Dr. Gregory A. Hudnall Executive Director Copyright © Dr. Gregory A. Hudnall. All rights reserved....

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Dr. Gregory A. Hudnall Executive Director Copyright © Dr. Gregory A. Hudnall. All rights reserved. Changing the public perception about suicide prevention, intervention and postvention.

Transcript of Dr. Gregory A. Hudnall Executive Director Copyright © Dr. Gregory A. Hudnall. All rights reserved....

Dr. Gregory A. HudnallExecutive Director

Copyright © Dr. Gregory A. Hudnall. All rights reserved.

Changing the public perception about suicide prevention, intervention

and postvention.

Rank State Death Rate   Rank State Death Rate1 Alaska 49 46   26 Missouri 97 11.62 Wyoming 25 31.9   27 South Carolina 76 11.53 South Dakota 31 26.9   28 Iowa 49 11.44 North Dakota 28 26.3   29 Alabama 75 11.15 Montana 29 21.7   30 Indiana 102 116 New Mexico 60 20.5   31 Texas 398 10.87 Colorado 115 16.7   32 Louisiana 71 10.78 Hawaii 30 16.5   33 Oregon 54 10.69 Idaho 36 16.1   34 Delaware 13 10.210 Utah 70 15.6   35 North Carolina 134 10.111 Arizona 135 14.9   35 Georgia 140 10.111 Maine 25 14.9   37 Kentucky 58 9.913 Kansas 60 14.7   38 Nebraska 25 9.714 Vermont 13 14.5   39 Mississippi 39 915 Oklahoma 74 13.9   40 West Virginia 25 8.916 Wisconsin 108 13.7   41 Virginia 98 8.717 Arkansas 55 13.6   41 Florida 214 8.718 Nevada 48 13.3   43 Massachusetts 78 8.319 Washington 115 12.5   44 Connecticut 39 8.220 Michigan 171 12.1   45 Illinois 143 7.921 Tennessee 104 12   45 Maryland 63 7.921 Minnesota 87 12   45 California 440 7.921 Pennsylvania 213 12   48 New Jersey 88 7.724 New Hampshire 21 11.8   49 New York 183 6.624 Ohio 187 11.8   50 Rhode Island 10 6.2

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2010 YOUTH SUICIDES RANKINGS 15 - 24 YEARS RATE PER 100,000

UNDERSTANDING SUICIDE

Utah is 9th in the nation for suicide

ages 10 to 17

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UTAH SUICIDE STATISTICS

• Suicide is the second leading cause of death in Utah for 10 to 17 year olds

• From 2007 to 2010, Utah’s suicide rate increased 110%

• Utah averages 19 youth suicides per year

• Approximately 43% of youth suicides in Utah occur in the first four months of the year

JanuaryFebruaryMarchApril

Can suicide be prevented?

We believe it can - if we work together…

Schools

Mental Health Agencies

Community Partners

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It takes a village to raise a child….

It takes a community to save one…

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Provo City School District Statistics Year Attempts & Threats Hospitalized Completions

1999-2000 75   9th grade student & 1 male teacher

2000-2001Elementary Middle Secondary

3 46 62

  No completions

2001-2002Elementary Middle Secondary

16 3361

  4th grade student & 8th grade student

2002-2003Elementary

Middle Secondary

13 7

23

12 No completions

2003-2004Elementary Middle Secondary

15 17 21

6 9th grade student & 11th grade student

2004-2005Elementary Middle Secondary

33 13 88

9 9th grade student

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CommunitySuicide Prevention Model

Community

Connections

SchoolPrograms

Mental HealthPartnerships

Suicide PreventionInterventio

nPostventio

n

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Circles 4 HOP

E

PREVENTION

Suicide prevention is an umbrella term for the collective efforts of local citizen organizations,

mental health practitioners and related professionals to reduce the incidence of suicide

through prevention and proactive measures.

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Prevention, Intervention &Postvention

Create a common language

Collaboration with city leaders

Partnership with city stakeholders United Way, Boy Scouts,

Churches, youth organizations, businesses

Citywide support for educating citizens

Public awareness campaign

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Mental Health Public & Private Providers

Alliance with the experts

Identification of service providers (therapy)

Immediate response for

assessment

Open access for counseling

Partnership with hospitalCommunity crisis team

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Family Support & Treatment Center

School Programs

Yearly training of new staff in suicide prevention &

intervention

Identify mental health expert

Peer to peer program (HOPE Squad)

Community crisis team

Take every suicidal threat seriously

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Suicide intervention or suicide crisis intervention is direct effort to stop or

prevent persons attempting or contemplating suicide from

killing themselves.

INTERVENTION

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Provo School District’s Suicide Prevention Peer Program

The HOPE Squad

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Provo City School District Statistics14,000 students

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Year Attempts & Threats Hospitalized Completions

2005-2006Elementary Middle

High

8 18 30

8 No completions

2006-2007Elementary Middle

High

19 8 43

7 No completions

2007-2008Elementary Middle

High

10 6 16

5 No completions

2008-2009Elementary Middle

High

0 8 16

2 No completions

2009-2010Elementary Middle

High

6 3 14

5 No completions

2010-2011Elementary Middle

High

2 7 30

9 No completions

2011-2012Elementary Middle

High

7 7 25

5 No completions

2012-2013Elementary Middle

High

11 6 35

10 No completions

2013-2014Elementary Middle

High

25 23 62

13 No completions

PURPOSE OF PROGRAM

The purpose of starting the HOPE Squad Program

was to create a way that school peers could reach out and support (help) one another.

