Preventing by MikeJenny

VIEWS: 18 PAGES: 41

									                                      draft




Preventing
Suicide in
West Virginia
a plan to address a silent epidemic




 Prepared by the West Virginia Council
    for the Prevention of Suicide for:
West Virginia Department of Health and
            Human Resources
                                                                                                                draft




         Table of Contents




Introduction ....................................................................................................... 3

Purpose of this Plan ......................................................................................... 7

Development Process ...................................................................................... 9

Priority Populations ....................................................................................... 11

Important Risk and Protective Factors ...................................................... 14

Plan Format ...................................................................................................... 16

Infrastructure .................................................................................................. 17

Awareness ........................................................................................................ 19

Implementation ............................................................................................... 22

Methodology .................................................................................................... 25




                                       Preventing Suicide in West Virginia
                                                  Page 2 of 41
                                                                                                                   draft




         Introduction

Suicide is a significant problem in the United States and in West Virginia.
It has been called “a silent epidemic”1 that “exacts an enormous toll from
the American people.”2

On average, about 30,000 individuals in the United States died from
suicide each year in the years 1990–2000. Another 650,000 receive
emergency care after attempting to take their lives.3 It is estimated that
one person dies every 18 minutes due to suicide.4

Data show that 2,749 individuals in West Virginia died from suicide in
1990-2000. Except for 1990, West Virginia’s suicide rate was higher than
the national average in number of persons per 100,000 population who
died from suicide in that time period.5


                           Suicide Deaths Per 100,000 Population

               20
               15
    Number Per
               10
      100,000
                5
                0
                             19

                                     19

                                             19

                                                      19

                                                              19

                                                                      19

                                                                               19

                                                                                       19

                                                                                               19

                                                                                                       19

                                                                                                               20
                                90

                                        91

                                                92

                                                         93

                                                                 94

                                                                         95

                                                                                  96

                                                                                          97

                                                                                                  98

                                                                                                          99

                                                                                                                  00
                                                                  Year

                                                     West Virginia            Nationally


“Number per 100,000” provides a statistic which enables a comparative
analysis across states. Actual numbers produce a picture for the specific
state, such as West Virginia. The chart below depicts the number of
suicides for the years 1990 through 2000. It ranges from 219 reported
deaths by suicide in 1990 to 279 in 1996; more than one person died
from suicide every two days in those 11 years.6


1
  See http://www.pbs.org/thesilentepidemic/
2
   U.S. Department of Health and Human Services, Public Health Service. 2001. National Strategy for Suicide
Prevention: Goals and Objectives for Action.
3
   Ibid.
4
  http://mypage.iusb.edu/~jmcintos/usa2000summary.htm
5
  Found at http://mypage.iusb.edu/~jmcintos/SuicideStates.html and
http://mypage.iusb.edu/~jmcintos/usa2000states.htm
6
  Ibid.


                                     Preventing Suicide in West Virginia
                                                Page 3 of 41
                                                                                                 draft




                                  SUICIDES IN WEST VIRGINIA

    300
    250
    200
    150
    100
     50
      0
          1990    1991    1992    1993     1994    1995    1996     1997    1998   1999   2000


Intentional self-harm was the second leading cause of death among West
Virginia males aged 15 to 24 in 2003, according to the Bureau for Public
Health in the West Virginia Department of Health and Human Resources.
It was exceeded only by accidents.7 Statistics indicate that deaths by
suicide affect younger West Virginians most.8 These data indicate that
just over 1% of the deaths in 2002 and 2003 were due to intentional self-
harm, but 5% of the years of potential life lost before age 65.

Young people are not the only ones who die from suicide. There were
184 deaths among West Virginians aged 25-64 in 2003 attributed to
intentional self-harm, about 4% of the 4,801 deaths in that age group in
that year. About 84% of those deaths were males.9

Suicide also affects older people aged 65 and
older, although that is not listed by the Bureau                          People of all
of Public Health as a “leading cause” of death in                          age groups
West Virginians in that age group. Nationally,                          attempt suicide,
more than 6,300 older adults take their own
                                                                        but older adults
lives, about 18 people per day.10
                                                                         have a higher
Although older adults nationally and in West                            completion rate.
Virginia attempt suicide less often than those
in other age groups, they have a higher
completion rate. Senior citizens are more lethal
in their attempts and complete suicide more often. For all ages combined,
there is 1 suicide for every 20 attempts nationally. Among people aged
15-24 years old, there is 1 completed suicide for every 100-200 attempts.
Over the age of 65, there is 1 completed suicide for every 4 attempts.11

Nationally, suicide deaths consistently outnumber homicide deaths by a
margin of three to two. In 2002, twice as many Americans died from

7
  See http://www.wvdhhr.org/bph/oehp/vital03/vs_31_5.htm
8
  See http://www.wvdhhr.org/bph/oehp/vital03/vs_30.htm
9
  See http://www.wvdhhr.org/bph/oehp/vital03/vs_31x.htm
10
   See http://www.healthyplace.com/communities/depression/related/suicide_3.asp
11
   See http://www.211bigbend.org/hotlines/suicide/SuicideandtheElderly.pdf


                                  Preventing Suicide in West Virginia
                                             Page 4 of 41
                                                                                           draft



suicide than from HIV / AIDS. But research has shown than 90 percent of
people who die by suicide have depression or another diagnosable (and
treatable) mental illness or substance abuse disorder. 12 This suggests
suicide can, and is, preventable.

