Suicide in Montcalm County
description
Transcript of Suicide in Montcalm County
Eric Nelson Tammie McDaniel
Lindy Hilding Venus Johnston
Connie Chrisman Jennifer Vicarie
NURS 340
Suicide in Montcalm County
Suicide:
“Death arising from an act inflicted upon oneself with the intent to kill oneself” (Healthy People 2020).
Definition
All people are affected by suicide. According to Healthy People 2020 (2013), “Suicide is the 11th leading cause of death in the United States, accounting for the deaths of approximately 30,000 Americans” (U.S. Department of Health and Human Services, 2013). Although these are alarming statistics, it is the 3rd leading cause of death among Montcalm County adolescents.
(Mid-Michigan Health Department, 2011, p 36).
Groups Affected
Est. Population 2012: 63,097Land Area per Square Mile: 705.40 Person per Square Mile: 89.8
( U.S. Census Bureau, State & County Quick Facts, 2013)
Montcalm County
Suicide is the third leading cause of death in Montcalm County for adolescents ages 15-24 years old.
The Montcalm County suicide mortality rate has consistently been higher than that of Michigan and the U.S. during the period 1996-2009.
The Montcalm County suicide mortality rate has increased 29% over the period 1996-2009, and was 36% higher than that of Michigan during the most recent 5-year period (2005-09) in which data is available.
(Mid-Michigan Health Department, 2011, p 36)
Suicide
The goal set by Healthy People 2020 was to reduce suicide attempts by adolescences. This is listed under the leading health indicator for mental health and mental disorders.
The baseline was 1.9 suicide attempts per 100 occurring in 2009. The target was to decrease that number to 1.7 attempts per 100. Instead it increased to 2.4 per 100.
(U.S. Department of Health and Human Services, 2013)
Suicide Continued
Poverty The poverty rate in 2011 for children under
18 was 21.9% in the U.S.(U.S. Department of
Commerce, 2013)
As of 2009, child poverty in Montcalm County had climbed to 29.1% (MI at 22.1%) an increase of approximately 85% from 2000 to 2009.
(Mid-Michigan Health Department, 2011)
Top 3 Contributing Factors for Montcalm County
Poverty
(Mid-Michigan Health Department, 2011, p 10)
School District
Number of
Homeless
Students
Total Students
Percent Homeles
s
Students Eligible for free
or reduced
lunch Carson City- Crystal
59 963 6.1% 547
Central Montcalm
60 1770 3.4% 1110
Greenville 163 3545 4.6% 1840 Lakeview 101 1386 7.3% 763 Montabella 90 821 10.9% 611 Tri County 37 2336 1.6% 1130 Vestaburg 24 673 3.6% 418
Poverty Continued
(Mid-Michigan Health Department, 2011, p 11)
• No facilities in Montcalm County with inpatient care for adolescents.
• The only facility within the county with inpatient care for adults is closing their doors.
• Limited school nursing and they are grant based. Greenville Public Schools has only one nurse for the whole school district
Carson City-Crystal School does not have a school nurseVestaburg Community School does not have a school nurse
Limited Resources for Adolescents with Mental Illness
In 2011, 9.4% of children under age of 18 (7.0 million) were without health insurance.
The uninsured rate for children in poverty, 13.8% was higher than the uninsured rate for all children, 9.4% for the U.S.
(U.S. Department of Commerce, 2012, pp 21-23)
Montcalm County 7.3% and Michigan 6.8% youth under 18 years of age are without insurance coverage.
(Mid-Michigan Health Department, 2011, p 14).
