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FSPC January 2018 Newsletter January 2018 Newsletter FLORIDA SUICIDE PREVENTION COALITION A statewide, grassroots organization of survivors, crisis centers, & interested citizens FSPC MINI-CONFERENCE – PLAN TO ATTEND FSPC is finalizing Preparations for the 2018 Mini-Conference The FSPC 2018 Third Annual Florida Taking Action for Suicide Prevention Mini-Conference is a two-half day conference in Tallahassee, February 19 (afternoon) & February 20 (morning). Early Registration, for reduced conference rate, is due by January 19, 2018. The online 2018 FSPC Conference Registration link is: http://floridasuicideprevention.org/wp- content/uploads/2017/11/2018-mini-conf- Registration.pdf This valuable educational opportunity is being held just prior to Florida’s Annual Suicide Prevention Day at the Capitol advocacy event (2/21), Suicide Prevention Coordinating Council Meeting (2/20), and Lighting the Darkness – Evening of Remembrance (2/20) by Big Bend Hospice. Please contact Stephen Roggenbaum at [email protected] or 813-974-6149 if any questions. FSPC has reserved a limited block of rooms at Candlewood Suites Tallahassee (2815 Lakeshore Dr., Tallahassee, FL 32312) for about $106-$114 per night just a few miles from DFC, mini-conference location. Call soon to reserve a room at the special rate: 850-597-7000 (use group name – Florida Suicide Prevention). BECOME A FSPC MEMBER TODAY! Join FSPC, an important statewide, grassroots organization of survivors, crisis centers, & interested individuals. Collaborate to advance suicide prevention efforts in larger numbers: get involved, volunteer with local & state FSPC activities, & obtain reduced or free or reduced registration at FSPC events such as the FSPC Mini-Conference mentioned above). Membership FSPC REGIONAL DIRECTORS R1 Rachelle S. Burns (Escambia, Okaloosa, Santa Rosa, Walton) R2 Pam Mezzina (Bay, Calhoun, Franklin, Gadsden, Gulf Homes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, Washington) R3 Ali Martinez (Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Putnam, Suwannee, Union) R4 Lisa Zeller (Baker, Clay, Duval, Nassau, St. Johns) R5 Vacant (DeSoto, Pinellas, Sarasota) R6 Betsey Westuba (Hillsborough, Manatee, Pasco) R7 Tara Sullivan (Brevard, Orange, Osceola, Seminole) R8 Sue Opheim (Charlotte, Collier, Glades, Hendry, Lee) R9 Doris Carroll (Palm Beach) R10 Rene Barrett (Broward) R11 Elizabeth Quizena (Dade, Monroe) R12 Kelly Sousa (Flagler, Volusia) R13 Judy Broward (Citrus, Hernando, Lake, Marion, Sumter) R14 Betsey Westuba (Hardee, Highlands, Polk) R15 Doris Carroll (Indian River, Martin, Okeechobee, St. Lucie)

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Page 1: FSPC January Newsletter 2018 - floridasuicideprevention.orgfloridasuicideprevention.org/wp-content/uploads/2017/12/FSPC... · FSPC January 2018 Newsletter New research presents compelling

