Suicide slides

Suicide slides - Suicide Scope of the problem Suicide Scope...

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Unformatted text preview: Suicide: Scope of the problem Suicide: Scope of the problem • • • • • • • 2nd leading cause of death in adolescents 5,000 each year 11% of young people attempt suicide Rate increased 200% over past 20 years Rates highest in Western US Estimates are probably low Many accidents may be suicides Scope of the problem Scope of the problem • 3 times as many females attempt • 4 times as many males complete—lethality • • • • of the method use (guns, hanging) Latino adolescents have higher rates than European Americans Native American adolescents have highest rates Gay youth 2­3 times more likely Disability status may play a role Risk factors: Interpersonal, family, Risk factors: Interpersonal, family, and psychosocial characteristics • • • • • • • • Substance abuse Under and over­achievement Catastrophic world view Cluster suicides Disruptive family experiences Violent families Poor communication Loss and separation Risk factors: Intrapersonal and psychological characteristics • • • • • • Self­image Anger Loneliness Impulsivity Depression and hopelessness Thinking patterns Suicide motivations: Suicide motivations: • • • • • • Presence of risk factors Self­punishment Absolution for past behaviors Retaliation Desire for control Cry for help Verbal warning signs: Verbal warning signs: • • • • • “I don’t see how I can go on” “There’s only one way out of my problems” “You’ll be sorry you treated me this way” “I wish I were dead” Talking about death, focus on death of another, joking about suicide, making direct threats Behavioral warning signs: Behavioral warning signs: • • • • • • • Mood swings Change from happy to withdrawn Apathy Changes in eating and sleeping Giving away prized possessions Acting out/truancy Drug or alcohol use How do psychologists assess How do psychologists assess suicide risk? • • • • • • Interviews with adolescent and parent Presence of risk factors History of presenting problem Family and other relationships Verbal and behavioral warning cues Current stressors that may trigger an attempt How do psychologists assess suicide risk? • Lethality of risk – Ideation alone not a great risk – Ideation with a plan, including time, place, and method – A lethal method – Accessibility of means – History of prior attempts – Lack of supports Suicide prevention: Suicide prevention: • Treatment of underlying problems (depression, family conflict) • Programs that build social skills, self­ esteem, problem solving, communication skills • Restriction of firearms in the home • Education of medical personnel Crisis management: Crisis management: • Counselors assess lethality of risk and • • • • whether hospitalization is needed Written contract developed Emergency crisis number provided Observation by friends/family members Parents must be notified After an attempt/completion: After an attempt/completion: • Family treatment – Emphasize significance of the problem – Help parents deal with shame, guilt, and anger • Postvention at schools ...
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