Y ELLOW ELLOW R IBBON IBBON Y ELLOW ELLOW R IBBON IBBON 2003 Yellow Ribbon Suicide Prevention Program 2003 Yellow Ribbon Suicide Prevention Program ® Rev. 6/10 Rev. 6/10 2003 Yellow Ribbon Suicide Prevention Program 2003 Yellow Ribbon Suicide Prevention Program ® Rev. 6/10 Rev. 6/10 1 Suicide Suicide Prevention Gatekeeper Prevention Gatekeeper Training Training Suicide Suicide Prevention Gatekeeper Prevention Gatekeeper Training Training
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YELLOW RIBBON - Network of Care...2003 Yellow Ribbon Suicide Prevention Program ® Rev. 6/10 6 American Association of Suicidology 2006 , State of Colorado Fact Sheets 2006 3rd leading
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American Association of Suicidology 2006 , State of Colorado Fact Sheets 2006 American Association of Suicidology 2006 , State of Colorado Fact Sheets 2006
�� 3rd leading cause of death for ages 153rd leading cause of death for ages 15--242455
Youth confide more often to peers than to adultsYouth confide more often to peers than to adults66
�� 30,000+ people die by suicide yearly30,000+ people die by suicide yearly77
•••••••• A Suicide every 16 minutes in the U.SA Suicide every 16 minutes in the U.S
In the past year, 3 teens (1 boy, 2 girls) in a In the past year, 3 teens (1 boy, 2 girls) in a typical typical
high school classroom high school classroom have made a suicide attempthave made a suicide attempt44
•• Shouldn’t do suicide prevention after there has Shouldn’t do suicide prevention after there has been a suicide / suicide attempt in community.been a suicide / suicide attempt in community.
•• Talking about suicide will cause it to happen.Talking about suicide will cause it to happen.1313
•• Suicidal people want to die, we can’t stop them.Suicidal people want to die, we can’t stop them.1414
•• No link between drugs, alcohol and suicide.No link between drugs, alcohol and suicide.1717
British Journal of General Practice 2005, JAMA 2005, British Journal of General Practice 2005, JAMA 2005, HelpguideHelpguide, NAMI , NAMI -- National Association of Mental Illness, APANational Association of Mental Illness, APA
•• Parents or caregivers are cognizant of their child’sParents or caregivers are cognizant of their child’ssuicidal behavior.suicidal behavior.
•• Anyone who tries to kill him/herself must be crazy.Anyone who tries to kill him/herself must be crazy.
•• If the person is determined to kill him/herself,If the person is determined to kill him/herself,nothing is going to stop him/her.nothing is going to stop him/her.
•• People who commit suicide are people who were People who commit suicide are people who were unwilling to seek help.unwilling to seek help.
Suicide Awareness Voices of EducationSuicide Awareness Voices of Education
Risk FactorsRisk Factors are markers; events are markers; events
and situations that can impactand situations that can impacta person’s ability to cope with lifea person’s ability to cope with life
Risk FactorsRisk Factors are markers; events are markers; events
and situations that can impactand situations that can impacta person’s ability to cope with lifea person’s ability to cope with life
•• Recent trauma, a loss of a loved one, Recent trauma, a loss of a loved one, friend or romance, being depressed, friend or romance, being depressed, sexual abusesexual abuse25, 26, 27 25, 26, 27
•• Family issues Family issues –– divorce, divorce, money, neglect, abusemoney, neglect, abuse2424
Risk FactorsRisk Factors**
Depression can affect thoughts, Depression can affect thoughts, feelings, behaviors and health.feelings, behaviors and health.2626
Depression can affect thoughts, Depression can affect thoughts, feelings, behaviors and health.feelings, behaviors and health.2626
Depression affects an organ of Depression affects an organ of the the bbody ody –– the brain. the brain. Depression affects an organ of Depression affects an organ of the the bbody ody –– the brain. the brain.
American Academy of Child & Adolescent Psychiatry, American Association of SuicidologyAmerican Academy of Child & Adolescent Psychiatry, American Association of Suicidology
•• Feeling bad about yourself Feeling bad about yourself or feeling guilty.or feeling guilty.
•• Feeling that you can’t Feeling that you can’t overcome the difficulties in overcome the difficulties in your life.your life.
•• Trouble functioning.Trouble functioning.
