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Recognizing and Preventing Suicide

            Susan Deal LCSW-C
 175th Wing Director of Psychological Health
               410-918-6558
•   Suicide facts:
    – Most suicidal people: do not want to end their
      biological existence, just the psychological pain and
      suffering
    – Most suicidal people: tell others they are thinking
      about suicide as an option for coping with pain
    – Most suicidal people: have psychological
      problems, social problems, and poor methods with
      coping with pain
                            (David A. Jobes, 2006)
• Risk factors for Suicide
  –   Relationships are key
  –   Severe, prolonged and/or unmanageable stress
  –   Lack of social support
  –   Depression or anxiety
  –   History of suicide attempts
  –   Alcohol or drug abuse
  –   Feelings of hopelessness
  –   Belief that there is no solution or way out
Signs and Symptoms
DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention
Ask the Question
DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention
Validate
        DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention




*Show you are following what they are saying
           *Accept the situation
              *No judgment
*Let them know their situation is serious and
             deserves attention
          *Acknowledge feelings
           *You are there to help
ANG Suicide Intervention Initiatives
•   ACE (Ask, Care, Escort)
    –   Key principle is not leaving the individual alone
    –   Wallet cards and posters encourage Airmen to embrace
        Wingman culture and recognize/assist fellow ANG members in
        distress
    –   ANG Units have received allotted ACE cards/posters for entire
        base population
•   Wingman Project (www.wingmanproject.org)
    – Online suicide prevention education and resource site for
      Airmen and significant others
    – Provides the ability for individual ANG units to format
      customized ACE materials (i.e., unit or State logo)
    – Provides online ACE and Wingman training
    – Provides local behavioral health and psychosocial services
• Ways Leadership Can Help
  – Build a supportive work environment
  – Know the people you work with
  – Know the warning signs
  – Know the base resources
  – Ask the tough questions (i.e about life
    problems, distress, alcohol use)
  – Encourage help seeking behaviors
  – Stay involved until the problem is resolved
  – Recognize when help is needed and get it
Seeking Help
•   Self
    –   Self-care is essential
        •Exercise
        •Nutrition
        •Rest

    –   Learn stress management techniques
    –   Talk with others about how you are feeling
•   Family
    –   Be aware of signs and symptoms of stress
    –   Don’t be afraid to say, “Hey, are you okay?”
    –   Get assistance when effects are extreme or of concern
• When to Seek Help
  –   Persistent stress that is affecting your daily life
  –   Difficulty coping
  –   Difficulty functioning
  –   Accumulating signs of distress or risk factors
  –   Thoughts about suicide
Whom do I contact for help?

Director of Psychological Health
Military Family Life Consultants
Clergy/Chaplain
Commander/Supervisor
Physician
Suicide Hotline (800-273-TALK (8255) press option 1
  www.suicidepreventionlifeline.org
Susan Deal LCSW-C
175th Wing Director of Psychological Health
             410-918-6558
          Susan.deal@ang.af.mil
 https://www.facebook.com/175thWDPH

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Suicide Awareness

  • 1. Recognizing and Preventing Suicide Susan Deal LCSW-C 175th Wing Director of Psychological Health 410-918-6558
  • 2. Suicide facts: – Most suicidal people: do not want to end their biological existence, just the psychological pain and suffering – Most suicidal people: tell others they are thinking about suicide as an option for coping with pain – Most suicidal people: have psychological problems, social problems, and poor methods with coping with pain (David A. Jobes, 2006)
  • 3. • Risk factors for Suicide – Relationships are key – Severe, prolonged and/or unmanageable stress – Lack of social support – Depression or anxiety – History of suicide attempts – Alcohol or drug abuse – Feelings of hopelessness – Belief that there is no solution or way out
  • 4. Signs and Symptoms DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention
  • 5. Ask the Question DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention
  • 6. Validate DHHS: SAMHSA, Center for Mental Health Services, National Suicide Prevention *Show you are following what they are saying *Accept the situation *No judgment *Let them know their situation is serious and deserves attention *Acknowledge feelings *You are there to help
  • 7. ANG Suicide Intervention Initiatives • ACE (Ask, Care, Escort) – Key principle is not leaving the individual alone – Wallet cards and posters encourage Airmen to embrace Wingman culture and recognize/assist fellow ANG members in distress – ANG Units have received allotted ACE cards/posters for entire base population • Wingman Project (www.wingmanproject.org) – Online suicide prevention education and resource site for Airmen and significant others – Provides the ability for individual ANG units to format customized ACE materials (i.e., unit or State logo) – Provides online ACE and Wingman training – Provides local behavioral health and psychosocial services
  • 8. • Ways Leadership Can Help – Build a supportive work environment – Know the people you work with – Know the warning signs – Know the base resources – Ask the tough questions (i.e about life problems, distress, alcohol use) – Encourage help seeking behaviors – Stay involved until the problem is resolved – Recognize when help is needed and get it
  • 9. Seeking Help • Self – Self-care is essential •Exercise •Nutrition •Rest – Learn stress management techniques – Talk with others about how you are feeling • Family – Be aware of signs and symptoms of stress – Don’t be afraid to say, “Hey, are you okay?” – Get assistance when effects are extreme or of concern
  • 10. • When to Seek Help – Persistent stress that is affecting your daily life – Difficulty coping – Difficulty functioning – Accumulating signs of distress or risk factors – Thoughts about suicide
  • 11. Whom do I contact for help? Director of Psychological Health Military Family Life Consultants Clergy/Chaplain Commander/Supervisor Physician Suicide Hotline (800-273-TALK (8255) press option 1 www.suicidepreventionlifeline.org
  • 12. Susan Deal LCSW-C 175th Wing Director of Psychological Health 410-918-6558 Susan.deal@ang.af.mil https://www.facebook.com/175thWDPH