting One Another JACK A. DIGLIANI, PhD, EdD Emergency Services Dispatch Support Information Contents Introduction 2 Stress and Traumatic Stress The Concept of Stress 3 The Dispatcher Culture 5 Dispatch Stressors and Stress Management 12 Signs of Excessive Stress 14 Critical Incident Information 15 Traumatic Stress: Shock, Impact, and Recovery – PTS/PTSD 16 Trauma: Chronological History and Psychological History 17 How to Recover from Traumatic Stress 18 Suggestions for Supporting Dispatchers Involved in Critical Incidents 19 Suggestions for Spouses of Dispatchers Involved in a Critical Incident 22 Tips for Recovering From Disasters and Other Traumatic Events 25 Recovering from Traumatic Stress 28 Incident Debriefing Information 29 Stress and Behavior Life Management: Life by Default - Life by Design 30 Issues of Behavior, Change, and Communication 31 Considerations for Change 32 Anger: Get Educated 33 Warning Signs of Alcoholism – Information 34 Some Things to Remember 36 Suicide and Risk Factors Suicide Risk and Protective Factors 37 Dispatch Suicide Risk Factors 38 Suicidal Callers 39 Helping a Person that is Suicidal 41 Common Misconceptions about Suicide 42 Death, Grief, and Mourning Death, Loss, and Survivorship 43 The Effects of Exposure to Death - Death Imprint 44 Marriage and Relationships Foundation Building Blocks of Functional Relationships 46 Gottman’s Marriage Tips 48 The Imperatives Communication, Occupational, and Relationship Imperatives 49 The Twelve Elements of the “Make it Safe” Initiative 50 Information About the Author 51 Introduction As first-responders, emergency services call takers and dispatchers (CT&D) confront many of the same stressors as those they dispatch. -
Suicide Research: Selected Readings. Volume 2
SuicideResearchText-Vol2:SuicideResearchText-Vol2 8/6/10 11:00 AM Page i SUICIDE RESEARCH: SELECTED READINGS Volume 2 May 2009–October 2009 J. Sveticic, K. Andersen, D. De Leo Australian Institute for Suicide Research and Prevention WHO Collaborating Centre for Research and Training in Suicide Prevention National Centre of Excellence in Suicide Prevention SuicideResearchText-Vol2:SuicideResearchText-Vol2 8/6/10 11:00 AM Page ii First published in 2009 Australian Academic Press 32 Jeays Street Bowen Hills Qld 4006 Australia www.australianacademicpress.com.au Reprinted in 2010 Copyright for the Introduction and Comments sections is held by the Australian Institute for Suicide Research and Prevention, 2009. Copyright in all abstracts is retained by the current rights holder. Apart from any use as permitted under the Copyright Act, 1968, no part may be reproduced without prior permission from the Australian Institute for Suicide Research and Prevention. ISBN: 978-1-921513-53-4 SuicideResearchText-Vol2:SuicideResearchText-Vol2 8/6/10 11:00 AM Page iii Contents Foreword ................................................................................................vii Acknowledgments ..............................................................................viii Introduction Context ..................................................................................................1 Methodology ........................................................................................2 Key articles Alexopoulos et al, 2009. Reducing suicidal ideation -
Preventing Suicide: a Global Imperative
PreventingPreventing suicidesuicide A globalglobal imperativeimperative PreventingPreventing suicidesuicide A globalglobal imperativeimperative WHO Library Cataloguing-in-Publication Data Preventing suicide: a global imperative. 1.Suicide, Attempted. 2.Suicide - prevention and control. 3.Suicidal Ideation. 4.National Health Programs. I.World Health Organization. ISBN 978 92 4 156477 9 (NLM classification: HV 6545) © World Health Organization 2014 All rights reserved. Publications of the World Health Organization are The mention of specific companies or of certain manufacturers’ available on the WHO website (www.who.int) or can be purchased products does not imply that they are endorsed or recommended by from WHO Press, World Health Organization, 20 Avenue Appia, the World Health Organization in preference to others of a similar 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 nature that are not mentioned. Errors and omissions excepted, the 4857; e-mail: [email protected]). names of proprietary products are distinguished by initial capital letters. Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be All reasonable precautions have been taken by the World Health addressed to WHO Press through the WHO website Organization to verify the information contained in this publication. (www.who.int/about/licensing/copyright_form/en/index.html). However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility The designations employed and the presentation of the material in for the interpretation and use of the material lies with the reader. In this publication do not imply the expression of any opinion no event shall the World Health Organization be liable for damages whatsoever on the part of the World Health Organization concerning arising from its use. -