Access to Healthcare or No Health Coverage
Addressed with family, friends, neighbors, and communities to influence change by offering social support with:
Instrumental Assistance
Informational Support
Emotional Support
Appraising Support
Social Support(Harkness & DeMarco, 2012)
Theories of Social Support
Essential & Basic Needs
(Bing Images, Maslow's Chart)
Counseling Resources Carson Behavioral Health Center (outpatient) Catholic Charities West Michigan Community Hope Christian Counseling Montcalm Center for Behavioral Health Montcalm Area Health Center-a Cherry Street Health
Services Clinic North Kent Guidance Services Pine Rest Christian Mental Health Services (Greenville)
Substance Abuse Treatment Resources Life Guidance Wellness and Prevention Services Riverhaven Coordinating Agency
( Montcalm County Suicide Prevention Coalition, 2009)
County Prevention/Intervention Resources
Faith Community Resources Central Montcalm Area Ministerial Association East Montcalm Ministerial Association Greenville Ministerial Association Lakeview Ministerial Association Ministerial Association of Tri-County Montabella Ministerial Association Vestaburg Ministers Association
(Montcalm Suicide Prevention Coalition, 2009)
County Prevention/Intervention Resources Continued
Awareness Montcalm County Suicide Prevention Coalition
Postvention (directed toward surviving family/friends) Mid Michigan Home Care & Hospice Hospice of Michigan Sparrow Hospice Services Survivors Outreach Program
(Montcalm Suicide Prevention Coalition, 2009)
County Awareness & Postvention
Michigan Association for Suicide Prevention (MASP)
Awareness , Education, Survivor support, Conferences, Workshops, Youth suicide prevention, & Advocacy
Michigan Suicide Prevention Coalition Advocacy & Policy Implementation
Mid-Michigan District Health Department Clinical Services, Primary prevention, Public
awareness /education, Advocacy & Surveillance(Montcalm Suicide Prevention Coalition, 2009)
State Resources Available
The MINDS Program, Inc. Primary prevention, Research, Advocacy, Public
awareness/education & School-based programming
Yellow Ribbon Suicide Prevention Program of Michigan
Crisis intervention, Survivor support, Depression screening, Primary prevention, Advocacy, Public awareness/education & School-based programming
(Montcalm Suicide Prevention Coalition, 2009)
State Resources Continued
• American Foundation for Suicide Prevention Research, Education, Training & Public awareness
• A New Day, Inc. Primary prevention, Public awareness/education &
Advocacy• Suicide Prevention Resource Center
Primary prevention, Survivor support, Coordination, Training, Technical assistance & Public awareness/education
Some National Resources Available
Website Support American Association of Suicidology (AAS)
www.suicidology.org
American Foundation for Suicide Prevention (AFSP) www.afsp.org
The Jed Foundation www.jedfoundation.org
Suicide Prevention Resource Center (SPRC) www.sprc.org
Yellow Ribbon International www.yellowribbon.org
Internet Suicide Grief Support Forums www.suicidegrief.com & www.mental-health-today.com/ptsd/boarde.htm
(Montcalm Suicide Prevention Coalition, 2009)
Website Information
The National Strategy for Suicide Prevention & National Prevention Strategy
Michigan Association for Suicide Prevention (MASP) has an informal affiliation with the American Association of Suicidology and also participates in the Michigan Suicide Prevention Coalition.
MASP collaborates with the American Foundation for Suicide Prevention (Ann Arbor Chapter).
Oakland County Community Mental Health & University of Michigan Depression Center
Montcalm Center for Behavioral Health works with all the hospitals in the county.
Mid-Michigan District Health Department with police/law enforcement, mental health, courts, schools, and health care providers
(Montcalm Suicide Prevention Coalition, 2009)
Agencies Working Together
Although many suicide prevention programs have been developed and implemented, few are evidence-based in their effectiveness in decreasing suicide rates.
There has been limited research on how to comprehensively predict, treat, and prevent suicide among youth.
Why Suicide is Still an Issue?
Risk for suicide among adolescents ages 15-24 in Montcalm County related to:
Limited assistance programs for mental illnesses Access to healthcare or no health coverage Poverty/homelessness Alcohol/drug abuse Obesity Lack of parental/teacher awareness of suicide risk
factors School violence/bullying/cyber bullying
Nursing Diagnosis
As demonstrated by:
Increase in suicide percentages from 2009 of 1.9 to 2.4 in 2011
Third leading cause of death in 15-24 year olds in Montcalm County
Nursing Diagnosis Continued:
This is a leading Health Indicator for Healthy People 2020
Suicide is the third leading cause of death in Montcalm County’s adolescents
Why Community Nursing Intervention
Other Disciplines that could be involved Teachers, physicians, psychiatrists, mental health workers,
social workers, clergy, and school counselors
Community Groups that could be involved Church groups with youth programs individual townships could
provide a suicide prevention program for parents
Assistance from Others
Primary prevention: Maximizing health and wellness
through strategies that are set in place before
illness or injury are present.
