Mental Health & Suicide Cindy Smail, Loss Control
Description: Mental Health Suicide Cindy Smail, Loss Control Consultant Marsh Risk Consulting Student Suicide Stats Suicide is the second leading cause of death for college students, unintentional injury is the first. 1 in 4 students treated for
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slide1. Mental Health & Suicide Cindy Smail, Loss Control Consultant Marsh Risk Consulting<br>
slide2. Student Suicide Stats Suicide is the second leading cause of death for college students, unintentional injury is the first.
1 in 4 students treated for mental health disorder in past year. 1 in 5 thought about suicide with 9% reported having attempted suicide.
Issue elevated in sexual minorities, particularly transgender students with 2 in 3 reporting self-injury and more than 1 in 3 attempting suicide. Bisexual students reported 1 in 4 attempted suicide.
More prevalent among undergraduate students than graduate students. 1 Source: American Association of Suicidology, College Students & Suicide Fact Sheet, 2016 and The Prevalence and predictor of mental health diagnoses and suicide among U.S. college students: Implications for addressing disparities in service use, Depression and Anxiety, The Official Journal of ADAA, Sept. 6, 2018. https://onlinelibrary.wiley.com/doi/pdf/10.1002/da.22830 A survey of college counseling centers showed 86% of students who died by suicide didn’t seek campus counseling services prior to their death.
University counseling centers have a client dropout rate of 30%. Early dropout has negative consequences.<br>
slide3. New Environment 2 Support System & Social Network Loss Academic Stress Pressure to Succeed New or Ongoing Mental Illness, Especially Anxiety & Depression Lacking Coping
Skills Substance Experimentation
& Abuse Interpersonal Difficulties Impulsivity Fear of Mental Health Stigma Insomnia History of Abuse or Trauma Feelings of Isolation New Challenges Source:
American Association of Suicidology, College Students & Suicide Fact Sheet, 2016<br>
slide4. Protective Factors 3 Source:
American Association of Suicidology, College Students & Suicide Fact Sheet, 2016<br>
slide5. Steady Increase in Counseling for Mental Health 4 Source:
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/<br>
slide6. Suicidal Issues on the Increase 5 Source:
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/ Of those that attended counseling…<br>
slide7. Why Are So Many in Need of Services? First generation of students entering college with diagnosed mental illness.
More students feel free to request aid, mental health stigma decreasing.
Mental health treatment has improved. Students who may not have been able to attend college previously are now able to attend with treatment.
Student diversity has increased so there is a more diverse need. More students are attending from lower income backgrounds or identify as minorities or LGBT.
Student Stress Increasing:
Debt
Concerns about future job/salary
Immense pressure to succeed
Social media 6<br>
slide8. Mental Health a Top Concern The need for mental health services has shot up and is an issue of supply and demand.
Sixty-six percent of student affairs administrators identified mental health as their top concern.
Over the past six years, counseling center resources devoted to “rapid access” increased by 28%, on average. 7 Source:
More and More Students Need Mental Health Services. But Colleges Struggle to Keep Up, Caroline Simon, USA Today, May 4, 2017, https://www.usatoday.com/story/college/2017/05/04/more-and-more-students-need-mental-health-services-but-colleges-struggle-to-keep-up/37431099/ and Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/<br>
slide9. Servicing Challenges Funding & financial constraints 8 Not enough counselors to provide support needed<br>
slide10. Campus Practices 9<br>
slide11. Student Staffed/Led Involvement 10<br>
slide12. Carrier Concerns… Not currently claims concerns with M.U.S.I.C. members.
Potential is parents will sue because they feel the institution didn’t take care of their child.
Recommends members communicate with parents telling them the institution communicates with the student and not parents.
