Slides to accompany the online webinar that can be viewed here http://www.inourhands.com/mental-health/online-learning-session-14/

1. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Talking to
students with
thoughts of
suicide
6pm Wednesday
18th January 2017
cwmt.org.uk | facebook.com/charliewallermemorialtrust

2. You will do more good than harm by asking the right
questions

3. Guidelines for
Suicide Risk
Assessment

4. Warning Signs
P A T H

5. P
Pain
A
Act
T
Talk
H
Hope

6. P
Pain
A
Act
T
Talk
H
Hope
Displaying overwhelming emotional
pain or distress

7. P
Pain
A
Act
T
Talk
H
Hope
Showing worrisome behavioural cues
or marked changes in behaviour

8. Withdrawal from social connections

9. Increased agitation or irritability

10. Anger / hostility out of context / proportion

11. Changes in sleep (more or less)

12. P
Pain
A
Act
T
Talk
H
Hope
Talking about or making plans for
suicide

13. P
Pain
A
Act
T
Talk
H
Hope
Expressing hopelessness about the
future

15. Safety First
Child in question
Onlookers

16. Establish Rapport
Ideation Intent Plan

17. Ideation
Plan
Attempt
Death
When
?

18. Past 2
weeks
Past 2
months
Ever Now
Have you had thoughts about killing yourself in
the past 2 weeks..

19. Suicide
Kill yourself
Take your own life
Hurt yourself
Thoughts of dying
Wanted to be dead

20. Yes..
Can you tell me about these thoughts?
Frequency Duration Intensity Context
Do you have these thoughts every hour, once
a day, once a week?
How long do they last, do they come and go
or stay?
Can you carry on what you’re doing or are
you paralysed by them?
When and where do you have these
thoughts?

21. Use their
words
Pause Calm Reassure
I can’t
believe
I’m
telling
him this

22. I don’t
want
to die
I want
to die
1 2 3

23. I don’t
want
to die
I want
to die
1 2 3
On a scale of 1 to 3…
When you have these thoughts, how much
of you wants to die?
Would you say 50%, 90%...

24. What When
How Who
Why

25. What’s the plan?What
When will it occur?When
How will they kill themselves?How
Who have they told?Who

26. What would keep you from following
through on your plan?

28. Low Risk
Passing ideation
Doesn’t interfere with daily activities
No desire to die
• Notify parents / carers
• Create safety plan with child and
parents / carers
• Identify school based support
• Parents to take child to GP

29. Frequent ideation
Limited intensity and ideation
May have specific plans but not intent
Can identify reasons for living
• Regular contact with trusted adult at
school
• Referral for additional support
• Re-evaluate risk at each meeting,
may move to low or high
• Regular contact with parents and
CAMHS if involved
Medium
Risk

30. Frequent, intense, enduring suicidal ideation
Specific plans inc lethal means & accessibility
Many risk factors, few protective factors
• Follow safeguarding plan
• Contact parents / carers immediately
• Arrange with parents to take child to
hospital or unit
• Support parents and child
High Risk

31. You will do more good than harm by asking the right
questions

32. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
After Poll

33. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Practical
strategies for
helping
children
manage
overwhelming
feelings
6pm Tuesday
24th January 2017
cwmt.org.uk | facebook.com/charliewallermemorialtrust

34. Facebook Live Q&A
www.facebook.com/charliewallermemorialtrust

35. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Lovely Free Stuff
from CWMT…

36. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Free Book Club
for School Mental Health Leads
inourhands.com/bookclub
@CharlieWTrust | @PookyH

37. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Mental Health: Weekly Online Learning
for Staff working with CYP
inourhands.com/onlinelearning
@CharlieWTrust | @PookyH

38. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Mental Health: Free training and
workshops for school staff, pupils and
parents
inourhands.com/cwmt
@CharlieWTrust | @PookyH

39. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
E-Newsletter
Highlighting events, resources,
research etc
inourhands.com/sign-up
@CharlieWTrust | @PookyH

40. cwmt.org.uk | @charliewtrust InOurHands.com | @pookyh
Dr Pooky Knightsmith
Director: CYP& Schools
Charlie Waller Memorial Trust
training@cwmt.org | 01635 869754
pooky@cwmt.org
@PookyH