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HOPE SQUAD MEMBER

Being a HOPE squad member

provides the opportunity to be trained

in suicide prevention and intervention

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PROGRAM GOALS

• Understand concepts of suicide prevention

• Be comfortable to communicate with struggling peers

• Create opportunities for interventions

• Make a difference in the lives of your peers

• Willingness to break the code of silence

• Take care of yourself

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HOPE SQUAD CORE COMPETENCIES

• Good Listener• Engages Others• Understands Warning Signs• Self Confident• Healthy emotionally self• Eager to Serve• Helpful• Caring• Courage to Break the Code of

SilenceCopyright © Dr. Gregory A. Hudnall. All rights reserved.

EVERYONE HAS A STORY

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So, how do you as a

HOPE Squad member

reach out to your fellow classmates?

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BY BEING YOURSELF

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You were chosen by your peers – someone that is

respected as being kind,

non-judgmental and willing to reach out to those who may need

a helping hand

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HOW TO HELP

A person on the Golden Gate Bridge walked to the middle

of the bridge with a note

in his pocket –

“I will not jump if someone smiles at me”

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BE THAT ONE PERSON WHO SMILED

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How do we go about our

daily activities, classwork, homework, sports,

performing arts,

friends and family and

still find time to

“make a difference?”

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Copyright © Dr. Gregory A. Hudnall. All rights reserved.

Copyright © Dr. Gregory A. Hudnall. All rights reserved.

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HOPE SQUAD TRAINING

PHASESPromoting Hope and Student Engagement

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PHASE ICIRCLES4HOPE

The purpose of this Phase is to help HOPE Squad members understand that they are part of a community wide mental health effort to prevent suicide

Objective:

• Understand that Cirlces4HOPE is a community wide effort to prevent suicide and provide support

• Understand the importance of partnering with mental health agencies

• Understand how to contact/refer a friend to these agencies Copyright © Dr. Gregory A. Hudnall. All rights reserved.

PHASE IISUICIDAL WARNING SIGNS

The purpose of this Phase is to help HOPE Squad members recognize and understand the warning signs of depression and suicide.

Objectives

• Understand that most suicidal students give warning signs or signals of their intentions

• Understand the ability to recognize the warning signs of suicide

• Understand the importance of responding quickly and referring the individual to an adult

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PHASE IIIBECOMING A PEER ADVOCATE

To help HOPE Squad members understand and gain the skills and knowledge to help a fellow student who may be suicidal.

Objectives• Know the importance of breaking the code of silence

(not keeping deadly secrets).

• Know the questions to ask when someone may be depressed or suicidal.

• Know what communication to avoid when helping someone who may be depressed or suicidal.

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PHASE IVBOUNDARIES

To engage HOPE Squad students in acknowledging,understanding and practicing setting appropriate boundaries.

Objectives• Increase awareness of different types of

boundaries.

• Understand how to set clear and appropriate boundaries.

• Gain skills necessary to maintain healthy boundaries with peers.

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PHASE VSELF-CARE & PROTECTIVE FACTORS

To teach HOPE Squad members how to take care of themselves so they may assists others.

Objectives:• Learn proper self-care techniques, the importance of

debriefing, and how/who to ask for help when needed.

• Learn about maintaining good mental, emotional, and physical health in order to better help others.

• Understand how to set healthy boundaries with student peers. Copyright © Dr. Gregory A. Hudnall. All rights reserved.

PHASE VIPHRASES 4 PHASES

The purpose of this Phase is to learn effective phrases to use when someone is depressed or talking about suicide.

Objectives

• Learn effective communication skills

• Learn how to ask the right questions, understanding the difference between open-ended questions and closed- ended questions

• Learn how to engage with listening skills

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PHASE VIIEVERYONE HAS A STORY

The purpose of this Phase is to help HOPE Squad members understand that everyone struggles at different times in their life regardless of their status or religion, etc.

Objectives

• Understand that at different times everyone struggles with stress and or anxiety

• Understand the importance of listening to a person’s story

• Understand that regardless of popularity and status, everyone may need help at one time or another

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PHASE VIIITAKE A STAND: BULLY PREVENTION

The purpose of the Phase is to help HOPE Squad members recognize and intervene when they see someone being bullied.

Objectives

• Understand the research in that 50% of all bullying instances will stop when a bystander intervenes

• Understand how it feels to be bullied

• Understand ways to prevent bullying

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PHASE IXGRIEVING & SUDDEN DEATH

To help HOPE Squad members understand grieving and school procedures in the event of a sudden death.

Objectives

• Understand that grieving is a personal process that is different for each person.

• Understand how to assist a friend that is grieving.

• Understand how to be supportive after a sudden death or suicide.

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PHASE XHOPE WEEK

The purpose of this Phase is to educate and bring awareness of suicide prevention to the rest of the school.

Objectives - HOPE Squad members will learn how to:

• Organize a school-wide suicide prevention event

• Promote a school-wide caring environment

• Provide visibility for HOPE squad members

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HOW TO DEVELOP A COMMUNITY HOPE SQUAD

Common Language: Warning signs, who is at risk…

Common Understanding: How to intervene…

Common Knowledge: Where to go for help…

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HOW TO DEVELOP A COMMUNITY HOPE SQUAD

• Goal – not to do therapy but find help for those struggling with suicide

• Vital – track data

• Identify – veteran volunteers

• Refer – crisis line, county resources

• Meetings – monthly training

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Dr. Gregory A. [email protected]

(801) 367-1800

Cathy [email protected]

801-372-2208

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