2012, ISSUE 2 Published by the National Council for Community Behavioral Healthcare NationalSHARING BEST PRACTICES IN MENTAL HEALTHCouncil & ADDICTIONS TREATMENT www.TheNationalCouncil.org MAGAZINE Prev de ent ci ther lif io i adnoe Pree to n u ct i ve lo n S io n se uN ion S t S nt u i e i o e v P c d e r i n i r e d c v i P e e u n S t i o This special issue is sponsored by n Magellan Health Services The Smoking Gun in Suicides Linda Rosenberg The Bridge to Zero David Covington, Michael Hogan Connection is Prevention Surgeon General Regina Benjamin They’ll Be Glad They Lived Army Secretary John McHugh Why People Die by Suicide Thomas Joiner Shattering the Black Suicide Myth Donna Barnes What Airlines Can Teach Us About Suicide Prevention Paul Schyve Boy, Interrupted Dana Perry NationalCouncil President & CEO National Council Magazine, 2012, Issue 2 Linda Rosenberg Not Another Life to Lose: Suicide Prevention Special Editor, Suicide Prevention Issue David Covington, Vice President, Adult & Youth Services, Magellan Health Services and Board Director, National Council for Community This special issue is sponsored by Behavioral Healthcare Magellan Health Services Editor-in-Chief Meena Dayak, Vice President, Marketing & Communications Associate Editors About the National Council Heather Cobb The National Council for Community Behavioral Health- Health Communications Specialist care (National Council) is the unifying voice of America’s behavioral health organizations. Together with our 2,000 Susan Partain member organizations, we serve our nation’s most Director of Mental Health First Aid Operations vulnerable citizens — more than 8 million adults and children with mental illnesses and addiction disorders. Courtney Young We are committed to providing comprehensive, Digital and Social Media Marketing Manager high-quality care that affords every opportunity for recovery and inclusion in all aspects of community life. The National Council advocates for policies that ensure Manager that people who are ill can access comprehensive Nathan Sprenger, Marketing and Communications Associate healthcare services. We also offer state-of-the-science education and practice improvement resources so that services are efficient and effective. Special Thanks National Council Magazine thanks the following individuals for support and 1701 K Street NW, Suite 400 guidance on the suicide prevention issue Washington DC 20006 David Litts, Executive Secretary, National Action Alliance for Suicide Prevention Phone: 202.684.7457 Jason Padgett, Task Force Liaison, Secretariat, National Action Alliance for E-mail: [email protected] Suicide Prevention Web: www.TheNationalCouncil.org Jerry Reed, Co-lead, National Strategy for Suicide Prevention Task Force, Blog with us National Action Alliance on Suicide Prevention www.MentalHealthcareReform.org PDF available at www.TheNationalCouncil.org Follow us on Twitter (look under About Us/National Council Magazine) http://twitter.com/nationalcouncil Editorial and Advertising Inquiries Become our fan on Facebook [email protected] www.facebook.com/TheNationalCouncil 202.684.3740 Watch us on YouTube National Council Magazine Editorial Advisory Board www.youtube.com/user/NationalCouncil Neal Cash, CEO, Community Partnership of Southern Arizona, Tucson, AZ Browse photos on SmugMug Pat Connell, Director, Boystown National Research Hospital, Omaha, NE www.TheNationalCouncil.smugmug.com David Covington, Vice President, Adult & Youth Services, Magellan Health Services, Phoenix, AZ NATIONAL COUNCIL MAGAZINE • 2012, ISSUE 2 / 1 NationalCouncil MAGAZINE INTO THE LIGHT: STORIES OF COURAGE AND HOPE LEADING THE WAY 7 I’ll Gladly Pay the Price Heidi Bryan 6 The Smoking Gun in Suicides Linda Rosenberg 15 We Gave More Hugs Chris Damle 8 Editorial: Not Another Life to Lose: The Bridge to Zero David Covington, Michael Hogan 25 Life Is a Gift Kevin Hines 12 Infographic: Suicide in America 33 Reach One, Teach One 14 They’ll Be Glad They Lived Tom Kelly Army Secretary John McHugh 45 Too Few Years, Too Few Memories 16 America’s Doctor Says Connection is Prevention Shauna Moses Surgeon General Regina Benjamin 54 Different Kinds of Battles 18 National Milestones in Suicide Prevention Mark Graham, Carol Graham 20 2012 National Strategy for Suicide Prevention 66 Boy, Interrupted: Sharing the Pain through the Lens Jerry Reed, National Action Alliance for Suicide Prevention Dana Perry 26 SAMHSA Takes a Public Health Approach to Suicide Prevention 73 A Life Worth Living Cheryl Sharp Pamela Hyde 117 Failure Equals Success 30 Where is the Risk? What the Science Tells Us About Suicide CW Tillman Thomas Insel 121 Running to Pole 69 34 Type Casting to Save Lives Eduardo Vega David Jobes 129 Accepting What Is and What Is Not 