MCBA Sucidality Final [Autosaved] · í h v v ] v P Z Z ] l v t Z z } µ v } d } , o X 6XLFLGDOLW\...

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1 Understanding the Risks and What You Can Do To Help. Suicidality Peter K. Navratil, LCSW-R, ACSW, CASAC July 20 th , 2018 Tree of Hope Counseling PLLC A collaborative network of private practitioners offering individual, group, and family therapy, psychiatry, training, supervision, education, and consultation. Committed to offering accessible, specialized, and personalized treatment focused on wellness and recovery. Monroe County Bar Association & Tree of Hope Counseling Confidential Counseling Helpline: 585-353-1541 - For Lawyers in Need Tree of Hope Counseling Services can provide timely and effective assistance in assisting attorneys to cope with a wide range of issues. MCBA Website: https://www.mcba.org/ Learning Objectives Build awareness of Suicidality by defining it and exploring the impact on families and the community. Address common misconceptions. Provide an overview of Suicide Prevention Strategies. Reduce stigma and create a culture of open dialogue and acceptance to seek help. Provide strategies to be helpful and intervene when someone is in crisis. It’s time to have an open discussion about a top ten health issue in our country. Suicidality Suicide Death caused by self-directed injurious behavior with an intent to die as a result of the behavior. Suicide attempt A non-fatal, self-directed, potentially injurious behavior with an intent to die as a result of the behavior; might not result in injury. Suicidal ideation Thinking about, considering, or planning suicide.

Transcript of MCBA Sucidality Final [Autosaved] · í h v v ] v P Z Z ] l v t Z z } µ v } d } , o X 6XLFLGDOLW\...

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Understanding the Risks and What You Can Do To Help.

Suicidality

Peter K. Navratil, LCSW-R, ACSW, CASAC

July 20th, 2018

Tree of Hope Counseling PLLC

A collaborative network of private practitioners offering individual, group, and family therapy, psychiatry, training, supervision, education, and consultation.

Committed to offering accessible, specialized, and personalized treatment focused on wellness and recovery.

Monroe County Bar Association &Tree of Hope Counseling

Confidential Counseling Helpline: 585-353-1541 - For Lawyers in Need

Tree of Hope Counseling Services can provide timely and effective assistance in assisting attorneys to cope with a wide range of issues.

MCBA Website: https://www.mcba.org/

Learning Objectives Build awareness of Suicidality by defining it and exploring the impact on families and the community.

Address common misconceptions.

Provide an overview of Suicide Prevention Strategies.

Reduce stigma and create a culture of open dialogue and acceptance to seek help.

Provide strategies to be helpful and intervene when someone is in crisis.

It’s time to have an open

discussion about a top ten health

issue in our country.

Suicidality SuicideDeath caused by self-directed injurious behavior with an intent to die as a result of the behavior.

Suicide attemptA non-fatal, self-directed, potentially injurious behavior with an intent to die as a result of the behavior; might not result in injury.

Suicidal ideationThinking about, considering, or planning suicide.

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44,965 Americans died by suicide 1,652 New Yorkers died of Suicide (Rank 50) For every suicide, 25 attempt On average there are 123 suicides per day. Firearms account for 51% of all suicides. Suicide costs the US $ 69 Billion annually

*WHO reports nearly One Million world wide.

Stats 2016 (CDC) Suicide is the 10 th leading cause of death in the US

2nd leading cause of Death 10 to 34 year old’s 3rd leading cause 35 to 54 year old’s 8th 55 to 64 Tapers off after age 65

** “Unintentional Injury” ranks as the 3rd leading cause of death overall, for all age groups

Suicide is a Male Issue Men die by suicide 3.53x more often than women.

White males accounted for 7 of 10 suicides in 2016 (70%)

The rate of suicide for Males is highest in middle age — majority without a known Mental Health Condition.

Men account for 87% of Suicide deaths by firearms.

Separation or divorce raises the risk of suicide attempts.

Nearly 90% of the approximate 1200 “Murder – Suicides” each year, are committed by men, most often involving a gun and an intimate partner.

