Netsmart CareThreads
Netsmart CareThreads

Episode · 1 year ago

5. Keeping Suicide Prevention Top of Mind All Year Round


Suicide is the second leading cause of death among today’s youth; therefore, we must continue to expand awareness and encourage individuals to take action. Awareness is the first step to prevention, and we all can play a role in supporting one another, preventing suicide and removing the stigma surrounding mental health. 


Lisa Desai, Psy.D., director of behavioral health consulting, and Lea Karnath, senior program manager, at MindWise Innovations join Netsmart Director Keith Boushee to discuss how their organization is taking action to respond to their community’s mental health needs. 


Discussions with Lisa and Lea included: 


- The national rise in suicide rates for both youth and adults


- How COVID-19 may be impacting suicide rates


- MindWise's evidence-based SOS (Signs of Suicide) program for students


- How the SOS program is currently leveraging technology to virtually expand awareness amid the pandemic


- Confronting stigma surrounding suicide


- How everyone can play a role in suicide prevention 


If you want to hear more episodes like this one, look for the Netsmart CareThreads podcast on Apple Podcasts, Google Podcasts, Spotify or Stitcher.

Welcome in net smart care threads, apodcast were human services and postecute leaders across the healthcarecontinuum come together to discuss industry trends, challenges andopportunities. Listen is we uncover real stories about how to innovate andimprove the quality of care to the communities we serve? Let's get intothe show. My name is Keith Buchet and I'm yourhost. Today I serve as a community strategists for Netsmart Septemberssuicide prevention awareness month, and our topic today is suicide preventionand treatment and the younger population. If you were someone whoknows having suicidal thoughts, please reach out for op the National SuicidePrevention Lifeline is open. Twenty four hours a day at on eight hundredtwo seven, three, eight tw five. Five, why prevention efforts are needed isclear. In the past few years, reports have shown high rates of suicide andTeine and young adult page groups in two thousand, and seventeen death bysuicide was the tenth most common cause of death, but it was the second lakingcause of death for the fifteen to twenty four H, grooup behind accidents.More recently, during the covid nineteen pandemic, mental healthconditions are disproportionally affecting specific populations,especially on adults. In one survey, eleven percent of respondence reportedthey had seriously considered suicide in the past thirty days, but in H,Eightheen o twenty four age group. That number was oneed four more than twiceas high the Centers for Disease Control and prevention points to the need toincrease intervention and prevention efforts. To talk with me about thistoday, I'm excited to be speaking with Lucid Desi, director of brehavoralhealth, consulting and LEA carnaups senior provrame manager from minewiseinnovations, a part of riverside community care located in Massachusetts,highlisap and Leo Welcome. Can you tell us about minewise innovations and maybespeak to what you're, seeing in regards to an increase in suicide risk and theYunder population? Sure I keep this is leas, so thank youso much for having is today joining in this very important conversation. We'reseeing from a community perspective. I know Lea will talk about our Ogerpopulation from a adult community and workplace perspective were seeing nosurprise a striking increase, anxiety and depression h as many surveys orbearing out of the course of last several months, as well as an UPTOK insubstance misuse during the course of this pandemic. Just a a word aboutriverside community care and my wise somiwise has the mission of providing suicide prevention, programsand educational materials and trainings as well as behivral, halt the waresprograms with the overall mission to be preventative, proactive and engage inearly identification. So people can get access to services. In light of the statistics that you shared. This isa difficult topic to address. It can feel very grim, often to talk about andone of the things that we really try to keep in mind at mind, wise and andremind people that it's important to think about the action that needs to betaken, that the problem has far hasn't been that folks are struggling withbeharial health, which is natural for people to struggle for Almas tostruggle. It's that not enough has been done to address tehavial halfh needs. I can talk to what we see rerecently inthe youth population, so keep, as you mentioned in the beginning, as suicideis now the second lead and cause of death for you, anm in the CBC justrecently released their youth risk. Behavior Survey data for two thousandand nineteen, which comes out every two years and hats tough reports on ristbehavior for high school youth. There's some of the data that we learn fromthat report so about nineteen percent of Youh say that they seriouslyconsidered attempting suicide about. Sixteen percent have made a plan abouthow they would attempt and about nine...

