Fact Checking - "They Say" www.ZeroAttempts.org The purpose of this page is a reference point to gather articles, stories, research, videos, etc. that Stakeholders find and put them all in one place. When preparing a document or presentation, the Stakeholder will be able to link the information here to their presentation or document. Instead of saying "They say", this backs up your document with a reference or fact from the actual source. Side-bar: Of course, it depends if the source is credible. Under Construction Why "They say..."? Data Statements 50% of mental illness begins by age 14, and 3/4 begin by age 24. (As with other medical illnesses, early interevntion can make a crucial difference in preventing wha could become a me==serious illness. 90% of adults who die by suicide had a mental health condition (Assumes all had contact with a medical risk assessment person and prevention didn't work.) I believe SAMHSA declared this statement as unfounded back in 2013. Only 10% of people who have attenpted suicide will ever die by suicide in their lifetime 56% of youth who die by ssuicide come from a Fatherless Home 6% of all suicides are a direct result of domestic violence 29% of adults who die bysuicide had alcohol in them 75% of suicide are male 80% of attempts are female Suicide Council Articles Suicide Crisis Text Line Seasonal Variation Recent CDC Data (Year 2016) December 21, 2017 'Alarming' rise in children hospitalized with suicidal thoughts or actions Breaking down mental health barriers in agriculture Mental Health By The Numbers Myth: "The reason men die by suicide at a much higher rate than women is that they use a firearm." Clinicians as Survivors of Suicide Attempts Zero Suicide Zero Attempts Lethal Means Lethal Words Reattempts Stigma Excerpts First Responders Mental Health by the Numbers Mental Health Professionals The Media Rediscovering Hope Contact within a Year of a Successful Suicide Depression College MOGII Who's impacted by a suicide Bullying Teachers & Bullying 2012 Oregon Safe Schools Report 2013 Oregon Safe Schools Report 2014 Oregon Safe Schools Report 2015 Oregon Safe Schools Report 2016 Oregon Safe Schools Report 2017 Oregon Safe Schools Report 2018 Oregon Safe Schools Report 2019 Oregon Safe Schools Report 2020 Oregon Safe Schools Report 2021 Oregon Safe Schools Report 2022 Oregon Safe Schools Report 2023 Oregon Safe Schools Report Cyberbullying Bullying and Suicide School Violence Alcohol Education Homeless Elder Abuse Rural Health Veterans Emergency Room Visits State of America's Children Resources   Why "They said..."? When you read an article and it quotes information, too often the source isn't given so you don't know if it is anecdotal or an actual situation or study, or a personal opinion positioned as something more valid, or if it is evidence based, and even with evidence based and coming from the government (CDC, H&HS, NIMH, SMH, SAMSA) which have been shown to be backed with small surveys, results picked out of the survey that wasn't the bases of doing the survey, or blatantly wrong (fake news), too much money is wasted on research that isn't viable. i.e. The American Heart Association's claim that cholesterol is bad, especially if it comes from beef, dairy. and eggs. It was based on research that didn't show the direct correlation and the researchers made an assumption. So, without fact checking to see if something is a current "fact" supported by valid evidence and peer reviewed, here is what people and organizations say about suicide. It's up to you to do a Snopes.com search, look at abstracts on the subject, etc. to determine whether to use the information, or go with your gut with the understanding that your gut may need a Tums. 48,344 suicides in 2018, 44,193 in 2015, 44,965 in 2016 1.8% increase in 2016 (CDC/AFSP), 47,173 a 4.9% increase iin 2017, and 48,344 a 2.4% increase in 2018 (CDC) See here 25 attempts for every successful suicide (1) Each suicide resulted in 135 people exposed (knew the person). (7) Suicide is the 10th leading cause of death in the U.S. in 2015 (1) Suicide costs the U.S. $51 billion annually. (1) 45% of people who died by suicide had contact with primary care providers in the month before death. Among older adults, it’s 78%. (5) 25% of men and 50% of women who die by suicide had recent mental health contact (NVDRS)(5) South Carolina: 10% of people who died by suicide were seen in an emergency department in the two months before death.(5) On average, 36% (range=32%–39%) of the women and 18% (range=16%–20%) of the men had some contact with mental health services within 1 month of their suicide. Within 1 year of suicide, an average of 58% (range= 48%–68%) of the women and 35% (range=31%–40%) of the men had contact with mental health services. Lifetime rates of mental health care also were higher among female suicides: 78% of the women (range=72%–89%) and 47% of the men (range=41%–58%). For lifetime contact (78% and 47%, respectively), as well as contact in the year before suicide (58% and 35%), the women were more likely than the men to have had contact with mental health care (z=1.96, p=0.05, for both comparisons) (Table 1).(6) Across all age groups, contact with primary care providers in the month before suicide averaged approximately 45% (range=20%–76%). The rate of contact with primary care providers within 1 year of suicide averaged approximately 77% (range=57%–90%) (Table 2). For persons age 35 and younger, contact with primary care providers within 1 month of suicide averaged about 23% (range=10%–36%), and an average of about 62% (range=42%–82%) had contact with primary care providers up to a year before their suicide (Table 2). For persons age 55 and older, within 1 month of suicide an average of 58% (range=43%–70%) of older adults had contact with primary care providers, which was significantly greater than those age 35 and younger (23%) (z=2.62, p<0.05). A majority of older adults, 77% (range=58%–90%) had contact with primary care providers in the year before their suicide (Table 2). For the men versus the women, on the basis of the two studies available, 100% of the women had contact with a primary care provider within 1 year of suicide, while 78% (range=69%–87%) of the men had contact with primary care providers in the year before their suicide. (6) Each attempt impacts at least 100 people. 75% of all psychiatric illness occurs before the age of 24 and 50% before 14. (4) Teenager suicide is contagious. We know from studies over the last three decades that when youth watch a show that depicts a suicide, they're more likely to attempt and they're more likely to succeed. The problem with '13 Reasons Why' is that, when you're in trouble, there's no help, you're hopeless and that suicide is glamorous and effective. That's not the message we want them to have. We want the message, from prominent people, that when I spoke up, and I got help, and I have a really great life. (4) 90% of all teenagers who die by suicide (5,000 a year) have a psychiatric disorder and 600,000 youth will make an attempt that will lead to the emergency room. (4) (You know the Healthy Teen and Student Wellness survey data that show Curry County is above the Oregon average.) For every completed youth suicide it is estimated that 100-200 attempts are made. Source: www.kidsgrowth.org/resources Toolkit zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/What%20is%20Zero%20Suicide.pdf Sources: afsp.org/about-suicide/suicide-statistics/ 1. afsp.org/about-suicide/suicide-statistics/ 3. www.salford.ac.uk/onecpd/courses/the-suicide-prevention-conference 4. Dr. Harold Koplewicz, www.today.com/parents/high-school-students-hope-combat-suicide-depression-13-reasons-why-t111439 5. www.jointcommission.org/assets/1/6/Webinar_slides_Detecting_Treating_Suicide_Settings_mckeon.pdf broken 6. www.ncbi.nlm.nih.gov/pmc/articles/PMC5072576/. Similar results at www.researchgate.net/publication/11331338_Contact_With_Mental_Health_and_Primary_Care_Providers_Before_Suicide_A_Review_of_the_Evidence 7. https://onlinelibrary.wiley.com/doi/abs/10.1111/sltb.12450 "People do not commit suicide because they are in pain. They commit suicide because they don't believe there is a reason to live and the world will be better off without them. Source: www.psychologytoday.com/blog/curious/201405/why-do-people-kill-themselves-new-warning-signs Suicides reflect only a portion of the problem.15 Substantially more people are hospitalized as a result of nonfatal suicidal behavior (i.e., suicide attempts) than are fatally injured, and an even greater number are either treated in ambulatory settings (e.g., emergency departments) or not treated at all.15 For example, during 2014, among adults aged 18 years and older, for every one suicide there were 9 adults treated in hospital emergency departments for selfharm injuries, 27 who reported making a suicide attempt, and over 227 who reported seriously considering suicide.6,16 Source: Preventing Suicide: A Technical Package of Policy, Programs, and Practices 6. Centers for Disease Control and Prevention. Web-Based Injury Statistics Query and Reporting System (WISQARS). Atlanta, GA: National Center for Injury Prevention and Control. Available online: http://www.cdc.gov/injury/wisqars/index.html 15. Crosby AE, Han B, Ortega LA, Parks SE, Gfroerer J. Suicidal thoughts and behaviors among adults aged =18 years--United States, 2008-2009. MMWR CDC Surveill Summ. 2011;60(13):1-22. 16. Lipari R, Piscopo K, Kroutil LA, Kilmer Miller G. Suicidal thoughts and behavior among adults: results from the 2014 National Survey on Drug Use and Health. NSDUH Data Review 2015; https://www.samhsa.gov/data/sites/default/files/NSDUH-FRR2-2023/NSDUH-FRR2-2023.pdf The National Survey on Drug Use and Health shows that 56 percent more teens experienced a major depressive episode in 2015 than 2010. Forty-six percent more 15-to-19-year-olds committed suicide in 2015 than in 2007 — and 2½ times as many 12-to-14-year-olds killed themselves. These are terrifying statistics for any parent. Yet it’s complicated. Kids will tell you “I’m fine” when they’re not. Or they can be inconsolable one day and then put it behind them the next. The process can make you feel as if you’re losing your mind. Source: www.washingtonpost.com/news/answer-sheet/wp/2018/03/05/whats-wrong-and-how-do-we-help-getting-children-the-right-mental-health-support/?utm_term=.96cbd31b11d3 Know the Facts: 48,344 people die by suicide in 2018 (CDC) 47,173 people die by suicide in 2017 (AFSP ) Based on the 2015 Youth Risk Behaviors Survey, 8.6 percent of youth in grades 9-12 reported that they had made at least one suicide attempt in the past 12 months (AFSP ) Suicide is the 2nd leading cause of death for young people aged 5-25 (AACAP ) Every 2 hours and 11 minutes, a young person under the age of 25 contemplates suicide (Suicide & Crisis Center of North Texas) Warning Signs (short-cut http://bit.ly/2oVIj7U) Research shows that in 48% of the cases resulting in a suicide attempt, suicide was a spur of the moment decision. In the remaining cases, the days and hours before people kill themselves, there are usually clues and warning signs. The strongest and most disturbing signs are verbal – ‘I can’t go on,’ ‘Nothing matters any more’ or even ‘I’m thinking of ending it all.’ Such remarks should always be taken seriously. Of course, in most cases these situations do not lead to suicide. But, generally, the more signs a person displays, the higher the risk of suicide. Situations/Risk Factors Suffering a major loss or life change A mental health disorder, particularly a mood disorder such as depression Prior suicide attempts Family history of suicide or violence Sexual or physical abuse Death of a close friend or family member Divorce or separation, ending a relationship Alcohol and other substance use disorders Failing academic performance, impending exams, exam results Job loss, problems at work Impending legal action Recent imprisonment or upcoming release Stigma associated with asking for help Learn more about risk factors here. Behaviors/Warning Signs Showing a marked change in behavior, attitudes or appearance Talking about suicide Making statements about feeling hopeless, helpless or worthless A deepening depression Taking unnecessary risks or exhibiting self-destructive behavior Crying Fighting Breaking the law Impulsiveness Abusing drugs or alcohol Self-mutilation Writing about death and suicide Previous suicidal behavior Extremes of behavior Changes in behavior Getting affairs in order and giving away valued possessions Learn more about warning signs here. See New Youth Warning Signs See Other Warning Signs Physical Changes Lack of energy Disturbed sleep patterns – sleeping too much or too little Loss of appetite Becoming depressed or withdrawn Sudden weight gain or loss Increase in minor illnesses Change of sexual interest Sudden change in appearance Lack of interest in appearance Thoughts and Emotions Thoughts of suicide Preoccupation with death Loneliness – lack of support from family and friends Rejection, feeling marginalized Deep sadness or guilt Unable to see beyond a narrow focus Daydreaming Anxiety and stress Helplessness Loss of self-worth Protective Factors Strong connections with family, friends and community Good problem-solving abilities Access to appropriate clinical intervention Learn more about protective factors here.   