Murder-Suicide Ruled in Shooting a Homicide-Suicide Label Has Been Pinned on the Deaths Monday Morning of an Estranged St
-* •* J 112th Year, No: 17 ST. JOHNS, MICHIGAN - THURSDAY, AUGUST 17, 1967 2 SECTIONS - 32 PAGES 15 Cents Murder-suicide ruled in shooting A homicide-suicide label has been pinned on the deaths Monday morning of an estranged St. Johns couple whose divorce Victims had become, final less than an hour before the fatal shooting. The victims of the marital tragedy were: *Mrs Alice Shivley, 25, who was shot through the heart with a 45-caliber pistol bullet. •Russell L. Shivley, 32, who shot himself with the same gun minutes after shooting his wife. He died at Clinton Memorial Hospital about 1 1/2 hqurs after the shooting incident. The scene of the tragedy was Mrsy Shivley's home at 211 E. en name, Alice Hackett. Lincoln Street, at the corner Police reconstructed the of Oakland Street and across events this way. Lincoln from the Federal-Mo gul plant. It happened about AFTER LEAVING court in the 11:05 a.m. Monday. divorce hearing Monday morn ing, Mrs Shivley —now Alice POLICE OFFICER Lyle Hackett again—was driven home French said Mr Shivley appar by her mother, Mrs Ruth Pat ently shot himself just as he terson of 1013 1/2 S. Church (French) arrived at the home Street, Police said Mrs Shlv1 in answer to a call about a ley wanted to pick up some shooting phoned in fromtheFed- papers at her Lincoln Street eral-Mogul plant. He found Mr home. Shivley seriously wounded and She got out of the car and lying on the floor of a garage went in the front door* Mrs MRS ALICE SHIVLEY adjacent to -• the i house on the Patterson got out of-'the car east side. -
Suicide Prevention & Awareness Guide
Suicide Prevention & Awareness Guide Suicide is a major health concern in the United States that impacts thousands of young people, their families and communities each year. In this guide you will find resources, tips and important information to help support youth at your Club. Table of Contents Definitions …………………………………………………………………………………………… 1 The Facts ……………………………………………………………………………………………… 1 Learn the Warning Signs ……………………………………………………….…………….. 2 Preventing Youth Suicide …………………………………………………………………….. 3 Helpful Resources ……………………………………………………………………………….. 5 Resources for LGBTQ Youth ………………………………………………………………… 6 Resources for Native Youth …………………………………………………………………. 7 Resources for Military Youth ……………………………………………………………….. 8 Spanish-language Resources ……………………………………………………………….. 8 Resources for Youth of Color ………………………………………………………………. 9 Resources for Youth with Disabilities ………………………………………………….. 9 References ………………………………………………………………………………………… 10 1 If you or someone you know is in need of support, call the National Suicide Prevention Lifeline at 1-800-273-8255 to speak with a counselor at any time. Definitions Suicide is defined as a death caused by self-directed, potentially injurious behavior with intent to die as a result of the behavior. A suicide attempt is a non-fatal, self-directed, potentially injurious behavior with intent to die as a result of the behavior. A suicide attempt might not result in injury. Suicidal ideation refers to thinking about, considering or planning suicide. Suicidal behavior includes suicidal ideation, suicide attempts and completed suicide. The Facts Suicide is the second leading cause of death for young people between the ages of 10 and 24 in the United States, claiming the lives of over 6,100 young people annually.1 In the past 10 years, rates of death due to suicide among young people have more than doubled.2 Deaths from youth suicide is only part of the issue – suicide attempts and ideation are also major concerns. -
Recommendations for Reporting on Suicide