...percent, have actually attemptedsuicide in the last year, and these numbers have all slightly brisen, sincethe data form two thousand and seventeen. But we want to point outwhen people ask about how cold and will effect suicide raths on general,specifically amongst you, we won't really have any meaningful substantialdata for a few years now so, like Lisa was mentioning before we want to focuson theact ancepts. What we can do to help people and encourage them to reachup so, fortunately, suicide is still relatively uncommon among youth. Thinis why it's really important to educate teens about the many halfways to seehow and then once teans do see how many start to feel much better great. Thank you lea. I know. Minewiseinnovations has a program called SOS signs of suicide. Can you tell us aboutthat? Absolutely so. After lasses a programthat's been around since two thousand and one for middle school and highschool students, the program Rhanch, as about a million and a half students onan annual basis, and we currently serve over twosand schools and organizationin ever state across the country. It's an evidence, bace program that teachesstudents to act if they're worried about themselves or a friend. So whatthe program actually includes is pure to peere messaging through a video inguide, a discussion which is then followed by a depression, screeping anda sudent response up where students can indicate if they like to talk tosomeone about themselves or a friend and then school mental health sap willfollo up with those students in need. One of the things that schools reallylove about the program is that it can be delivered in one class period,there's no additional training required in order to deliver the program, andour program team is also available throughout the year to provide supportand consultation great. So Lea. I know that you in the Sin Te suicide teamrecently received a verviside careaward free work. So I wante to say:Congratulations. Thank you so much to appreciate that you, but, and youmentiond act, there's a technique in the program called it act. Can youexplain what that stands for and how choosed definitely so we use an easy toremember Atonem, that Guy Sudem son, what to do when they're worried aboutthemselves over a friend. So this is act acknowledge that your seeing signsof suicide or depression in a friend and that it's serious care by lettingthem know you're, worried and then the last hal across the doll, and we usethe same acronym to Guide Faculty and staff with a slight twist. So, insteadof telling a trust of the doll, we want to encourage faculty and staff tofollow their school protocol and tell a mental health, professional, so WESA. Iknow you've sort of adapted this model to the adult population. Do you want totalk about that? We have so we do a lot of work ifaround employee metal, health and so one of the things that we preatiscalled sevil hop litercy and its a way of level setting understanding, Arabbi,Hebro, half mainly to the two Didemystifi wet mental health andsubstance. miuse are so we kind of go through descriptions that this is whatlooks like this is how mental health struggles can show up at work and ifyou notice that appear struggling or even afamily meber at home is struggling. How can you begin to have this conversation,so we have adapted act to acknowledge care and talk and the TALP parties. Itcould be talking with the colleague Your Partner Yourself, a warprofessional, so very much so, and it's sometipes Nice for people to feel likethey have a bit of a frame to guide them and having these conversations you both mentioned talking andcommunication a lot. So I guess communication is the key, a d notkeeping it secret talking to peers talking to trusted adults and talkingto other folks and organizations exactly great, and you also mentioned Siens of suicide- isevident pace. What's that mean Yeah...