Suicide in children and teens Suicides among young people continue to be a serious problem. Suicide is the second leading cause of death for children, adolescents, and young adults age 5-to-24-year-olds. The majority of children and adolescents who attempt suicide have a significant mental health disorder, usually depression. Among younger children, suicide attempts are often impulsive. They may be associated with feelings of sadness, confusion, anger, or problems with attention and hyperactivity. Among teenagers, suicide attempts may be associated with feelings of stress, self-doubt, pressure to succeed, financial uncertainty, disappointment, and loss. For some teens, suicide may appear to be a solution to their problems. Depression and suicidal feelings are treatable mental disorders. The child or adolescent needs to have his or her illness recognized and diagnosed, and appropriately treated with a comprehensive treatment plan. Source: www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Teen-Suicide-010.aspx   Patients who present to the ED with mental health and substance abuse complaints are 2.5 times as likely to be admitted as those with purely physical problems. 1. Owens PL, Mutter R, Stocks C. Mental Health and Substance Abuse-Related Emergency Department Visits Among Adults, 2007. http://www.hcup-us.ahrq.gov/reports/statbriefs/sb92.pdf. Accessed July 5, 2016. Trained counselors at more than 150 crisis centers in the United States fielded 65% more phone calls over the previous week for the National Suicide Prevention Lifeline, the organization's director of communications, Frances Gonzalez, said. And the Crisis Text Line saw a 116% increase in volume, according to Liz Eddy, the text line's Source: www.cnn.com/2018/06/12/health/suicide-hotline-increase/index.html KEY FINDINGS: The online survey – conducted by The Harris Poll in August 2018 among more than 2,000 U.S. adults – assessed public perceptions about suicide and mental health. The survey also found: More than 9 in 10 adults (94 percent) think suicide can be prevented sometimes/often/all the time. More than 9 in 10 adults (94 percent) say they would do something if someone close to them was contemplating suicide. 64 percent of Americans would encourage a friend or loved one in crisis to seek help from a mental health professional or doctor or other primary care health professional (53 percent), Nearly 4 in 5 adults (78 percent) are interested in learning more about how they might be able to play a role in helping someone who may be suicidal. 59 percent recognize that reducing the number of people who die by suicide also involves educating the public 57 percent improving training for healthcare professionals 51 percent educating community leaders such as teachers and clergy Nearly 3 in 4 adults (73 percent) would tell someone if they were having thoughts of suicide – which shows the importance of having non-judgmental conversations. Americans overwhelmingly agree they have an important role to play in preventing suicide – and most (78 percent) are interested in learning how they might be able to play a role in helping someone who may be suicidal – but they indicated they need more information and guidance on how to help. The majority of Americans (70 percent) recognize that most people who die by suicide usually show some signs beforehand, but only 31 percent say they can tell when someone is suicidal. Only 38 percent of Americans say they would provide someone who was suicidal with a phone number for a crisis hotline or other resource. When it comes to their own health, 4 in 5 US adults (80 percent) say mental health and physical health are equally important. In our current health care system, however, most adults (55 percent) say physical health is prioritized over mental health. Almost half (48 percent) of those who have spoken with others about suicide say it makes them feel better – showing that talking about suicide does help. Americans recognize that suicide has many contributing factors, such as: feelings of hopelessness (74 percent), being bullied (71 percent), financial issues (69 percent), relationships problems (64 percent), and losing a job (58 percent). Warning signs Learn more about how to help someone in crisis Link to executive summary Link to full 34 page report Even in their choice of suicide method, males and females act out culturally prescribed gender roles. Thus women will opt for methods that preserve their appearance, and avoid those that cause facial disfigurement. Again, the evidence is patchy. But a study of 621 completed suicides in Ohio found that, though firearms were the most common method used by both sexes, women were less likely to shoot themselves in the head. Source: www.theguardian.com/science/2015/jan/21/suicide-gender-men-women-mental-health-nick-clegg Attempters who take pills or inhale car exhaust or use razors have some time to reconsider mid-attempt and summon help or be rescued. The method itself often fails, even in the absence of a rescue. Even many of those who use hanging can stop mid-attempt as about half of hanging suicides are partial-suspension (meaning the person can release the pressure if they change their mind) (Bennewith 2005).With a firearm, once the trigger is pulled, there’s no turning back. Source: www.hsph.harvard.edu/means-matter/means-matter/risk/#States Compare   “Seventy-six percent of young adults will turn to a peer when they are looking for support,” Coggin said, noting that suicide is the second-leading cause of death among young adults. “By trusting their gut instincts when something is off with a friend and saying something — even if it’s awkward or messy or imperfect — can prevent something much worse from happening,” she said. Source: whyy.org/articles/using-awkward-silences-potentially-life-saving-conversation-depression/ Suicide after ER visit Suicide risk is highest within 30 days after discharge from an ED Approximately 20% visit an ED within the month prior to their death. Up to 70% who leave the ED never attend their first outpatient appointment Source: www.youtube.com/watch?v=C_zTeoOvKUc&feature=youtu.be For every person who dies by suicide, 280 people think seriously about it but don’t act, according to the National Suicide Prevention Lifeline.   I say: I often hear the statement "Men kill themselves at four times the rate of women because they use more lethal means". The real question here is not that they use more lethal means, it's why they use more lethal means. Where's the discussion that it based in cultural training? Starting with "Big boys don't cry", the discouragement, very intense in sports, deride a man who shows feelings (except anger) or vulnerability, or weakness. The constant message: handle it, deal with it, cowboy up and Lord knows, don't be a victim. The cultural training starts from the day men are born, preparing them for military combat where they may face another man and must be prepared to kill him. Men use lethal means because, unlike many women who use less lethal means in a cry out for help, men cannot fail. What would it feel like if they end up in the hospital and their buddies come in and say "You can't even do this right." I've often asked women's group how it would feel to be brought up all your life knowing that someday your country was going to ask you to kill other women? While women do serve in combat units elbow to elbow with men in many countries, it's just beginning to happen in the US Let's see if it changes the dynamics. - Gordon Clay Suicide is the second leading cause of death in young people, after unintentional injury, starting with the 10 to 14 age group, continuing through 15- to 24-year-olds (and also the next group, ages 25 to 34). Suicide rates have been rising in the United States, with especially notable increases among young women; in 2016, the Centers for Disease Control and Prevention announced that middle school students were as likely to die from suicide as from traffic accidents. Even after suicide attempts, many adolescents who are seen in emergency departments do not get mental health evaluations, said Dr. Ruth S. Gerson Source: www.nytimes.com/2018/05/16/well/family/suicide-adolescents-hospital.html?module=WatchingPortal&region=c-column-middle-span-region&pgType=Homepage&action=click&mediaId=none&state=standard&contentPlacement=8&version=internal&contentCollection=www.nytimes.com&contentId=https%3A%2F%2Fwww.nytimes.com%2F2018%2F05%2F16%2Fwell%2Ffamily%2Fsuicide-adolescents-hospital.html&eventName=Watching-article-click&utm_source=Weekly+Spark+6%2F1%2F18&utm_campaign=Weekly+Spark+June+1%2C+2018&utm_medium=email Therapists/Clinicians Approximately 1 in 5 psychotherapists* (and as many as 1 in 2 psychiatrists and psychiatric trainees**), loses a patient to suicide during the course of their career. Source: pages.iu.edu/~jmcintos/basicinfo.htm There are two kinds of therapists: those who have experienced the suicide of a patient and those who will. Elder Abuse Reports of possible elder abuse are also rising. In 2014, more than 38,000 cases of possible abuse were reported in Oregon, according to the Oregon Office of Adult Abuse Prevention and Investigations ". In 2015, this number grew to 43,000 cases - a 13 percent increase in one year. Source: Types of elder abuse include: financial exploitation neglect verbal abuse physical abuse and abandonment sexual abuse seclusion and restraint Warning Signs of Elder Abuse Victims of elder abuse may be slow to recognize and report the abuse. Too often, victims suffer in silence. For that reason, it is important to recognize the following warning signs. Any unexplained injury, or an injury that doesn't fit with the given explanation. Situations where the elder is not given the opportunity to speak for herself or himself without the presence of the caregiver. Elders who become extremely withdrawn, non-communicative or non-responsive. Unusual depression. Frequent arguments between the caregiver and elderly person. Sudden changes in financial situations. Unpaid bills, overdue rent, utility shut-off notices. References: One in 5 Americans are affected by mental illness in a given year - National Alliance on Mental Illness - Only 41% of adults in the U.S. with a MI received services in the past year - National Alliance on Mental Illness - Officers routinely are the first responders to people with mental illness - Chappell, D. (Ed.). (2013). Policing and the mentally ill: Internationalperspectives. Boca Raton, FL: CRC Press. - Up to 10% of calls for service involve someone with a severe mental illness - Martha Williams Deane, Henry J. Steadman, Randy Borum, Bonita M. Veysey, and Joseph Morrissey, "Emerging Partnerships Between Mental Health and Law Enforcement," Psychiatric Services, 50, no. 1 (1999) - 1 in 3 individuals in MH crisis are transported to ERs by police - Lamb, H. R., Shaner, R., Elliott, D. M., DeCuir, W. J., & Foltz, J. T. (1995) Outcome for psychiatric emergency patients seen by an outreach police-mental health team. Psych Services, 46(12), 1267–1271. - 87% more resources used for calls for service involving mental illness - Yanick Charette, Anne G. Crocker and Isabelle Billette, “Police Encounters Involving Citizens with Mental Illness: Use of Resources and Outcomes,” Psychiatric Services 65(4) (2014): 511-16. - Incidents can present an increased risk of injury to consumers and officers - Mental health calls can have tragic outcomes - Washington Post, June 30, 2015 - Increased numbers in correctional systems (jails and prisons) - The Stepping Up Initiative stepuptogether.org/ Source: pmhctoolkit.bja.gov/ojpasset/Documents/Learn%20about%20the%20issues%20and%20facts%20related%20to%20Police_transcript.pdf ---------------------- Currrently, more law enforcement officers in the U.S. die by their own hand than are killed by felons. - The Badge of Life Source: www.youtube.com/watch?v=u-mDvJIU9RI&feature=youtu.be ------------------- Fewer than 5 percent of gun-related killings are committed by someone diagnosed with a mental illness, according to a 2015 study. Source: /www.huffingtonpost.com/entry/showing-mental-health-stigma_us_5ae50d3de4b055fd7fcc52db?utm_source=Weekly+Spark+5%2F18%2F18&utm_campaign=Weekly+Spark+May+18%2C+2018&utm_medium=email Suicide is rarely caused by one single factor. According to a Vital Signs report, Centers for Disease Control (CDC) researchers found that 54 percent people who died by suicide were not known to have a mental illness diagnosis. While many cases of suicide are attributed to mental illness diagnoses, other issues like relationship and financial stress and substance abuse contribute to rising rates of suicide. Brain changes The brain changes that occur in adolescence—specifically the pruning of gray matter that makes our brains more efficient and capable of complex, intellectual operations—are often responsible for adolescent angst as well as the onset of serious psychiatric disorders. The first peak of depression typically occurs around age 13 to 14, schizophrenia first appears around 18 to 19, and adult-onset bipolar disorder tends to begin suddenly around 19 to 20. Every year for the past 50 years approximately 5,000 young people have committed suicide, and more than 400,000 have made serious attempts that required medical attention. Source: childmind.org/article/are-some-colleges-high-risk-for-suicide/ Self Harm and Suicide Adolescents and young adults with a past-year history of self-harm were 26.7 times more likely to