RECOMMENDATIONS FOR REPORTING ON SUICIDE Developed in collaboration with the American Association of Suicidology; American Foundation for Suicide Prevention; Annenberg Public Policy Center; Associated Press Managing Editors; Canterbury Suicide Project-University of Otago, Christchurch, New Zealand; Columbia University Department of Psychiatry; ConnectSafely.org; Emotion Technology; International Association for Suicide Prevention Task Force on Media and Suicide; Medical University of Vienna; National Alliance on Mental Illness; National Institute of Mental Health; National Press Photographers Association; New York State Psychiatric Institute; Substance Abuse and Mental Health Services Administration; Suicide Awareness Voices of Education; Suicide Prevention Resource Center; Centers for Disease Control and Prevention (CDC); and UCLA School of Public Health, Community Health Sciences. IMPORTANT POINTS FOR COVERING SUICIDE • More than 50 research studies worldwide have found that certain types of news coverage can increase the likelihood of suicide in vulnerable individuals. The magnitude of the increase is related to the amount, duration, and prominence of coverage. • Risk of additional suicides increases when the story explicitly describes the suicide method, uses dramatic/ graphic headlines or images and repeated/extensive coverage sensationalizes or glamorizes a death. • Covering suicide carefully, even briefly, can change public misperceptions and correct myths, which can encourage those who are vulnerable or at risk to seek help. Suicide is a public health issue. Media and online coverage Suicide contagion or “copycat suicide” of suicide should be informed by using best practices. Some occurs when one or more suicides suicide deaths may be newsworthy. However, the way media are reported in a way that contributes cover suicide can influence behavior negatively by contributing to another suicide. -
The Right to Assisted Suicide and Euthanasia
THE RIGHT TO ASSISTED SUICIDE AND EUTHANASIA NEIL M. GORSUCH* I. INTRODUCTION ........................................................ 600 I. THE COURTS ............................................................. 606 A. The Washington Due Process Litigation............ 606 1. The Trial Court ...................... 606 2. The Ninth Circuit Panel Decision ............. 608 3. The En Banc Court ...................................... 609 B. The New York Equal ProtectionLitigation ........ 611 1. The Trial Court ........................................... 611 2. The Second Circuit ..................................... 612 C. The Supreme Court............................................. 613 1. The Majority Opinion ................................. 614 2. The Concurrences ....................................... 616 D. The Consequences ofGlucksberg and Quill .... 619 III. ARGUMENTS FROM HISTORY ................................... 620 A. Which History?................................................... 620 B. The Ancients ....................................................... 623 C. Early Christian Thinkers .................................... 627 D. English Common Law ......................................... 630 E. ColonialAmerican Experience........................... 631 F. The Modern Consensus: Suicide ........................ 633 G. The Modern Consensus: Assisting Suicide and Euthanasia.......................................................... 636 IV. ARGUMENTS FROM FAIRNESS .................................. 641 A . Causation........................................................... -
Suicide Interventions Targeted Toward At-‐-‐-‐Risk Youth
Alabama Counseling Association Journal, Volume 38, Number 2 Suicide Interventions Targeted Toward At---Risk Youth Jennifer Langhinrichsen---Rohling, Ph.D., University of South Alabama, Department of Psychology Dorian A. Lamis, Ph.D., University of South Carolina Adrianne McCullars, Ph.D., University of South Alabama, Department of Psychology Abstract Suicide is currently the third leading cause of death among youth; it has been named a public health concern. A number of programs have been developed to prevent suicide; many of these involve intervening with youth who are known to be at---risk because of their depression, expressed suicide ideation, or previous suicide attempts. This paper serves as a qualitative review of existing interventions for adolescent suicide. Long---term outcome data on existing programs are relatively scarce. However, promising current interventions include strategies to help youth tolerate intense negative affect and maintain emotional regulation. Individual