The common purpose of suicide is to seek a solution.

“Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can't see any way of finding relief except through death. “ Anonymous

Mental Health Issues“Regardless of race, religion or age, one in two people will experience mental illness in their

lifetime.” (NAMI)

Depression Anxiety Substance Use Disorders Trauma

Kevin Hines - The Ripple Effecthttp://suicidetherippleeffect.com/

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DepressionThe persistent feeling of sadness or loss of interest that include changes in sleep, appetite, energy level, concentration, daily behavior, or self-esteem. Depression can also be associated with thoughts of suicide.

Depression SymptomsMood: anxiety, apathy, general discontent, guilt, hopelessness, loss of interest, loss of interest or pleasure in activities, mood swings, or sadness

Sleep: early awakening, excess sleepiness, insomnia, or restless sleep

Whole body: excessive hunger, fatigue, loss of appetite, or restlessness

Behavioral: agitation, excessive crying, irritability, or social isolation

Cognitive: lack of concentration, slowness in activity, or thoughts of suicide

Weight: weight gain or weight loss

Also common: poor appetite or repeatedly going over thoughts

Men & Depression“I Don't Want to Talk About It: Overcoming the Secret Legacy of Male Depression”Terrence Real

https://www.terryreal.com/

Burn Out or Depression

Occurs when the cumulative psychological strain of working with many different stressors over a period of time that results in a person feeling worn out and depleted.Symptoms include:

Cynicism

Anxiety

Depression

Loss of Interest

Questioning one’s purpose or role

Violence & Suicide“Exposure to violence is associated with increased risk of depression, post-traumatic stress disorder (PTSD), anxiety, suicide, and suicide attempts.”

CDC 2017

child abuse and neglectbullyingpeer violencedating violencesexual violenceintimate partner violence

Trauma and Suicide Exposure to adverse experiences in childhood, such as physical, sexual, emotional abuse and neglect, and living in homes with violence, mental health, substance abuse problems and other instability, increases the risk for suicide and suicide attempts.

Women exposed to partner violence are nearly 5 times more likely to attempt suicide as women not exposed to partner violence.

In 2014, the latest year available, more than 7,400 veterans took their own lives. (Approx. 20 per day)

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Suicide and Alcohol Abuse Approximately one-third of all people who committed suicide met the criteria for alcohol abuse disorders.

Of those medically treated after a suicide attempt, alcohol use disorders were found to be a significant factor.

Suicide risk among those with long term alcohol abuse disorders in middle age and older age are at a significantly higher risk for suicide compared to younger problemdrinkers.

Suicide and the Opiate Crisis“ In 2015, over 33,000 Americans died from opioids—either prescription drugs or heroin or, in many cases, more powerful synthetic opioids like fentanyl. Hidden behind the terrible epidemic of opioid overdose deaths looms the fact that many of these deaths are far from accidental. They are suicides.”

Dr. Maria OquendoPresident of the American Psychiatric Association

The Common LinkThe common denominator between Suicide, Trauma, Opiates and Alcoholism.

PAINFEAR, SHAME & STIGMA

“The masks we wear to cope and cover. “

Risk Factors Individual level: history of depression and other mental illnesses, hopelessness, substance abuse, certain health conditions, previous suicide attempt, violence victimization and perpetration, and genetic and biological determinants

Relationship level: high conflict or violent relationships, sense of isolation and lack of social support, family/ loved one’s history of suicide, financial and work stress

Community level: inadequate community connectedness, barriers to health care (e.g., lack of access to providers and medications)

Societal level: availability of lethal means of suicide, unsafe media portrayals of suicide, stigma associated with help-seeking and mental illness.

12 Suicide WARNING SIGNS

Feeling trapped or in unbearable pain

Feeling like a burden

Being isolated

Increased anxiety

Increased substance use

Looking for a way to access lethal means

Increased anger or rage

Extreme mood swings

Expressing hopelessness

Sleeping too little or too much

Talking or posting about wanting to die

Making plans for suicide

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Assessment & Levels of Risk

Plan Means Time Frame Intention

The 3 R’s of CaringRecognize: Say What You See

Respond: Express Concern & Show Support

Refer: To a Helping Source

Be a HelperLearn all you can and know the warning Signs

Be willing to get involved

Reach out - Express Care and Concern

Be willing to Ask Questions

Listen Carefully

Be willing to act quickly

Say supportive, helpful things.