die by suicide than a demographically matched population. Among adolescents and young adults treated for self-harm, the odds of future suicide were five times higher for American Indians and Alaska Natives than for non-Hispanic whites. Adolescents and young adults whose initial self-harm episode involved violent methods, like firearms or hanging, were at increased risk of suicide death compared to those who used less violent methods, like poisoning or cutting. Source: www.sprc.org/news/suicide-risk-after-intentional-self-harm-adolescents-young-adults?utm_source=Weekly+Spark+4%2F13%2F18&utm_campaign=Weekly+Spark+April+13%2C+2018&utm_medium=email Suicide Suicide is the second leading cause of death among 15 to 24 year olds. Twenty per cent of all suicides are among this age group. (Editor's note: 10-34 year olds - 2nd leading call of death now.) Source: www.medicalnewstoday.com/kc/suicidal-thoughts-ideation-193026 now "Youth suicide in Oregon is reaching epidemic proportions. Oregon's youth suicide rate has increased 400 percent over the last four decades. Today we have a suicide rate 30 to 40 percent higher than the U.S. national rate. "These alarming increases have made suicide Oregon's second leading cause of death in youth. Even children as young as seven years old have killed themselves. "It is more important than ever that teachers help prevent youth suicide. Adolescents who die by suicide are most likely to be clinically depressed when they complete suicide. By knowing how to spot the early warning signs and understanding what to do if you identify a student at risk, you could literally save the life of a child." Source: Oregon Health Authority www.oregon.gov/oha/PH/PREVENTIONWELLNESS/SAFELIVING/SUICIDEPREVENTION/Pages/steps.aspx Medical professionals can make an enormous impact on preventing suicides. They play an important role in educating all patients to proactively make homes safer to prevent suicide, accidents, and overdose/addiction. To address suicide as a public health crisis, leading experts and health care organizations have collaborated to develop All Patients Safe: Suicide Prevention for Medical Professionals. Video: 50% of people who die by suicide see a health care provider in the month prior to their death Suicidal behavior in the U.S. in 2015: 47,175 suicides 505,507* suicide attempts 9,800,000 * suicidal ideation 1 in 5 people* mental health conditions *estimated SAMHSA www.apsafe.uw.edu/?utm_campaign=Weekly%2BSpark%2BDecember%2B15%2C%2B2017&utm_medium=email&utm_source=Weekly%2BSpark%2B12%2F15%2F17 General 5,240 daily suicide attempts by 7th to 12th graders. (1,912,600) (1) There has been a 150% increase in suicides in the 10-14 age group since 1981. (1) More teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza and chronic lung disease - combined. (1) Suicide is the 10th leading cause of death in the US (4) Each year 44,193 Americans die by suicide (Editor's note: up over 48,000 in 2018) (4) Suicide costs the US $51 billion annually (4) Men die by suicide 3.5x more often than women (4) White males accounted for 7 of 10 suicides in 2015 (4) Firearms account for 49.8%% of all suicides, 26.8% suffocation, 15.4% Poisoning and 7.9% other. (4) Source: (1) jasonfoundation.com/youth-suicide/facts-stats (2) afsp.org/advocates-support-mandatory-suicide-prevention-training-licensed-psychologists-california/ (3) suicidepreventionlifeline.org  (Critique on 13 reasons why (4) https://afsp.org/about-suicide/suicide-statistics/ Issue: Seriously Considered For every person who dies by suicide, there are 278 individuals annually who think seriously about suicide but do not kill themselves. (3) Source: (3) suicidepreventionlifeline.org Special Issue: Suicide Attempts No complete count is kept of suicide attempts in the U.S.; however, each year the CDC gathers data from hospitals on nonfatal injuries from self-harm. (4) 494,169 people visited a hospital for injuries due to self-harm. This number suggests that approximately 12 people harm themselves for every reported death by suicide. However, because of the way these data are collected, we are not able to distinguish intentional suicide attempts from non-intentional self-harm behaviors. (4) Many suicide attempts, however, go unreported or untreated. Surveys suggest that at least one million people in the U.S. each year engage in intentionally inflicted self-harm. (4) Females attempt suicide three times more often than males. As with suicide deaths, rates of attempted suicide vary considerably among demographic groups. While males are 4 times more likely than females to die by suicide, females attempt suicide 3 times as often as males. The ratio of suicide attempts to suicide death in youth is estimated to be about 25:1, compared to about 4:1 in the elderly. (4) Source: (4) https://afsp.org/about-suicide/suicide-statistics/ U.S. American Association of Suicidology, 2014 - Suicide was the 10th leading cause of death and the 2nd leading cause of death for 10-14, 15-24 and 25-34 year olds. Suicide is the second leading cause of death for young people between 10 to 24. Source: suicidepreventionlifeline.org/help-yourself/youth/ Suicide rates among 10 to 14-year-olds have grown more than 50 percent over the last three decades. (The American Association of Suicidology, AAS) Suicide is the second leading cause of death among 10-24 year olds according to the CDC. For every suicide among young people, there are at least 100 suicide attempts. Over 14 percent of high school students have considered suicide, and almost 7 percent have attempted i U.S. American Association of Suicidology, 2014 - Suicide was the 8th leading cause of death in Oregon 782 (19.7) Curry County is the 27th largest county in Oregon yet we led all other counties in per-capita suicides in 2015 and ranked 3rd in suicides by 10-24 year olds. (See chart-oregon-counties-suicide.html ) The 2016 Oregon Student Wellness survey asked if they seriously consider suicide in the 12 months preceding the survey? 19.5% of 6th, 22.4% of 8th graders and 22.0% of 11th answered yes. Source: oregon.pridesurveys.com/dl.php?pdf=Curry_Co_2016.pdf&type=county It is said that in the average school classroom in the U.S., 3 students (1 boy and 2 girls) have attempted suicide in the last year. That is very close to what the same survey says. 8.7% of 6th, 10.7% of 8th and 10.1% of 11th graders, all above the Oregon average. Over 80% of LGBTQ+ youth have been assaulted or threatened, and every instance of victimization in an LGBTQ+ person’s life more than doubles the likelihood of self-harming. For transgender children and youth, family and community support makes all the difference. A recent study found that transgender children whose families affirmed their gender identity were as psychologically healthy as their non- transgender peers (Olson 2016). Source: suicidepreventionlifeline.org/help-yourself/lgbtq/ 90% of people who die by suicide seek help from health care system, mainly from GPs, in year prior to their death. Also, 90% of those who die by suicide have shown, publicly, suicidal signs, usually to family and friends. According to the American Federation for Suicide Prevention, 50-75% of people who attempt suicide tell someone about their intention. Source: www.psychologytoday.com/blog/all-in-the-family/201401/what-do-when-someone-is-suicidal According to the American Foundation for Suicide Prevention1, approximately one million people attempt suicide each year 90% of people who die by suicide have a potentially treatable mental disorder at the time of their death. Source: www.psychologytoday.com/blog/all-in-the-family/201401/what-do-when-someone-is-suicidal A 2008 APA survey found that more than half of Americans saw stigma--and concerns about what other people might think--as barriers that could prevent them from seeking mental health treatment. And while an estimated 50 million Americans experience a mental health disorder in any year, only one in four will receive treatment. It is important to remember the impact that stigma can have. Because of stigma, people who need treatment may fail to seek it and they may face discrimination and problems at work or school or even encounter harassment or violence. Furthermore, untreated mental health disorders cost businesses millions of dollars in lost productivity, absenteeism and health care costs. Source: www.apa.org/news/press/releases/2010/05/mental-health-awareness.aspx Suicide Suicide among males is 4x’s higher than among females. Male deaths represent 79% of all US suicides. (CDC) Firearms are the most commonly used method of suicide among males (51%). (CDC) Females are more likely than males to have had suicidal thoughts. (CDC) Females experience depression at roughly 2x’s the rate of men.(SMH) Females attempt suicide 3x’s as often as males. (CDC) Poisoning is the most common method of suicide for females. (CDC) There is one suicide for every estimated 25 suicide attempts. (CDC) There is one suicide for every estimated 4 suicide attempts in the elderly. (CDC) The prevalence of suicidal thoughts, suicidal planning and suicide attempts is significantly higher among adults aged 18-29 than among adults aged 30+. (CDC) Suicide is the 3rd leading cause of death for 15 to 24 year old Americans. (CDC) Suicide is the 4th leading cause of death for adults ages 18-65. (CDC) The highest increase in suicide is in males 50+ (30 per 100,000). (CDC) Suicide rates for females are highest among those aged 45-54 (9 per 100,000). (CDC) Suicide rates for males are highest among those aged 75+ (36 per 100,000). (CDC) 1 in 100,000 children ages 10 to 14 die by suicide each year. (NIMH) 7 in 100,000 youth ages 15 to 19 die by suicide each year. (NIMH) 12.7 in 100,000 young adults ages 20-24 die by suicide each year. (NIMH) Suicide rates among the elderly are highest for those who are divorced or widowed. (SMH) In any given year, one in five adults in the United States has a diagnosable mental disorder. One in 24 adults has a serious mental illness. One in 12 has a substance use disorder. Half of all chronic mental illness begins by age 14. Suicide is the 10th leading cause of death for all ages. It is more common than homicide. People with mental illnesses are no more likely to be violent than those without a mental health disorder. In fact, those with mental illness are 10 times more likely to be the victims of violent crime. Source: www.psychiatry.org/newsroom/reporting-on-mental-health-conditions Mental Health The information on these infographics and this page comes from studies conducted by organizations like Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Disease Control and Prevention (CDC) and the U.S. Department of Justice. The terminology used reflects what is used in original studies. Terms like “serious mental illness,” “mental illness” or “mental health disorders” may all seem like they’re referring to the same thing, but in fact refer to specific diagnostic groups for that particular study. If you have questions about a statistic or term that’s being used, please visit the original study by clicking the link provided. 1 in 5 U.S. adults experience mental illness each year 1 in 25 U.S. adults experience serious mental illness each year 1 in 6 U.S. youth aged 6-17 experience a mental health disorder each year 50% of all lifetime mental illness begins by age 14, and 75% by age 24 Suicide is the 2nd of 10 leading causes of death among people aged 10-34 Suicide is the 1st of 50 leading causes of death for Oregonians 15-54. You Are Not Alone 19.1% of U.S. adults experienced mental illness in 2018 (47.6 million people). This represents 1 in 5 adults. 4.6% of U.S. adults experienced serious mental illness in 2018 (11.4 million people). This represents 1 in 25 adults. 16.5% of U.S. youth aged 6-17 experienced a mental health disorder in 2016 (7.7 million people) 3.7% of U.S. adults experienced a co-occurring substance use disorder and mental illness in 2018 (9.2 million people) Annual prevalence of mental illness among U.S. adults, by demographic group: Non-Hispanic Asian: 14.7% Non-Hispanic white: 20.4% Non-Hispanic black or African-American: 16.2% Non-Hispanic mixed/multiracial: 26.8% Hispanic or Latino: 16.9% Lesbian, Gay or Bisexual: 37.4% Annual prevalence among U.S. adults, by condition: Major Depressive Episode: 7.2% (17.7 million people) Schizophrenia: <1% (estimated 1.5 million people) Bipolar Disorder: 2.8% (estimated 7 million people) Anxiety Disorders: 19.1% (estimated 48 million people) Posttraumatic Stress Disorder: 3.6% (estimated 9 million people) Obsessive Compulsive Disorder: 1.2% (estimated 3 million people) Borderline Personality Disorder: 1.4% (estimated 3.5 million people) Mental Health Care Matters 43.3% of U.S. adults with mental illness received treatment in 2018 64.1% of U.S. adults with serious mental illness received treatment in 2018 50.6% of U.S. youth aged 6-17 with a mental health disorder received treatment in 2016 The average delay between onset of mental illness symptoms and treatment is 11 years Annual treatment rates among U.S. adults with any mental illness, by demographic group: Male: 34.9% Female: 48.6% Lesbian, Gay or Bisexual: 48.5% Non-Hispanic Asian: 24.9% Non-Hispanic white: 49.1% Non-Hispanic black or African-American: 30.6% Non-Hispanic mixed/multiracial: 31.8% Hispanic or Latino: 32.9% 11.3% of U.S. adults with mental illness had no insurance coverage in 2018 13.4% of U.S. adults with serious mental illness had no insurance coverage in 2018 60% of U.S. counties do not have a single practicing psychiatrist The Ripple Effect Of Mental Illness PERSON People with depression have a 40% higher risk of developing cardiovascular and metabolic diseases than the general population. People with serious mental illness are nearly twice as likely to develop these conditions. 