Hat's a great question, so yes Atso, asis evidence based and which o means that there has been research conducted.There have been three randomized control trials on Asas and thesestudies were focused on determining an SSO s is succeeding at its STATA goals,which are reducing suicide, attemts and spreading awareness about depressionand suicide. Amongst you, great what ire, someby Olse fom, you saying in theprogram so in the randomize control childsstudents who received Asas compared with the control group oure sixty fourpercent, less likely to report a suicide attempt in the next threemonths, and he students also reported more favorable attitude towards gettinghelp for themselves or friends for thepen Andoor, suicidal thoughts. Sosince we have a national erage, sometimes it's challenging Tho collectcurrent and meaningful data, and this is why we rely on some of our partnersacross the country to share what they are collecting throughout the year. Sowe work a cads colation, which is a St Louis based organization, in additionto Lus as mission which is Chicago based, and they have served hundreds ofthousands of students throughout the years and they were portof. An averagefollow Brat of twelve to thirteen percent, which means that of the allthe students that went through the programan about twelve to thirtopercent have reached out for help and MPRESENLY. Half of these tunets willrefer for additional avaluation and services. So we know that the programis working, that these students were followed up with are getting help thatthey need and a very small percentage less than one percent are an immediatecrisis on the day of the program which really works to kind of demestifytalking about suicide, because there is this myth that talking about suicidecan be harmful, that it might put the idea ind ther, had we know that this isnot true at all. The programs actually identifying students that would haveotherwise gone under the radar, and it's really allowing students to cometo the forecrod and reach out for HEALP. That's great for SOS. Can you talkabout? What's changed in your program if anything due to COVID nineteen?Absolutely so over the past several for several months, we've adapted theprogram to fit virtual or and person delivery really meeting the needs ofschools, increasing the types and number of resources available to familyand communities. We've rolled out a parent car WAPANAR. This fall inaddition to a trauma indstead of schools Lov in our series for educators,in terms of the program materials making sure that they're all relevant,really helping students, students be engaged with Asoaf, so we've createdtraining side decks along with tips to the Leberaoause in a virtualenvironment, and we also found an intro club that addresses current times tomake sure that, even though the scenes in the video may not look like whatstudents are going through, that the main message of act is still relevant,especially now great. So in this time of socialdistanceaing stayed home, orders, isolation that we're all feeling tosome extent, I'm guessing technology, plays somewhat of a role in stayconnected. What are some of the ways technologies used in your organization?Your program? That's a really great question, So Min wise. We always focuson the power F technology to reach lorgeaudiences, so at's. So us is a fully digital program. Like I mentioned we'rereally focusing on wevernars with ges speakers, and especially now more thanever, since things are changing so much. We really want to make sure that we'remeeting the needs of school so gathering feedback throughout the pastfew months. There a e surveys through virtual focus groups, and I really lovethe opportunity to have dialogue, andlocate communication with educatorfrom across the country. But with these...

...virtual focus groups, people havereally valued talking to other ajucators from the other side of thecountry and also something that we've offered is a parent page, which is awebsite that parents can access to learn about youth. Mental health hitcan take a depression screening on behalf of their child askess theprogram, videos and just really really know how to engage in that conversationand also has national resources that anyone can recalp to an least wat. Areyou seeing in the adult population so similar to SMS, with the wort Lik,providing many webenars interactive trainings modules? So people can reallyengage in the conversation as well as learnd material lots of kind ofspecific websites that are designed for specific needs or the technology,industry or construction, or kind of very specific issues that are coming uparound mental health in the workplace? For certain sectors, we also have anonline behavial health program that is for ages, eighteen and older, so it'sactually very widely used in college populations as well as the workplace.It has always been completely online, so it's been very useful these times,and the idea is that we have a twelve validated brief spring tools and theyare designed for people to do a quick check in as kind of a checkup from theneckup, I think, is how we've referred to it in the past, and the idea is thatwe're very comfortable checking in with our heartrate of blood pressure, allHese all of these kinds of things and in the same way, it's important tothink about how we're doing and checking with tour emotional andpsychological bolbing as online and virtual great for the past ten years or so, I've beenpersonally involved in the suicide prevention nonprofit that was startedby some friends of mine who lost the son to suicide when he was eighteen,u'nfamiliar sum up with the stigma that surrounds suicide. Can you both talkabout some of the ways the program seeks to reduce a stigma? I think a common theme throughoutminewise is that we need to address stigma by havingconversation by bringing metral health and subsistences out of the shadows notbe afraid to talk about it. Silence and fear are the things thatstickmat thrives on and the more we become comfortable talking about it,the less scary it is, and the less tapoo it is. I know sls has veryspecific ways of which you address digma Weah Yeah, so I can can talk tothat in the youth population. So we want to Addost Igma with all theAPLIENCES, so students, cace, tean stuff and parents, to what was justtalking about really bringing it out of the shadows. Making someone understandthat it's not a character FAW, that if they were to have the flu they had thecommon cold, they wouldn't be embarrassed to talk about it. They knowthat treatment helps ther, something that they can do, and we want studentsto understand this for mental health conditions that there's treatment,available. People who see treatment often feel much better and that talkingabout suicide can be one of the most helpful things you can do to helpsomeone so through our program, materials and resources that we provide.We want to emphasize normalize and having the conversation, and then wehave specific kind of infagraphics and resources for those thory audiences.Great. Thank you both what some of the risk bastors in the age group that youare each working with, that we can talk about sure. So I can talk about theyouth population and some of what I'm saying will relate to the adultcompedition as well. At least ti can add on, but one of the first ones istrauma, so is can be at first childhood experiences and some examples includeteglect, physical, sexual, emotional abuse, household mental illness,parental separation, divorce, incarsecated, parent and youth, whoexperience seven or more adverse...

