DRUGnet Drug Management Drugs have function Chemical effects Connection between drug use & suicide...
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Transcript of DRUGnet Drug Management Drugs have function Chemical effects Connection between drug use & suicide...
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• Drugs have function• Chemical effects • Connection between
drug use & suicide • Categories & functions of
self-harm & suicidal behaviours• What’s being done
Youth Suicide & DrugsYouth Suicide & DrugsTheory & OverviewTheory & Overview
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• Fun, experimentation, ‘peak seekers’
• Coping– ‘Trough avoiders’ (occasional/lots)– Developmental maturity delayed
• Image, prestige & reputation (power) • Social Functioning• Self-medication
– depression, ADHD, psychosis
• Other (eg financial, vocational…)
• Life-line (note risk factors)
Youth Suicide & DrugsYouth Suicide & DrugsDrugs are FunctionalDrugs are Functional
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• Depressants– Alcohol, Heroin, (Tranquillisers), Solvents– Mixing
• Anti-depressants • Withdrawal & rebound effects
– stimulants & depressants
• Cannabis– anti-depressant ??– Rebound effects
Youth Suicide & DrugsYouth Suicide & DrugsChemical EffectsChemical Effects
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• Method of suicide– ‘Dutch courage’: impulse control– Drugs as primary method
• Addiction problems– Stuck, Withdrawal, -ve Cycle, ‘hopeless’
• Drug problems (4Ls - lack of success)– health (psychological & physical)– relationships (family, lover & friends)– accommodation, financial, vocation education &
recreation– legal
Youth Suicide & DrugsYouth Suicide & DrugsConnection Between Drugs & SuicideConnection Between Drugs & Suicide
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• Meaning & function behind suicide• Overt suicidal ideation &/or behaviour
– end life; escape pain & probs; get even
• Self-harm– express pain, release, attention (eg solvents)
• I don’t care about life risk-taking– avoid decision, careless– I don’t acknowledge the risks: alcohol & tobacco
• I do care about life risk-taking– accidental death/skill in taking risks
Youth Suicide & DrugsYouth Suicide & DrugsCategories of Risk, Self-harm, SuicideCategories of Risk, Self-harm, Suicide
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“We take these risksNot to escape lifeBut to prevent life
Escaping us”
Youth Suicide & DrugsYouth Suicide & DrugsNo FearNo Fear
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• WA Suicide Prevention Strategy(Youth Suicide Advisory Committee)– promote well-being– early identification & help– crisis support & treatment– support after suicide– research
Youth Suicide & DrugsYouth Suicide & DrugsWhat’s being doneWhat’s being done
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• Previous suicide attempt• Substance use• Justice system• Mental illness• Rural & remote (male) • Aboriginal• Gay men & women• Young men
Youth Suicide & DrugsYouth Suicide & DrugsRisk FactorsRisk Factors
Young people with:
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• Social Factors– Supportive & caring network of
family & friends– Healthy physical environment– Positive school experience– Community support available
• Personal Resources– Social identity & belonging– Self-worth – Decision making, prob solv & life skills– Positive view of future
Youth Suicide & DrugsYouth Suicide & DrugsProtective FactorsProtective Factors
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• Holistic Approach• Involve everybody (gov, non-gov, business,
ldag, - drug minister & WADASO, Health policy unit)
• SDEP & “In Touch”• Practice Development Project - CBS & FCS,
Youth, Aboriginal & Prison Sectors• Best Practice Manual for drug workers
– (screening, risk factors, intervention)
Youth Suicide & DrugsYouth Suicide & DrugsWhat’s being doneWhat’s being done
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• Intensive Support Program Inter-agency case management
• Diversion programs• State solvent abuse plan• Parent programs• GP support program• Doctor-shopping program • Sports Partnerships• Grief groups• My Dream - Child to Child program
Youth Suicide & DrugsYouth Suicide & DrugsWhat’s being doneWhat’s being done
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• Drugs are functional - know what the function is & cater for it prior to & reducing drug
• Different categories of suicide
• Consider chemical effects
• Routinely screen for – Drug Issues
– Suicidal behaviour (policy/best practice)
• Risk & protective factors
• Supervision/consultation
WEB http://go.to/dualdiagnosis
Youth Suicide & DrugsYouth Suicide & DrugsSummarySummary