FSPC January 2018 Newsletter

January2018NewsletterFLORIDASUICIDEPREVENTIONCOALITION

Astatewide,grassrootsorganizationofsurvivors,crisiscenters,&interestedcitizens

FSPCMINI-CONFERENCE–PLANTOATTEND

FSPCisfinalizingPreparationsforthe2018Mini-Conference

TheFSPC2018ThirdAnnualFloridaTakingActionforSuicidePreventionMini-Conferenceisatwo-halfdayconferenceinTallahassee,February19(afternoon)&February20(morning).EarlyRegistration,forreducedconferencerate,isduebyJanuary19,2018.Theonline2018FSPCConferenceRegistrationlinkis:http://floridasuicideprevention.org/wp-content/uploads/2017/11/2018-mini-conf-Registration.pdfThisvaluableeducationalopportunityisbeingheldjustpriortoFlorida’sAnnualSuicidePreventionDayattheCapitoladvocacyevent(2/21),SuicidePreventionCoordinatingCouncilMeeting(2/20),andLightingtheDarkness–EveningofRemembrance(2/20)byBigBendHospice.PleasecontactStephenRoggenbaumatroggenba@usf.eduor813-974-6149ifanyquestions.FSPChasreservedalimitedblockofroomsatCandlewoodSuitesTallahassee(2815LakeshoreDr.,Tallahassee,FL32312)forabout$106-$114pernightjustafewmilesfromDFC,mini-conferencelocation.Callsoontoreservearoomatthespecialrate:850-597-7000(usegroupname–FloridaSuicidePrevention).BECOMEAFSPCMEMBERTODAY!JoinFSPC,animportantstatewide,grassrootsorganizationofsurvivors,crisiscenters,&interestedindividuals.Collaboratetoadvancesuicidepreventioneffortsinlargernumbers:getinvolved,volunteerwithlocal&stateFSPCactivities,&obtainreducedorfreeorreducedregistrationatFSPCeventssuchastheFSPCMini-Conferencementionedabove).Membership

FSPC REGIONAL DIRECTORS

R1 Rachelle S. Burns (Escambia, Okaloosa, Santa Rosa, Walton) R2 Pam Mezzina (Bay, Calhoun, Franklin, Gadsden, Gulf Homes, Jackson, Jefferson, Leon, Liberty, Madison, Taylor, Wakulla, Washington) R3 Ali Martinez (Alachua, Bradford, Columbia, Dixie, Gilchrist, Hamilton, Lafayette, Levy, Putnam, Suwannee, Union) R4 Lisa Zeller (Baker, Clay, Duval, Nassau, St. Johns) R5 Vacant (DeSoto, Pinellas, Sarasota) R6 Betsey Westuba (Hillsborough, Manatee, Pasco) R7 Tara Sullivan (Brevard, Orange, Osceola, Seminole) R8 Sue Opheim (Charlotte, Collier, Glades, Hendry, Lee) R9 Doris Carroll (Palm Beach) R10 Rene Barrett (Broward) R11 Elizabeth Quizena (Dade, Monroe) R12 Kelly Sousa (Flagler, Volusia) R13 Judy Broward (Citrus, Hernando, Lake, Marion, Sumter) R14 Betsey Westuba (Hardee, Highlands, Polk) R15 Doris Carroll (Indian River, Martin, Okeechobee, St. Lucie)

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FSPC January 2018 Newsletter

