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Funded by SAMHSA through the Garrett Lee Smith
Campus Suicide Prevention Grant ProgramCohort 1 and Cohort 3
ASU Campus Care
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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.)
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…thinking in LARGE VOLUME
•Wellness•Counseling
•Other campus partners
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7.7% of ASU students reported seriously considering attempting suicide during the school year
4600 ASU students…enough to fill Gammage Auditorium twice
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1.4% reported having made an attempt-which is around
660 ASU Studentswww.asu.edu/counseling
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7.7% seriously considered attempting suicide during the school year
1.1 % had made an attempt
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Focus Only on High Risk
Low HighSuicide risk
Mortality threshold
Pop
ula
tion Identify and treat
high-risk
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Treating Only High Risk
Low HighSuicide risk
Mortality threshold
Pop
ula
tion
Identify and treat high-risk
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Focus on Population
Low HighSuicide risk
Mortality threshold
Pop
ula
tion Move
population risk
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10
Spectrum
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IOM Report
Emphasis on preventionInclusion of mental health promotionBack to fundamentals
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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
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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.
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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.”
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SPRC/Jed Foundation Comprehensive Approach
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• thinking beyond the counseling center• leveraging resources• “prevention + response”
Counseling Center perspective shifts…
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Prevention – River Babies
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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
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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
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StressDistress
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First experience StressMost students whoExperience distress
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So the idea is to address risk here
…so fewer end uphere
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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
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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
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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.
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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
Protective environment
Participation in wellness
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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
Protective environment
Referrals to wellness programs
Connection & involvement
Healthy lifestyle
Stress Management
Peer Education
Stigma reduction
Feel Better Workshop
Coalition Policies & programs
Change in culture/norms
Protective environment
Knowledge/attitudes
Awareness of health/stress status
/habits
Activism/ visibility
Participation in wellness
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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.
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Increase knowledge of personal health status
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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
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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
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Questions?
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