suicide prevention gatekeepers training gatekeeper training brenda jennings wisconsin department of...
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Gatekeeper Training
Brenda JenningsWisconsin Department of Public Instruction
Revised April 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Participants will:• Know reasons for school staff
to prevent suicide
• Know the warning signs
• Know how to help students who show warning signs
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Use:•“Completed suicide”
•“Died by suicide”
•“Took his/her own life”
•“Died of suicide”
Avoid:• “Successful suicide
attempt”
• “Committed suicide” it is not illegal
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• 1 in 5 high school students report signs of depression
• Suicide is the 2nd leading cause of death for Wisconsin youth
• One suicide is too many, a life lost forever
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DHS WISH, Injury Mortality Module (Accessed 03/12)2011 WI YRBS
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Suicide affects the entire school-community, interrupts learning
• Suicide is a long term solution to a short term problem
• Most suicides can be prevented
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Suicideis the 2nd leading cause of death for
ages 5-19.
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DHS WISH 2010 Injury Mortality Module (Accessed 03/12)
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Suicideis the 2nd leading cause of death for
ages 5-19.
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DHS WISH, Injury Mortality Module (Accessed 03/12)
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Suicide Rate per 100,000 Youth (age 0-19)
Wisconsin US
3.50
3.00
2.50
2.00
1.50
1.00
0.05
0.00
6.00
5.50
5.00
4.50
4.00
3.50
3.00
2.50
2.00
1.50
1.00
0.05
0.00
6.00
5.50
5.00
4.50
4.00
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• 418 Males, 97 Females (greater than a 4:1 ratio)
• Firearms consists of about half of the deaths (238)
• Suffocation (hanging) resulted in 213 deaths
• Other methods include poisoning, falls, drowning, vehicles
DHS WISH Injury Mortality 2000-2010 (age 5-19)(accessed 03/12)
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
“Students who report being bullied, as well as those who admit to bullying others, have been found to have significantly higher rates of depression, suicidal ideation and suicidal behaviors than students who do not report experiences with bullying.”
AFSP 2009, SPRC 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Withdraws from friends, family, others
• Talks about hurting self
• Feels lasting sadness, feels depression
• Has a hard time concentrating
• Feels anxious
• School work gets worse
• Increased alcohol or drug use
One suicide is
too many
Youth Suicide Prevention School-Based Guide, 2003, Louis de la Parte Florida Mental Health Institute
Updated 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Change in eating habits – more or less
• Change in sleep patterns – more or less
• Loss of interest in favorite activities
• Frequent complaints about physical symptoms, body aches (stomachaches, headaches, fatigue)
MOST SuicideS can be
prevented
Youth Suicide Prevention School-Based Guide, 2003, Louis de la Parte Florida Mental Health Institute
Roberts, et. al, Journal of Youth and Adolescence, 2001; 30: 1-18.Updated SPRC 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Uncontrolled anger, seeking revenge
• Acting reckless
• Feeling trapped, like there is no way out
• Feeling hopeless
• No sense of purpose in life
Suicide affects the
entire school-
community
Youth Suicide Prevention School-Based Guide, 2003, Louis de la Parte Florida Mental Health Institute
Goldstein, et. al, J Consulting Clinical Psychiatry, 2008 Feb; 76(1): 84-91Updated SPRC 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Being intolerant of praise or rewards
• Suddenly cheerful after a period of depression
• Giving away favorite possessions
• Making a last will & testament
1 in 5 high school
students report signs
of depression
Youth Suicide Prevention School-Based Guide, 2003, Louis de la Parte Florida Mental Health Institute
Updated 2012
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Talks about hurting self
• Looks for ways to kill self
• Talking or writing about death, dying, or suicide
SAMHSA 1/11
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Don’t shame: “You’re too sensitive. Grow up!”
• Don’t delay: Get help right away, don’t wait.
• Don’t blame: “If you wanted a better grade, you would have worked harder.”
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Don’t give up: Suicide is NOT a destiny
• Don’t do it alone: Consult with principal or student services
• Don’t leave the student alone
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• A is for “Acknowledge” signs and symptoms, don’t minimize their feelings
• C is for showing “Care and Concern” for the person who is at-risk
• T is for “Tell” a trusted adult who knows how to respond, including pupil services, heath educators, or administrators in your school
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A C TAcknowledge
Care, Concern
Tell
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• “That sounds really tough, I’m sorry to hear it.”
• “You have some major challenges on your plate.”
• Don’t minimize their feelings by saying: “You’ll get over it.” “Time heals all wounds.” “Stop worrying about it.”
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A C T►Acknowledge
Care, Concern
Tell
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• “I would hate for any harm to come to you.”
• “I don’t want this to get any worse. I’d really like to see you get some help.”
• “You’re an important part of my class and I want to be sure you stay safe.”
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A C TAcknowledge
►Care, Concern
Tell
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Bring student to someone trained to help
•“I know Ms. Jennings in the Student Services office, and she works with many students who are facing challenges like this. Let’s go see her together.”
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A C TAcknowledge
Care, Concern
►Tell
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Know the people at your school who are trained•Know your School Counselor, School Psychologist, School Social Worker, School Nurse, and other members of your Crisis Response Team. Take the student to see one of them right away, even if you’re not sure if it’s a crisis.
•If you can’t take them, notify someone on the crisis team immediately.
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A C TAcknowledge
Care, Concern
►Tell
Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
No. State law protects you if you are trying to help prevent suicide.
•You are safe in trying to help students.
•For private and public schools.
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Firearms play a major role in suicide• We promote safe storage• 4 strategies to protect:
trigger locks/cabinets store unloaded lock ammo separate location
Grossman, JAMA 2/9/05
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• Look for warning signs
• ACT Acknowledge – say you understand they
feel bad
Care – say you care
Tell – bring them to someone trained to help
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
• The National Suicide Prevention Lifeline is always available at
(800) 273-TALK or www.suicidepreventionlifeline.org
• Prevent Suicide Wisconsin www.preventsuicidewi.org
• Department of Public Instruction
www.dpi.wi.gov/sspw/suicideprev.html
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Nic DibbleSchool Social Work Consultant(608) [email protected]
Jon HisgenHealth Education Consultant(608) [email protected]
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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training
Brenda JenningsEducation Consultant, Suicide Prevention(608) [email protected]
Kathryn BushSchool Psychology Consultant(608) [email protected]
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