19.3% of U.S. adults with mental illness also experienced a substance use disorder in 2018 (9.2 million individuals) The rate of unemployment is higher among U.S. adults who have mental illness (5.8%) compared to those who do not (3.6%) High school students with significant symptoms of depression are more than twice as likely to drop out compared to their peers FAMILY At least 8.4 million people in the U.S. provide care to an adult with a mental or emotional health issue Caregivers of adults with mental or emotional health issues spend an average of 32 hours per week providing unpaid care COMMUNITY Mental illness and substance use disorders are involved in 1 out of every 8 emergency department visits by a U.S. adult (estimated 12 million visits) Mood disorders are the most common cause of hospitalization for all people in the U.S. under age 45 (after excluding hospitalization relating to pregnancy and birth) Across the U.S. economy, serious mental illness causes $193.2 billion in lost earnings each year 20.1% of people experiencing homelessness in the U.S. have a serious mental health condition 37% of adults incarcerated in the state and federal prison system have a diagnosed mental illness 70.4% of youth in the juvenile justice system have a diagnosed mental illness 41% of Veteran’s Health Administration patients have a diagnosed mental illness or substance use disorder WORLD Depression and anxiety disorders cost the global economy $1 trillion in lost productivity each year Depression is the leading cause of disability worldwide It’s Okay To Talk About Suicide Suicide is the 2nd of the 10 leading causes of death among people aged 10-34 in the U.S. Suicide is the 1st of the 50 leading causes of death among 15-54 yeaer old Oregonians Suicide is the 10th leading cause of death in the U.S. 8th in Oregon The overall suicide rate in the U.S. has increased by 31% since 2001 46% of people who die by suicide had a diagnosed mental health condition 90% of people who die by suicide had shown symptoms of a mental health condition, according to interviews with family, friends and medical professionals (also known as psychological autopsy) Lesbian, gay and bisexual youth are 4x more likely to attempt suicide than straight youth 75% of people who die by suicide are male Transgender adults are nearly 12x more likely to attempt suicide than the general population Annual prevalence of serious thoughts of suicide, by U.S. demographic group: 4.3% of all adults 11.0% of young adults aged 18-25 17.2% of high school students: 19.9% of 8th and 18.6% of 11th graders in Curry County in 2019. 11.2% of 6th, 24.3% of 8th and 20.2% of 11th graders in Curry County in 2018.. 47.7% of lesbian, gay, and bisexual high school students Source: www.nami.org/Learn-More/Mental-Health-By-the-Numbers Breaking down mental health barriers in agriculture A survey by the University of Guelph shows 45% of farmers report high stress, 58% were classified with anxiety, and 35% with depression. Source: www.agriculture.com/family/health-safety/breaking-down-mental-health-barriers-in-agriculture?utm_source=Weekly+Spark+3%2F23%2F18&utm_campaign=Weekly+Spark+March+23%2C+2018&utm_medium=email College students and stigma: What is stigma? The World Health Report defines stigma as “a mark of shame, disgrace or disapproval which results in an individual being rejected, discriminated against, and excluded from participating in a number of different areas of society.” What are the statistics? 1 in 4 Americans have a diagnosable mental health disorder in a given year.1 More than half of college students have had suicidal thoughts.2 Half of students who have suicidal thoughts never seek counseling or treatment.3 67% of college students tell a friend they are feeling suicidal before telling anyone else.4 80% of college students planned to seek guidance and/or advice from a peer during times of distress. 5 Only 2% of college students indicated they would seek help from a mental health professional or faculty in times of need. 6 When asked whether they would accept someone who had received mental health treatment as a close friend, 97% of college students agreed they would. 7 In the last two weeks, 48% of American college students felt overwhelmed by all they had to do. 8 In the last two weeks, 16% of American college students felt hopeless.8 In the last two weeks, 10% of American college students were so depressed it was difficult to function. 8 51% of American college students experienced overwhelming anxiety in the last year. 8 13% of American college students were diagnosed with an anxiety disorder last year.8 MOGII - Lesbian, gay, and bisexual kids are 3x more likely than straight kids to attempt suicide at some point in their lives. Medically serious attempts at suicide are 4x more likely among LGBTQ youth than other young people. African American, Latino, Native American, and Asian American people who are lesbian, gay, or bisexual attempt suicide at especially high rates. 41% of trans adults said they had attempted suicide, in one study. The same study found that 61% of trans people who were victims of physical assault had attempted suicide. Lesbian, gay, and bisexual young people who come from families that reject or do not accept them are over 8x more likely to attempt suicide than those whose families accept them. Each time an LGBTQ person is a victim of physical or verbal harassment or abuse, they become 2.5x more likely to hurt themselves. Source: save.org/about-suicide/suicide-facts/ OSSCC: State of Safe Schools Report - 2017 Outcomes of this year's State of Safe Schools Report include: Positive youth development (PYD) is on the decline for all Oregon youth and less than one third of LGBT youth show PYD. LGBT youth were twice as likely to have been threatened with a weapon. LGBT youth were chronically absent at higher rates than their peers during middle school. One half of LGBT youth expressed they considered suicide during 2017. One quarter of LGBT youth expressed they attempted suicide during 2017. LGBT youth were two to three times as likely as their peers to report having been sexually assaulted. LGBT youth were two times as likely as their peers to report having been coerced into sex. Source: www.oregonsafeschools.org/wp-content/uploads/Safe_Schools_Report-2023-Final.pdf MYTHS MYTH: People who talk about suicide don’t die by suicide. FACT: Eight out of 10 people who have killed themselves have verbalized their intent beforehand. MYTH: When a suicidal person begins to feel better, the danger is over. FACT: Most suicides occur within 90 days following improvement in the person’s mental-emotional status. MYTH: When someone says they’ll attempt suicide, it’s largely an empty threat. FACT: Approximately 80 percent of people who die by suicide had previously told at least one person that they were considering it. MYTH: If a student is suicidal, it means they are also depressed. FACT: While depression is often a factor, it is not always present in those who attempt or die by suicide. MYTH: Suicide is largely a white, middle class male problem. FACT: The factors leading to someone dying by suicide cut across socioeconomic statuses, gender, ethnicity and age. MYTH:You shouldn’t talk to teenagers about suicide because it might place the idea in their heads. FACT: Research shows that openly discussing suicide and things that lead to suicidal thoughts allows for effective communication and earlier opportunities for intervention. MYTH: Most teenagers who attempt suicide haven’t shown any warning signs before doing so. FACT: Four in five high school students who attempt suicide have given clear warning signs. MYTH: Students who want to kill themselves ultimately can’t be helped. FACT: Approximately 80 percent of college students who die by suicide never had contact with any mental health services. MYTH: Suicide isn’t really a concern for college students. FACT: One in five undergraduates and one in six graduate students have seriously contemplated attempting suicide in their lifetimes, and between 40 and 50 percent of those students have considered it multiple times. MYTH: LGBTQ students are just as likely as any other student population to die by suicide. FACT: LGBTQ students are nearly five times as likely to have attempted suicide when compared to non-LGBTQ students. Approximately 40 percent of transgender adults attempted suicide, with 92 percent of those attempts taking place while under the age of 25. Sources: Nevada Office of Suicide Prevention, AAS, WMU Suicide Prevention Program, The Trevor Project & Crisis Services Source: www.accreditedschoolsonline.org/resources/suicide-prevention/  Bullying October is Bullying Prevention Month. Bullying has become an epidemic of epic proportions. StandForTheSilent.org has a list of over 55,000 children who have taken their lives in the last 7 years due to being bullied. That's almost one child per hour for the last 7 years. Over 3.2 million students are victims of bullying each year or 6 per second. Adult intervention – 4%. Peer intervention – 11%. No intervention – 85% 71% of students report incidents of bullying as a problem at their school. It is estimated that 160,000 children miss school every day due to fear of attack or intimidation by other students. Nationally, more than 1 of every 5 students (or 20%) report being bullied. For Curry County in the 2016 Oregon Student Wellness Survey, 53% of 6th graders, 57% of 8th graders and 39% of 11th graders agreed in just the 30 days before the survey. Almost half of all students fear harassment or bullying in the bathroom 90% of 4th through 8th graders report being victims of bullying. Physical bullying increases in elementary school, peaks in middle school and declines in high school. Verbal abuse, on the other hand, remains constant. Kids who are obese, gay, or have disabilities are up to 63% more likely to be bullied than other children. Music and theater students face a significantly greater risk than their non-arts peers of reporting being the victims of bullying behavior. 1 out of 10 students drop out of school because of repeated bullying Every 30 minutes a teenager attempts suicide due to bullying. Harassment and bullying have been linked to 75 percent of school-shooting incidents. 282,000 students are physically attacked in secondary schools each month. In 2016, 26% of Curry County 6th grades, 17.6% of 8th graders and 8.3% of 11th graders were in a physical fight on school property and 34.8% of 6th, 30% of 8th and 23.9% of 11th graders were in a physical fight anywhere. Sources: National Institutes of Health, National Education Association, National Association of School Psychologists Cyberbullying Children and young people under 25 who are victims of cyberbullying are more than twice as likely to self-harm and enact suicidal behavior, according to a study. New research suggests that it is not just the victims of cyberbullying that are more vulnerable to suicidal behaviours, but the perpetrators themselves are also at higher risk of experiencing suicidal thoughts and behaviours. Source: eurekalert.org/pub_releases/2018-04/su-yvo041918.php STATISTICS Only 7% of U.S. parents are worried about cyberbullying; yet 33% of teenagers have been victims of cyberbullying. 1.32% of online teens say they have been targets of a range of annoying or potentially menacing online activities. 15% of teens overall say someone has forwarded or posted a private message they’ve written, 13% say someone has spread a rumor about them online, 13% say someone has sent them a threatening or aggressive message, and 6% say someone has posted embarrassing pictures of them online. 2.38% of online girls report being bullied, compared with 26% of online boys. In particular, 41% of older girls (15-17) report being bullied—more than any other age or gender group. 3.39% of social network users have been cyber bullied in some way, compared with 22% of online teens who do not use social networks. 4.20% of teens (12-17) say “people are mostly unkind” on online social networks. Younger teenage girls (12-13) are considerably more likely to say this. One in three (33%) younger teen girls who use social media say that people their age are “mostly unkind” to one 5.15% of teens on social networks have experienced someone being mean or cruel to them on a social network site. There are no statistically significant differences by age, gender, race, socioeconomic status, or any other demographic characteristic. 6.13% of teens who use social media (12-17) say they have had an experience on a social network that made them feel nervous about going to school the next day. This is more common among younger teens (20%) than older teens (11%). 7.88% of social media-using teens say they have seen someone be mean or cruel to another person on a social network site. 12% of these say they witness this kind of behavior “frequently.” 8.When teens see others being mean or cruel on social networks,frequently 55% see other people just ignoring what is going on, 27% see others defending the victim, 20% see others telling the offender to stop, and 19% see others join in on the harassment. 