...childhood experiences or fifty onetimes more likely to a tempt suicide, which is really staggering. So this iswhy we're focusing on a trauma, sensitive schools, Webinour series.This fall because we want actit school educators to be Avar, ofthy effect ofTrama. On mental health, so they can feel empowered to recognize and respond accordingly, andsome of the other important respectors include death of a loved one, untreatedmental health conditions. So one mental health conditions like depression areuntreated. A team may begin to feel so hopeless that they consider suicide,and this is why it's important that we encourage youth to reach out for help,so they can begin a Jerney of recovery and another important one is access tolethal means. So I always profess us with mentioning that it's not from apolitical stampman at all, but we're pointing out the facts. So access Ofuns. Eighty six percent of Youe suicide, that involved a gun, belong toa family member. This is why Interatov that parents understand the increaserisk when guns are accessible in the home and some other ones includesubstance, use drinking or dig Greos, and then that was that identify as avtk and I' LEASA. What are some of the respactors that you're, seeing in theadult population yeah? It will, as you mentioned, and you're absolutelycorrectly, assom. Many of rest factors are the same, so traumatized Shileneraadlescens. Then opefufoook or win to adult hon to and become and still carrythose them scars with them. So we know the trauma: Depression, chronic or cute.Depression is linked to suicide. Certainly, substance misuse a couple ofspecific pieces of information, Bo bewould misused and specifically whenone is regularly, Missus Opios is like to seventy five percent increase insuicide risk, so that is really remarkable when you think about andwhen you think about the overlap between those that are self medicating,perhaps Du to trauma and then sub supacuse, and then the link to suicide,it becomes even stronger. We also know that there's certain sectors of thepopulation based on their professional work life are more at risk, and so weyu would mention that SENOFA disease control earlier the CDC for an examplesites, constructurn manufacturing as one of the top industries,unfortunately at risk. The risk for suicide and construction is four timesthat of the general population. So the reasons for that can be cultural in thesense that there's often transient nature of the work financialinconsistency that goes with that financial stress, the physical Laborthat that takes the toll as well as kind of a stoic nature of the work andof the culture that makes it harder to reach out for help. So we are verycommitted to working in those sectors and building a culture within thatwhere it's becomes easier to talk about behave your health and to support oneanother to support one another in seeking out treatment. One of thepieces of why construction and manufacturing related industries arealso higher risk is because the still the it's working age- men Aucasian men that areemployed and working age- men are at high risk of deat by suicide wow. So what is some of the signs of depression or suicide risk thatparents should look for with their kids? That's a really great cuaution. So thefirst thing I like to point out as any big changes. Behavior, so is your childisolating or withdrawing? Have they stopped doing things? They once reallyused to love, doing verbalizing, suicidal intent or writing this onsocial media and one of the...