information:http://floridasuicideprevention.org/membership/FSPCNEWSLETTERSIGN-UPSignuptoreceiveanemailannouncementdirectlytoyourinboxwheneachNewsletterispostedontheFSPCwebsite.EmailSteveRoggenbaum,ViceChair,toregisteratroggenba@usf.eduNEWSWORTHYEveryHealthcareProviderinWashingtonWillSoonBeTrainedinSuicidePreventionByAndyHurst(KUOW.org)November27,2017ArticleLink:http://kuow.org/post/every-healthcare-provider-wa-will-soon-be-trained-suicide-preventionEveryhealthcareworkerinWashingtonwillsoonberequiredtoundergosuicidepreventiontraining.Thatincludesnurses,dentistsandevenchiropractors.Inordertohelpmedicalworkforceprepare,UniversityofWashington(UW)researchershavedevelopedaninteractive,onlinetrainingprogramcalledAllPatientsSafe.Theprogramteachesmedicalproviderstorecognizepossiblewarningsignsofsuicideintheirpatients.Italsotrainsthemhowtoeducatepatientsaboutkeepingtheirhomessafe.Anexample;howtosafelystoregunsorprescriptiondrugs.JenniferStuberisthefacultydirectorwithForefrontSuicidePreventionattheUW.Shesayshealthcareprovidersareonthefrontlinesofprevention."Weknowthatalotofpeoplewhodiebysuicide,theydon'tevergettoseeamentalhealthprovider.Buttheydogoseetheirdoctor-theirprimarycaredoctor,"Stubersays."Weknowroughlyhalfofpeoplewhodiedbysuicidesawtheirdoctorinthemonthleadinguptotheirdeath.Andthatmakessense,becauseprimarycareiswherewe'retreatingthebulkofdepressioncareinourcountry."In2016,1,123peopleinWashingtondiedbysuicide.It’ssecondleadingcauseofdeathamongpeopleaged10to24inthestate.Washingtonisfirstinthecountrytorequiresuicidepreventiontrainingforallhealthcareproviders.ThelawtakeseffectonJuly1.TheonlinetrainingwillbefreetoallmedicalprovidersaffiliatedwiththeUniversityofWashington.Thenationalsuicidepreventionlifelineis1-800-273-TALK. ALSONEWSWORTHYFSUResearcherFindsLinkBetweenExcessiveScreenTimeandSuicideRiskFrom:FloridaStateUniversityNews:TheOfficialNewsSourceofFloridastateUniversityBy:DaveHeller|Published:November30,2017ArticleLink:http://news.fsu.edu/news/2017/11/30/fsu-researcher-finds-link-excessive-screen-time-suicide-risk/

LeadingsuicideresearcherThomasJoiner,FSU'sRobertO.LawtonDistinguishedProfessorofPsychologyispicturedatleft.

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FSPC January 2018 Newsletter

Newresearchpresentscompellingevidencethatthemoretimeteenagersspendonsmartphonesandotherelectronicscreens,themorelikelytheyaretofeeldepressedandthinkabout,orattempt,suicide.FloridaStateUniversityRobertO.LawtonDistinguishedProfessorThomasJoiner,whoco-authoredastudypublishedinthejournalClinicalPsychologicalScience,saidscreentimeshouldbeconsideredamodern-dayriskfactorfordepressionandsuicide.“Thereisaconcerningrelationshipbetweenexcessivescreentimeandriskfordeathbysuicide,depression,suicidalideationandsuicidalattempts,”saidJoiner,whoconductedtheresearchwithpsychologyProfessorJeanTwengeofSanDiegoStateUniversity.“Allofthosementalhealthissuesareveryserious.Ithinkit’ssomethingparentsshouldponder.”

Joinerencouragedparentstotracktheirchildren’sscreentimebecauseteenagersarespendingmoretimeonscreens,andthatactivityislinkedtodepressionandsuicide-relatedbehaviors.Depressionandsuicideratesforteensbetweentheagesof13and18increaseddramaticallysince2010,especiallyamonggirls,accordingtotheU.S.CentersforDiseaseControlandPrevention.Thestudyidentifiesexcessiveuse

ofelectronicdevicesasalikelyculprit.CDCstatisticsshowthesuiciderateincreased31percentamongteenagersfrom2010to2015,whileanationalsurveyshowsthatthenumberofadolescentsreportingsymptomsofseveredepressionrose33percent.Thoseincreaseswerelargelydrivenbyteenagegirls.Theirsuicideratesoared65percentandthosesufferingseveredepressionincreased58percent.Therateofsuicide-relatedbehaviors—feelinghopeless,thinkingaboutsuicideorattemptingit—increased14percent.Thestudyfoundtheriseinmentalhealthproblemsamongteenssince2010coincideswithanincreaseinownershipofcellphones.In2012,abouthalfofAmericansownedsmartphones.By2015,92percentofteensandyoungadultshadone,andtheirscreentimealsorose.Researchersdiscovered48percentofteenagerswhospentfiveormorehoursperdayonelectronicdevicesreportedasuicide-relatedbehavior.Thatcomparedto28percentofadolescentswhospentlessthananhourusingelectronicdevices.Twengesaidtheresultsclearlyshowedthatteenswhospentmoretimeonthedevicesweremorelikelytobeunhappy.Thosewhofocusedmoreonnonscreenactivitieslikesportsandexercise,talkingtofriendsfacetoface,doinghomeworkandgoingtochurchweremorelikelytobehappy.