9.36% of teens who have witnessed others being cruel on social networks have looked to someone for advice about what to do. 10.67% of all teens say bullying and harassment happens more offline than online. 11.1 in 6 parents know their child has been bullied over social media. In over half of these cases, their child was a repeat victim. Over half of parents whose children have social media accounts are concerned about cyberbullying and more than three-quarters of parents have discussed the issue of online bullying with their children. 12.11% of middle school students were victims of cyberbullying in the past two months. Girls are more likely than boys to be victims or bully/victims. 13.“Hyper-networking” teens (those who spend more than three hours per school day on online social networks) are 110% more likely to be a victim of cyberbullying, compared to those who don’t spend as much time on social networks. 14.95% of social media-using teens who have witnessed cruel behavior on social networking sites say they have seen others ignoring the mean behavior; 55% witness this frequently. (Pew Internet Research Center, FOSI, Cable in the Classroom, 2011) 1.84% have seen the people defend the person being harassed; 27% report seeing this frequently. 2.84% have seen the people tell cyberbullies to stop bullying; 20% report seeing this frequently. 15.66% of teens who have witnessed online cruelty have also witnessed others joining; 21% say they have also joined in the harassment. (Pew Internet Research Center, FOSI, Cable in the Classroom, 2011) 16.Only 7% of U.S. parents are worried about cyberbullying, even though 33% of teenagers have been victims of cyberbullying (Pew Internet and American Life Survey, 2011) 17.85% of parent of youth ages 13-17 report their child has a social networking account. (American Osteopathic Association, 2011) 18.52% of parents are worried their child will be bullied via social networking sites. (American Osteopathic Association, 2011) 19.1 in 6 parents know their child has been bullied via a social networking site. (American Osteopathic Association, 2011) 20.One million children were harassed, threatened or subjected to other forms of cyberbullying on Facebook during the past year. (Consumer Reports, 2011) 21.43% of teens aged 13 to 17 report that they have experienced some sort of cyberbulying in the past year. 22.More girls are cyberbullys than boys (59% girls and 41% boys). 23.Cyberbullies spend more time online than other teens overall (38.4 hours compared to 26.8 hours). References: www.covenanteyes.com/2012/01/17/bullying-statistics-fast-facts-about-cyberbullying/ tampabayvictimsrights.blogspot.com/p/cyberbullying-statistics-2012.html Crisis Text Line Editor's note: The implementation of 988 over the first nine months has been difficult for much of rural America. (1) Congress left full funding up to the States, (2) Rural and Remote counties lacked infrastructure: (No ICU Safe beds in the county, limited Behavioral Health practitioners, no Crisis Response team, limited Behavioral Health and often medical health services in county schools); (3) Few if any trained Crisis line counselors except possibly 911 dispatch, and little or no experience with crisis text lines, the method most youth use today during crisis, and lack of knowledge of emojis they often use when describing the level of crisis they are in; and (4) crisis line counselors not understanding appropriate protocol when working with LGBTQ2AI+ youth who haven't come out to their parents or guardians. Please visit https://bit.ly/2BFZC6j to remain better informed. - Editor, Gordon Clay The importance of knowing the Crisis Text Line number 741741 Research shows that 95% of youth will not call a suicide phone line. Most don't even talk on their cell phones. But they do text, and 52% of youth in crisis contact the crisis text line between 8pm and 4am. Advantages of 741741 text line over phone crisis lines and some crisis text lines. 1. AI is used to triage an extreme crisis situation making contact with a human counselor in 19 seconds or less. 2. Text helps people who have a hard time talking about something or do not speak or are in a situation where it's not safe to talk like a domestic violence situation or bullying in the cafeteria or on the school bus. 3. Responses are current and factual. Every text is analyze against over 47 million previous texts and produces algorithms that have proven to be more accurate information than a psychiatrist or psychologist much less a regularly trained advocate with limited professional training. 4. AI analyzies all emoji's a client uses as to it's level of lethality. There are at least 24 words and emoji's that are more lethal than using the word suicide and may suggest the need for an active rescue. 5. The texter might have a panic attack or black out during the session and not remember everything that was said to them. They can actually go back through their text and see exactly what the counselor has recommended including resources. 6. CTL is part of the National Suicide Prevention Lifeline Network. CTL also has a 3-year AAS accreditation and are the first text-baed only service to received that accreditation. 7.. And, the number is easy to remember 741741 Seasonal Variation Seasonal variation of suicide rates with the most common peak occurring in late spring or summer are one of the most consistent themes from environment-suicide research. Source: www.ncbi.nlm.nih.gov/pmc/articles/PMC3315262/ 'Alarming' rise in children hospitalized with suicidal thoughts or actions The percentage of younger children and teens hospitalized for suicidal thoughts or actions in the United States doubled over nearly a decade, according to new research that will be presented Sunday at the 2017 Pediatric Academic Societies Meeting. A steady increase in admissions due to suicidality and serious self-harm occurred at 32 children's hospitals across the nation from 2008 through 2015, the researchers found. The children studied were between the ages of 5 and 17, and although all age groups showed increases, the largest uptick was seen among teen girls. Source: www.cnn.com/2017/05/05/health/children-teens-suicide-study/index.html Recent CDC Data (Year 2016) Suicide Rate is Up 1.8 Percent December 21, 2017 Men die by suicide 3.57 more times than women White males account for seven out of ten suicides Among people in middle age (45-54) the rate of suicide slightly decreased In the second highest risk age category of those 85 years old and older, there was a small decrease in the suicide rate All other age groups increased slightly (except 45-54 and 85 and older) Related to race, Caucasian people have the highest rate of suicide The suicide rate among Caucasian people decreased slightly There was an increase in the suicide rate among Alaska Native and American Indian people More than half of suicide deaths were by firearms, 51 percent (from just under 50 percent last year) For young people between the ages of 15-24, the suicide rate went from of 5.3 suicide deaths per 100,000 to 5.4 suicide deaths per 100,000 Source: afsp.org/suicide-rate-1-8-percent-according-recent-cdc-data-year-2023/?utm_source=All+Subscribers&utm_campaign=93dc37af9d-hope_hub_october_17&utm_medium=email&utm_term=0_3fbf9113af-93dc37af9d-385002861 School Violence Statistics: •100,000 students carry a gun to school each day •28% of youths who carry weapons have witnessed violence at home Among students, homicide perpetrators were more than twice as likely as homicide victims to have been bullies by peers. •More youth violence occurs on school grounds as opposed to on the way to school. •1/3 of students surveyed said they heard another student threaten to kill someone. Teachers & Bullying: • Teachers are also assaulted, robbed & bullied. 84 crimes per 1,000 teachers per year. 2016 Oregon Safe Schools Report 57% of LGBTQ students who were harassed or assaulted in school did not report the incident to school staff, most commonly because they doubted that effective intervention would occur or the situation could become worse if reported. 63.5% of the students who did report an incident said the school staff did nothing in response or told the student to ignore it. References: Bureau of Justice Statistics – School Crime & Safety - www.nveee.org/statistics/ Zero Suicide (44k in 2015, up from 42K in 2014) ZERO Suicide is an initiative launched by the National Action Alliance for Suicide Prevention and it is a product of the Education Development Center. David Covington (co-lead of the Zero Suicide Advisory Group) and local ZERO Suicide experts Drs. Greg Simon and Kate Comtois. ZERO Suicide health systems Group Health Cooperative, VA Puget Sound, Franciscan Health, and Puyallup Tribal Health Authority will share their process. ZERO Suicide is an approach targeting health care providers in health systems. SB-48 groups We also welcome people with suicidal experiences, those bereaved by suicide, military service members, veterans and their families, tribal communities, researchers, & community members. Overview of ZERO Suicide Model Small Group: What would ZERO Suicide look like in Curry County Panel - Where We Are and What We Wish We Would Have Known: Hearing from Health Systems implementing Zero Suicide VA Experts - Operation Save: Veteran and Military Suicide Prevention and ZERO Suicide Greg Simon - Asking the question consistently: What do the data mean? Kate Comtios - Treatment and Management for Suicidal People: What treatments work? Why are they so hard to get? OR State Suicide Legislation and State Plan Panel - Loss Survivor and Lived Experience Panel: Here is what it is important for healthcare providers to know Vendors and groups interested in setting up a table for free in the lobby can contact Michelle Borsz at Michelle.Borsz@va.gov Mailing Address Washington State Department of Veterans Affairs 1-800-562-2308 1102 Quince St SE | PO Box 41150 Olympia, WA 98504-1150 A word about our theme and why it differs from the national Zero Suicide campaign. Having retired from 35 years in top-level advertising agencies, i.e., read "Mad Men", in picking a theme or objective, strategies should be developed from the objective. According to the CDC, Zero Suicide's primary target market should be men since 75% of deaths from suicide are men (1). The ratio is much higher with college age men. This also makes sense and would direct suicide prevention programs in a very different path to combat the cultural aspects that men are trained to ignore their bodies (no pain, no gain", their mental facilities (Be though, handle it, deal with it, man up, don't be a pussy, you throw like a girl, want me to go on.) I four-day residential trainings I did for 25 years with women around the country that dealt with the Father Wound, on the last day we would process this question: "How would it feel to be trained all your life to kill other women?" That's what we're still doing with men. Don't feel feelings. Forge on regardless. Die for questionable government causes. Handle it. So, when you can't handle it and are trained NOT to ask for help, a quick out from the pain is Suicide. Now if Zero Suicide followed its name and concentrated on changing the culture, getting men to talk, at least, with professionals about their physical and mental health issue, and develop intact procedures, and physical and mental therapies to do this, I think we could substantial reduce the number of actual deaths by suicide. (as it gets younger and younger) The sooner these cultures can be changed, the sooner we can start treating the mental health issues with our 10-24 years olds and as the numbers of suicides start appearing even younger. They say...Rising suicide rates among men are a serious concern, with the level among males at its highest since 2001. Suicide among men has also begun to affect different age groups, with 2013 being the first year that men aged 45-59 showed the highest rates. Experts believe that this may be due to a number of factors, such as financial issues exacerbated by austerity and traditional attitudes towards discussing emotional problems. (3) Zero Attempts (Estimated at over 1.1M in 2015) The real problem that Zero Suicide should be focusing on, the probably is with most of their programs, is the real cost to our health care system are the estimated 1 plus million suicide attempts each year, representing over 760k per visit and rising. "They say" that 60% of people who die by suicide had contact with a health care (mental health care?) (2) professional within 30 days of the suicide. Why? What was missed? The system had direct contact with them. I assume (making an ass out of you and me) that a Risk Assessment was done. A safety plan was created. Drugs, if needed were prescribed. Other avenues were followed under the current protocol of their licenser. Yet there was a suicide with (44k suicides divided by the percent, gives a number to use here.) So, what's the problem. I'm not trained in clinical psychology, thought I have done the aforementioned, intense emotional retreat with hundreds of women, working directly with repressed anger and rage. That should be worth something. Zero Attempts - support those experiencing suicidal thoughts, freeing them from the shame and stigma that surrounds suicide and giving them voice, while helping them find purpose in life. Reattempts Nine out of ten people who attempt suicide and survive will not go on to die by suicide at a later date. This has been well-established in the suicidology literature. A literature review (Owens 2002) summarized 90 studies that have followed over time people who have made suicide attempts that resulted in medical care. Approximately 7% (range: 5-11%) of attempters eventually died by suicide, approximately 23% reattempted nonfatally, and 70% had no further attempts. Source: Owens D, Horrocks J, and House A. Fatal and non-fatal repetition of self-harm: systematic review. British Journal of Psychiatry. 