Secondary Prevention: Maximizing health and wellness
through strategies that are set in place at the early
and active chronic stages of pathogenesis of illness and
injury.
Prevention Levels
Recognize warning signs: verbal comments, non-verbal behaviors, and situations
Improve access to mental health care and services
Increase awareness to community resources Reduce Substance abuse Address Mental Health Address volunteers, fundraisers, grants,
and/or donations for those in need of care/services
Prevention/Interventions
Goals: Elimination of adolescent suicide as measured by a zero
adolescent suicide rate on the annual coroner’s report.
Improved community agency collaboration
Increased community awareness about identifying at-risk and high-risk youth.
Enhanced awareness about accessible crisis response and referral sources.
Community Action Plan
Strategy/Plan:
Developing a wallet-sized card
Creating a local resource brochure
Providing suicide prevention education for parents, students, and counselors
Community Action Plan Continued
Designed by local teenagers
Wallet-sized & attractive to encourage teens to carry it
Simplicity of use
24-hour crisis telephone numbers
Immediate access to crisis resources
Low cost-$1.50 per card to make: no cost to the youth
Teen Resource Card
Tri-fold brochure containing over 100 local resources & their phone numbers
National 24-hour crisis hot-line telephone numbers for immediate response
Provides many services
Low cost to make-$1.20 per brochure: no cost to public & youth
Local Resource Brochure
Lectures include information on evidence-based prevention strategies and referral resources in the community.
Mental health professionals with expertise in youth suicide behavior present to speak
Meetings held in schools, churches, community halls
Community-Wide Education
Funding Volunteers Awareness of Resources Limited school nursing Limited inpatient healthcare facilities Insurance coverage Willingness of participation
Barriers
Desired Outcomes Meet or exceed the goal of Healthy People 2020 Suicide would no longer be within the top three causes of death in
Montcalm County adolescents Increased awareness and publication of available resources
When to expect changes According to Montcalm County, statistics are obtained every two years The Montcalm County Suicide Prevention Coalition has statistics
listed for every year between 2001 and 2006 but were not published until 2009.
When putting the interventions to work in the first year, we would hope to see viable statistics three years after they are provided by Michigan Department of Community Health (MDCH) Division for vital records and health statistics.
Evaluation
Tracking Evaluate and track participation of schools providing
suicide prevention and risk factor awareness to staff.
Track the Montcalm County suicide mortality rate from the Mid-Michigan Health Department.
Evaluate the participation of local townships providing suicide prevention and awareness programs for parents.
Track the publication and access of community resources available for mental health services.
Evaluation Continued
Dood, F. (2013).Community Process. Power point slides nursing
340, Ferris State University, Big Rapids, MI.
Harkness, G. A., & DeMarco, R., F., (2012). Community and
Public Health Nursing Evidence for Practice.
Philadelphia, PA: Lippincott Williams & Wilkins
References
Korzeniewski, S. J., Meade, L., & Smith, P. (2006). Michigan Suicide
Prevention Resource Directory. In Michigan Department of Community
Health. Retrieved from
http://michigan.gov/documents/Michigan_Suicide_Prevention_Directory_fi
nal_1 65276_7. pdf
Mid-Michigan District Health Department. (2011). Community Health
Assessment. In Mid-Michigan District Health Department.
Retrieved from
http://www.mmdhd.org/cha/montcalm/CHA_Montcalm_Co_Profile.pdf
References Continued
Montcalm County Suicide Prevention Coalition, (2009). Community Response
Plan. Retrieved from
http://mcspc.info/wp-content/uploads/Suicide-Prevention-Plan.pdf
U.S. Department of Commerce, U. S. Census Bureau.(2012). Income, Poverty, and
Health Insurance Coverage in the United States: 2011 (Report Number P60-243).
Retrieved from http://www.census.gov/prod/2012pubs/p60-243.pdf
U.S. Department of Commerce. (2013). In United States Census Bureau.
Retrieved from http://www.census.gov/
References Continued
U.S. Department of Commerce. (2013). In U.S. Census Bureau
State & County Quick Facts. Retrieved from
http://quickfacts.census.gov/qfd/states/26/26117.html
U. S. Department of Health and Human Services. (2013). In
Healthy People 2020. Retrieved from
http://www.healthypeople.gov/2020/default.aspx
References Continued