Geared toward first responders, victim advocates, case workers, social workers

1. Suicide Prevention for First Responders Abby Landmeier Sheila Linwood, MBA Western Colorado Suicide Prevention Foundation [email_address] (970) 683-6626

6. Beliefs YOU R E A L I T Y Belief Filters You see the world not as it is, but as you are

9. Serious Attempt or Death by Suicide Joiner, 2008 Those Who Desire Suicide Those Who Are Capable of Suicide Perceived Burdensomeness Thwarted Belongingness Distal Factors

13. Rates of Stressors 250 points = Reactive Depression Death of a spouse: 100 + Death of another family member: 63 Personal wounds or illness: 53 Loss of a job or income: 47 Family member wounded or ill: 44 Personal possessions or financial losses: 38 Death of a close and personal friend: 37 Changing jobs or a new position: 36 Overwhelming debt: 31 A change in lifestyle or relocating: 25 A change in personal habits or routines: 24 A new school or a change in recreational activities: 20 A change in social activities: 18 Christmas, Anniversaries, and Birthdays: 12 Holmes and Rahe 1968

17. Postvention: Warning Signs IS PATH WARM? I Ideation S Substance Abuse P Purposelessness A Anxiety T Trapped H Hopelessness W Withdrawal A Anger R Recklessness M Mood Changes

37. Behavioral Change Stairway BEHAVIORAL CHANGE INFLUENCE RAPPORT EMPATHY ACTIVE LISTENING SKILLS Trust Time FBI

38. Is not just a bad mood or feeling “blue” Is a depressed mood, of at least two weeks duration, with symptoms such as sleep disturbance, weight loss or gain, and difficulty concentrating Depression

44. The Framework Multiple Attempter? Yes No Any Other Significant Finding = AT LEAST Moderate Risk Elevated on Resolved Plans & Preparation? Yes No Elevated on Suicidal Desire & Ideation Yes No Low Risk Any Other Significant Finding = AT LEAST Moderate Risk Two or More Other Significant Findings = AT LEAST Moderate Risk Joiner ,2008