suicide by xb4Fd3

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									                              Youth Suicide & Drugs
                              Theory & Overview
DRUGnet Drug Management


                          • Drugs have function
                          • Chemical effects
                          • Connection between
                            drug use & suicide
                          • Categories & functions of
                            self-harm & suicidal behaviours
                          • What‟s being done
                                Youth Suicide & Drugs
                               Drugs are Functional
DRUGnet Drug Management


                          • Fun, experimentation, „peak seekers‟
                          • Coping
                            – „Trough avoiders‟ (occasional/lots)
                            – Developmental maturity delayed
                          • Image, prestige & reputation (power)
                          • Social Functioning
                          • Self-medication
                            – depression, ADHD, psychosis
                          • Other (eg financial, vocational…)
                          • Life-line (note risk factors)
                            Youth Suicide & Drugs
                              Chemical Effects
                          • Depressants
DRUGnet Drug Management



                            – Alcohol, Heroin, (Tranquillisers),
                              Solvents
                            – Mixing
                          • Anti-depressants
                          • Withdrawal & rebound effects
                            – stimulants & depressants
                          • Cannabis
                            – anti-depressant ??
                            – Rebound effects
                                  Youth Suicide & Drugs
                          Connection Between Drugs & Suicide
                             • Method of suicide
DRUGnet Drug Management



                               – ‘Dutch courage’: impulse control
                               – Drugs as primary method
                             • Addiction problems
                               – Stuck, Withdrawal, -ve Cycle, „hopeless‟
                             • Drug problems (4Ls - lack of success)
                               – health (psychological & physical)
                               – relationships (family, lover & friends)
                               – accommodation, financial, vocation
                                 education & recreation
                               – legal
                                   Youth Suicide & Drugs
                            Categories of Risk, Self-harm, Suicide
                          • Meaning & function behind suicide
DRUGnet Drug Management



                          • Overt suicidal ideation &/or behaviour
                            – end life; escape pain & probs; get even
                          • Self-harm
                            – express pain, release, attention (eg solvents)
                          • I don‟t care about life risk-taking
                            – avoid decision, careless
                            – I don‟t acknowledge the risks: alcohol & tobacco
                          • I do care about life risk-taking
                            – accidental death/skill in taking risks
                            Youth Suicide & Drugs
                                  No Fear
DRUGnet Drug Management




                          “We take these risks
                           Not to escape life
                           But to prevent life
                             Escaping us”
                                Youth Suicide & Drugs
                                What’s being done
DRUGnet Drug Management



                          • WA Suicide Prevention Strategy
                           (Youth Suicide Advisory Committee)
                            – promote well-being
                            – early identification & help
                            – crisis support & treatment
                            – support after suicide
                            – research
                                  Youth Suicide & Drugs
                                        Risk Factors
                          Young people with:
DRUGnet Drug Management



                                   •   Previous suicide attempt
                                   •   Substance use
                                   •   Justice system
                                   •   Mental illness
                                   •   Rural & remote (male)
                                   •   Aboriginal
                                   •   Gay men & women
                                   •   Young men
                                Youth Suicide & Drugs
                                 Protective Factors
                          • Social Factors
DRUGnet Drug Management



                            – Supportive & caring network of
                              family & friends
                            – Healthy physical environment
                            – Positive school experience
                            – Community support available
                          • Personal Resources
                            – Social identity & belonging
                            – Self-worth
                            – Decision making, prob solv & life skills
                            – Positive view of future
                                   Youth Suicide & Drugs
                                    What’s being done
                          • Holistic Approach
DRUGnet Drug Management



                          • Involve everybody (gov, non-gov,
                            business, ldag, - drug minister &
                            WADASO, Health policy unit)
                          • SDEP & “In Touch”
                          • Practice Development Project - CBS &
                            FCS, Youth, Aboriginal & Prison Sectors
                          • Best Practice Manual for drug workers
                            – (screening, risk factors, intervention)
                                Youth Suicide & Drugs
                                What’s being done
                          • Intensive Support Program Inter-
DRUGnet Drug Management



                            agency case management
                          • Diversion programs
                          • State solvent abuse plan
                          • Parent programs
                          • GP support program
                          • Doctor-shopping program
                          • Sports Partnerships
                          • Grief groups
                          • My Dream - Child to Child program
                                   Youth Suicide & Drugs
                                           Summary
                          • Drugs are functional - know what the
DRUGnet Drug Management


                            function is & cater for it prior to & reducing
                            drug
                          • Different categories of suicide
                          • Consider chemical effects
                          • Routinely screen for
                             – Drug Issues
                             – Suicidal behaviour (policy/best practice)
                          • Risk & protective factors
                          • Supervision/consultation

                          WEB http://go.to/dualdiagnosis

								
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