36 Why People Die by Suicide Marie Dudek Thomas Joiner 153 More than One Life 38 Weapons in the War on Suicide Terry Wise Robert Gebbia 40 Saving Lives, the Forward March Daniel Reidenberg The Smoking 42 Greater than the Pull Toward Death 6 Stephanie Weber Gun in Suicides 44 Global Classroom: Suicide Prevention Lessons from Around the World Richard McKeon 46 H3: The New Language of Crisis Advertorial, Behavioral Health Link SPECIAL POPULATIONS 48 After a Suicide: Postvention Is Prevention Joanne Harpel, Ken Norton 50 Shattering the Black Suicide Myth Donna Barnes 52 A Legacy of Strength: Changing the Tide Among American Indians and Alaska Natives Cortney Yarholar, Petrice Post, Elly Stout 2 / NATIONAL COUNCIL MAGAZINE • 2012, ISSUE 2 56 The Battle Back Home: Overcoming the Reluctance to Ask for Help Michelle Cornette 60 We Owe it to Them: Supporting Our Veterans Neal Cash, Vanessa Seaney, Lauryn Bianco 62 Older Adults: Changing the Alarming Statistics Yeates Conwell 70 The Psychological Autopsy: What Makes Youth Vulnerable to Suicide? Madelyn Gould 60 72 A Son’s Bequest: What Can Colleges and Universities Do to We Owe it to Them: Prevent Suicide? Supporting Our Phil Satow, John MacPhee, Victor Schwartz Veterans 74 Best Time of Their Lives? Sending the Silence Packing on Campus Alison Malmon 76 Coming Out of the Closet: Unearthing the Facts on LGBT Suicide Andrew Lane, Mikel Walters 78 Reversing the Culture of Suicide in Rural America: Advantage Primary Care Tamara DeHay, Mimi McFaul, Jeremy Vogt 80 Revealing the Colors: Managing Suicide Risk in the Substance Use Population Ann Mitchell, Holly Hagle, Kimberly Talcott 72 81 Culture Shock: Latina Teens Face Suicide Risk What Can Colleges Angélica Jiménez and Universities Do to Prevent Suicide? 83 NATIONAL COUNCIL HALL OF HONOR REINTEGRATION, WELCOME BACK, IMPACT AWARDS 94 Root Cause Analysis: What PROGRAMS AND TOOLS Airlines Can Teach Us About 92 A Living Legacy: Lessons from America’s First Suicide Prevention Suicide Prevention Center Kita Curry 94 Root Cause Analysis: What Airlines Can Teach Us About Suicide Prevention Paul Schyve 96 Class Is in Session: Research Recommends Targeting Suicidal Behaviors Directly Katherine Comtois, Erin Ward-Cieslieski, Marsha Linehan 98 Care Pays: ROI from Better Transitions Tami Mark, John Richardson 100 I Just Called to Say How Much I Care Manisha Vaze 102 The Trauma-Suicide Link: An ACE on Coping Strategies Cheryl Sharp NATIONAL COUNCIL MAGAZINE • 2012, ISSUE 2 / 3 NationalCouncil MAGAZINE 104 Where Zero Is the Perfect Number 132 Man to Man: Tackling Suicide Head On Ed Coffey Joseph Conrad 106 Something Can Be Done 134 Life Savers: That’s a WRAP Richard Clarke Mary Ellen Copeland, Carol Bailey Floyd 108 Driving Suicides to Zero: New Vistas from the Grand 136 Everyone is Responsible: It Takes a Competent Community Canyon State to Stop Youth Suicide Donald Erickson, Karen Chaney, Gregory Gale, Kent Eller Maureen Underwood Enabling 114 Just One Death is a Failure: The Empire State Takes 138 NFL Kicks Off New Game to Save Lives a Systems Approach John Draper Melanie Puorto Conte 139 Journey of Hope – Katie’s Story 116 Bluegrass State Says “Never” to Suicide Advertorial, Magellan your Jan Ulrich 140 Filling the Adolescent Suicide Ravine with Screening and 118 Lone Star State Engages the Public in Suicide Prevention Prevention Jenna Heise Guy Diamond, Joel Fein Technology 119 Building a Culture of Acceptance, Engagement, and 142 What’s On Your Mind: Status Update on Social Media Safety to Prevent Suicide and Suicide Advertorial, Optum Health Ashley Womble 120 Health Workers as Gatekeepers: Why Training Trumps 144 Assess, Document, Decide: How to Manage Liability for April Smith Suicide Related Claims TRANSFORMATION Nicholas Bozzo, Ronald Zimmet 122 Training or Tragedy: The Choice is Clear Paul Quinnett 146 Suicide Prevention Resource Guide Jerry Reed 124 Weaving a Net of Clinicians Trained in Suicide Care Laurie Davidson, Anthony Pisani SUICIDE PREVENTION FROM THE FIELD 126 Changing Workplace Culture to Ending the Suicide Standstill 150 Dickinson Teaches Kids to ACT Richard Paul, Sally Spencer-Thomas Jennifer Dippold 128 Don’t Be Afraid to Ask: The Mental Health First Aid 151 Institute for Family Health Taps Into the Saving Power of Action Plan EHRs Bryan Gibb, Susan Partain Neil Calman, Virna Little Practice Management 130 Vital Signs, Suicide Attempts CAN Be Predicted 152 Manatee Glens Runs for Hope EHR Kelly Posner Mary Ruiz Electronic Prescribing 154 Nebraska Says There is No End Without Means Consumer Portal Denise Bulling, David Miers Mobile 154 PEMHS Adopts a Well-Rounded Approach to Avert Crises Interoperability Thomas C. Wedekind Managed Care 155 Riverside Trauma Center Goes to School for Suicide Prevention