2002;181:193-199. First Responders. The first thing I see is a lack of training for first responders: ambulance, law enforcement, ER departments, community members. Anecdotal reports I have received talking with members of this small, rural Oregon community, that have had direct contact with these professions report that some of the people in these positions don't have the training or understanding of mental health, how to work with manic or by polar or schiz or ptsd flashbacks to manic people and to come that them in public when they are having an episode (NY Times hospital killings) coming at them aggressively with guns or tarsiers drawn, even a K-9 unit usually triggers an episode that many law enforcement officers take as being the right to shoot, even kill (NYT) when in a trained ER unit, those members get trays thrown at them all the time, aggressive behavior ll the time, and the good ones have been trained on how to positively deal with the situation with everyone's safety in mind. Not drawing a gun and killing someone. (Many at risk mental health clients don't trust the responders to 911 calls and tend not to call when in trouble. Length of time to get a revisit when meds are changed. Should be 30 days max. Sometimes several months. No good for clients or their community. Mental Health Professionals and Organizations Social workers, therapists, psychiatrists, school counselors, clergy, NHS, ASPF, others They say...Untreated mental illness such as depression is a key factor in suicide among young people, as is the creation of friends and communities on social networks who share the same thoughts. Mental health services for young people have been targeted by austerity measures, making it increasingly important for young people to be given the help they need. Experts believe that treatment of mental health problems at a younger age lowers the probability of a person committing suicide as an adult. (3) They say...There are a variety of organizations that provide information and support to individuals and families who are struggling with suicide prevention. The NHS website offers self-care advice, as well as advice for the families and friends of those struggling with suicidal thoughts. Organizations like CALM and TWLOHA offer targeted support to demographics with specific issues. (3) "They say...(2) that a high percentage of these people, especially therapists and psychiatric, do not have specific training in suicidality. Oregon, California (bill number), and a number of other states have or are developing (title) laws that suggest or require (cover categories) to have some level of suicidality training in order to be able to renew their professional license. California requires, Oregon recommended and will look at the issue in five-years (during which time thousands of lives will be lost because the people that were working with the people at risk will not have had that training. (I don't understand why the people who make the rules want to continue watching the suicide rates climb and the suicide ideation in surveys with 6th, 8th, and 11th graders in Oregon schools as recently as April, 2016 show 10 to 18% seriously considered suicide in the last year and 6 to 9% actually attempted. (Sadly, the numbers are usually higher in my county, Curry County which may reflect the lack of trained mental health professionals and a cultural aversion to change the bullying natural of the culture. See www.thecitizenswhocare.org/wellness-cc-composite-2010-2023-html) Media. In general, news media outlets will not cover suicide as a news story unless the death occurs in public or the victim is a public figure. If a suicide is reported by news media, reporters should simply inform their audience of the death without sensationalizing it. Pictures of the deceased and the use of the word suicide in the headline are discouraged. News stories should note that most people who die by suicide have mental health challenges and exhibit warning signs, and these should be included in the story or in a sidebar. Suicide should be portrayed as a public health issue and the story should offer both hope and information about available suicide prevention and mental health resources available in the community. Understanding why language matters Stigma perpetuates shame and silence, making it harder to seek help. Carefully choosing your words and framing your story helps to avoid stigmatizing someone who has a mental illness or has attempted or died by suicide. Here are some simple ways to start: Nix the phrase “committed suicide” from your vocabulary. This traditional term has criminal overtones and ignores the fact that, in most cases, suicide is the tragic outcome of mental illness and the desire to escape unbearable pain. Make a difference by using these terms instead: died by suicide, completed suicide, took his/her own life. Describe people (in headlines too!) as having mental illnesses, not as “the mentally ill.” AP Stylebook changes for more examples and information on people-first language. Tell stories of hope and recovery in the lives of people who received treatment for their mental illnesses and thoughts of suicide. Avoid oversimplified explanations for a death by suicide, and sentimental descriptions of the departed. Sources: Recomendations for Reporting on Suicide AFSP/SAHMSA (2 page PDF) Media Guidelins for the Reporting of Suicide - Samaritans Preventing Suicide: A Resource for Media Professionals - World Health Organization 2008 (22 page PDF) Rediscovering Hope Zero Suicide reflects a commitment by healthcare leaders to strive to make suicide a “never” event, so that not one person dies alone and in despair. To achieve this goal, a culture must be cultivated where caring, confident and competent staff are supported to continuously improve and learn together. Patients are encouraged to rediscover hope and find ways to survive (and thrive) so that they can reengage with–and contribute to–the communities in which they work, play and live. Source: zerosuicide.org/ Contact within a Year of a Successful Suicide 25% of men and 50% of women who die by suicide had recent mental health contact (NVDRS) www.jointcommission.org/assets/1/6/Webinar_slides_Detecting_Treating_Suicide_Settings_mckeon.pdf On average, 36% (range=32%–39%) of the women and 18% (range=16%–20%) of the men had some contact with mental health services within 1 month of their suicide. Within 1 year of suicide, an average of 58% (range= 48%–68%) of the women and 35% (range=31%–40%) of the men had contact with mental health services. Lifetime rates of mental health care also were higher among female suicides: 78% of the women (range=72%–89%) and 47% of the men (range=41%–58%). For lifetime contact (78% and 47%, respectively), as well as contact in the year before suicide (58% and 35%), the women were more likely than the men to have had contact with mental health care (z=1.96, p=0.05, for both comparisons) (Table 1) www.ncbi.nlm.nih.gov/pmc/articles/PMC5072576/. Across all age groups, contact with primary care providers in the month before suicide averaged approximately 45% (range=20%–76%). The rate of contact with primary care providers within 1 year of suicide averaged approximately 77% (range=57%–90%) (Table 2). For persons age 35 and younger, contact with primary care providers within 1 month of suicide averaged about 23% (range=10%–36%), and an average of about 62% (range=42%–82%) had contact with primary care providers up to a year before their suicide (Table 2). For persons age 55 and older, within 1 month of suicide an average of 58% (range=43%–70%) of older adults had contact with primary care providers, which was significantly greater than those age 35 and younger (23%) (z=2.62, p<0.05). A majority of older adults, 77% (range=58%–90%) had contact with primary care providers in the year before their suicide (Table 2). For the men versus the women, on the basis of the two studies available, 100% of the women had contact with a primary care provider within 1 year of suicide, while 78% (range=69%–87%) of the men had contact with primary care providers in the year before their suicide. www.ncbi.nlm.nih.gov/pmc/articles/PMC5072576/. 75% of all psychiatric illness occurs before the age of 24 and 50% before 14. (4) Education Oregon ranks 49th in 2013/14 Public High School 4-year Adjusted Cohort Graduation Rate, tied 45th with Colorado for economically disadvantages, tied for 40th with North Carolina for students with limited English proficiency, and 45th with students with disabilities National Youth Suicide Statistics 2003 Total suicidal deaths 2003 = 31,755. 2015 = 44,1791 or a 28% increase Third leading cause of death among 10 to 24 year olds.* 19% of high school students report having seriously considered suicide in the prior 12 months.** 14.8% report having made a suicide plan in the prior 12 months.** 8.8% of high school students report having attempted suicide.** 2.6% indicating that the attempt required medical attention.** 100 to 200 attempts for each completed suicide.*** *Fatal Injury Reports, 2003, http://webappa.cdc.gov/sasweb/ncipc/leadcaus10.html **Youth Risk Behavior Survey (2003), www.cdc.gov/HealthyYouth/yrbs/index.htm ***McIntosh (2004), Suicide Data Page Source: www.csus.edu/indiv/b/brocks/workshops/district/mdusd.1.06.pdf Depression "Childhood depression is very real and very common, but also very treatable. In fact, depression affects as many as one in every 33 children and one in eight adolescents, according to the Federal Center for Mental Health Services. Morbidity Percent of persons aged 12 years and over with depression in any 2-week period: 7.6% (2009-2012)\ Source: Depression in the U.S. Household Population, 2009–2012 Physician office visits Percent of physician office visits with depression indicated on the medical record: 10.3% Source: National Ambulatory Medical Care Survey: 2014 State and National Summary Tables, table 19[PDF – 613 KB] Key facts Depression is a common mental disorder. Globally, more than 300 million people of all ages suffer from depression. Depression is the leading cause of disability worldwide, and is a major contributor to the overall global burden of disease. More women are affected by depression than men. At its worst, depression can lead to suicide. There are effective treatments for depression. Source: www.who.int/mediacentre/factsheets/fs369/en/ Education Michael Gurian’s book, The Minds of Boys: Saving Our Sons from Falling Behind in School and in Life, presents statistics that boys get the majority of D’s and F’s in most schools, create 90 percent of the discipline problems, are four times more likely than girls to be diagnosed with ADHD and be medicated, account for three out of four children diagnosed learning disabilities, become 80 percent of the high school dropouts, and now make up less than 45 percent of the college population. Alcohol In 2013, 86.8 percent of American adults aged 18 or older had consumed alcohol at some time in their lifetime. - The National Institute on Alcohol Abuse and Alcoholism (NIAAA) In 2013 16.6 million American adults aged 18 and older and 697,000 adolescents between the ages of 12 and 17 battled an alcohol use disorder (AUD). NIAAA Oxford University Press estimated that between 10 and 24 percent of brain damage and dementia cases may be related to alcohol abuse. The Alzheimer’s Society reports that “wet brain” may affect around two percent of the general population. Chronic alcohol abuse damages the cerebellum, which is the region in the brain responsible for coordination, movement, and even potentially some functions related to memory and learning. Depriving the brain of thiamine for a long period of time damages this region, and left untreated and unchecked, the brain damage can be permanent. Source: www.dualdiagnosis.org/alcohol-addiction/wet-brain/ Among the 33.9% of currently sexually active high school students nationwide, 23.3% had drunk alcohol or used drugs before their last sexual intercourse. About one in ten girls who first has sex before age 15 describes it as involuntary. Nineteen (19) million new STD infections occur each year, almost half of them among young people ages 15 to 24 In 2005, 23.4% of youths ages 12-17 reported that, in the past year, they had gotten into a serious fight at school or work. Underage Drinking: • Prevalence of Underage Alcohol Use: • Prevalence of Drinking: According to the 2015 NSDUH, 33.1 percent of 15-year-olds report that they have had at least 1 drink in their lives.17 About 7.7 million people ages 12–2018 (20.3 percent of this age group19) reported drinking alcohol in the past month (19.8 percent of males and 20.8 percent of females19). • Prevalence of Binge Drinking: According to the 2015 NSDUH, approximately 5.1 million people18 (about 13.4 percent19) ages 