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FSPC January 2018 Newsletter

“Teenswhospendmoretimeonscreensaremorelikelytobedepressed,andthosewhospendmoretimeonnonscreenactivitiesarelesslikelytobedepressed,”Twengewroteinherbook,“iGen:WhyToday’sSuper-ConnectedKidsAreGrowingUpLessRebellious,MoreTolerant,LessHappy—andCompletelyUnpreparedforAdulthood.”Previousresearchhasexaminedwhetherincreasedhomeworkloads,academicpressureorfamilies’financialproblemsraisedteens’riskofdevelopingmentalhealthproblems,butthisstudydidnotfindsuchlinks.JoinerandTwengeemphasizedtheirresearchdoesnotprovethatscreentimecausesdepressivesymptomsorsuicide-relatedbehaviors,butthefindingsdoshowalink.Theyalsosaidparentsshouldn’tthinktheyneedtotakeawaytheirchildren’ssmartphonesandotherelectronicdevices.Butlimitingscreentimetoanhourortwoadaywouldputachildintoastatisticallysafezone.“It’stotallyunrealisticandprobablynotevengoodtothinkkidswillstopusingscreens,”Joinersaid.“Itcomesdowntomoderation.Parentsshouldtrytomakenonscreenactivitiesasattractiveaspossiblebecausealotofthemareattractive.Itisfuntohangoutwithyourfriendsorplaybasketball.Justremindkidsthosethingsareavailable,andthey’rejustasfunastradingtexts.That’sthebottomline.”YETANTOHERNEWSWORTHYITEMMontanaSchoolCrisisActionToolkit-SuicideCAST-SByScottPolandDecember3,2017

Dr.ScottPoland,theCo-DirectoroftheSuicideandViolencePreventionOfficeatNovaSoutheasternUniversity,andDr.DonnaPoland,aformerschoolprincipal,havewrittenthesuicideprevention,interventionandpostventiontoolkitfortheMontanaschools.TheCAST-StoolkitisdesignedtoassistallschooldistrictsinMontanatoimplementthe2017MontanaHouseBill381thatrequiressuicidepreventioninschools.CAST-SisacollaborativeventurebetweenNAMIMontanaandBigSkyPsychiatryand

providesstep-by-steppracticalguidelinesforschoolsandmanydocumentationforms.TheauthorsareindebtedtotheMontanaOfficeofPublicInstruction,theMontanaDepartmentofPublicHealthandHumanServicesSuicidePreventionOffice,theSchoolAdministratorsofMontanaAssociationandtonumerousschoolandcommunityprofessionalsthatprovidedvaluableinputonthetoolkit.Thetoolkitisavailableatthefollowinglinks:http://www.namimt.org/http://www.bigskyaacap.org/cast-s.htmlINFOCUSBrevardCountyisFirsttoBringSourcesofStrength(S0S)toFlorida

ByLoriDuester,MEd,Children’sCenterManager,ParrishHealthcareInearly2015,ourcommunityexperiencedatragedywhenamiddleschoolstudentdiedbysuicide,whichopenedoureyestothecurrentratesofteensuicide,attemptedsuicideandself-harminNorthBrevard.OurcommunitymobilizedtogetherandHannah’sHeroeswasestablished,byHannah’smomand