Institution provided clinical care provides potential medical professional risk. Claims can result in high settlements as institutions may be hesitant to defend their practices in front of a jury. 11<br>
slide13. Cannabis – Ontario and Michigan 12 Reasons for decreased perception of danger:
Wide adoption of medical use
Continued discussion on legalizing recreational use
Negative messaging on social media is rare In both college and high school students, perception of how dangerous cannabis is has decreased and college student use has been steadily rising for the past couple of decades. Source:
College High: Students Are Using More Marijuana, Fewer Opioids, National Public Radio, Ahgus Chen, National Public Radio, https://www.npr.org/sections/health-shots/2016/09/09/493130349/college-high-students-are-using-more-marijuana-fewer-opioids<br>
slide14. Potential Impacts of Cannabis Use on Mental Health 13 Source:
Reducing Cannabis Harms: A Guide for Ontario Campuses, Centre for Innovation in Campus Mental Health, Cannabis and Mental Health, https://campusmentalhealth.ca/toolkits/cannabis/cannabis-use-on-campus/cannabis-mental-health/<br>
slide15. M.U.S.I.C. Suicide Prevention Member Sites 14<br>
slide16. Resources 15<br>
slide17. Additional References Student-led Mental Health Initiatives Shift Supports on Campus, CBC News, Aug. 28, 2018, https://www.cbc.ca/news/health/student-mental-health-1.4802134.
More and More Students Need Mental Health Services. But Colleges Struggle to Keep Up, USA Today, May 4, 2018, https://www.usatoday.com/story/college/2017/05/04/more-and-more-students-need-mental-health-services-but-colleges-struggle-to-keep-up/37431099/
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/ 16<br>
slide18. ?<br>
slide19. This document and any recommendations, analysis, or advice provided by Marsh (collectively, the “Marsh Analysis”) are intended solely for the entity identified as the recipient herein (“you”). This document contains proprietary, confidential information of Marsh and may not be shared with any third party, including other insurance producers, without Marsh’s prior written consent. Any statements concerning actuarial, tax, accounting, or legal matters are based solely on our experience as insurance brokers and risk consultants and are not to be relied upon as actuarial, accounting, tax, or legal advice, for which you should consult your own professional advisors. Any modeling, analytics, or projections are subject to inherent uncertainty, and the Marsh Analysis could be materially affected if any underlying assumptions, conditions, information, or factors are inaccurate or incomplete or should change. The information contained herein is based on sources we believe reliable, but we make no representation or warranty as to its accuracy. Except as may be set forth in an agreement between you and Marsh, Marsh shall have no obligation to update the Marsh Analysis and shall have no liability to you or any other party with regard to the Marsh Analysis or to any services provided by a third party to you or Marsh. Marsh makes no representation or warranty concerning the application of policy wordings or the financial condition or solvency of insurers or reinsurers. Marsh makes no assurances regarding the availability, cost, or terms of insurance coverage.<br>
slide2. Student Suicide Stats Suicide is the second leading cause of death for college students, unintentional injury is the first.
1 in 4 students treated for mental health disorder in past year. 1 in 5 thought about suicide with 9% reported having attempted suicide.
Issue elevated in sexual minorities, particularly transgender students with 2 in 3 reporting self-injury and more than 1 in 3 attempting suicide. Bisexual students reported 1 in 4 attempted suicide.
More prevalent among undergraduate students than graduate students. 1 Source: American Association of Suicidology, College Students & Suicide Fact Sheet, 2016 and The Prevalence and predictor of mental health diagnoses and suicide among U.S. college students: Implications for addressing disparities in service use, Depression and Anxiety, The Official Journal of ADAA, Sept. 6, 2018. https://onlinelibrary.wiley.com/doi/pdf/10.1002/da.22830 A survey of college counseling centers showed 86% of students who died by suicide didn’t seek campus counseling services prior to their death.
University counseling centers have a client dropout rate of 30%. Early dropout has negative consequences.<br>
slide3. New Environment 2 Support System & Social Network Loss Academic Stress Pressure to Succeed New or Ongoing Mental Illness, Especially Anxiety & Depression Lacking Coping
Skills Substance Experimentation
& Abuse Interpersonal Difficulties Impulsivity Fear of Mental Health Stigma Insomnia History of Abuse or Trauma Feelings of Isolation New Challenges Source:
American Association of Suicidology, College Students & Suicide Fact Sheet, 2016<br>
slide4. Protective Factors 3 Source:
American Association of Suicidology, College Students & Suicide Fact Sheet, 2016<br>
slide5. Steady Increase in Counseling for Mental Health 4 Source:
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/<br>
slide6. Suicidal Issues on the Increase 5 Source:
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/ Of those that attended counseling…<br>
slide7. Why Are So Many in Need of Services? First generation of students entering college with diagnosed mental illness.
More students feel free to request aid, mental health stigma decreasing.
