suicide prevention gatekeepers training gatekeeper training brenda jennings wisconsin department of...

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) 266-0963nic.dibble@dpi.wi.gov

Jon HisgenHealth Education Consultant(608) 267-9234jon.hisgen@dpi.wi.gov

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Suicide prevention Gatekeepers TrainingSuicide prevention Gatekeepers Training

Brenda JenningsEducation Consultant, Suicide Prevention(608) 266-7051brenda.jennings@dpi.wi.gov

Kathryn BushSchool Psychology Consultant(608) 266-1999kathryn.bush@dpi.wi.gov

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