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FSPC January 2018 Newsletter

agoodfriendwhowantedtohelpbringawarenessandadvocacytothishugeproblem.Additionally,ParrishMedicalCenter,UnitedWay,BrevardPublicSchoolsandmanyotherlocalorganizationscametogethertoworktowardsolutionstotheproblem.Inworkingintheworldofearlyinterventionforover30years,Icouldonlythinkthatweneededtolookforaprogramofprevention.OurgroupresearchedmanybestpracticesuicidepreventionprogramsandchoseSourcesofStrength,notonlybecauseitislistedbySubstanceAbuse,MentalHealth,ServicesAdministration(SAMHSA)asthemostheavilyresearchedandevidence-basedteensuicidepreventionprogramsintheUnitedStates,butalsobecausethefocusisonhealthandwellness,andbuildingtrustingrelationshipsandresiliencyinourchildren,teensandyoungadults.Theprogramisdesignedtoharnessthepowerofpeersocialnetworkstochangeunhealthynormsandculture,ultimatelypreventingsuicide,bullying,self-harmandsubstanceabuse.ThemissionofSourcesofStrengthistopreventsuicidebyincreasinghelpseekingbehaviorsandpromotingconnectionsbetweenpeersandcaringadults.SourcesofStrengthmovesbeyondasingularfocusonriskfactorsbyutilizinganupstreamapproachforyouthsuicideprevention.Thisupstreammodelstrengthensmultiplesourcesofsupport(protectivefactors)aroundyoungindividualssothatwhentimesgettoughtheyhavestrengthstorelyon.ThankstofinancialsupportfromtheJessParrishMedicalFoundation,weareinourthirdyearofbringingSourcesofStrengthtothefivemiddleandhighschoolsinnorthBrevard.TheChildren’sCenterismanagingthethree-yeargrantandwearenowintheprocessofdevelopingoursustainabilityplanwithBrevardPublicSchools.TheSchoolDistricthascommittedtoprioritizesocial/emotionallearninginourschoolsandthecommunityhasestablishedaYouthMentalHealthTaskForcetocontinuetheworkonbringingawarenessandmessagingonseekinghelpformentalhealthissueswhilebuildingaresilientcommunity.Keypoints...• Helpsteensidentifythestrengthsintheirlivesandhowtheycanusethoseintimesofneed• Curriculumisrootedineight"strengths"factors

thatresearchhasshownareprotectiveagainstsuiciderisk

• AllmessagingisaboutspreadingHOPE,HELP&STRENGTH

• Usesadultadvisers(teachers,parents,communityvolunteersandadministrators)asresourcesforthepeer-leaders

• Empowersteensthroughbuildingtrustandleadership

• Usespeerleaderstobreakdowncodesofsilenceandincreaseseekingadultsupport

• PeerleadersrepresentALLsocialgroupssoit’saverydiverserepresentation

• Teenshaveownershipoveractionstepscreatedduringeachmeeting

• Fostershopeforthefuturewhileallowingteenstofeelvaluedandunderstood

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• Thereisaprocessinplaceforthosemostinneed(suicidal)• Overtime,thereisacompletechangeincultureoftheschoolandcommunity

Formoreinformationaboutthisprogram,pleasecall321-264-0855oremaillori.duester@parrishmed.comContactwww.sourcesofstrength.orgtoseehowyoucanbringthisprogramtoyourcommunity.

RESEARCHFORTHERESTOFUS

Sometimesimportantresearchisfilledwithjargon,ishardtounderstand,ordoesn’tseemtomakesense.We’vetriedtosummarizeresearchincommonEnglishlanguage.PeerGriefSupportforSuicideasPostventionforLossSurvivors