Mental health treatment has improved. Students who may not have been able to attend college previously are now able to attend with treatment.
Student diversity has increased so there is a more diverse need. More students are attending from lower income backgrounds or identify as minorities or LGBT.
Student Stress Increasing:
Debt
Concerns about future job/salary
Immense pressure to succeed
Social media 6<br>
slide8. Mental Health a Top Concern The need for mental health services has shot up and is an issue of supply and demand.
Sixty-six percent of student affairs administrators identified mental health as their top concern.
Over the past six years, counseling center resources devoted to “rapid access” increased by 28%, on average. 7 Source:
More and More Students Need Mental Health Services. But Colleges Struggle to Keep Up, Caroline Simon, USA Today, May 4, 2017, https://www.usatoday.com/story/college/2017/05/04/more-and-more-students-need-mental-health-services-but-colleges-struggle-to-keep-up/37431099/ and Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/<br>
slide9. Servicing Challenges Funding & financial constraints 8 Not enough counselors to provide support needed<br>
slide10. Campus Practices 9<br>
slide11. Student Staffed/Led Involvement 10<br>
slide12. Carrier Concerns… Not currently claims concerns with M.U.S.I.C. members.
Potential is parents will sue because they feel the institution didn’t take care of their child.
Recommends members communicate with parents telling them the institution communicates with the student and not parents.
Institution provided clinical care provides potential medical professional risk. Claims can result in high settlements as institutions may be hesitant to defend their practices in front of a jury. 11<br>
slide13. Cannabis – Ontario and Michigan 12 Reasons for decreased perception of danger:
Wide adoption of medical use
Continued discussion on legalizing recreational use
Negative messaging on social media is rare In both college and high school students, perception of how dangerous cannabis is has decreased and college student use has been steadily rising for the past couple of decades. Source:
College High: Students Are Using More Marijuana, Fewer Opioids, National Public Radio, Ahgus Chen, National Public Radio, https://www.npr.org/sections/health-shots/2016/09/09/493130349/college-high-students-are-using-more-marijuana-fewer-opioids<br>
slide14. Potential Impacts of Cannabis Use on Mental Health 13 Source:
Reducing Cannabis Harms: A Guide for Ontario Campuses, Centre for Innovation in Campus Mental Health, Cannabis and Mental Health, https://campusmentalhealth.ca/toolkits/cannabis/cannabis-use-on-campus/cannabis-mental-health/<br>
slide15. M.U.S.I.C. Suicide Prevention Member Sites 14<br>
slide16. Resources 15<br>
slide17. Additional References Student-led Mental Health Initiatives Shift Supports on Campus, CBC News, Aug. 28, 2018, https://www.cbc.ca/news/health/student-mental-health-1.4802134.
More and More Students Need Mental Health Services. But Colleges Struggle to Keep Up, USA Today, May 4, 2018, https://www.usatoday.com/story/college/2017/05/04/more-and-more-students-need-mental-health-services-but-colleges-struggle-to-keep-up/37431099/
Center for Collegiate Mental Health 2017 Annual Report, Penn State, http://ccmh.psu.edu/publications/ 16<br>
slide18. ?<br>
slide19. This document and any recommendations, analysis, or advice provided by Marsh (collectively, the “Marsh Analysis”) are intended solely for the entity identified as the recipient herein (“you”). This document contains proprietary, confidential information of Marsh and may not be shared with any third party, including other insurance producers, without Marsh’s prior written consent. Any statements concerning actuarial, tax, accounting, or legal matters are based solely on our experience as insurance brokers and risk consultants and are not to be relied upon as actuarial, accounting, tax, or legal advice, for which you should consult your own professional advisors. Any modeling, analytics, or projections are subject to inherent uncertainty, and the Marsh Analysis could be materially affected if any underlying assumptions, conditions, information, or factors are inaccurate or incomplete or should change. The information contained herein is based on sources we believe reliable, but we make no representation or warranty as to its accuracy. Except as may be set forth in an agreement between you and Marsh, Marsh shall have no obligation to update the Marsh Analysis and shall have no liability to you or any other party with regard to the Marsh Analysis or to any services provided by a third party to you or Marsh. Marsh makes no representation or warranty concerning the application of policy wordings or the financial condition or solvency of insurers or reinsurers. Marsh makes no assurances regarding the availability, cost, or terms of insurance coverage.<br>