Efforts at preventing suicide began nearly a half-century ago, when the
first suicide prevention center established in Los Angeles. This center,
and many others established after it, offered community service and
crisis intervention.13 In 1996, Gerald and Elsie Weyrauch of Marietta,
Georgia began a grassroots effort to encourage public education and
awareness, community action and grassroots advocacy to prevent suicide.
The Weyrauch’s 34-year old physician daughter committed suicide and
the couple adopted a goal to create a way for people who have lost
someone to suicide to transform their grief into positive action to
prevent future tragedies.14

In the 10 years since that initial effort,, nearly every state has developed
and implemented efforts to prevent suicide. A national hot line, to
respond to individuals contemplating suicide, has been established.
National and state conferences have shared information on suicide
prevention, crisis intervention, and outreach methods. The country’s
Surgeon General has issued a report and a national strategy for suicide
prevention has been developed

Suicide prevention awareness and advocacy efforts in West Virginia began
in 2001, with a small grant to Valley HealthCare System in Morgantown
from the West Virginia Department of Health and Human Resources to
create the HOTT (Helping Our Teens Thrive) Coalition. Two years later,
the West Virginia Council for the Prevention of
Suicide (WVCPS) was formed. The mission of the
Council is to, “Reduce suicides and provide
workshops throughout the state to make our             This plan has
citizens aware of the early signs of depression       been prepared
and suicide and how to obtain services.” The           by the WVCPS
vision of the Council is that West Virginia not
                                                        for the West
lose one citizen to suicide.15
                                                                         Virginia DHHR
In the intervening years, the HOTT Coalition and
the WVCPS have presented numerous workshops
and conferences for educators, health and
behavioral professionals, and social service providers. The Council has

12
   http://www.spanusa.org/index.cfm?fuseaction=home.viewPage&page_id=8A13146B-E70F-213B-
95A0CE83BC5518F6
13
   Op Cit U.S. Department of Health and Human Services, Public Health Service. 2001
14
   See http://www.spanusa.org/C_about-span.html
15
   See http://www.wvsuicidecouncil.org/


                                 Preventing Suicide in West Virginia
                                            Page 5 of 41
                                                                   draft



also sponsored the development of age-appropriate assessment protocols
for early identification of potential suicide victims and referrals to
services.

This Plan has been prepared by the WVCPS for the Department of Health
and Human Resources after review and comment by several interested
groups.




                       Preventing Suicide in West Virginia
                                  Page 6 of 41
                                                                                                        draft




         Purpose of this Plan

The vision of the West Virginia Council on Suicide Prevention is “That our
state does not lose one citizen to suicide.” It is the hope that this Plan
will provide guideposts to working toward that vision.

Many suicides can be prevented by developing protective factors and
reducing risk factors. Protective factors include effective and assessable
clinical care for mental, physical, and substance use disorders; strong
connections to family and community support; skills in problem solving,
conflict resolution, and nonviolent handling of dispute; and cultural and
religious beliefs that discourage suicide and support self-preservation.
Risk factors include mental illnesses; history of trauma or abuse; family
history of suicide; job or financial loss; loss of a relationship; lack of
social support; stigma associated with seeking help; and exposure to
others who have died by suicide.16

No agency or organization can fully address the problem – it requires the
attention, effort, and coordination of multiple organizations, groups, and
individuals. These include organizations, agencies, and individuals
providing mental health services; health care providers, school systems
and universities, law enforcement; court officials; senior citizen
organizations; faith-based organizations; and groups of families and
friends of people who have committed suicide.

While representing a new and coordinated endeavor, the Suicide
Prevention Plan builds on current activities and endeavors, hopefully
                          avoiding a duplication of effort at a time when
                          resources are limited. The work of the WVCPS
                          has been based on this coordination of existing
                          resources. It is believed this plan will guide
  This plan builds        further development of these efforts, leading
     on current           West Virginia toward achieving the Council’s
                          vision.
     activities and
      endeavors.           This plan has been provided for review to the
                           West Virginia Mental Health Planning Council,
                           the West Virginia Behavioral Healthcare
                           Providers Association, the West Virginia
Primary Care Association, and other health, social service, and education
providers and organizations. It is hoped that this process will lead these
organizations and individuals to considering the recommendations for
addressing this silent epidemic.

16
  U.S. Department of Health and Human Services, Public Health Service. 2001. National Strategy for Suicide
Prevention: Goals and Objectives for Action.


                                    Preventing Suicide in West Virginia
                                               Page 7 of 41
                                                                 draft




Also, upon acceptance by the West Virginia Department of Health and
Human Resources, the WVCPS is hopeful the recommendations will guide
Department-wide and State-wide efforts to reduce suicides.




                      Preventing Suicide in West Virginia
                                 Page 8 of 41
                                                                           draft




           Development Process

In 2001, Valley HealthCare System responded to an Announcement of
Fund Availability from the Children’s Division of the Office of Behavioral
Health Services in the West Virginia Department of Health and Human
Resources Bureau for Behavioral Health and Health Facilities. Valley
HealthCare System proposed the development and implementation of a
public awareness and information project to create awareness and
understanding of a silent epidemic: suicide among adolescents in West
Virginia.

The small grant, funded through the Community-Based Mental Health
Services Block Grant, enabled the creation of the Helping Our Teens
Thrive Coalition (HOTT Coalition). This coalition was composed of
representatives of health and behavioral health providers, educators, and
interested individuals. In the beginning years, several seminars and
workshops were provided to alert school personnel and the interested
public in the number of children who were committing suicide in West
Virginia as well as what was needed to prevent such untimely and tragic
deaths.

The workshops and seminars were well received and the HOTT Coalition
was re-formed and expanded into the West Virginia Suicide Prevention
Council. The WVCPS understood that people of all ages commit suicide.
The “target population” addressed by the WVCPS was expanded to
include adults and the Council began providing annual conferences which
attracts several hundred health and behavioral health providers and
other individuals. A Website (http://www.wvsuicidecouncil.org/) has
been created, providing statistics and information on suicide and offering
help for individuals in crisis. Starting in July, the Council will sponsor
workshops and seminars related to suicide among older West Virginians.

