region 11 k-12 student mental health initiative suicide prevention ongoing region 11 training...

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Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational Services Association’s Regional K-12 Student Mental Health Initiative is administered by the California Mental Health Services Authority (CalMHSA), an organization of county governments working to improve mental health outcomes for individuals, families and communities. Prevention and Early Intervention programs implemented by CalMHSA are funded through the voter-approved Mental Health Services Act (Prop 63). Prop 63 provides the funding and framework needed to expand mental health services to previously underserved populations and all of California's diverse communities.

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Page 1: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Region 11 K-12Student Mental Health Initiative

Suicide Prevention Ongoing Region 11 Training

(SPORT)

The California County Superintendents Educational Services Association’s Regional K-12 Student Mental Health Initiative is administered by the California Mental Health Services Authority (CalMHSA), an organization of county governments working to improve mental health outcomes for individuals, families and communities. Prevention and Early Intervention programs implemented by CalMHSA are funded through the voter-approved Mental Health Services Act (Prop 63). Prop 63 provides the funding and framework needed to expand mental health services to

previously underserved populations and all of California's diverse communities.

Page 2: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

• What is depression?

• Warning signs and Treatments

• Parent role in suicide prevention

• Protective factors

• Risk factors & warning signs of youth suicide

• Intervening with a suicidal child

Parent Training Outline

Page 3: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

What is depression?

1. HANDOUTS: DEPRESSION IN TEENS (ENG/SPAN)

2. NAMI: CHILDREN & ADOLESCENTS AND DEPRESSION

Page 4: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

What are the symptoms of depression?

1. HANDOUTS: DEPRESSION IN TEENS (ENG/SPAN)

2. NAMI: CHILDREN & ADOLESCENTS AND DEPRESSION

Page 5: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

What places a child at risk for depression?What are treatments?

1. HANDOUTS: DEPRESSION IN TEENS (ENG/SPAN)

2. NAMI: CHILDREN & ADOLESCENTS AND DEPRESSION

Page 6: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

EVERYONE PLAYS A ROLE IN SUICIDE PREVENTION

Page 7: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Youth Suicide in the US: 2010

SUICIDE is 3rd leading cause of death for youth aged 10-24; boys & girls;

across all ethnicities

Leading causes:1. Accidents2. Homicides

Page 8: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Youth Suicide: Just the Facts

• In recent years more young people have died from suicide than from cancer, heart disease, HIV/AIDS, congenital birth defects, and diabetes COMBINED.

• For every young person who dies by suicide, between 100-200 attempt suicide.

• Males are four times as likely to die by suicide as females - although females attempt suicide three times as often as males.

• The #1 environmental risk factor for suicide is the presence of a gun.

• In the US & CALIFORNIA the gun was the method most often used among youth however in Los Angeles the method most often used by youth was strangulation.

Page 9: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Youth Suicide: Just the Issues

Bullying

Cyber-bullying

• Lesbian, Gay, Bisexual, Transgender Questioning

• Non-Suicidal Self-injury

• Social media

Page 10: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Youth Suicide: Just the Issues

• Bullying

• Cyber-bullying

Lesbian, Gay, Bisexual, Transgender Questioning

• Non-Suicidal Self-injury

• Social media

Page 11: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Youth Suicide: Just the Issues

• Bullying

• Cyber-bullying

• Lesbian, Gay, Bisexual, Transgender Questioning

Non-Suicidal Self-injury

Social media

Page 12: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Cultural Considerations: YOUTH

• White Males 22.6• Alaskan Native/American Indian 21.0• Black Males 8.7• Asian/Pacific Islander 6.2• Latino* 5.3

Suicide Rate= # of deaths/100,000

Page 13: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Intervening with Suicidal Students

Guidelines for Parents

Page 14: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Suicide Prevention: Guidelines for Parents

• Do not be afraid to talk to your child about suicide

• Know the risk factors and warning signs of youth suicide

• Respond immediately• Turn to the school for help. Contact the

school psychologist/counselor/social worker

• Seek out community mental health agencies 3. HANDOUT: SUICIDE PREVENTION

GUIDELINES FOR PARENTS (EL/SECONDARY; ENG/SPAN)

