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Idaho Lives Project

• SAMHSA State / Tribal Youth Suicide Prevention Grant (GLSMA) grant awarded to Idaho on 10/7/2013.

• 3 year award totaling $1,295,745.00

• 1 of seven grantees nationwide

Organizational Structure

State Department of Education

Sources of Strength Shield of Care Local / National

Expert MentorsTrainers /

Facilitators

SPAN Idaho BSU Ctr for Health Policy

Grant Administration

Program Implementation Program Evaluation

School / Community Impact Strategies

Suicide Statistics

US 2010 ID 2010 ID 2011 ID 2012

Total Deaths 38,364 290 284 299

Deaths/week 738 6 5.5 6

Suicide Rate 12.4 18.5 17.9 18.7

Where Does Idaho Rank?US Suicide Death Rate Rankings (CDC 2010)

18.5

Wyoming Idaho U.S. New York

8.0

12.4

23.3

4 26 17

Youth Suicide Facts• Idaho high school students, 2013 YRBS shows

1 in 13 have attempted

suicide

1 in 8 actually have a suicide

plan

1 in 7 have considered

suicide

Youth Prevention Survey

• Administered in Spring, 2014• Sample size: 12,650 (grades 6, 8, 10 & 12)

School Changes

Suicide Ideation by County

Protective Factors

School-Age Children• Idaho has lost 83 school-aged children to suicide in the last 5 years.

• 16 of those children were age 14 or younger

What are you seeing?

• Indicators of ideation• ATOD issues• Dating relationship violence• Bullying / harassment• Self-harm• Toxic family / community influences• GLBTQI discrimination• Others???

Interpersonal-Psychological Theory of Suicide

Thomas Joiner, PhD

PerceivedBurdensomeness

ThwartedBelongingness

Those Who Are Capable of Suicide

Fearlessness about Pain, Injury & Death

Acquired Ability or Self-Harm

Serious Attempt or Death by Suicide

Those Who Desire Suicide

Derived from Sketch of a TheoryPower Point presentation, 2013Thomas Joiner, PhD

Di s t a l Fac t or s

Why People Die by Suicide

Idaho Lives Project Goals Model

Goal 7: Data Collection, Evaluation & Reporting

Goal 3: Suicide Assessment Training for BH & PC Professionals

Goal 2: School & Community Gatekeeper Training

Goal 1: Sources of Strength in

Schools

Goal 4: College & University Involvement

Goal 5: Connectedness & Capability Strategies for All Schools

Goal 6: Shield of Care for Juvenile Justice Facilities

Goal 1

1. Sources of Strength conducted A. 8 pilot schools trained in year 1

Provided by Sources professionals

B. 10 – 14 schools trained in year 2 Provided by Sources professionals and Idaho trainees

C. 15 – 21 schools trained in year 3 Provided by Idaho Sources trainers

D. 12 – 14 Idaho Sources trainees trained and certified over two-year period

E. After training, adult advisors and peer leader teams carry out Sources activities in the school

TM

Goal 2 2. Gatekeeper training – “QPR Plus”*

(Question, Persuade & Refer)

A. Training for personnel of all Sources schools B. Training for communities around Sources schools

and Shield of Care facilities C. Targeted outreach to special populations for

training

* “QPR Plus” adds to QPR: • The Interpersonal-Psychological Theory of Suicidal Behavior• State/Regional/Local statistics• Sources of Strength overview• Suicide survivor issues • Information specific to the audience

Goal 33. Training for Behavioral Health and Primary

Care providersA. Suicide assessment training for BH and PC

providers in Sources school communitiesB. Training provided by recognized national expert

on suicide assessmentC. BH and PC providers will be

available and trained to meet the needs of identified youth

Goal 44. Universities and Colleges involvement

A. Reach out to Colleges in Sources school communities to participate in gatekeeper training

B. College interns recruited to be involved with Sources trainings

C. Interns distribute materialsD. Outreach to 18-24 year-olds with materialsE. Targeted outreach and coordination with U of I

(SAMHSA college grant recipient)

Goal 55. Promoting connectedness and capability

in Idaho schoolsA. Strategies for increasing connectedness,

belonging and capability among students and staff are made available to all Idaho schools