12–20 (13.4 percent of males and 13.3 percent of females19) reported binge drinking in the past month. • Prevalence of Heavy Alcohol Use: According to the 2015 NSDUH, approximately 1.3 million people18 (about 3.3 percent19) ages 12–20 (3.6 percent of males and 3.0 percent of females19) reported heavy alcohol use in the past month. • Consequences of Underage Alcohol Use: • Research indicates that alcohol use during the teenage years could interfere with normal adolescent brain development and increase the risk of developing AUD. In addition, underage drinking contributes to a range of acute consequences, including injuries, sexual assaults, and even deaths—including those from car crashes.20 Alcohol and College Students: • Prevalence of Alcohol Use: • Prevalence of Drinking: According to the 2015 NSDUH, 58.0 percent of full-time college students ages 18–22 drank alcohol in the past month compared with 48.2 percent of other persons of the same age.21 • Prevalence of Binge Drinking: According to the 2015 NSDUH, 37.9 percent of college students ages 18–22 reported binge drinking in the past month compared with 32.6 percent of other persons of the same age.21 • Prevalence of Heavy Alcohol Use: According to the 2015 NSDUH, 12.5 percent of college students ages 18–22 reported heavy alcohol use in the past month compared with 8.5 percent of other persons of the same age.21 • Consequences—Researchers estimate that each year: • 1,825 college students between the ages of 18 and 24 die from alcohol-related unintentional injuries, including motor-vehicle crashes.22 • 696,000 students between the ages of 18 and 24 are assaulted by another student who has been drinking.23 • 97,000 students between the ages of 18 and 24 report experiencing alcohol-related sexual assault or date rape.23 • Roughly 20 percent of college students meet the criteria for AUD.24 • About 1 in 4 college students report academic consequences from drinking, including missing class, falling behind in class, doing poorly on exams or papers, and receiving lower grades overall.25 Source: www.niaaa.nih.gov/alcohol-health/overview-alcohol-consumption/alcohol-facts-and-statistics Marijuana Marijuana is the most commonly used illicit drug in the nation. (14.6 million past month users). Source: www.slideshare.net/deliciousoranges18/0660928-a-night-of-mistakes-presentation Improving Care for Homeless Rates of suicide deaths among homeless individuals are approximately nine times higher than the general population (Poon et al, 2017). Findings from the most recent Annual Homelessness Assessment Report to Congress indicate that for every 10,000 people in the United States, 17 of them were experiencing homelessness (U.S. Department of Housing and Urban Development, 2017a). Significantly, 49% met criteria for a severe mental illness and/or a chronic substance use disorder. Based on Healthcare Cost and Utilization Project (HCUP) data from 8 states, among the approximately 59,000 homeless patients who visited and were released from the ED, about 17% received care related to suicide or intentional self-inflicted injury (Sun, Karaca, & Wong (AHRQ), 2014). In a Zero Suicide approach, HBH providers should have practices in place that keep all patients at increased risk for suicide engaged in treatment, including attending to hard-to-reach populations such as homeless patients. During this webinar, presenters will share innovative and thoughtful ways they have successfully improved patient engagement and optimized safe care transitions for homeless individuals through their organizational policies and practices. By the end of this webinar, participants will be able to (1) identify commonly experienced challenges in providing suicide care to homeless patients, (2) describe unique suicide screening, risk assessment, and safety planning considerations for this population, and (3) demonstrate how HBH organizations can establish meaningful partnerships with community organizations to augment safer suicide care practices for patients experiencing homelessness. Learn more and register here: https://go.edc.org/ZeroSuicideWebinar Resources What is Zero Suicide - 2 page PDF  zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/What%20is%20Zero%20Suicide.pdf Suicide Care in Systems Framewoork 71 page PDF  actionallianceforsuicideprevention.org/sites/actionallianceforsuicideprevention.org/files/taskforces/ClinicalCareInterventionReport.pdf Zero Suicide Toolkit zerosuicide.sprc.org/toolkit The Power of Zero: Steps toward high reliability healthcare. www.jointcommission.org/assets/1/18/MA13_Feature1_reprint.pdf Quick guide to getting started with Zero Suicide zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/Quick%20Guide%20to%20Getting%20Started%20with%20Zero%20Suicide.pdf Zero Suicide Organizational Self-Study 21 page PDF zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/Zero%20Suicide%20Organizational%20Self-Study.pdf Zero Suicide Work Plan Template 11 page PDF zerosuicide.sprc.org/sites/zerosuicide.actionallianceforsuicideprevention.org/files/Zero%20Suicide%20Workplan%20Template.pdf http://www.TheCitizensWhoCare.org/semicolon.html#where http://bit.ly/2bzRkO9 suicide-prevention-fact-sheet-2023 September is Suicide Prevention Awareness Month with a focus on the resiliency and positive life-coping skills of our Soldiers and Families. CDC Leading Causes of Death "Deaths, percent of total deaths, and death rates for the 15 leading causes of death: United States and each State, 2014" Report dated 12/1/15 Suicide 10th 42,773 www.cdc.gov/nchs/data/dvs/lcwk9_2014.pdf CDC: Suicide: Facts at a Glance www.cdc.gov/violenceprevention/pdf/suicide-datasheet-a.PDF American Foundation for Suicide Prevention 10th cause of death, 42,773 yearly, For every suicide, 25 attempts which equates to 1,069,325 suicides in 2014 costing $44 billion annually. Additional Facts About Suicide in the US The annual age-adjusted suicide rate is 12.93 per 100,000 individuals. Men die by suicide 3.5x more often than women. On average, there are 117 suicides per day. White males accounted for 7 of 10 suicides in 2014. Firearms account for almost 50% of all suicides. The rate of suicide is highest in middle age — white men in particular. afsp.org/about-suicide/suicide-statistics/ California data: afsp.org/about-suicide/state-fact-sheets/#California Oregon Data: afsp.org/about-suicide/state-fact-sheets/#Oregon Youth Suicide Statistics: The Parent Resource Program jasonfoundation.com/prp/facts/youth-suicide-statistics/ Signs and Concerns: The Parent Resource Program jasonfoundation.com/prp/facts/signs-concerns/ Common Myths: The Parent Resource Program jasonfoundation.com/prp/facts/common-myths/ Curry County Demographis: Mental health providers 380:1 (Oregon average 250:1 Premature deaths 9,700 vs 6,000 in Oregon Overall health outcomes - Curry County ranks 29th. Coos 33 2017 29 2016 32 2015 31 2014 29 2013 26 2012 28 2011 25 Source: www.countyhealthrankings.org/app/oregon/2017/rankings/curry/county/outcomes/overall/snapshot College students and stigma resources 1 Kessler RC, Chiu WT, Demler O, Walters EE. Prevalence, severity, and comorbidity of twelve-month DSM-IV disorders in the National Comorbidity Survey Replication (NCS-R). Archives of General Psychiatry, 2005 Jun; 62(6): 617-27 2 Drum, David J.; Brownson, Chris; Burton Denmark, Adryon; Smith, Shanna E. New data on the nature of suicidal crises in college students: Shifting the paradigm. Professional Psychology: Research and Practice. Vol 40(3), Jun 2009, 213-222. 3 Ibid. 4 Framework for Campus Mental Health Promotion and Suicide Prevention. Presented as part of an invited symposium at the SAMHSA Campus Suicide Prevention Grantee Technical Assistance Meeting, Gaithersburg, MD, January 2007. 5 Curtis, C. (2010). Youth perceptions of suicide and help-seeking: They’d think I was weak or ‘mental’. Journal of Youth Studies, 13(6), 699-715. 6 Hyun, J. K., Quinn, B. C., Madon, T., & Lustig, S. (2006). Graduate student mental health: Needs assessment and utilization of counseling services. Journal of College Student Development, 47, 247-266. 7 Healthy Minds Network. (2014). The healthy minds study 2014 national data report. Retrieved from: http://healthybodiesstudy.org/wpcontent/uploads/2014/07/HMS_national.pdf. 8 American College Health Association. (2013). American College Health Association--National College Health Assessment II: Reference Group Executive Summary Spring 2013. Hanover, MD: American College Health Association. Source: www.activeminds.org/storage/documents/NDWS_2012/NATIONAL_DAY_WITHOUT_STIGMA_FACT_SHEET.pdf WHEREAS, approximately 50% of students age 14 and older with a mental illness drop out of high school. 90% of those who died by suicide had an underlying mental illness.1 *     *     * Facts About Mental Illness and Suicide The great majority of people who experience a mental illness do not die by suicide. However, of those who die from suicide, more than 90 percent have a diagnosable mental disorder. People who die by suicide are frequently experiencing undiagnosed, undertreated, or untreated depression. Worldwide, suicide is among the three leading causes of death among people aged 15 to 44. An estimated 2-15 % of persons who have been diagnosed with major depression die by suicide. Suicide risk is highest in depressed individuals who feel hopeless about the future, those who have just been discharged from the hospital, those who have a family history of suicide and those who have made a suicide attempt in the past. An estimated 3-20% of persons who have been diagnosed with bipolar disorder die by suicide. Hopelessness, recent hospital discharge, family history, and prior suicide attempts all raise the risk of suicide in these individuals. An estimated 6-15% of persons diagnosed with schizophrenia die by suicide. Suicide is the leading cause of premature death in those diagnosed with schizophrenia. Between 75 and 95% of these individuals are male. Also at high risk are individuals who suffer from depression at the same time as another mental illness. Specifically, the presence of substance abuse, anxiety disorders, schizophrenia and bipolar disorder put those with depression at greater risk for suicide. People with personality disorders are approximately three times as likely to die by suicide than those without. Between 25 and 50% of these individuals also have a substance abuse disorder or major depressive disorder. Source: mentalhealth.samhsa.gov/suicideprevention/suicidefacts.asp Prevalence of ACEs Self-reported childhood experiences of individual ACEs: (total prevalence-both sexes; male/female) Abuse Emotional abuse (10.6%; ? 13.1% / ? 7.6%) Physical abuse (28.3%; ? 27.0% / ? 29.9%) Sexual abuse (20.7%; ? 24.7/? 16.0) Neglect Emotional neglect (14.8%; ? 16.7 / ? 12.4%) Physical neglect (9.9; ? 9.2% / ? 10.7%) Household Dysfunction Mother treated violently (12.7%; ? 12.7% / ? 11.5%) Household substance abuse (26.9%; ? 29.5% / ? 23.8%) Household mental illness (19.4%; ? 23.3% / ? 14.8%) Parental Separation or Divorce (23.3%; ?24.5% / ? 21.8%) Incarcerated household member (4.7%; ? 5.2% / ? 4.1%) Childhood Experiences of Multiple ACEs 0 ACEs (36.1%; ? 34.5% / ? 38.0%) 1 ACE (26.0%; ? 24.5% / ? 27.9%) 2 ACEs (15.9%; 15.5% / 16.4% ?) 3 ACEs (9.5%; 10.3% ? / 8.6% ?) = 4 ACEs (12.5%; 15.2% ? / 9.2% ?) Source: /traumainformedoregon.org/resources/adverse-childhood-experiences-ace-study/ Rural Health Approximately 35% of Oregonians live in rural and remote (frontier) communities and rely on the physicians, physician assistants, and acupuncturists who provide care locally. The Oregon Office of Rural Health (ORH) defines rural as any geographic area that is ten miles or more from a population center of 40,000 people or more. Remotet (Frontier) counties are those with six or fewer people per square mile. Of Oregon's 36 counties, 10 are designated by ORH as remote (frontier). This map showing the distribution of primary care physicians and PAs across Oregon is provided by ORH. Sourde: http://www.oregon.gov/omb/Topics-of-Interest/Pages/Rural-Health.aspx Emergency Department Visits Data are for the U.S. Number of visits: 130.4 million Number of injury-related visits: 37.2 million Number of visits per 100 persons: 41.9 Number of emergency department visits resulting in hospital admission: 12.2 million Number of emergency department visits resulting in admission to critical care unit: 1.5 million Percent of visits with patient seen in fewer than 15 minutes: 29.8% Percent of visits resulting in hospital admission: 9.3% Percent of visits resulting in transfer to a different (psychiatric or other) hospital: 2.2% Source: National Hospital Ambulatory Medical Care Survey: 2013 Emergency Department Summary Tables. Tables 1, 4, 14, 24[ 38 page PDF - 520 KB] State of America's Children Report Nearly one in five American children live in poverty, and the majority are children of color, according to a Children's Defense Fund report that assesses the social welfare of children in the United States. The report looks at how American children fare in 11 different areas: population, poverty, income and wealth inequality, housing and homelessness, hunger and nutrition, health, early childhood, education, child welfare, juvenile justice, and gun violence. The report includes the following statistics: A baby is born to an unwed mother every 20 seconds. A baby is born into poverty every 49 seconds. A baby is born into extreme