In addition to information and education, the
council sponsored the development of
protocols for suicide assessment, including the
                                                               The WVCPS has
Adolescent Screening and Assessment Protocol-
12 (ASAP-12).17                                                  a Website:
                                                               www.wvsuicide
Although the Department of Health and Human                      council.org
Resources has included a goal within “Healthy
People 2010” to “reduce the statewide suicide
rate to 10.5 per 100,000 by the year 2010,” no



17
     Need reference


                         Preventing Suicide in West Virginia
                                    Page 9 of 41
                                                                          draft



specific plan had been created. 18 Officials in the Bureau for Behavioral
Health and the Bureau for Public Health requested the Council to develop
this plan.

The plan is based on the goals and objectives in the National Strategy for
Suicide Prevention Goals and Objectives for Action. Specific goals and
objectives, strategies, and activities for implementation were drafted by
the Council membership and circulated for review and comment to
stakeholder groups and individuals. Officials in the Department of
Health and Human Resources have reviewed and commented on the plan
and have now adopted it as the West Virginia State Plan for Suicide
Prevention.

Implementation of the plan is a shared responsibility. Certainly, the
Council will play a major role in coordinating efforts in achieving the
plan. But all stakeholders – providers of health and behavioral health
services, teachers, higher education, law enforcement, the courts, families
and friends of people who have committed suicide and the general public
have roles in preventing untimely and tragic deaths.




18
     See http://www.wvdhhr.org/bph/hp2010/objective/18.htm


                                    Preventing Suicide in West Virginia
                                              Page 10 of 41
                                                                                        draft




                           Priority Populations

This plan addresses suicide prevention for all persons in West Virginia,
regardless of age, race, or gender. Data from 2003 indicate that West
Virginia’s 266 suicides were equal to 14.7 suicides per 100,000
population, tenth highest of the states.19 However, some population
groups are more at risk than others.

The Bureau of Public Health of the West Virginia Department of Health
and Human Resources publishes data showing the number of suicides by
age group. The following chart shows deaths by suicide for the years
1995 through 2003, divided into four age categories.

                                 SUICIDES BY AGE GROUP - 1995 - 2003

                           140
        NUMBER OF DEATHS




                           120
                           100                                                     10 TO 29
                            80                                                     30 TO 49
                            60                                                     50 TO 69
                            40                                                     70+
                            20
                             0
                                 1995 1996 1997 1998 1999 2000 2001 2002 2003
                                                       YEAR


The lines in the chart above, representing age groupings indicate that the
number of suicides per year fluctuates in total and within each group.
This suggests that a plan to prevent suicide must be longitudinal – it
must consider the long-term effects of prevention efforts. It also
suggests that a plan must address all age groups, while providing
information and education relative to specific groups.

Children and adolescents below working age have special needs and the
organizations, agencies, and individuals that impact on their lives are
different than working adults or senior citizens. Working-age adults
exhibit signs and symptoms of suicide behavior in ways different than
older adults or children. And senior citizens have needs and resources
unique to that age group.

19
     See http://www.suicidology.org/associations/1045/files/2003statedatapgc.pdf



                                             Preventing Suicide in West Virginia
                                                       Page 11 of 41
                                                                                         draft




The chart below compares the percentage of the State’s population (2000
census) with deaths by suicide reported for the years 1995–2003, again
demonstrating the importance of addressing all age groups.

          Population and Age Group Comparison (Percentages)

                70
                60                            Note: Population information is 2000
                                              census. Suicide data are total number of
                50                            suicides 1995 – 2003.
     Portion of 40
       100%     30                                                        POPULATION
                20
                                                                          SUICIDES
                10
                 0
                     10 TO 19 20 TO 59      60+

                                 Age Group

A little over half of the State’s population (about 55%) is in the 20–59 age
group. Nearly two-thirds of all suicides in the years 1995–2003 occurred
among people in that age group. Although about 20% of the population
of West Virginia is aged 60 and older, nearly 30% of the suicides in this
time period were committed by persons in that age group. The chart
shows that about 6% of the suicides were committed by persons aged 10–
19, while this age group is slightly over 13% of the population. However,
if just the age group 15–19 is considered, the ratio is closer: 6.4% of the
population and 5.2% of the suicides.

The WVCPS has developed information and education unique to each
population group. Furthermore, information and education is designed
to address the needs of individuals, agencies, and organizations with
whom persons in each group are likely to have contact.

                             West Virginia is a culturally diverse state,
                             particularly due to the unique geography of the
                             mountains and rural nature. The isolation
  Implementation             created by West Virginia’s mountains and
   of the plan will          valleys has led to locally specific cultures which
       consider              also contribute to the unique talents of people
       cultural              of the Mountain State.
     diversity in
                             Only about 5% of the state’s population is non-
    West Virginia.           white; only about 1% are foreign-born. Of




                           Preventing Suicide in West Virginia
                                     Page 12 of 41
                                                                            draft



minority groups, African-Americans have the largest representation, at
3.2%.20

A priority of this plan is to ensure that the education and services
targeted for the prevention of suicide is culturally sensitive to meet the
needs of West Virginians. The WVCPS will elicit potential
recommendations from the Behavioral Health Training Collaborative
prior to the implementation of the State Plan. This Training Collaborative
was established by the Bureau for Behavioral Health and Health Facilities
to enhance cultural competency knowledge and skills of behavioral
health providers, families and communities and to facilitate efforts to
decrease stigma associated with seeking behavioral health services.
Implementation of this plan will incorporate some of the educational
materials developed by the Collaborative which emphasizes principles of
inclusion and the overall concepts of cultural sensitivity.




20
     http://quickfacts.census.gov/qfd/states/54000.html


                                      Preventing Suicide in West Virginia
                                                Page 13 of 41
                                                                                   draft




      Important Risk and Protective Factors

The National Strategy for Suicide Prevention: Goals and Objectives for
Action discusses important factors that might increase the risk for
suicide.