B. Feeder schools to Sources schools are targeted for distribution of materials

C. National expertise on strategies provided at Annual Prevention Conference

D. Formal recognition for individual and organizations demonstrating effective or innovative strategies

Goal 6

6. Shield of Care for juvenile justice facilitiesA. Juvenile justice facility mental health contacts

trained to train Shield of CareB. Trained mental health contacts train facility staff

in Shield of careC. SPAN Idaho provides support

Goal 7

7. Data collection, evaluation and reportingA. Data is collected and evaluated for all activitiesB. Boise State University College of Health Sciences

provide project evaluation.C. ILP Advisory Committee is created and assists in

reviewing project evaluations and developing data-driven improvement plan

D. Reports on evaluation findings and improvement plan

ILP Programs

Goal 1 Status:School Community Selection

• 8 school communities for cohort 1 and 7 school communities for cohort 2 were selected based upon : – Demonstrated need– Readiness to Benefit– Level of interest/commitment– Needs of special populations

Cohort 1: Schools Selected & Trained

1.       Priest River Lamanna HS, Priest River2.       Lapwai MS-HS, Lapwai3.       Parma HS, Parma4.       Parma MS, Parma5.       Nampa HS, Nampa6.       Silver Creek Alternative HS, Hailey7.       Salmon MS-HS, Salmon8.       Teton HS, Driggs

Trained March 3-14, 2014

Cohort 2: Schools Selected

1.       Emmett HS, Emmett2.       Homedale HS, Homedale3.       Frank Church HS, Boise4.       Rimrock Jr/Sr HS, Bruneau5.       Pocatello HS, Pocatello6.       Preston Jr HS, Preston7.       Preston HS, Preston

Goal 2 Status:Community & School Staff Training

Community Gatekeeper Training

• February 13th - Priest River

• February 18th – Parma

• February 19th – Nampa

• February 27th – Lapwai

• March 3rd – Driggs

• March 5th – Salmon

• March 6th – Hailey,

Staff Gatekeeper Training

• January 20th – Parma

• February 14th - Priest River

• February 19th – Nampa

• February 24th – Hailey

• February 28th – Lapwai

• March 3rd – Driggs

• March 5th – Salmon

Goal 3 Status: Suicide Assessment Training Schedule

Round 1• February 24th – Caldwell• February 25th – Hailey• February 25th – Twin Falls• February 26th – Idaho Falls• March 24th – Coeur d’Alene • March 25th – Lewiston

Round 2• Three locations and video teleconference to rural areas, early 2015

M. David Rudd, PhD

Goal 4 Status: University Involvement & Young Adults

• Training– June 5th – BSU TRiO Upward Bound Residential Mentor

staff– August 20th or 21st – CSI staff

• Interns– One identified for cohort 2 from NNU

• Young Adult Outreach– Young adult-serving entities identified– Man Therapy contract securedwww.mantherapy.org

Goal 5 Status: Belongingness & Capability

• Research completed

• Strategies developed

• Belongingness session at SDE’s Prevention Conference

• Prepared to provide strategies/activities to elementary and middle feeder schools fall 2014

Goal 6 Status: Juvenile Justice

• February 4th - Shield of Care Train the Trainer• May 2014 – Scheduling individual facility

training for entire staff– June – Shoshone-Bannock Juvenile Justice Center– September – Snake River Juvenile Detention Center

Goal 7 Status: Data MEASUREMENT TOOL & CODES

TOOL TYPE

AUDIENCE

ADMINISTERED BY

DATA COLLECTED & RESULTS COMPILED BY

RESULTS EVALUATED BY

PL-Consent = Sources Peer Leader Consent Form Consent Form Parents School School School

PL-Pre = Sources Peer Leader Pre-Survey Survey Peer Leaders School ILP BSU

PL-Post = Sources Peer Leader Post-Survey Survey Peer Leaders School ILP BSU

SS-Pre = Sources School Staff Pre-Survey Survey School Staff School ILP BSU

SS-Post = Sources School Staff Post-Survey Survey School Staff School ILP BSU

GK-Pre = School Staff Gatekeeper Pre-Test Test School Staff School ILP BSU

GK-Post = School Staff Gatekeeper Post-Test Test School Staff ILP Staff ILP BSU

QPR+ = Question, Persuade, Refer Evaluation Evaluation Staff & Cmty. ILP Staff ILP BSU