•• Trouble making decisions.Trouble making decisions.
•• Feeling restless, agitated Feeling restless, agitated and irritable.and irritable.
•• Eating more or less than Eating more or less than usual.usual.
Warning SignsWarning Signs
•• Increased Increased Alcohol Alcohol and/or and/or drug usedrug use..
American Academy of Child & Adolescent Psychiatry, American Association of SuicidologyAmerican Academy of Child & Adolescent Psychiatry, American Association of Suicidology
drug usedrug use..
•• Sleep / Not Sleep.Sleep / Not Sleep.
•• Neglect of Self.Neglect of Self.
•• Dramatic Mood Change.Dramatic Mood Change.
•• Anxiety or Anger.Anxiety or Anger.
•• Withdrawing, isolating.Withdrawing, isolating.
•• Acting reckless.Acting reckless.
•• Frequent complaints.Frequent complaints.
•• Give away possessions.Give away possessions.
Warning SignsWarning Signs
•• Falling asleep in class.Falling asleep in class.
•• Poor hygiene.Poor hygiene.
Observable Observable Clues at SchoolClues at School
for at least 2 weeks for at least 2 weeks
•• Neglecting school work. Neglecting school work.
“You won’t have to be “You won’t have to be around me much longer”around me much longer”
“I shouldn’t have been born”“I shouldn’t have been born”
Warning SignsWarning Signs
Suicidal behaviorSuicidal behavior
Suicidal Ideation Suicidal Ideation –– serious thoughts of suicide viewed serious thoughts of suicide viewed as a precursor to more serious suicidal behavior.as a precursor to more serious suicidal behavior.
Suicidal intent Suicidal intent –– the intentions of the person to die.the intentions of the person to die.
Suicidal intent Suicidal intent –– the intentions of the person to die.the intentions of the person to die.
Suicide Plan Suicide Plan –– the person actually is contemplating a the person actually is contemplating a method and making a plan to act on.method and making a plan to act on.
Suicide attempt Suicide attempt –– self injurious behavior with the intent self injurious behavior with the intent to die. to die.
Suicide Suicide –– self injurious actions resulting in death.self injurious actions resulting in death.
Warning SignsWarning Signs
GenderGender
FemalesFemales•• More suicidal ideation than males.More suicidal ideation than males.•• More suicide attempts.More suicide attempts.•• Engage in more protective behaviors such as Engage in more protective behaviors such as
seeking help, being aware of warning signs, having seeking help, being aware of warning signs, having
seeking help, being aware of warning signs, having seeking help, being aware of warning signs, having flexible coping skills and building effective social flexible coping skills and building effective social support systems.support systems.
MalesMales•• Higher rate of completing suicide.Higher rate of completing suicide.•• Choose more lethal methods.Choose more lethal methods.•• Engage less in protective behaviors. Engage less in protective behaviors.
Warning SignsWarning Signs
Students who have a suicidal response to bullying Students who have a suicidal response to bullying behavior tend to have prebehavior tend to have pre--existing underlying existing underlying mental health problems such as depression.mental health problems such as depression.
Maine Youth Suicide Prevention Program, World Health Organization, National Strategy for Suicide PreventionMaine Youth Suicide Prevention Program, World Health Organization, National Strategy for Suicide Prevention
�� Successes Successes -- things that increase self things that increase self esteem.esteem.3636
�� Cultural and religious Cultural and religious beliefs.beliefs.3737
�� Access to Access to resources.resources.3737
�� Be aware, Learn lifeskillsBe aware, Learn lifeskills3939 and Be prepared and Be prepared
How you can helpHow you can help
Protective FactorsProtective Factors
“…evidence suggests that…openly “…evidence suggests that…openly discussing suicide with a trusted adult can discussing suicide with a trusted adult can lead to more beneficial outcomes for youth as lead to more beneficial outcomes for youth as
lead to more beneficial outcomes for youth as lead to more beneficial outcomes for youth as well as their peers who may be at risk.”well as their peers who may be at risk.”
.
School Psychology Review, 2009, Volume 38, No.2, pp. 153-167
How you can helpHow you can help
Protective FactorsProtective Factors
Teens have many issues they may need help Teens have many issues they may need help with. Students knowing they can ask for help with. Students knowing they can ask for help
and be taken seriously can decrease the and be taken seriously can decrease the possibility that they will become suicidal.possibility that they will become suicidal.