Page 15: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Suicide Prevention in the Schools

Protective Factors• Strong individual coping and problem-solving

skills• Strong sense of belonging and connection• Interpersonal competence/success• Family warmth, stability, support, and

acceptance• Positive connections at school• Spirituality & religious involvement• Access to mental health care & awareness of

crisis hotline resources

Page 16: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Risk Factors of Youth Suicide • Alcohol/substance abuse

• Accessibility of means (i.e. guns, rope)• Internal vulnerabilities– Psychiatric disorders• Depression• Conduct disorder

– Previous suicidal behavior– History of loss/trauma/victimization

• External vulnerabilities (family/community)• Hopelessness• Impulsivity• High risk group

3. HANDOUT: SUICIDE PREVENTION GUIDELINES FOR PARENTS (EL/SECONDARY; ENG/SPAN)

Page 17: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Risk Factors of Youth Suicide

SITUATIONAL CRISES (Precipitating Events)

• Loss (Death, divorce, transience, romance, dignity)

• Victimization/exposure to violence

• School crisis (disciplinary, academic)

• Family crisis (abuse, domestic violence, running away, argument with parents)

• Suicide in community

Page 18: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Signs of Self-injury • Frequent or unexplained bruises, scars,

cuts, or burns.• Consistent, inappropriate use of clothing

designed to conceal wounds (often found on the arms, thighs, abdomen)

• Secretive behaviors, spending unusual amounts of time in the student bathroom or isolated areas on campus.

• General signs of depression, social-emotional isolation and disconnectedness

5. HANDOUTS: CORNELL PARENT GUIDE

YOUTH WHO SELF-INJURE (ENG/SPAN)

Page 19: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Signs of Self-injury

• Substance abuse• Possession of sharp implements (razor

blades, shards of glass, thumb tacks, clips)

• Evidence of self-injury in work samples, journals, art projects

• Risk taking behaviors such as gun play, sexual acting out, jumping from high places or running into traffic.

Page 20: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

• Connect with compassion, calm, and caring.• Understand that this is his/her way of coping

with pain.• Refer and offer to go with the student to your

school counselor, psychologist, social worker, or nurse.

• Discover your child’s strengths• Help to create circle of care at home, school

and community by establishing connections with the adults in your child’s life.

Responding to Students who Self-Injure Tips for Parents: Do

HANDOUTS: CORNELL PARENT

Page 21: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

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• Discourage self-injury, threaten hospitalization, use punishment or negative consequences.

• Act shocked, overreact, say or do anything to cause guilt or shame.

• Never publicly humiliate your child or talk about their SI in front of family or peers.

• Agree to hold SI behavior confidential.• Make deals in an effort to stop SI.• Make promises you can’t keep.

Responding to Students who Self-Injure Tips for Parents: Don’t

Page 22: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Warning Signs of Youth SuicideAdolescents

• Suicide notes• Threats• Plan/method/access• Depression (helplessness/hopelessness– Risk taking behaviors such as gun play,

alcohol/substance abuse)• Giving away prized possessions

Page 23: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

Warning Signs of Youth Suicide Elementary

• Efforts to hurt self– Running into traffic– Jumping from heights– Scratching/cutting/marking the body

• Death & suicidal themes in writing/drawing• Sudden changes in personality, friends,

behaviors

Page 24: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

IF YOU ARE CONCERNED ABOUT YOUR CHILD:

Turn to the school for

Page 25: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

http://preventsuicide.lacoe.edu

HANDOUTS: I WILL THRIVE

(ENG/SPAN)

Page 26: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

YOUTH SUICIDE: RESOURCES

Suicide Prevention Resource Centerhttp://sprc.org

American Association of Suicidologyhttp://suicidology.org

American Foundation for Suicide Preventionhttp://afsp.org

National Association of School Psychologistshttp://nasponline.org

Centers for Disease Controlhttp://www.cdc.gov/ViolencePrevention/suicide/

Page 27: Region 11 K-12 Student Mental Health Initiative Suicide Prevention Ongoing Region 11 Training (SPORT) The California County Superintendents Educational

QUESTIONS???

Contact us: [email protected]