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How To HELP A Friend: Creating a Campus Community of Caring

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on 5 August 2014

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Transcript of How To HELP A Friend: Creating a Campus Community of Caring

Suicide Prevention
Emergency Services
San Francisco Suicide Prevention (24 hour Crisis Line) (415) 781-0500
For Spanish Speakers Linea de Apoyo (415) 989-5212
National Suicide Prevention Lifeline: 1-800-273-TALK (8255)
San Francisco Mobile Crisis (415) 970-4000
911: Emergency
San Francisco General Hospital: (415) 206-8125
Westside Crisis Clinic (415) 355-0311

How To HELP A Friend:
Creating a Campus Community of Caring

What is Active Minds?
-Active Minds was founded in 2001 by Alison Malmon
*Combat the stigma of mental illness
*Encourage students who needed help to seek it early
*Prevent future tragedies like the one that took her brother’s life.
*Today there are 453 chapters nationwide
What is Stigma?
*Stigma is a negative opinion or judgement based solely on a personal trait
*Particularly pervasive around mental health issues
*Stigma around "suicide"

-Before engaging in HELP, make sure to keep yourself safe

ear the warning signs
valuate the situation, ask if suicidal
et your friend know you care, Listen for reasons for dying and living.
lan - help create a safety plan and utilize resources
•Creating a Campus Community of Caring

•The topic of suicide can bring up a lot of emotions

•If you are leaving the room, give a thumbs up sign
if you are ok
Presented by:

Active Minds

Workshop Overview
-What is Active Minds?
-What is Suicide?- Statistics
-Activity- power shuffle
-What is Stigma?
-Risk Factors
-Warning Signs
-How to HELP a friend

What is Suicide?

*35,000 Americans every year die from suicide.
*1,100 college students die by suicide every year.
*Suicide is the 2nd cause of Death among college students.
*Men are 4 times more likely than females to die from suicide.

Power Shuffle
What comes to mind when you hear the word

How to Stomp Out Stigma
Don't be afraid to seek out medical care for any health problem you might have--mental or physical
-"has" not "is" ("Mary has bipolar disorder" NOT "Mary is Bipolar")
-We should try to overcome reluctance around talking about mental health
-Be aware
What factors do you think contribute to thoughts of suicide?

Contributing Factors
Any of the following risk factors means the person is more vulnerable to suicide than the average person. In general the presence of more risk factors means higher risk.
*Psychiatric and Medical Illnesses
-Depression, Bipolar Disorder, Alcohol/Drug Abuse, Schizophrenia, Multiple Sclerosis, any disorder illness
*History of:
-Previous suicide attempt(s)
-Trauma or abuse
-Family suicide

Recent Stress:
-Suicide of a friend, acquaintance or someone in the community
-Loss of a relationship or loved one
-Failure or humiliation
-Multiple losses (e.g. employment, divorce, dismissal from college, academic probation, and so on)
Access to Method
Especially guns, but also drugs, high buildings etc
*Feeling trapped, like there's no way out
*No reason for living, no sense of purpose in life
-"What's the point of living"
-"No one cares"
-"Life is not worth it"
*Anxiety, agitation
*Dramatic changes in mood
(low mood)
*Looking for ways to kill oneself, seeking access to pills, weapons, or other means.
*Talking or writing about death, dying, or suicide
*Reckless or risky behavior without thinking
*Increased alcohol/drug use
*Withdrawing from friends, family, or society
*Unable to sleep or sleeping all the time
What does this tell us?
There is a lot of variability in the warning signs
There are a lot more behavioral warning signs, which should help us increase our awareness and alertness about these symptoms.

(warning signs from Mental Health First Aid USA manual 2009)
How to HELP a Friend: Breakdown of HELP
ear the warning signs
*Listen Non-Judgmentally
*Listen for invitations
- "I can't go on"
-"I just can't do this anymore"
-"I just want to fall asleep and never wake up"
-"There's no way out except ending it all"
How to HELP a Friend: Breakdown of HELP
valuate the situation, ask if suicidal
*Directly ask, "Are you thinking of killing
*Not all invitations = suicide
-Assume that the person is suicidal until
it is a for sure "no"
-It is good to know for sure, if there is any
question that suicide may be on the
person's mind, ASK
If the answer is "
, I am suicidal" now what?
ASK if they have a suicide plan

When? If within the next 24 hours, do
not leave person alone

How? Ask them to get rid of or give you
the means (throw away pills, dissemble

If person is resistant, it is best to call
a crisis line, 911, or get the person to
a hospital

Not everyone who has thoughts of
suicide need to be hospitalized

How to HELP a Friend: Breakdown of HELP

et your friend know you care, Listen for reasons for dying and living.
Friend may want to dismiss or avoid the
subject of suicide
Let them know this is important,that you
care, and that you will listen to their reasons
for feeling suicidal
You don't have to try to fix all their
problems, right now they need a listening ear
How to HELP a Friend: Breakdown of HELP
lan- make a safety plan and utilize resources

What will they do for the rest of the day/

Help them make a step by step plan
Consult with a counselor
Ask your friend to identify 1-2 people they consider part of their support system
Refer students to Counseling and Psychological Services
Walk your friend to the counseling center
How to


If you believe you may be at risk for suicide, you can also apply HELP to yourself

ear the warning signs- are you at risk?

valuate the situation, ask yourself if you
are suicidal

et others listen, this is important and not
something to dismiss

lan- Make a safety plan, utilize your

Suicide Prevention Organizations
American Foundation for Suicide Prevention (AFSP) (www.afsp.org)
Family Acceptance Project (www.familyproject.sfsu.edu)
American Association of Suicidology (ww.suicidology.org)
Thank You

Creating a Campus
of Caring
On behalf of Active Minds
Program adapted from various resources such as San Francisco Suicide Prevention, American Suicidology, Mental Health First Aid, The SAFE Talk, the Family Acceptance Project, and American Foundation for Suicide Prevention

a. Feelings of hopelessness and depression.
b. Seeing no way out.
c. Intent to end ones life.

a. a way to cope with pain and stress.
b. Could be very addictive and dangerous.
c. The intention to hurt oneself.

Suicide was the third leading cause of death for Latino Americans ages 15-24 and 4th leading cause for ages 25-34.
For African American youth (ages 10-19), the rate of male suicides was 3.4 times higher than that of females.
In 2010, 469 AI/AN died by suicide in the U.S (rate of 10.87 per 100,000) compared to the rate of 12.42 per 100,000 of the overall population.
The suicide rate for Asian Americans (6.10 per 10,000) is about half that of the national rate (11.5 per 10,000)
1.3% have attempted suicide. 7.5% have thought about it
1.3% attempted and 11% considered it.
At SFSU: Athletes:
2.4% attempted, which is double the amount attempted compared to the other groups

Everyone is at risk of having suicidal thoughts.
Contributing Factors
How to HELP a Friend
Full transcript