People with these risk factors may be more likely to engage in suicide
behavior than people without them. Some risk factors may be reduced by
interventions such as medications or social supports. Others, like
previous suicide attempts, cannot be changed, but can alert others to an
increased risk of suicide during periods of a recurrence of a mental
illness or substance disorder or following a significantly stressful life
event.

Risk factors generally fall into one of three categories. Biopsychosocial
risk factors include issues that are related to health of the individuals or
her or his family members. Environmental risk factors are generally
situations in a person’s environment which may increase stress or
support suicidal thoughts. Finally, sociocultural risk factors are those
concerns within the culture that increase suicidal thoughts or behaviors.

These three sets of risk factors are listed in the table below.

        Biopsychosocial          Environmental                   Sociocultural
       Mental illnesses,       Job or financial loss         Exposure to,
       particularly mood                                     including through
       disorders,                                            the media, and
       schizophrenia,                                        influence of others
       anxiety disorders,                                    who have died by
       and certain                                           suicide
       personality disorders
       Alcohol and other
       substance use
       disorders
       Hopelessness            Relational or social loss     Stigma associated
       Impulsive and / or                                    with help-seeking
       aggressive tendencies                                 behavior
       History of trauma or    Easy access to lethal         Barriers to
       abuse                   means                         accessing health
       Some major physical                                   care
       illnesses
       Previous suicide        Local clusters of             Some cultural and
       attempt                 suicide that have a           religious beliefs
       Family history of       contagious influence          Lack of social
       suicide                                               support and sense
                                                             of isolation




                           Preventing Suicide in West Virginia
                                     Page 14 of 41
                                                                              draft



Thankfully, there are protective factors for suicide – actions which can
help counter suicide risks. Protective factors
are varied and address individual attitudes and
behaviors as well as the environment and
culture of the community.
                                                          Both risk
                                                                factors an
Protective factors include:                                     protective
       Effective health care and clinical care for              factors are
       mental illnesses and substance abuse;                   addressed in
       Easy access to a variety of clinical                      this plan.
       interventions and supports, including
       peer support, for people seeking help;
       Restricted access to highly lethal means
       of suicide;
       Strong connections to family and community support; and
       Skills in problem solving, conflict resolution, and nonviolent
       handling of disputes.

It is essential to address and support the protective factors, as they have
been helpful in preventing suicide. However, this plan cannot simply
focus on protective factors alone since resistance to suicide is not
permanent. The programs that support and maintain protection against
suicide should be ongoing. As this plan is implemented, attention will be
paid to addressing both the risk factors and the protective factors.




                         Preventing Suicide in West Virginia
                                   Page 15 of 41
                                                                        draft




      Plan Format

This suicide prevention plan is based on West Virginia-specific needs and
resources. The format mirrors that of the National Strategy for Suicide
Prevention: Goals and Objectives for Action. The plan identifies goals and
objectives and outlines the strategies and activities to accomplish such
goals.

The plan is divided into the Awareness, Implementation, and
Methodology (AIM) categories of the national plan. In addition, a section
is devoted to development of the infrastructure needed to oversee the
plan’s implementation.

The four categories are defined as follows:

       Infrastructure – Goals, objectives, strategies, and activities
       addressing the tangible framework needed to secure resources to
       coordinate and provide information and technical assistance to
       organizations, agencies, and individuals working to implement
       goals and objectives within the plan, and to update the plan over
       time.

       Awareness – Goals, objectives, strategies, and activities
       addressing increasing knowledge on a wide-scale basis.

       Implementation – Goals, objectives, strategies, and activities
       addressing the programs and activities conducted to prevent
       suicide.

       Methodology – Goals, objectives, strategies, and activities
       addressing program evaluation, surveillance, reporting, and
       research.

The final section is a document to be used to create a work plan to assure
achievement.




                        Preventing Suicide in West Virginia
                                  Page 16 of 41
                                                                         draft




      Infrastructure



            The tangible framework needed for coordination
            of plan implementation, providing information
            and technical assistance to organizations,
            agencies, and individuals working to implement
            components of the plan, and to updating the plan
            over time.


Goal: Develop broad-based support for suicide prevention among
providers of behavioral health and health care services.

Objective: By 2011, all professional behavioral health and health care
organizations in West Virginia will include suicide prevention activities in
goals and objectives for the organization.

Strategy: The West Virginia Council for the Prevention of Suicide will
coordinate with West Virginia Behavioral Healthcare Providers
Association, the West Virginia Health Care Association, the West Virginia
Primary Care Association, school health services, and college and
university health services, to encourage behavioral health and health care
organizations and providers to adopt suicide prevention as a major goal.

      Activities:
       The chair and executive director of the West Virginia Council for
       the Prevention of Suicide will work with the executive directors
       and chairs of other health care and behavioral health
       organizations to develop a strategy to encourage inclusion of
       suicide prevention goals into the plans of member organizations
       of WVBHPA.
       The West Virginia Council for the Prevention of Suicide will
       develop a suggested protocol and format for behavioral health
       and health care organizations to develop goals, objectives,
       strategies and activities for suicide prevention.
       West Virginia Council for the Prevention of Suicide members will
       be recruited to meet with individual behavioral health and health
       care provider organizations to seek including suicide prevention
       goals into the provider’s goals and objectives.
       West Virginia Council for the Prevention of Suicide members will
       meet with individual providers to recommend a process to include
       suicide prevention in the agency’s goals and objectives.



                         Preventing Suicide in West Virginia
                                   Page 17 of 41
                                                                       draft



       Develop and sign memoranda of agreements between provider
       organizations and state agencies and the West Virginia Council for
       the Prevention of Suicide, supporting implementation of this plan
       with the Council as lead agency and pledging organizational and
       resource support.

Objective: By 2011, the West Virginia Council for the Prevention of
Suicide will be self-sustaining.

Strategy: The West Virginia Council for the Prevention of Suicide will
identify and obtain local, state, and national funding for suicide
prevention, information and education, research and innovative services
development.