Offer hope.

Know where and how to request help

Be willing to follow-up.

Addressing Safety ConcernsThreats of Harm to Self & Others MH & Suicide Domestic Violence

Call 911Mobile Crises Team services, direct at (585) 529-3721Lifeline: (585) 275-5151.Willow DV Center: 24-Hour Hotline (585) 222-SAFE (7233) | TTY (585) 232-1741

Confidential Toll-Free Hotline

If you or someone you care about is in crisis, call the toll-free National Suicide Prevention Lifeline at 1-800-273-TALK (8255), available 24 hours a day, 7 days a week. The service is available to anyone. All calls are confidential. http://www.suicidepreventionlifeline.org

Mental Health First Aid Training

Mental Health First Aid For anyone 18 years and older, with a focus on how to help a person who may be experiencing a mental health related crisis, particularly the potential of suicide.

Youth Mental Health First Aid Designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge, or is in crisis.

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Protective FactorsEffective coping and problem-solving skillsMoral objections to suicideStrong and supportive relationships with partners, friends and familyConnectedness to school, community other social institutions; Availability of quality ongoing physical and mental health careReduced access to lethal means

PREVENTION

WellnessResiliencySelf-CareSeek Support

Elements of Optimal Health & Wellbeing

SleepEating / NutritionExerciseRelaxation (Mindfulness/Yoga/Nature)Emotion Management/RegulationThought Management/RegulationHealthy RelationshipsFinding meaning and purpose in one’s life

Keys for Prevention & Recovery

Learn all you can Have Hope Overcome Stigma & Shame Asking for Help Develop Skills to Manage and Cope Courage to address the issues

Recovery & HopeHealing comes with Hope, dealing with Feelings, and Learning to treat ourselves and others with compassion, and loving kindness.

Shake it offThe Gazelle….

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Summary Review your PlanResources

National Suicide Prevention Lifeline - https://suicidepreventionlifeline.org/

Veterans Crisis Line - https://www.veteranscrisisline.net/BeThere.aspx

American Foundation for Suicide Prevention - https://afsp.org/

Suicide Prevention Center of New York - https://www.preventsuicideny.org/

Center for Disease Control - https://www.cdc.gov/vitalsigns/suicide/

National Institute for Mental Health -https://www.nimh.nih.gov/health/statistics/suicide.shtml#part_154968

Suicide Prevention - https://www.helpguide.org/articles/suicide-prevention/suicide-prevention.htm

Survivors of Suicide - http://www.survivorsofsuicide.com/index.html

Speaking of Suicide -https://www.speakingofsuicide.com/category/survivors/suicide-loss-survivors/

Resources (Cont’d)Alliance of Hope - http://www.allianceofhope.org/alliance-of-hope-for-suic/welcome.html

Mayo Clinic – Suicide - https://www.mayoclinic.org/healthy-lifestyle/end-of-life/in-depth/suicide/art-20044900

Kevin Hines Story - http://www.kevinhinesstory.com/suicide-the-ripple-effect/

Monroe County Office of Mental Health – https://www2.monroecounty.gov/mh-index.php

Mental Health Association of Rochester - https://www.mharochester.org/

NAMI (National Alliance on Mental Illness) Rochester - https://www.namiroc.org/

Tree of Hope Counseling – http://www.treeofhopecounselingrochester.com/

Delphi Rise – https://www.delphirise.org/ymhfamhfa.html

Contact Information

Peter K Navratil, LCSW-R, CASAC

95 Allens Creek Road

Executive Square, Bldg 2, Suite 321

Rochester, NY 14618

585-355-7418

www.pknavratil.com

[email protected]

Tree Of Hope Counselingwww.treeofhopecounselingrochester.com

[email protected]

585-500-9420


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