Funded by SAMHSA through the Garrett Lee Smith Campus Suicide Prevention Grant Program Cohort 1 and...

Funded by SAMHSA through the Garrett Lee Smith

Campus Suicide Prevention Grant ProgramCohort 1 and Cohort 3

ASU Campus Care

www.asu.edu/counseling

Four Campuses in the Phoenix, AZ metropolitan area- over 50 miles area

Fall 2010 enrollment 70,440o9,544 first year studentso12,500 university housing students (approx.)


…thinking in LARGE VOLUME

•Wellness•Counseling

•Other campus partners


7.7% of ASU students reported seriously considering attempting suicide during the school year

4600 ASU students…enough to fill Gammage Auditorium twice


1.4% reported having made an attempt-which is around

660 ASU Studentswww.asu.edu/counseling

7.7% seriously considered attempting suicide during the school year

1.1 % had made an attempt


Focus Only on High Risk

Low HighSuicide risk

Mortality threshold

Pop

ula

tion Identify and treat

high-risk


Treating Only High Risk


Mortality threshold

Pop

ula

tion

Identify and treat high-risk


Focus on Population


Mortality threshold

Pop

ula

tion Move

population risk


10

Spectrum


IOM Report

Emphasis on preventionInclusion of mental health promotionBack to fundamentals


Emphasis on Prevention

Informed by a public health approach – concerned with:– Preventing, not just treating disease. – Health of the population.– Identifying and intervening with known risk

factors. – Population health results from the interaction of a

range of factors beyond the individual.

-- IOM Report, p. 19

Mental Health Promotion

Prevention emphasizes the avoidance of risk factors

Promotion: focus on healthy outcomes:– promote supportive family, school, and

community environments; and – identify and imbue in young people protective

factors:• traits that enhance well-being and provide the tools to

avoid adverse emotions and behaviors.


Mental Health Promotion

• Definition: “…includes efforts to enhance individuals’ ability to achieve developmentally appropriate tasks (competence) and a positive sense of self-esteem, mastery, well-being, and social inclusion and to strengthen their ability to cope with adversity.”


SPRC/Jed Foundation Comprehensive Approach


• thinking beyond the counseling center• leveraging resources• “prevention + response”

Counseling Center perspective shifts…


Prevention – River Babies


Working “Upstream”

SuicideAttempt

SuicideDeath

Ideation/Planning

HeightenedRisk

MH/Substance

Abuse Disorders

Prevention

MeansRestriction

ID & Refer

WholePopulation

MHPromotion

WarningSigns

MHTreatment

IncreaseHelp-Seeking Crisis Mgmt

Social Networks

Life Skills

Langford, 2009

Thinking Beyond the Counseling Center

• College/University Partners– Reduce fear and stigma– See selves as part of the solution

• Understand role and role boundaries– Address alternate messages

• Counseling Center Staff– Think preventative– Work as actively as part of college/university community– Engage with others collaboratively


StressDistress


First experience StressMost students whoExperience distress


So the idea is to address risk here

…so fewer end uphere


Strategies for PreventionUniversal Prevention

Caring communityInvolvementFeeling wordsCommunicationReduce stigmaStress mgmt CopingProblem solvingConnectionPositive relationshipsFitnessRest/sleepHealthy eating

SelectivePrevention

Barriers to helpWarning signsAlcohol abuseIdentify students at riskAsk about suicide riskAssist someone to get helpReferral resources

IndicatedPrevention

CounselingManagement of difficult studentsCrisis intervention


Strategy / Activity Desired Results

Awareness and Skill Building Training •Facilitate protective environment•Recognize stress/distress•Referrals

Social Marketing •Enhance stress management and coping•Recognize stress/distress•Referrals/help seeking

Active Minds / Peer Education •Support healthy norms•Reduce stigma•Referrals/help seeking

Online Health Assessment •Awareness of health status•Increase participation in wellness•Healthy lifestyles•Referrals/help seeking

Feel Better Workshop •Self awareness•Improved life skills

Stress Management Presentation and Activities

•Awareness of stress cues /stressors•Increase participation in wellness•Healthy lifestyles•Referrals / help seeking

Coalition •Campus wide support for mental health•Enhance understanding of department roles


Awareness and Skill Building Training Work together to create a caring campus. Identify isolated students and get them involved.Create opportunities for involvement.Use feeling words to cultivate norms for expressing

feelings. Provide opportunities for caring communication.Use effective and compassionate listening skills. Identify students at risk of suicide.Refer them to resources that can help.


Suicidal Behavior

Take OHA

ASU Suicide Prevention Logic ModelTraining

Social Marketing

Referrals

Help-seeking

Protective environment

Connection & involvement

Healthy lifestyle

Stress Management

Peer Education

Feel Better Workshop

Coalition

Change in culture/norms


Participation in wellness


Suicidal Behavior

Take OHA

ASU Suicide Prevention Logic Model

Training

ID stress and distress

Social Marketing

Referrals

Help-seeking

ID qualities and benefits of

healthy campus


Referrals to wellness programs

Connection & involvement

Healthy lifestyle

Stress Management

Peer Education

Stigma reduction

Feel Better Workshop

Coalition Policies & programs

Change in culture/norms


Knowledge/attitudes

Awareness of health/stress status

/habits

Activism/ visibility

Participation in wellness


Online Wellness Program

Semester Survey of Participants shows:

– Achieving program objectives• Increased knowledge of personal health

status.• Increased knowledge of health and wellness.• Increased knowledge and utilization of

campus wellness resources.


Increase knowledge of personal health status


Very Sad (p< .001)

Exhausted not from physical

activity (p< .001)

Overwhelmed (p< .001)

Hopeless (p< .001)

Suicidal During Past Year (p=

.037)

2004 (n= 726) 76.8 90.1 91.5 60.8 10.92006 (n=1207 75 91.1 94.9 58.3 8.72009 (n=2179) 62.4 80.1 83.6 48.7 7.7

0102030405060708090

100

Pe

rce

nt

Stu

de

nt

Re

po

rtin

g S

ymp

tom ASU Students Reporting Depression Symptoms Results


Students at Risk

Source: American College Health Association- National College Health Assessment (2009) (n=2,230)

GroupPercentage who seriously considered attempting suicide in the past 12 months

20062006 20092009

LGBTIQLGBTIQ 22.122.1 12.912.9

DisabledDisabled 17.417.4 10.510.5

MinorityMinority 13.313.3 7.07.0

First year freshmenFirst year freshmen 12.312.3 8.28.2

InternationalInternational 11.811.8 4.74.7

On-campus residentsOn-campus residents 11.111.1 8.98.9

GeneralGeneral 9.19.1 7.77.7


Questions?


Funded by SAMHSA through the Garrett Lee Smith Campus Suicide Prevention Grant Program Cohort 1 and...

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