poverty every 2 minutes. Nearly 70 percent of poor children are children of color. A child dies before his or her first birthday every 23 minutes. A child is confirmed to have been abused or neglected every 47 seconds. A child is arrested every 31 seconds. Median incomes were $80,800 for White families; $35,900 for Black families; and $41,000 for Hispanic families. Head Start served only 5 percent of eligible babies and toddlers in 2016 and only 54 percent of eligible 3- and 4-year-olds. The majority of public school students in the 4th and 8th grades could not read at their grade level. Between 2013 and 2015, 7,768 children and teens were killed by guns, and gun violence was the leading cause of death for Black children. The 2017 State of America's Children 2017 is available at deaconess.org/sites/default/files/files/CDF%202017-soac.pdf (82 page PDF). Gun Storage Practices among U.S. Veterans Data from this study came from the National Firearms Survey, an online survey designed to assess gun ownership and storage practices among a nationally representative sample of adults. For this study, researchers used data from 561 veterans who owned guns. They found 33.3 percent of veteran gun owners stored at least one of their guns loaded and unlocked. Sixty-six percent of veteran gun owners stored at least one gun unlocked, and 46.7 percent stored at least one loaded. Source: www.sprc.org/news/gun-storage-practices-among-us-veterans About 85 percent of suicide attempts with a firearm end in death, while drug overdoses — the most common method of suicide attempts — are fatal in less than 3 percent of cases, according to researchers at the Harvard Injury Research Control Center. Source: www.nbcnews.com/news/us-news/more-20-000-people-die-gun-suicide-each-year-alarmed-n906796?utm_source=Weekly+Spark+10%2F12%2F18&utm_campaign=Weekly+Spark+October+12%2C+2018&utm_medium=email Not having guns in the home, or keeping them safely locked away, is another overlooked factor in suicide risk. A new analysis of the latest CDC data, just released by the advocacy group Everytown for Gun Safety, found that the rate of specifically firearm suicides increased 51% for 15-24 year olds in the decade ending in 2018. Among 10- to 14-year-olds, who have a lower rate of suicide to begin with, suicide by gun increased a staggering 214% in that time frame. Gun suicide is astonishingly lethal: Of all suicide attempts not involving guns, 94% fail, and most of those people do not try again, Everytown reports. Of all suicide attempts that do involve guns, 90% succeed. That's one reason that gun ownership correlates with the youth suicide rate, state by state. A study last year found that for each 10 percent increase in household gun ownership in a state, the suicide rate for 10- to 19-year-olds increases by more than 25 percent. And, the presence of guns is another community risk factor that has increased during the pandemic: From March to July 2020, Everytown reports, gun sales doubled compared with the year before. Source: www.npr.org/2020/09/10/911117577/the-pandemic-has-researchers-worried-about-teen-suicide Run-away kids 1.6 to 2.8 million runawya kids a year most return home. Source: www.youtube.com/watch?v=ufXjza2-Rww Bullying and Suicide 1 out of 10 students drop out of school because of repeated bullying Every 30 minutes a teenager attempts suicide due to bullying. Harassment and bullying have been linked to 75 percent of school-shooting incidents. Sources: National Institutes of Health, National Education Association, National Association of School Psychologists There is a strong association between bullying and suicide-related behaviors, but this relationship is often mediated by other factors, including depression, violent behavior, and substance abuse (Reed, Nugent, & Cooper, 2015). Students who bully others, are bullied, or witness bullying are more likely to report high levels of suicide-related behavior than students who report no involvement in bullying (Center for Disease Control, 2014). A meta-analysis found that students facing peer victimization are 2.2 times more likely to have suicide ideation and 2.6 times more likely to attempt suicide than students not facing victimization (Gini & Espelage, 2014). Students who are both bullied and engage in bullying behavior are the highest risk group for adverse outcomes (Espelage & Holt, 2013). The false notion that suicide is a natural response to being bullied has the dangerous potential to normalize the response and thus create copycat behavior among youth. (Center for Disease Control, 2014). For more statistics related to youth suicide see the CDC youth suicide webpage. Who's impacted by a suicide Veterans VA says veteran suicide rate is 17 per day after change in calculation. Source: www.stripes.com/news/us/va-reveals-its-veteran-suicide-statistic-included-active-duty-troops-1.533992 Senator Joe Manchin, D-W.VA, said in the release that "it is estimated that more than 20 veterans die by suicide every day" and that "of those, 14 have received no treatment or care from the VA." April 24th, 2019 at 3:55 p.m. Source: www.politifact.com/west-virginia/statements/2019/apr/24/joe-manchin/do-more-20-veterans-die-suicide-every-day/ Mental Health By The Numbers The information on this page comes from studies conducted by organizations like Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Disease Control and Prevention (CDC) and the U.S. Department of Justice. The terminology used reflects what is used in original studies. Terms like “serious mental illness,” “mental illness” or “mental health disorders” may all seem like they’re referring to the same thing, but in fact refer to specific diagnostic groups for that particular study. 1 in 5 U.S. adults experience mental illness each year 1 in 25 U.S. adults experience serious mental illness each year 1 in 6 U.S. youth aged 6-17 experience a mental health disorder each year 50% of all lifetime mental illness begins by age 14, and 75% by age 24 Suicide is the 2nd leading cause of death among people aged 10-34 You Are Not Alone 19.1% of U.S. adults experienced mental illness in 2018 (47.6 million people). This represents 1 in 5 adults. 4.6% of U.S. adults experienced serious mental illness in 2018 (11.4 million people). This represents 1 in 25 adults. 16.5% of U.S. youth aged 6-17 experienced a mental health disorder in 2016 (7.7 million people) 3.7% of U.S. adults experienced a co-occurring substance use disorder and mental illness in 2018 (9.2 million people) Annual prevalence of mental illness among U.S. adults, by demographic group: Non-Hispanic Asian: 14.7% Non-Hispanic white: 20.4% Non-Hispanic black or African-American: 16.2% Non-Hispanic mixed/multiracial: 26.8% Hispanic or Latino: 16.9% Lesbian, Gay or Bisexual: 37.4% Annual prevalence among U.S. adults, by condition: Major Depressive Episode: 7.2% (17.7 million people) Schizophrenia: <1% (estimated 1.5 million people) Bipolar Disorder: 2.8% (estimated 7 million people) Anxiety Disorders: 19.1% (estimated 48 million people) Posttraumatic Stress Disorder: 3.6% (estimated 9 million people) Obsessive Compulsive Disorder: 1.2% (estimated 3 million people) Borderline Personality Disorder: 1.4% (estimated 3.5 million people) Mental Health Care Matters 43.3% of U.S. adults with mental illness received treatment in 2018 64.1% of U.S. adults with serious mental illness received treatment in 2018 50.6% of U.S. youth aged 6-17 with a mental health disorder received treatment in 2016 The average delay between onset of mental illness symptoms and treatment is 11 years Annual treatment rates among U.S. adults with any mental illness, by demographic group: Male: 34.9% Female: 48.6% Lesbian, Gay or Bisexual: 48.5% Non-Hispanic Asian: 24.9% Non-Hispanic white: 49.1% Non-Hispanic black or African-American: 30.6% Non-Hispanic mixed/multiracial: 31.8% Hispanic or Latino: 32.9% 11.3% of U.S. adults with mental illness had no insurance coverage in 2018 13.4% of U.S. adults with serious mental illness had no insurance coverage in 2018 60% of U.S. counties do not have a single practicing psychiatrist The Ripple Effect Of Mental Illness PERSON People with depression have a 40% higher risk of developing cardiovascular and metabolic diseases than the general population. People with serious mental illness are nearly twice as likely to develop these conditions. 19.3% of U.S. adults with mental illness also experienced a substance use disorder in 2018 (9.2 million individuals) The rate of unemployment is higher among U.S. adults who have mental illness (5.8%) compared to those who do not (3.6%) High school students with significant symptoms of depression are more than twice as likely to drop out compared to their peers FAMILY At least 8.4 million people in the U.S. provide care to an adult with a mental or emotional health issue Caregivers of adults with mental or emotional health issues spend an average of 32 hours per week providing unpaid care COMMUNITY Mental illness and substance use disorders are involved in 1 out of every 8 emergency department visits by a U.S. adult (estimated 12 million visits) Mood disorders are the most common cause of hospitalization for all people in the U.S. under age 45 (after excluding hospitalization relating to pregnancy and birth) Across the U.S. economy, serious mental illness causes $193.2 billion in lost earnings each year 20.1% of people experiencing homelessness in the U.S. have a serious mental health condition 37% of adults incarcerated in the state and federal prison system have a diagnosed mental illness 70.4% of youth in the juvenile justice system have a diagnosed mental illness 41% of Veteran’s Health Administration patients have a diagnosed mental illness or substance use disorder WORLD Depression and anxiety disorders cost the global economy $1 trillion in lost productivity each year Depression is the leading cause of disability worldwide It’s Okay To Talk About Suicide Suicide is the 2nd leading cause of death among people aged 10-34 in the U.S. Suicide is the 10th leading cause of death in the U.S. The overall suicide rate in the U.S. has increased by 31% since 2001 46% of people who die by suicide had a diagnosed mental health condition 90% of people who die by suicide had shown symptoms of a mental health condition, according to interviews with family, friends and medical professionals (also known as psychological autopsy) Lesbian, gay and bisexual youth are 4x more likely to attempt suicide than straight youth 75% of people who die by suicide are male Transgender adults are nearly 12x more likely to attempt suicide than the general population Annual prevalence of serious thoughts of suicide, by U.S. demographic group: 4.3% of all adults 11.0% of young adults aged 18-25 17.2% of high school students 47.7% of lesbian, gay, and bisexual high school students If you or someone you know is in an emergency, call The National Suicide Prevention Lifeline at 800-273-TALK (8255) text SOS to 741741 or call 911 immediately. Source: www.nami.org/Learn-More/Mental-Health-By-the-Numbers WHEREAS, approximately 50% of students age 14 and older with a mental illness drop out of high school. 90% of those who died by suicide had an underlying mental illness.1 Education Oregon ranks 49th in 2013/14 Public High School 4-year Adjusted Cohort Graduation Rate, tied 45th with Colorado for economically disadvantqges, tied for 40th with North Carolina for students with limited English proficiency, and 45th with students with disabilities Depression "Childhood depression is very real and very common, but also very treatable. In fact, depression affects as many as one in every 33 children and one in eight adolescents, according to the Federal Center for Mental Health Services. "We Cry Your Tears: The Jamal Clay Story" https://www.youtube.com/watch?v=Ie-32XYDKiM Myth: "The reason men die by suicide at a much higher rate than women is that they use a firearm." "This is like saying "The reason so many Oregon students don't get a high school diploma is that they drop out of school." While this is an actual result of dropping out, it's not the reason. The real question is "Why do they drop out of school." Attribute that to this question. While a high death rate is the result of the use of a firearm (# 1 method for both men and women), the real question is "Why do men die, at three times the rate of women, and why do they use a firearm?" The number one reason, in my opinion, is that they have been socialized to believe that, if they are a "real" man, they should be able to handle anything, put on their big boy pants, cowboy up/man up, don't be a victim, don't ask for help. Deal with it. Otherwise it shows you're not a "real" man. You're weak. Number two, because of this social stereotyping, they, more often than not, fall into the top category of intent, "serious intent". While a firearm is the number one method for women as well, and they probably also have a "serious intent" to die by suicide, they reduce that risk of dying because of where they shoot themselves. Many of them don't shoot themselves in the head because they don't want their children or family to have to live with that vision when being found. Many end up shooting themselves in the heart. This, often, presents a different result, often because they miss, hit a rib, etc - Editor, Gordon MensLine (24/7) 1300 78 99 78 mensline.org.au   ©2017-2023, www.ZeroAttempts.org/theysay.html   101223