.
This poster identifies that you are a trusted person This poster identifies that you are a trusted person
Place thePlace theThe The Ask 4 Help!Ask 4 Help! Poster Poster
This poster identifies that you are a trusted person This poster identifies that you are a trusted person that a teen can come to and Ask that a teen can come to and Ask 4 Help for 4 Help for themselves or themselves or for for a a friend.friend.
Don’t have to have a card to ask for help!Don’t have to have a card to ask for help!
The Yellow Ribbon Program is in loving memory of Michael Emme.
I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!I support the Yellow Ribbon Program!
Sutter -Yuba Mental Health Crisis Services 530-673-8255Yuba County Probation Victim and Program Services 530-741-6275
•• Is a tool that helps someone Is a tool that helps someone Ask 4 Help for themselves or Ask 4 Help for themselves or for a friendfor a friend
If you see warning signs of suicide, you can begin a If you see warning signs of suicide, you can begin a dialogue by letting the student know you are worried dialogue by letting the student know you are worried about him or her. These are questions you can ask:about him or her. These are questions you can ask:
Guidance counselor will Guidance counselor will Call the police, if needed to transport to PESCall the police, if needed to transport to PESNotify CPS, if a mandated report needs to be made.Notify CPS, if a mandated report needs to be made.Call parent.Call parent.Help student with resources and connections.Help student with resources and connections.
.
Action Steps to Help Action Steps to Help
Protective FactorsProtective Factors
If you are unable to locate the counselor, If you are unable to locate the counselor, you can call Psychiatric Emergency, if you would like to you can call Psychiatric Emergency, if you would like to discuss the situation at 673discuss the situation at 673--8255 (# on card). 8255 (# on card).
discuss the situation at 673discuss the situation at 673--8255 (# on card). 8255 (# on card).
Let them know, if it is an urgent matter. Let them know, if it is an urgent matter.
Notify the Psychiatric Emergency counselor that you are Notify the Psychiatric Emergency counselor that you are calling regarding the Yellow Ribbon Project.calling regarding the Yellow Ribbon Project.
Let the counseling office and administrators know.Let the counseling office and administrators know.
Action Steps to Help Action Steps to Help
Protective FactorsProtective Factors
Sutter Yuba Psychiatric Emergency Services (PES) Sutter Yuba Psychiatric Emergency Services (PES) assesses for danger to self or others. They, as well as assesses for danger to self or others. They, as well as law enforcement, may place people on a 5150 hold for 72 law enforcement, may place people on a 5150 hold for 72 hours. A doctor is on staff who can release that hold. A hours. A doctor is on staff who can release that hold. A
family can also take the child home AMA (against family can also take the child home AMA (against medical advice). medical advice).
Children at high risk may be hospitalized. Most children Children at high risk may be hospitalized. Most children are assessed and sent home with a plan for safety and are assessed and sent home with a plan for safety and information about obtaining followinformation about obtaining follow--up mental health up mental health services.services.
Issues to Keep in MindIssues to Keep in Mind
Protective FactorsProtective Factors
Confidentiality of the student. Confidentiality of the student.
A child 12 years or older has the right to seek treatment A child 12 years or older has the right to seek treatment without parental involvement.without parental involvement.
Action Steps to Help Action Steps to Help
Protective FactorsProtective Factors
If you decide the student is not in danger of suicide, If you decide the student is not in danger of suicide, offer to assist them in making a connection with offer to assist them in making a connection with
offer to assist them in making a connection with offer to assist them in making a connection with resources. Be sure to follow through.resources. Be sure to follow through.
To Be A Link!To Be A Link!®®
It just takes one to make a difference!It just takes one to make a difference!
Yellow Ribbon Card has no expiration date!Yellow Ribbon Card has no expiration date!
The Yellow Ribbon Suicide Prevention ProgramThe Yellow Ribbon Suicide Prevention Programis sponsored in Sutter and Yuba Counties byis sponsored in Sutter and Yuba Counties by
The Prevention and Early Intervention Program The Prevention and Early Intervention Program atatSutter Yuba Mental Health Sutter Yuba Mental Health andand
the local chapter of the local chapter of Mental Health AmericaMental Health America