psychotherapy for suicide prone youth is often conducted in conjunction with pharmacological treatments. Other noteworthy suicide interventions address the family dynamics surrounding suicidal youth, often by including the family in treatment. Interventions that increase the adolescent’s motivation for treatment and likelihood of treatment compliance are also under current investigation. Modes of delivery for suicide interventions may also be changing with the inclusion of technology in service access and provision. Essential elements of effective suicide prevention programs and concerns with existing suicide---related interventions are also summarized. Suicide Interventions Targeted Toward At---Risk Youth Suicide is the third leading cause of death among both 10--- to 14---year---olds and 15--- to 19---year olds in the United States (Centers for Disease Control and Prevention [CDC], 2008). -
Suicide Prevention, Intervention, and Postvention Protocols
Suicide Prevention, Intervention, and Postvention Protocols: A Toolkit for Maine Schools Protocol for Suicide Prevention, Intervention, and Postvention: A Toolkit for Maine Schools INTRODUCTION TO THE TOOLKIT Suicide Prevention, Intervention, and Postvention Toolkit for Maine Schools A School’s Legal Responsibility to Provide Suicide Prevention: LD 609: An Act to Increase Suicide Awareness and Prevention in Maine Schools, was signed into law by Governor Paul LePage on April 25, 2013, following unanimous passage in the legislature. The statute requires a 1-2 hour Suicide Prevention Awareness Education training be completed by all school personnel in each school administrative unit (SAU), island, charter, CTE Region and public school that is not in a school administrative unit. It also requires all school administrative units and each island, charter, approved private and public schools that are not in a school administrative unit to have at least two staff trained in a one-day course in suicide prevention and intervention training commonly referred to in Maine as “Gatekeeper Training.” A CTE Region must have at least one school personnel member who has successfully completed Gatekeeper training on site. The second school personnel member could be either on site or the CTE Region could have a legal agreement with one of the sending schools assigned to their region. In addition, the law recommends that schools develop and implement protocols for suicide prevention and intervention. As part of a comprehensive suicide prevention and intervention program, it is essential that schools have written protocols for responding to: A. Students presenting with warning signs of suicide B. A suicide attempt C. -
Understanding Risk & Protective Factors for Suicide
Understanding Risk and Protective Factors for Suicide: A Primer for Preventing Suicide Risk and protective factors play a critical role in suicide prevention. For clinicians, identifying risk and protective factors provides critical information to assess and manage suicide risk in individuals. For communities and prevention programs, identifying risk and protective factors provides direction about what to change or promote. Many lists of risk factors are available throughout the field of suicide prevention. This paper provides a brief overview of the importance of risk and protective factors as they relate to suicide and offers guidance about how communities can best use them to decrease suicide risk. Contents: What are risk and protective factors? Risk factors are not warning signs. What are major risk and protective factors for suicide? Why are risk and protective factors important? Using risk and protective factors in the strategic planning process Key points about risk and protective factors for suicide prevention Additional resources Further reading References What are risk and protective factors? Risk factors are characteristics that make it more likely that individuals will consider, attempt, or die by suicide. Protective factors are characteristics that make it less likely that individuals will consider, attempt, or die by suicide. Risk and protective factors are found at various levels: individual (e.g., genetic predispositions, mental disorders, personality traits), family (e.g., cohesion, dysfunction), and community (e.g., availability of mental health services). They may be fixed (those things that cannot be changed, such as a family history of suicide) or modifiable (those things that can be changed, such as depression).