Staff Workshop 1...Coping with the issue of suicide. National Suicide Prevention Lifeline at...
Transcript of Staff Workshop 1...Coping with the issue of suicide. National Suicide Prevention Lifeline at...
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Staff Workshop 1
Understanding Suicide Prevention in Senior Living Communities
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What we will learnThe problem of suicide among residents of
senior living communities
• How to recognize the warning signs of suicide
• What to do if we think a resident is showing the signs
• How we can promote emotional health of all of our residents
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Coping with the issue of suicide
National Suicide Prevention Lifeline at 1-800-273-TALK (8255). 24 hours a day, seven days a week.
•Employee Assistance Program•Clergy•Social Worker •Community Mental Health Center
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Suicidal behavior includes:
• Suicide• Suicide attempts• Passive or indirect suicide
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Suicide among older adults in the United States
Suicide rates increase with age• More than 5,000 older adults die by suicide every year• 80% of these suicides are white men
(Source: CDC. (2005). Web-based Injury Statistics Query and Reporting System (WISQARS). National Center for Injury Pre-vention and Control, CDC. Retrieved June, 1, 2009 from http://www.cdc.gov/ncipc/wisqars/default.htm)
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Older adults die more often in a suicide attempt
Young people100 to 200 attempts: 1 death
Older adults4 attempts: 1 death
(Source: American Association of Suicidology. (2009). 2006 official final data. Retrieved May 14, 2009 from http://www.suicidology.org/web/guest/stats-and-tools/statistics)
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Suicide and suicide attempts in senior living communities
• Little is known• Residents may have many risk factors
for suicide• Common means: jumping from
building, hanging, cutting, and overdoses
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Mrs. Smith
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Mr. Jones
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Two Questions:
1. Could we have known that Mrs. Smith and Mr. Jones would attempt suicide?
2.Can we do anything to prevent other suicides and suicide attempts?
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Mrs. Smith’s warning signs
Something seemed out of place…
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Mr. Jones’ Warning Signs
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Warning signs of immediate risk of suicide
Someone…• Threatening or talking about wanting to kill
or hurt him/herself• Looking for ways to kill him/herself• Talking or writing about death, dying, or
suicide, when this is out of the ordinary for the person
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Someone threatening to hurt him/herself,
or talking about wanting to hurtor kill him/herself may say:
• “I’m going to kill myself.”• “I’m going to end it all.”• “I just want to die.”
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Someone looking for ways to kill him/herself may:
• Stockpile pills• Obtain a gun• Steal a knife• Refuse food or
medicine
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Someone talking or writing about death, dying, or
suicide may say:
• “Death would solve all my problems.”• “I wish I were dead.”
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Take immediate action if you notice these warning signs
• Threatening or talking about wanting to kill or hurt him/herself
• Looking for ways to kill him/herself by seeking access to firearms, available pills, or other means
• Talking or writing about death, dying or suicide, when this is out of the ordinary for the person
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If you see any immediate warning signs:
• Do not leave the resident alone• Call 911 OR Contact ______ [in this
facility]• Call resident’s emergency contact
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Other warning signs
• Hopelessness• Rage, uncontrolled anger, seeking
revenge• Acting reckless or engaging in risky
activities, seemingly without thinking• Feeling trapped - like there’s no way out• Increased alcohol or drug use
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Other warning signs (cont.)
• Withdrawing from friends, family, or society• Anxiety, agitation, unable to sleep or
sleeping all the time• Dramatic changes in mood• No reason for living; no sense of purpose
in life
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If you see any of these less immediate warning signs:
• Contact _______ [mental health provider]• Other: ________________
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Helping each other recognize and respond to the warning signs
Two volunteers needed
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What to do in the event of a suicide death or attempt: [Example]
• Call 911 • _____ [Staff / Department] notifies resident’s
family• _____ [Staff/ Department] assists other
residents, family, and staff• ____ [Staff/ Department] notifies regulatory
authority
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What to do after a suicide crisis
• Take care of yourself• Take care of other
residents and staff members
• Take care of residents’ families
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Mrs. Smith and Mr. Jones
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Mrs. Smith
• Suffered from depression
• Didn’t leave her room
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Mr. Jones• Recently moved to the
senior living community• Wife died• Stopped socializing• Did not participate in
activities• Argued with son about
money• Was drinking heavily
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Depression• Depression can contribute to suicide risk.• We can help residents who are depressed.• If you think a resident is depressed, you
should tell [staff title].
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Substance abuse
• Alcohol• Prescription and over-
the-counter medication• If you think a resident
has a substance abuse problem, you should tell [staff title].
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Reducing Suicide Risk
Volunteers needed
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Helping Mrs. Williams
Activities help Mrs. Williams:• Make friends and
connections• Feel good about herself
and her life• Have a sense of purpose
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Helping ALL residents
Positive activities help reduce suicide risk among all residents
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Reduce suicide risk through connections
• Family and friends • Staff• The community
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Reduce suicide risk through a positive outlook and a sense of
meaning in life
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Reduce suicide risk with a positive physical environment
• Pleasant and homelike• Promotes social
connections
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Some things to remember:• Take action if you notice
warning signs.• Depression and suicide
are not a normal part of aging.
• There are things we can do every day to help the residents be happier and healthier.
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