      Activities:
       The West Virginia Council for the Prevention of Suicide will create
       a committee to develop a sustainability plan, including the
       identification of federal and state grants which, if awarded, would
       support the goals and objectives of the Council.
       The West Virginia Council for the Prevention of Suicide will
       identify and utilize accomplished grant writers to seek funds
       appropriate to the work of the Council.
       The West Virginia Council for the Prevention of Suicide will work
       with key legislators and other state government officials to obtain
       direct funding through the annual state budget.
       A membership campaign will be developed and implemented.
       Membership levels will be established to attract support from
       major contributors and individuals with limited income.




                        Preventing Suicide in West Virginia
                                  Page 18 of 41
                                                                         draft




      Awareness



            Increase public knowledge of suicide-related
            issues in West Virginia, including risks and
            protective factors for suicide and available
            prevention and intervention resources in the local
            community and throughout the state.



Goal: Promote public and professional awareness that suicide is a public
health problem that is preventable.

Objective: By 2011, an organized campaign to increase public and
professional knowledge of the risk and protective factors for suicide and
available resources for prevention and intervention will be implemented.

Strategy: The West Virginia Council for the Prevention of Suicide will
develop and distribute printed, audio, and video, and Web-based
information designed to increase general and professional knowledge
about risk factors for suicide, protective factors, and resources for
prevention and intervention.

      Activities:
       Finalize and distribute the Suicide Prevention Plan through the
       news media, to elected officials, to behavioral health and health
       care providers and partner organizations of the West Virginia
       Council for the Prevention of Suicide.
       Promote the Website of the West Virginia Council for the
       Prevention of Suicide by encouraging partner organizations,
       behavioral health and health care providers, and mental health
       professional organizations to establish links on their Websites and
       through the news media.
       Develop and implement educational presentations on risks,
       protections, and interventions for the general public, civic
       organizations like the Rotary Club and Kiwanis, and for faith-
       based organizations and churches.
       Conduct a “Suicide Prevention Awareness Day” at the Capitol
       during a legislative session to distribute educational materials,
       including the state plan.
       Develop and implement an informational workshop for junior,
       middle, and high school students.



                        Preventing Suicide in West Virginia
                                  Page 19 of 41
                                                                          draft



Objective: By 2011, the West Virginia Council for the Prevention of
Suicide will ensure availability of education in suicide assessment,
management of risk behaviors, and identification and promotion of
protective factors for all West Virginia health care and mental health
providers.

Strategy: The West Virginia Council for the Prevention of Suicide will
utilize a variety of educational forums and formats to provide for pre-
service and inservice education of mental health and health care
providers.

      Activities:
       Continue and expand suicide prevention workshops for health,
       behavioral health, and social service providers.
       Adapt suicide prevention workshops for professionals using Web-
       based technology and telecommunications.
       Adapt suicide prevention workshops for professionals for use on-
       site in behavioral health and health care organizations.
       Provide workshops and written information to educators,
       behavioral health providers, and health care providers to
       encourage use of assessment instruments and protocols
       developed in West Virginia.
       Develop and implement, with the West Virginia Primary Care
       Association, a plan to incorporate suicide assessment protocols
       and instruments into primary health care practice.

Objective: By 2011, community access to and linkages with mental
health and substance abuse services will be increased.

Strategy: The West Virginia Council for the Prevention of Suicide will
coordinate with other entities to seek to assure improved access to
mental health and substance abuse services.

      Activities:
       Collaborate with the state’s Insurance Commissioner to obtain and
       report insurance parity data concerning mental health and
       substance abuse services in West Virginia.
       Collaborate with Marshall University and the West Virginia Mental
       Health Planning Council to develop strategies to expand school-
       based mental health services.
       Collaborate with officials in the Bureau for Behavioral Health and
       Health Facilities and officials in the Department of Education to
       create permanent state funding for evidence-based school-based
       mental health services.



                         Preventing Suicide in West Virginia
                                   Page 20 of 41
                                                                draft



Increase public awareness of peer-supported warm lines, crisis
intervention services and the availability of hot lines for suicide
prevention services.
Develop and implement a state-wide community linkage
conference, focusing on a system of care and services to persons
with co-occurring mental illness and substance abuse.
Develop a public information campaign regarding the suicide
assessment instrument and protocols developed in West Virginia.
Collaborate with Mountain AIRS, an organization of information
and referral services, in developing information on suicide risks
and protective factors – including a presentation at the annual
conference.
Collaborate with WV-211 and Mountain AIRS to assure crisis
intervention services, suicide prevention hot lines, and peer-
supported warm lines are accurately listed.




                 Preventing Suicide in West Virginia
                           Page 21 of 41
                                                                         draft




      Implementation



            Enhancing and promoting programs, services,
            and activities to prevent suicide by promoting
            protective factors and reducing risks.



Goal: Establish activities to decrease prejudice toward receiving services
for mental health or substance abuse issues, reduce ready access to self-
destructive materials, and assure supports for families and friends of
persons who commit suicide.

Objective: By 2011, strategies to reduce the stigma associated with being
a consumer of mental health, substance abuse, and suicide prevention
services will be developed and implemented.

Strategy: The West Virginia Council for the Prevention of Suicide will
measure prejudice toward receiving services for mental health or
substance abuses issues and create a plan to reduce stigma.

      Activities:
       Collaborate with a public opinion poll expert to examine the level
       of stigma associated with seeking and receiving services for
       mental illness or substance abuse; establish benchmarks and
       conduct another poll three years later.
       Coordinate with the West Virginia Inclusion Campaign to expand
       anti-stigma information dissemination focused on mental health,
       substance abuse, and suicide prevention.
       Collaborate with the West Virginia Primary Care Association to
       develop and implement a “poster campaign” with posters,
       business cards, and magnet cards for primary care clinics in West
       Virginia.
       Utilize Webcasts and telecommunications to communicate with
       health care professionals, educators, and social service personnel
       on methods to encourage people who attempt suicide to seek
       professional help.
       Develop and distribute prevention awareness information to
       community areas such as churches, grocery stores, and
       laundromats.
       Develop and implement a public relationscampaign using
       newspaper articles, billboards, and radio advertising to provide
       basic information or attention grabbing facts.