Cookandcolleaguesreviewedresearchonpeergroupsupportservicesforthesuicidebereaved.PeerGriefSupportforSuicide(PGSS)referstospecialized,organized,andtargetedsupportofthesuicidebereavedbyotherswhohaveexperiencedsuicidebereavement,butarefurtheralongintheirgrievingprocess.PGSSisseeninmanyforms(e.g.,online,inperson,viaphone,writtencommunication)andcandifferinreach,helpinglargegroupsofpeople,onespecificbereavedfamily,oranindividualwiththeiruniqueaspectsofsuicidelossandgrief.VariousformsofPGSSarepresentedanddescribedbytheauthors.LocalOutreachtoSuicideSurvivors(LOSS)teamsoftenprovidenear-immediatesupporttofamilysimultaneouslyrespondingwithpoliceandemergencymedicalpersonnel.SurvivorOutreachPrograms,throughtheAmericanFoundationforSuicidePrevention(AFSP),enlistspairsofpeerhelperswhovisitandsupporttofamiliesoflossweeksorafewmonthsfollowingadeathbysuicide.Supportgroupsspecifictosuicidelossandbereavementarenumerousandnearly¾areledorco-facilitatedbysurvivorsofsuicideloss.TheAllianceofHopeforSuicideLossSurvivorsisanonlinecommunitysharingpersonalexperienceswithlossandgriefinordertohelpothers.TheTragedyAssistanceProgramforSurvivors(TAPS)offersaPGSSprogramthatcanbeusedtoexemplifywhatasystematicPGSSprogramshouldresemble.TAPSprovidescomprehensive,specializedpeer-to-peerservicestoaspecificpopulationofpeoplebereavedbysuicideandcandeliversupporttonearly7,000people.SeveralexamplesofTAP’sservicesinclude24/7helpline,mentoring,griefsupportgroups,healingseminars,andpeerhelpers.ThenationcurrentlylacksacentralnetworksupportingthepracticeofPGSSthatofferstechnicalassistanceforsuchgroups.However,CookandcolleaguesidentifiedbasicprinciplesforimplementingPGSSservicesincluding:providedwithinequalandcollaborativerelationships,guidedbythehelpee,welcomesindividuality,strengthenstheindividual,andacceptsmanyroutestorecovery.(SummarybyYaritzaCarmona&StephenRoggenbaum)Cook,F.J.,Langford,L.,&Ruocco,K.(2017).Evidence-andpractice-informedapproachtoimplementingpeergriefsupportaftersuicidesystematicallyintheUSA.DeathStudies,41(10).648-658.doi:10.1080/07481187.2017.1335552

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FSPC January 2018 Newsletter

WHAT’SHAPPENINGJanuary25,2018(6-8pm),SuicidePreventionthroughEducation&Awareness.FloridaA&MGrandBallroom.ClarkFlatt,President,JasonFoundation.PleaseRSVPto850-325-3627

February19&20,2018(Monday&Tuesday).FSPC2018ThirdAnnualFloridaTakingActionforSuicidePreventionMini-Conference.Atwo-halfdaymini-conferenceinTallahassee.

February20,2018(1-3pm),FloridaSuicidePreventionCoordinatingCouncilmeetingatDCF.

February20,2018(7:00pm),LightingtheDarkness–EveningofRemembrancebyBigBendHopsice.GFWCWoman’sClubofTallahassee1513CristobalDr.,Tallahassee

February21,2018(Wednesday).SuicidePreventionDayattheCapitol.ThisadvocacyeventisinTallahassee(CapitalBuildingandDisplaysinRotunda).

RESOURCES

Ifyouorsomeoneyouknowisincrisis,pleasecall1-800-273-8255(NationalSuicidePreventionLifeline).

CrisisTextLine–text“start”to741-741

Veteran’sCrisisLine1-800-273-8255,press1&https://www.veteranscrisisline.net/

ResourcesforSurvivorsofSuicideLoss.SAVE.SuicideAwarenessVoicesforEducationmaintainsaresourcelistat:http://suicidegrief.save.org/ResourceLibrary

SuicideLossSurvivors.TheAmericanAssociationofSuicidology(AAS)hostsawebpagewithlistedresourcesforsurvivorsofsuicidelossathttp://www.suicidology.org/suicide-survivors/suicide-loss-survivors

SuicideGriefResources.Helpfulinformation,tools,andlinksforpeoplebereavedbysuicideathttp://suicidegriefresources.org/