...misconceptions about depression andteens is that they they look. They appear to be kind of very sad, lookvery popeless, but a common warning sin for Tans as Inger or irritability. Thatcould indicate suicide or depression risk and then things like changes inbehavior. So as your childs ove been too much or too little have they beencomplaining of physical discomfort like body Akes, which seem to have no othercause and then again just really empasizing talking about suicide totake it seriously, if your child is verbalizing to as hetal and ten, evenif they later say it was a joke and then Lisa do you want to talk to theimportance of parents taking care of their own mental health? Absolutely, and also just one higlight,a couple things you SEDLEA it, which is that the change in behavior, I think,is so key. So if you have a team or preteen orcall student, that istypically very social and becomes less social or maybe a TI, a more quietorsubdued Tean, who certainly is who then is engaging behaviors that might beseen as risky or kind of just outside who they typically are. I think it maynot always mean that they are feeling suicidal, that it opens the door tohaving a conversation about how they're doing, and that could be useful to yourpoint: Lea Parents taking care of themselves and also recognizee theother family members are struggling these days with quarantine and justkind of not being able to kind of see others or do the needs with elderlyas well as siblings. There may be extended family members that arestruggling, so it's important for parents to think about. How is thatimpacting your team hat when people are working remotely, if there's a frulojob, layoff financial stressers? All of that can be tough. So I think that partof what ss does around the parent support and parent information is keyin that regard, and I know one that technology pieces is you brought all ofthat online as well, so parents are getting the act, information home inthe same wiygat the teachers were before it said. Is that right, that'scorrect, so I think that of cats phenomenal that that's happening in terms of adults. We talk a lot aboutwhat do you notice of work or in your lives at home? If you have concernswhat might that look like so again pulling away not attending meeting stepshowing up on zoom calls not wanting to go on social distance walks frustration,a lot of frustration that flying off the handle, those reoll as sizes tolook for an n course increase in any kind of substance. Use Right things shall look for. Thank youboth. So what can we do? What's it called the action ars? I can talk alittle bit about the individual level and help we SA Jumen to and on and talkabout, the organizational level but kind of the KEYP name of what we've allbeen talking about is the importance of communication, so going back to thebeginning, incurt and everyone to act so Itaese that your firs seene sins, AP,suicid or depression in a locked one care by liking. Them know, you're,worried about them and tell someone have them reach out for Helth, as wetalked about if you're concerned, just simply ask how they're doing you don'thave to be perfect as long as you're a good listener, you use respectfullanguage and just bin genuine with that loved one and know that if you arestruggling, there are people who care for you. There are many avenues toreach out the suicide prepectiv lifeline. The crisis textline areresources that are available twent for seven free and confident job, and thenour resources are also available to the public. So there are webeners that weoffer throughout the year that educate ondifferent topics related tobehavioral health and Suicide Profectiom from an organizationalperspective. It's important, for you...

...know as adults for your listeners. Ifyour part, if you're working for an organization, even a committee, whatare the resources that are available? What are the BEHARIOL health resources?Also educational materials? What can you get or what are you missing in yourworkplace if you're in a leadership position its weall important to thinkabout? How can you engage your teams? How can you engage employees bentalking about this again is really important to think about the herolhealth affects all of us. Mental health affects all of us, it's on a Continuin,so we have to make it notded Tobou topic and realize that the same waythat there's some folks that struggle with oddwaing physical illness, wheremay be folk struggle with ongoing mental elness theree, also lot of usthat are in the middle of somewhere. How we're doing fluctuates with what'sgoing on around so tehoofs organizations, to really provide solidsupports to to empower and to really protect folks of this situations. Great, thank you and for folks thatwant more information about the program. I know they can go to mindwise dop work.They can look on the Internet for sins of suicide. The SOS program, as Imentioned, there's some video clicks out on youtube that you can check out,and I want to thank you both so much for the work that you're doing and forsharing your experiences with us today. Thank you. So much for having this Kepis really important, discussion and appreciate your making the time tohaves here and you hear thank you at Nat, smart. We understand thechallenges facing provider organizations. Our team will help younavigate changing value, based care models with solutions and services thatmake person Centrd care or reality will equip you with technology and servicesthat provide holistic, real time. Views of Care Histories that inform betterdecision making and better outcomes visit us today at ntstcom Netsmartserving you. So you can serve others thanks for listening to the NetsmartCare, threads podcast through collaboration and conversation, we canwork together to make healthcare more connected than ever before and bettersupport the communities we serve to ensure you never miss an episode.Please subscribe to the show in your favorite podcast player. If you useapple podcast, we'd love for you to give us a quick rating for the show,just HAP tae number of stars, that you think the podcast deserves until nexttime.

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