TUPS = Training Utilization Survey- Adult Consent Form Staff & Cmty. ILP Staff ILP & SDE SAMHSA

TUPS-A = Training Utilization Survey- Adolescent Consent Form Parents School ILP & SDE SAMHSA

Rudd = David Rudd Clinician Survey/Evaluation Survey & Eval. Clinicians ILP Staff ILP BSU

TASP = Training Activity Summary Page Report Form ILP SDE Staff SDE SAMHSA

EIRF= Early Identification, Referral, Follow-up Survey Clinician/Staff SDE Staff SDE SAMHSA

SST-Self-Eval = School Sources Team Self-Evaluation Evaluation Adult Advisors School ILP BSU

SST-Status = School Sources Team Status Report Report Form PL & Ad. Adv. School ILP BSU

SMH-Ref = School Mental Health Referral Form Report Form School Couns. ILP Staff ILP BSU

COS = Community Outreach Survey?? TBD Survey Gen. Pop. ILP Staff ILP BSU

Important Notes about Warning Signs

• The more signs, the greater the risk.

• Warning signs are especially important if the person has attempted suicide in the past.

• One sign alone may not indicate suicidality

but all signs are reason for concern

and several signs may indicate suicidality,

and any one of three signs alone is cause for immediate action.

1. 2. 3.

4. 5. 6.

R I SK

Warning Signs

• Previous suicide attempts

• Talking about, making a plan or threatening to complete suicide

• Isolation, withdrawal from friends, family or society

• Agitation, especially when combined with sleeplessness

• Nightmares

Warning Signs

• Changed eating habits or sleeping patterns

• Giving away prized possessions, making final arrangements, putting affairs in order

• Themes of death or depression in conversation, writing, reading or art

• Recent loss of a friend or family member through death, suicide or divorce

• Sudden dramatic decline or improvement

Warning Signs

• Feeling hopeless or trapped

• Use or increased use of drugs and/or alcohol

• Chronic headaches and stomach aches, fatigue

• Major mood swings or abrupt personality changes

• Neglect of personal appearance

• Taking unnecessary risks or acting reckless

• No longer interested in favorite activities or hobbies

Signs of Immediate Risk = Take Immediate Action

• Talking about wanting to die or to kill oneself

• Looking for a way to kill oneself

• Talking about feeling hopeless or having no reason to live

How to Ask

• Direct:Are you thinking of suicide/killing yourself?

• Less Direct:You seem to be ________. Sometimes when people are ________, they think about suicide. Are you thinking of suicide?

How to Listen

• Listen well• Non-judgmentally• Non-condescendingly• Matter-of-fact yet caring approach• Reflective listening• Not problem solving

Helping & Getting Help

• Ensure the person is not left alone

• Get a commitment to accept help

• Make arrangements/help the person contact mental health help

• Get others involved; a family member, friend, clergy, someone whom the person trusts. Ensure that the trusted person will get the person in crisis to help

Getting Help

• 1-800-273-TALK (8255)

• Call police if person is in possession of a weapon

• Follow up

• Self care

Remember

Watch for signs/clues

Get helpInstill hope

Listen wellHave the courage to ask

Your Assistance

• Educate Schools about the Project– Cohort 1 – 18 school applications– Cohort 2 – 11 school applications (3 repeats)

• Share community and clinical training announcements

• Implement upstream approaches at your school

Resources

• Idaho Lives Projectwww.idaholivesproject.org

• Dedicated SDFS $$$ ($2.2 million)• Postvention protocolhttp://www.spanidaho.org/youth-suicide-forschools.shtml

• Surveillance data (YPS / YRBS)http://www.sde.idaho.gov/site/safe_drugfree/

• Idaho hotline- 1-800-273-TALK (8255)

Likely keynotes:• Dr. James Garbarino• Keith Orchard

• RFP for workshops coming soon• Currently searching for counselor scholarships

For More InformationMatt McCarter, DirectorStudent Engagement & Postsecondary Readiness DivisionState Department of EducationProject Director, Idaho Lives Projectmamccarter@sde.idaho.gov(208) 332-6961

Jeni Griffin, Executive Director, SPAN IdahoProject Administrator, Idaho Lives Project

jgriffin@spanidaho.org(208) 860-1703

Kim KaneProgram DirectorIdaho Lives Project

kkane@idaholives.org(208) 860-1703