STOPSuicideNortheastIndiana.(2016).Help&Hope:ForSurvivorsofSuicideLoss.Retrievedfromhttp://www.stopsuicidenow.org/toolkits-now-available/

Florida’sStatewideOfficeofSuicidePrevention(DCF):http://www.myflfamilies.com/service-programs/mental-health/suicide-prevention

NationalActionAllianceforSuicidePrevention:ThePublic-PrivatePartnershipAdvancingtheNationalStrategyforSuicidePrevention:http://actionallianceforsuicideprevention.org/resources

IstherealocalNAMIChapterinmyarea?http://www.nami.org/Local-NAMI?state=FL

ControlledSubstancePublicDisposalLocations.Properdisposalofexpireddrugsorunusedmedicationscanbeaneffectivesuicidepreventiontoolbyeliminatingaccesstolethalmeans.Manycommunity-baseddrugtake-backprogramsofferthebestoptionfordisposal.Fordisposallocationshttps://www.deadiversion.usdoj.gov/pubdispsearch/spring/main?execution=e1s3

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ProjectChildSafe®iscommittedtopromotingfirearmssafetyamongfirearmsownersthroughthedistributionofsafetyeducationmessagesandfreefirearmSafetyKits[cable-stylegun-lockingdeviceandaninformationalbrochure(alsoinSpanish)].FindFloridaLawEnforcementpartnerstoinquireaboutafreeSafetyKitfromProjectChildSafe.http://www.projectchildsafe.org/safety/safety-kit/Florida

ANEXTRAHELPING...ThoughtsonGriefbyAnOldTherapistByJohnB.Mayo,M.A.,L.M.H.C.Co-FounderandDeputyExecutiveDirectorSuccess4Kids&Families

Volumeshavebeenwrittenaboutthestages,processes,andtherapeuticinterventionsregardingtheeffectsandresolutionofgrief.However,griefinmyexperiencehasbeencomplex,dynamic,andverypersonalforeachofus.Thishasbeentrueregardlessofwhetherit’saprofessionalorpersonalrelationshiporasituationI’mexperiencingmyself.Eventhemostblessedofusexperiencegriefthroughthelossoflovedones

througholdage,sickness,oraccidents.Forothers,ourexperienceofgriefmeanswehavedealtwiththemorecomplexandtraumaticaspectsofsuicide,mentalhealthissues,andaddictions.Greifisdeep,gutwrenching,andverypersonal.Someofusgetstuckandremainingrief.Weerectfencesaroundusforprotection,defense,anddenial.Descendingintodepressionanddespaircanbeaconsequence.Wemaystayinthisimposed“state”foranindeterminateamountoftime,someofusfortherestofourlives.Contemplationofsuicideisariskandsometimesareality.Mostofus,though,manageandrecover.Mysisterpassedawaytwoyearsagofromalong-termillnesswellbeforehertime,inmyopinion.ShewasthelastofmysiblingstopassandtheoneIwasclosestto.Iwasabletomakefinalpreparations,talkandsupportfriendsandotherfamilymembers.Iwrotehereulogyandworkedwiththepriestsonherservice.Wehaddecidedthatitwastobeacelebrationofherlifeofservicetootherssinceshewasaformernunandnurse.TheonlythingIcouldn’tdowastalktomygrandsonaboutherdeath.Tothisday,Ihaven’tsaidawordtohim.Luckily,mywifetookoverthatjob.Aftertwoyears,thepainofmysister’slosshasdulledbutI’mnotatpeacewithit.Icanreminiscewithfamilyandfriendsbutnotwithmygrandson.Ihaveacloserelationshipwithhimandwetalkaboutsomeprettydeeptopics...withtheexceptionofmysister.Idon’tunderstandwhyhe’stheonlyoneIhaven’tbeenabletodiscussmysister’sdeathwith.Thetherapistinmeknowsthatithastodowithmypersonalanduniquejourneythroughthestagesofgrief.Probablysomethingaboutfeelingasimilarkindofloveforbothofthemandafearoflosingmoreofmyfamilyastheyearspassby.Igivethisexamplebecauseitdefiesmysenseoflogicandit’sagoodexampleofwhyallresponsestogriefneedtoberespected.That’snoteasyforthoseinthehelpingprofessions;especiallythoseofusdedicatedtofosteringpositivechangeandrecoveryinthepeopleweserve.It’sneverinourpower.It’salwaysintheirs.