                         Preventing Suicide in West Virginia
                                   Page 22 of 41
                                                                         draft



       Provide, for each behavioral health and primary care provider, a
       notebook describing and including the assessment protocols and
       instruments that have been developed in West Virginia.
       Provide a copy of the assessment instruments on cards that could
       be easily accessible to providers.

Objective: A campaign to increase efforts to reduce access to lethal
means and methods of self-harm among people who have been assessed
as at risk for suicide will be developed and implemented by 2011.

Strategy: The West Virginia Council for the Prevention of Suicide will
continue to develop and implement activities to readily access the
potential for suicide and reduce access to lethal methods of self-harm for
people assessed at risk.

      Activities:
       Continue to provide information to encourage the use of
       assessments in health care, education, and social service settings.
       Develop and distribute a fact sheet with statistics regarding use of
       medications and suicide risk for distribution to providers,
       communities, and individuals at risk.
       Collaborate with the Department of Natural Resources and / or
       other entities to develop and implement a public education
       campaign concerning safely storing and securing firearms.
       Collaborate with the Department of Natural Resources and / or
       other entities to distribute gun locks.
       Encourage health care and behavioral health professionals to
       counsel families and friends about preventing access to means of
       suicide for persons who have attempted suicide.

Objective: Efforts to improve services to individuals who have been
affected by the death of a loved one due to a suicide will be implemented
by 2011.

Strategy: The West Virginia Council for the Prevention of Suicide will
coordinate with other organizations to develop or enhance support
groups for people who have been affected by the death of a loved one
due to suicide.

      Activities:
       Collaborate with the Mental Health Associations in Morgantown
       and Charleston, local NAMI affiliates, Mountain State Parents CAN,
       Mountain State Family Alliance,the West Virginia Mental Health
       Consumers’ Association, and the Peer Recovery Network in the
       development of materials that might be used to develop and


                        Preventing Suicide in West Virginia
                                  Page 23 of 41
                                                                draft



implement support groups for individuals affected by the death of
someone due to suicide.
Develop and implement a training program for behavioral health,
health care, and social service providers on appropriately
supporting suicide survivors.
Develop and implement a training program for medical, fire, and
law enforcement personnel who respond to attempted and
completed suicides.
Coordinate with the Data Integration and Security Division of the
Bureau for Behavioral Health and Health Facilities to assure
information on suicide assessmen and suicide prevention are
included in training for first responders.
Provide informational “business cards” and “magnet cards” with
contact information for the Suicide Hot Line for law enforcement,
firefighters, EMS personnel and other first responders.
Develop and utilize a train the trainers curriculum for facilitators
or leaders of support groups for individuals affected by the death
of a loved one due to suicide, including procedures for marketing
such support groups.
Develop and implement information dissemination to leaders in
faith-based communities, providing information on support
groups for individuals affected by the death of a loved one due to
suicide.




                 Preventing Suicide in West Virginia
                           Page 24 of 41
                                                                        draft




      Methodology



            Gathering data to evalute the effectiveness of
            programs, activities, and clinical treatments, and
            conducting suicide-specific surveillance and
            research.



Goal: Assure that health care, behavioral health, social service providers,
and the general public are aware of the latest information concerning
suicide and suicide prevention.

Objective: By 2011, the West Virginia Council for the Prevention of
Suicide will promote and support research on suicide and suicide
prevention.

Strategy: The West Virginia Council for the Prevention of Suicide will
develop and maintain a databank of information on suicide statistics and
prevention of suicide.

      Activities:
       Maintain links to national research informaton concerning suicide
       and suicide prevention on the Website of the West Virginia
       Council for the Prevention of Suicide.
       Utilize regular publications, brochures, educational activities, and
       public information activities to disseminate informaton on
       research and research outcomes.
       Collaborate with the Bureau for Public Health and the West
       Virginia Wellness Council in disseminating information on suicide
       attempts and deaths by suicide.
       Continue annual conferences sponsored by the West Virginia
       Council for the Prevention of Suicide.
       Assure attendance of staff and at least two Council members of
       the West Virginia Council for the Prevention of Suicide attend at
       least one national conference on suicide prevention annually.
       Use information from the Suicide Prevention Resource Center and
       the Centers for Disease Control to develop and disseminate
       suicide prevention fact sheets.




                         Preventing Suicide in West Virginia
                                   Page 25 of 41
                                                                                                     draft




      Achieving the Goals of the Plan

This plan has four goals and                                            could be “continuous” or a
nine objectives. It includes         The grid on the following pages    specific date.
strategies and activities which      is provided for use by the
are designed to accomplish the       Council in developing a work       The final column is headed
goals and objectives. It is a five   plan.                              “Effort Required” and is an
year plan – expected to be                                              important item to consider for
completed or modified by 2011.       Goals and objectives are re-       achieving the plan. “Effort” will
                                     stated in each of one of four      consider the resources needed –
Specific timelines for objectives    categories: Infrastructure,        human resources, funding,
and activities are not listed in     Awareness, Implementation, and     physical or technical resources,
this plan. It is expected that       Methodology. Activities planned    and activity or project
major responsibility and             for each of the objectives are     management requirements.
accountability to achieve the        then listed. To the right of the
plan will be given to the West       activities are possible dates      This Achievement Plan or Work
Virginia Council for the             (year) for completion. The work    Plan should be completed by the
Prevention of Suicide when it is     plan to be developed will          Council within three months of
approved by the West Virginia        establish target dates for         the plan’s acceptance by the
Department of Health and             completion of each activity and    Department of Health and
Human Resources.                                                        Human Resources.
                                                                                                                     draft




                                                       INFRASTRUCTURE

Goal: Develop broad-based support for suicide prevention among providers of behavioral health and health care
services.


