Docstoc

suicide

Document Sample
suicide Powered By Docstoc
					Getting to Real Know Your Staff is Important

Where Does Change Start?
Feelings

Risk Management -- What is it?
• The process of identifying, assessing, and controlling hazards arising from operational factors and making decisions that balance the risk costs with mission benefits. • It is not an excuse to avoid a tough mission.

Risk Management Process
Assess Hazards
Develop Controls & Make Risk Decision

Identify Hazards

Implement Controls

Supervise & Evaluate

Protect Through Risk Management

Terminology
• Hazard - any actual or potential condition that can cause injury, illness, or death of personnel, damage to or loss of equipment, property or mission degradation.

Find Out PALS in your Company
Does the person or Company have a plan?
–P
–A –L



- What is the Proximity to help? - What is the Availability of means?
- What is the Lethality of means?

–S

- What is the Specificity of plan?

Stay Tuned for . . .

Personal Stress - Suicide Management

FACT OR FICTION?
• Suicide Is Impulsive and without Warning
• Once Suicidal Always Suicidal • A Person Who Attempts Won’t Try Again. • Suicidal Persons are Mentally Ill • Holiday Season Has The Highest Suicide Rate. • Suicidal people are fully intent on Dying • Circumstances affect Emotional Equilibrium

Are You Stressed Out?
Take this quiz* to find out.
Check the box if the statement is true about you.

 I often have digestive upsets.

          

I tend to lose my temper easily. I have trouble sleeping. People say I am a "worry wart." I have difficulty concentrating. I feel tired and drained all the time. I watch a lot of TV. I often get migraines or tension headaches. I feel "blue" and have a hard time getting over it. I am really impatient with other people I feel "burned out." I feel the harder I work, the more behind I get.

What is Stress?
Positive Eustress
Peak Performance

Astress
Negative Low

Boredom

Burnout

Distress
High

Lesson 1: OH-11 Rev: 7/4/2009

DEPRESSION
Depression is a mood disorder that features Withdrawal, Loss of Pleasure, Feelings of Sadness, and Physical Discomfort. Symptoms: Neglect of Appearance Loss of appetite/weight gain Poor concentration/memory Emotional Flatness Psychosomatic Illness Mood Swings Withdrawal

TRIGGERING EVENTS
o Job Termination

o Breakup o UCMJ o Loss from Death o Imprisonment

STOP - LOOK- LISTEN

LISTEN! LISTEN! & listen!

The Sobering Statistics



One suicide every 17 minutes

Why Don't We Help A Troubled Person?



Inconvenience? Lack of Knowledge? Fear or Doubt?
Cynicism?







Characteristics Of The Suicidal Person


Ambivalent Overwhelmed by multiple stressors Hopeless
Helpless









Hapless

Causes of Suicide


Loss of loved ones
Loss of close relationship





Loss of financial freedom Loss of social acceptance Loss of self-control
Loss of job and/or career









Loss of health

Feelings Associated With Loss



Helplessness
Hopelessness Isolation







Depression Worthlessness
Despair







Shame

Risk Factors

Gender, age and race  History of depression / multiple stressors  History of prior attempts  History of depression / suicide in close relatives  Living alone  Absence of support system or social withdrawal  Drug / alcohol abuse / misuse


Warning Signs


Tragic situation occurs
Depressive symptoms





Verbal warnings
– "I

LAST WILL and TESTAMENT of

can't take this anymore!”

– "I

wish I could just go to sleep and not wake up!"



Behavioral warnings

Depressive Symptoms


Sleep disturbance
Loss of interest in usual activities





Excessive guilt / shame Loss of energy Diminished ability to concentrate
Appetite change









Mental / physical agitation or slowing Overwhelmed, hopeless, possibly suicidal



Questions To Ask


Ask!
– "Have

you had thoughts of harming yourself or others?”
recently have you had these thoughts?”

– "How

– "What

have you thought of doing to harm / yourself?”



You cannot plant the thoughts of committing suicide in someone!

What To Do


Take threats seriously



Act confidently / take charge Be directive Accompany the person to get help
Give encouragement!!!







What Not To Do



Don't act shocked Don't debate Don't tell them the effect their death will have
Don't ever to try to physically remove the weapon







Stress Reactions
PHYSICAL
         Pounding heart Rapid breathing Sweaty palms Cold hands and feet Lack of energy Headaches Muscle tension Sleep difficulties Stomach disturbances       

EMOTIONAL
Irritability Nervous, edgy Lack of patience Crying Losing temper Worrying Emotional sensitivity

COGNITIVE
 Memory lapse  Lack of concentration  Increase in careless errors  Negative attitude  Pre-occupation

Coping With Stress and Suicide
  



Physical Activity Go for a Walk Sleep at least 4 hours while in a field environment and 7-8 hours per night elsewhere Talk with a Friend

To Do

   

  

Eat a Healthy Diet Be Assertive Develop a Hobby Manage Your Time Take mini-vacations throughout the day Practice Relaxation. Have Fun

Practical Guide to Behavior Change
Target Behavior Plan a Healthy Alternative

Great! Reward Yourself

Worked

Practice

Evaluation

Revise the Plan

Didn’t Work

PRIMARY WARNING SIGNS
HOPELESSNESS  HELPLESSNESS  WORTHLESSNESS  NEGLECT OF PERSON  WITHDRAWN  MOOD SWINGS  EMOTIONAL PAIN  FRUSTRATION  PHYSICAL COMPLAINTS  CONSTRICTION OF OPTIONS


VERBAL WARNINGS
I’m Going To Kill Myself! I’d Be Better Off Dead! I Just Can’t Go On Any Longer! You Won’t Be Seeing Me Any Longer! I’m Checking Out Of Here! I Just Want To Get Rid Of The Pain!

When assessing the risk, look for the relationship between

Danger and Rescue
A high level of danger and a small opportunity for rescue makes a threat a High Risk Event

1. ASK IF ANYTHING IS WRONG 2. TAKE THREATS SERIOUSLY 3. CONFRONT THE PROBLEM AND BE DIRECT 4. OFFER SUPPORT
5. DON’T LEAVE THEM ALONE

6. REMOVE LETHAL WEAPONS
7. GET PROFESSIONAL HELP

STOP - LOOK- LISTEN

LISTEN! LISTEN! & listen!

QUESTION


				
DOCUMENT INFO
Shared By:
Categories:
Tags: health, safety
Stats:
views:22
posted:7/4/2009
language:English
pages:34