Collaborative Call June 2016 DSHS Toniya Parker TIEMH Molly Lopez Erica Shapiro UPCOMING TRAININGs State Suicide Prevention Conference 8284 CAMS InDepth amp CALM ID: 745667
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Slide1
Zero Suicide in Texas (ZEST) Collaborative Call: June 2016
DSHS: Toniya ParkerTIEMH: Molly Lopez Erica ShapiroSlide2
UPCOMING TRAININGs
State Suicide Prevention Conference: 8/2-8/4
CAMS In-Depth & CALM
ASIST TOT: 7/18-7/22
Zero Suicide Academy: 7/28-7/29Safety Planning Intervention: 9/22Suicide To Hope: TBASlide3
Lessons Learned from cohort 1Slide4
SPECIAL Populations
Goal: Staff members are aware of the risk and protective factors for individuals within special populations and are competent at engaging and supporting the unique needs of individuals within the community they serve. Slide5
Rationale
The relationship between beliefs, values, and culture, and risk for suicide requires competent exploration in a trusting therapeutic relationshipCritical for workforce who serve individuals at risk of suicide to have understanding of potential impact of these factors on the individual and treatment process
Some special populations of individuals have been found to have unique risk/protective factors
An individual’s beliefs, values, and culture can play an important role in the factors that contribute to suicidal risk, as well as those serving as potential protective factors. Slide6
Understanding impact: Beliefs, Values, Culture
Suicide experts have identified several core areas theorized to be related to suicide risk/protective factors: Core areas represent issues that behavioral health providers may want to explore when understanding an individual’s unique beliefs, values, and culture
Acculturation/cultural mistrust
Perceptions of family/community responsibility
Beliefs about suicide/deathBeliefs about mental health/help seekingSlide7
Suicide risk in Young People: LGBT Community
Recent research has documented that adolescent sexual minorities are at increased risk for suicidal behaviors when compared heterosexual peersPrevalence of suicide attempts for youth within LGBT: 20-53%LGBT youth have not been found to compromise a disproportionately large percentage of completed suicidesDiscrimination
Research underscores the toll that discrimination experienced in every day life takes on LGBT youth
Increase in suicidal behavior may be due in part to such discrimination
Can inhibit individuals from accessing/getting help when neededCan prevent those in helping positions from asking questions regarding sexuality/identitySlide8
RISK/Protective Factors in Young People: LGBT CommunitySlide9
Family Acceptance and suicide risk: LGBT Community
LGBT youth experience an increase in suicide attempts/ideation near the time of disclosure Theorized due to stress related to coming out and fear of (or actual) family rejectionLGBT young adults who reported high levels of family rejection compared to those who reported little or no family rejection were:8.4 times more likely to report having attempted suicide
5.9 times more likely to report high levels of depression
3.4 times more likely to use illegal drugs
3.4 times more likely to report having engaged in unprotected sexual intercourseFamily Acceptance ProjectSlide10
Military personnel, veterans, and their families: suicide risk
Suicide is the second most common cause of death in the U.S. Armed ForcesIssue is also significant for veterans An estimated 22 veterans die by suicide every day (rates in 2010)Young male veterans under age 30 are three times more likely to commit suicide than their non-military counterparts
This issue also impacts families
Increased family discord, decreased satisfaction in marital relationships, increased psychological distress for childrenSlide11
RISK Factors in the Military/Veteran Community
Risk Factors Specific to Military Personnel
Risk Factors Specific to VeteransSlide12
Suicide risk in Racial/Ethnic Groups
Racial/ethnic groups differ in epidemiology of suicide/risk and protective factors/patterns of help seekingProviders should be aware of these group differences when working with individuals, while recognizing that each individual is unique in their beliefs, values, and culture Suicide Rates in the U.S. & Texas by Race/Ethnicity (2012-2014)Slide13
Moving Beyond: Community OutreachTo ensure effective/engaging suicide prevention services/supports are available to individuals from special populations, it is essential to
Engage members of these community groups in planning/evaluating these programsBehavioral health organization can also partner with faith leaders, community cultural leaders, and cultural organizations to ensure cultural brokers have the skills needed for identifying individuals in their community who are at risk for suicide and make appropriate referralsSponsoring gatekeeper trainings targeting individuals with these organizations (e.g., faith leaders, traditional/native healers, community health workers, etc.) can be helpful/build partnerships Community partnerships can assist the behavioral health organization in understanding the needs of the individuals they representSlide14
ZEST Groups & Meeting dates
Wednesdays,
2pm CST
Fridays,
9am CSTPecan ValleyAndrews Center
Gulf
Bend Center
Heart of Tex
as
Center
for Life Resources
Nueces County
Texana
Center
Tri-County Services
Betty
Hardwick Center
Harris County
participants
Helen
Farabee
Center
Brazos
Valley
Star Care Lubbock
Month
Wednesdays, 2pm CST
Fridays, 9am CST
November
Nov 18
h
Nov 20
th
December
No
Call
No
Call
January (2016)
Jan 27
th
Jan 29
th
February
Feb 24
th
Feb 26
th
March
Mar 23
rd
Mar 25
th
April
Apr 27
th
Apr 29
th
May
May 25
th
May 27
th
June
Jun 22
nd
Jun 24
th
July
Jul 27
th
Jul 29
th
August
Aug 24
th
Aug 26
th