Objective: By 2011, all professional behavioral health and health care organizations in West Virginia will include
suicide prevention activities in goals and objectives for the organization.


                   ACTIVITY                           2007 2008 2009 2010 2011                   EFFORT


The chair and executive director of the West
Virginia Council for the Prevention of Suicide will
work with the executive directors and chairs of
other health care and behavioral health
organizations to develop a strategy to encourage
inclusion of suicide prevention goals into the
plans of member organizations of West Virginia
Behavioral Health Providers’ Association.



The West Virginia Council for the Prevention of
Suicide will develop a suggested protocol and
format for behavioral health and health care
organizations to develop goals, objectives,
strategies and activities for suicide prevention.




                                                      Preventing Suicide in West Virginia
                                                                Page 27 of 41
                                                                                                                draft




West Virginia Council for the Prevention of
Suicide members will be recruited to meet with
individual behavioral health and health care
provider organizations to seek including suicide
prevention goals into the provider’s goals and
objectives.



West Virginia Council for the Prevention of
Suicide members will meet with individual
providers to recommend a process to include
suicide prevention in the agency’s goals and
objectives.



Develop and sign memoranda of agreements
between provider organizations and state
agencies and the West Virginia Council for the
Prevention of Suicide, supporting implementation
of this plan with the Council as lead agency and
pledging organizational and resource support.




Objective: By 2011, the West Virginia Council for the Prevention of Suicide will be self-sustaining.


                  ACTIVITY                         2007 2008 2009 2010 2011                            EFFORT


The West Virginia Council for the Prevention of
Suicide will create a committee to develop a



                                                   Preventing Suicide in West Virginia
                                                             Page 28 of 41
                                                                                             draft




sustainability plan, including the identification of
federal and state grants which, if awarded, would
support the goals and objectives of the Council.



The West Virginia Council for the Prevention of
Suicide will identify and utilize accomplished
grant writers to seek funds appropriate to the
work of the Council.



The West Virginia Council for the Prevention of
Suicide will work with key legislators and other
state government officials to obtain direct
funding through the annual state budget.



A membership campaign will be developed and
implemented. Membership levels will be
established to attract support from major
contributors and individuals with limited income.




                                                       Preventing Suicide in West Virginia
                                                                 Page 29 of 41
                                                                                                                     draft




                                                           AWARENESS

Goal: Promote public and professional awareness that suicide is a public health problem that is preventable.


Objective: By 2011, an organized campaign to increase public and professional knowledge of the risk and protective
factors for suicide and available resources for prevention and intervention will be implemented.


                   ACTIVITY                          2007 2008 2009 2010 2011                    EFFORT


Finalize and distribute the Suicide Prevention
Plan through the news media, to elected officials,
to behavioral health and health care providers
and partner organizations of the West Virginia
Council for the Prevention of Suicide.



Promote the Website of the West Virginia Council
for the Prevention of Suicide by encouraging
partner organizations, behavioral health and
health care providers, and mental health
professional organizations to establish links on
their Websites and through the news media.



Develop and implement educational
presentations on risks, protections, and
interventions for the general public, civic



                                                     Preventing Suicide in West Virginia
                                                               Page 30 of 41
                                                                                                                    draft




organizations like the Rotary Club and Kiwanis,
and for faith-based organizations and churches.



Conduct a “Suicide Prevention Awareness Day” at
the Capitol during a legislative session to
distribute educational materials, including the
state plan.



Develop and implement an informational
workshop for junior, middle, and high school
students.




Objective: By 2011, the West Virginia Council for the Prevention of Suicide will ensure availability of education in
suicide assessment, management of risk behaviors, and identification and promotion of protective factors for all West
Virginia health care and mental health providers.

                  ACTIVITY                        2007 2008 2009 2010 2011                       EFFORT


Continue and expand suicide prevention
workshops for health, behavioral health, and
social service providers.




                                                  Preventing Suicide in West Virginia
                                                            Page 31 of 41
                                                                                           draft




Adapt suicide prevention workshops for
professionals using Web-based technology and
telecommunications.



Adapt suicide prevention workshops for
professionals for use on-site in behavioral health
and health care organizations.



Provide workshops and written information to
educators, behavioral health providers, and
health care providers to encourage use of
assessment instruments and protocols developed
in West Virginia.



Develop and implement, with the West Virginia
Primary Care Association, a plan to incorporate
suicide assessment protocols and instruments
into primary health care practice.




                                                     Preventing Suicide in West Virginia
                                                               Page 32 of 41
                                                                                                               draft




Objective: By 2011, community access to and linkages with mental health and substance abuse services will be
increased.


                   ACTIVITY                          2007 2008 2009 2010 2011                  EFFORT


Collaborate with the state’s Insurance
Commissioner to obtain and report insurance
parity data concerning mental health and
substance abuse services in West Virginia.



Collaborate with Marshall University and the
West Virginia Mental Health Planning Council to
develop strategies to expand school-based mental
health services.



Collaborate with officials in the Bureau for
Behavioral Health and Health Facilities and
officials in the Department of Education to create
permanent state funding for evidence-based
school-based mental health services.



Increase public awareness of peer-supported
warm lines, crisis intervention services and the
availability of hot lines for suicide prevention
services.




                                                     Preventing Suicide in West Virginia
                                                               Page 33 of 41
                                                                                         draft




Develop and implement a state-wide community
linkage conference, focusing on a system of care
and services to persons with co-occurring mental
illness and substance abuse.



Develop a public information campaign regarding
the suicide assessment instrument and protocols
developed in West Virginia.



Collaborate with Mountain AIRS, an organization
of information and referral services, in
developing information on suicide risks and
protective factors – including a presentation at
the annual conference.