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FSPC January 2018 Newsletter

Therefore,I’vefoundthattheindividualthoughtsandfeelingsofgriefcan’tbedealtwithasaconceptwithouttheconceptsofresilience,acceptance,supportandmostimportantlyHOPE.ANEXTRA,EXTRAHELPING...SuicidePreventionFortheSuicideBereavedByGraceTerry,MSW,Mind/Body/SpiritPainManagementCoach

Researchhasrepeatedlydocumentedthatthosewhohavehadalovedonediebysuicidearestatisticallyathigherriskforsuicidalideation/behaviors/completions.Itfollowsthenthatthosededicatedtosuicideprevention(whetherprofessionalsorconcernedlayadvocates)canproactivelyprovideinformedcaretothesuicidebereavedandtherebysuccessfullyreducesuicideattempts/completionswithinthishigh-riskgroup.

Toprovidemeaningfulcaretothesuicidebereaved,theproviderneedssensitivitytotheuniquechallengesofthispopulation.Forexample,inastudyofparentswhoseoffspringdiedofsuicide,researchersfoundtheseparentswhoseoffspringdiedofsuicideexperiencedmore:1)griefproblems,2)complicatedgrief,3)posttraumaticstress,4)depression,and5)psychologicalproblemswhencomparedwithparentsofchildrenwhodiedfromnaturalcausesoraccidentalfatalities(Feigelman,Jordan,McIntosh,&Feigelman,2012).Theseandothernuancesofthesuicidebereavedrequirenotice.Effectivecareforthesuicidebereavedcanincludepsycho-education,pharmacotherapy,andemotionalandspiritualsupportwithafocusondepression,guilt,andtrauma.Thepsycho-educationalcomponentofcarecanincludeclarificationforcommonlyheldmisconceptionsaboutgriefthatarerampantinaculturethatrepressesanddeniesallgrieftoagreatextent.ThosewhomournANYsignificantlossneedtoknowthereisacalm,reliable,caringpresenceavailableforcompanionshipthroughthelabyrinthofgrief.Theyneedtoknowtheyarenotalone.Toprovideeffectivesupportforthebereaved,caregiversmustbemindfulaboutattendingtotheirowngriefwork.Otherwise,thecareprovidercanbecomefloodedanddistractedwithpersonalpainwhileattemptingtoconsoleanother.Anothernegativescenarioisthatthecaregivercanbecomeundulycontrolling–subtlyorblatantlymessagingthatthemournershouldjustgetonwithhis/herlife(becauseyouractivemourningremindsmethatIaminpainand,consistentwithculturalconditioning,Iwouldratheravoiditthanfeelit).Griefworkisopen-endedandintermittentandcanbere-activatedbyvarioustriggers,evenamongprofessionals.Theeffectivebereavementcaregiverneedsthematurityandself-awarenesstomanagehis/herowngriefinordertobefullypresenttothepainofanother.On-goingpersonalgriefsupportishighlyrecommendedforthosewhocovenanttoserveasgriefcompanions,especiallyforthoseamonghigh-riskspecialpopulations.GraceTerry,MSW,isaMind/Body/SpiritPainManagementCoachspecializinginthesafe,effectivemanagementofrecurringpain,whetherphysical,emotional,orspiritual.Sheisasurvivorofmultipletraumaticlosses,life-threateningillness,andclinicaldepressionwithsuicidalideation.FSPCMEMBERSHIPNewFSPCMembershiporRenewalinformationavailableonlineat:

http://floridasuicideprevention.org/membership