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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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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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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• 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 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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Suicideis the 2nd leading cause of death for

ages 5-19.

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DHS WISH 2010 Injury Mortality Module (Accessed 03/12)


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


• 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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“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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• 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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• 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


Roberts, et. al, Journal of Youth and Adolescence, 2001; 30: 1-18.Updated SPRC 2012

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• 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


Goldstein, et. al, J Consulting Clinical Psychiatry, 2008 Feb; 76(1): 84-91Updated SPRC 2012

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• 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


Updated 2012

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• 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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• 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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• 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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• 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


• “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


• “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


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


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


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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• 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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• 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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• 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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Nic DibbleSchool Social Work Consultant(608) [email protected]

Jon HisgenHealth Education Consultant(608) [email protected]

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Brenda JenningsEducation Consultant, Suicide Prevention(608) [email protected]

Kathryn BushSchool Psychology Consultant(608) [email protected]

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

Documents

high school students

school staff

drug useone suicide

wisconsin youthone suicide

injury mortality module

leading cause of death

dont shame

dont blame