Collaborate with WV-211 and Mountain AIRS to
assure crisis intervention services, suicide
prevention hot lines, and peer-supported warm
lines are accurately listed.




                                                   Preventing Suicide in West Virginia
                                                             Page 34 of 41
                                                                                                                     draft




                                                     IMPLEMENTATION

Goal: Establish activities to decrease prejudice toward receiving services for mental health or substance abuse issues,
reduce ready access to self-destructive materials, and assure supports for families and friends of persons who commit
suicide.


Objective: By 2011, strategies to reduce the stigma associated with being a consumer of mental health, substance
abuse, and suicide prevention services will be developed and implemented.


                  ACTIVITY                          2007 2008 2009 2010 2011                      EFFORT


Collaborate with a public opinion poll expert to
examine the level of stigma associated with
seeking and receiving services for mental illness
or substance abuse; establish benchmarks and
conduct another poll three years later.



Coordinate with the West Virginia Inclusion
Campaign to expand anti-stigma information
dissemination focused on mental health,
substance abuse, and suicide prevention.



Collaborate with the West Virginia Primary Care
Association to develop and implement a “poster
campaign” with posters, business cards, and



                                                    Preventing Suicide in West Virginia
                                                              Page 35 of 41
                                                                                            draft




magnet cards for primary care clinics in West
Virginia.



Utilize Webcasts and telecommunications to
communicate with health care professionals,
educators, and social service personnel on
methods to encourage people who attempt
suicide to seek professional help.



Develop and distribute prevention awareness
information to community areas such as
churches, grocery stores, and laundromats.



Develop and implement a public
relationscampaign using newspaper articles,
billboards, and radio advertising to provide basic
information or attention grabbing facts.



Provide, for each behavioral health and primary
care provider, a notebook describing and
including the assessment protocols and
instruments that have been developed in West
Virginia.



Provide a copy of the assessment instruments on
cards that could be easily accessible to providers.




                                                      Preventing Suicide in West Virginia
                                                                Page 36 of 41
                                                                                                                           draft




Objective: A campaign to increase efforts to reduce access to lethal means and methods of self-harm among people who have been
assessed as at risk for suicide will be developed and implemented by 2011.



                   ACTIVITY                           2007 2008 2009 2010 2011                         EFFORT


Continue to provide information to encourage
the use of assessments in health care, education,
and social service settings.



Develop and distribute a fact sheet with statistics
regarding use of medications and suicide risk for
distribution to providers, communities, and
individuals at risk.



Collaborate with the Department of Natural
Resources and / or other entities to develop and
implement a public education campaign
concerning safely storing and securing firearms.



Collaborate with the Department of Natural
Resources and / or other entities to distribute
gun locks.



Encourage health care and behavioral health
professionals to counsel families and friends



                                                      Preventing Suicide in West Virginia
                                                                Page 37 of 41
                                                                                                                    draft




about preventing access to means of suicide for
persons who have attempted suicide.




Objective: Efforts to improve services to individuals who have been affected by the death of a loved one due to a
suicide will be implemented by 2011.


                   ACTIVITY                          2007 2008 2009 2010 2011                    EFFORT


Collaborate with the Mental Health Associations
in Morgantown and Charleston, local NAMI
affiliates, Mountain State Parents CAN, Mountain
State Family Alliance,the West Virginia Mental
Health Consumers’ Association, and the Peer
Recovery Network in the development of
materials that might be used to develop and
implement support groups for individuals
affected by the death of someone due to suicide.



Develop and implement a training program for
behavioral health, health care, and social service
providers on appropriately supporting suicide
survivors.



Develop and implement a training program for
medical, fire, and law enforcement personnel
who respond to attempted and completed
suicides.




                                                     Preventing Suicide in West Virginia
                                                               Page 38 of 41
                                                                                           draft




Coordinate with the Data Integration and Security
Division of the Bureau for Behavioral Health and
Health Facilities to assure information on suicide
assessmen and suicide prevention are included in
training for first responders.



Provide informational “business cards” and
“magnet cards” with contact information for the
Suicide Hot Line for law enforcement,
firefighters, EMS personnel and other first
responders.



Develop and utilize a train the trainers
curriculum for facilitators or leaders of support
groups for individuals affected by the death of a
loved one due to suicide, including procedures
for marketing such support groups.



Develop and implement information
dissemination to leaders in faith-based
communities, providing information on support
groups for individuals affected by the death of a
loved one due to suicide.




                                                     Preventing Suicide in West Virginia
                                                               Page 39 of 41
                                                                                                                        draft




                                                       METHODOLOGY

Goal: Assure that health care, behavioral health, social service providers, and the general public are aware of the latest
information concerning suicide and suicide prevention.

Objective: By 2011, the West Virginia Council for the Prevention of Suicide will promote and support research on
suicide and suicide prevention.

                  ACTIVITY                          2007 2008 2009 2010 2011                         EFFORT


Maintain links to national research informaton
concerning suicide and suicide prevention on the
Website of the West Virginia Council for the
Prevention of Suicide.



Utilize regular publications, brochures,
educational activities, and public information
activities to disseminate informaton on research
and research outcomes.



Collaborate with the Bureau for Public Health and
the West Virginia Wellness Council in
disseminating information on suicide attempts
and deaths by suicide.




                                                    Preventing Suicide in West Virginia
                                                              Page 40 of 41
                                                                                         draft




Continue annual conferences sponsored by the
West Virginia Council for the Prevention of
Suicide.



Assure attendance of staff and at least two
Council members of the West Virginia Council for
the Prevention of Suicide attend at least one
national conference on suicide prevention
annually.



Use information from the Suicide Prevention
Resource Center and the Centers for Disease
Control to develop and disseminate suicide
prevention fact sheets.




                                                   Preventing Suicide in West Virginia
                                                             Page 41 of 41

								
To top