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Q.P.R. :Question, Persuade, Refer

Ask a Question, Save a Life

Jessica Miller

on 26 October 2012

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Transcript of Q.P.R. :Question, Persuade, Refer

Background photo by t.shigesa Success Suicide is a serious public health problem that causes immeasurable pain, suffering, and loss to individuals, families and communities nationwide.

Suicide claims twice as many lives as homicide each year.

More than 8 million adults report having serious thoughts of suicide per year.

16% of students grades 9-12 report having seriously considered suicide. Challenge
Refer You Can Make a Difference

Q.P.R. is a way to end the silence and begin a REAL conversation about suicide. Turning Point 90% of people in a suicidal crisis will give some kind of warning sign.

UNFORTUNATELY- Research shows that the most common response to suicidal communications from family, co-workers and friends is....SILENCE

Experts call these outward signs

OPPORTUNITIES FOR RESCUE QPR is NOT intended to be a form of counseling or treatment

QPR is intended to offer hope through positive action Q.P.R.- Suicide Myths & Facts

Myth: No one can stop a suicide, it is inevitable

Fact: If people in a crisis get the help they need, they will probably never attempt suicide again.

Myth: Confronting a person about suicide will only make them angry and increase risk of suicide.

Fact: Asking someone directly about suicidal intent lowers anxiety, opens up communications and lowers risk of an impulsive act.

Myth: Only experts can prevent suicide.

Fact: Suicide prevention is EVERYBODY'S business and anyone can help prevent the tragedy of suicide.

Myth: Suicidal people keep their plans to themselves.

Fact: Most suicidal people communicate their intent sometime during the week preceding their attempt.

Myth: Those who talk about suicide don't do it.

Fact: People who talk about suicide may try, or even complete an act of self destruction. All talk of suicide typically means there are underlying mental health issues that should be addressed.

Myth: Once a person decides to complete suicide, there is nothing anyone can do to stop them.

Fact: Suicide is the most preventable kind of death and almost any positive action may save a life. What Can You Do??

Remember: Suicide Prevention is not about curing mental illness.

We can all work together to reduce the stigma associated with mental health problems. This is the primary reason that suicidal people do not get the help they need.

We can also work together to remove barriers to getting help. Stigma
A mark or token of infamy, social disgrace or reproach.

Think about how powerful those words truly are. Did you Know????

2/3 of Kentuckians know at least one person who has attempted or committed suicide.
1/3 of Kentuckians are suicide survivors.
Suicide is the second leading cause of youth death in KY (Age 15-24) Suicide Clues & Warning Signs

The more clues observed, the greater the risk.

Types of signs:
1. Direct verbal clues
2. Indirect verbal clues
3. Behavioral Clues
4. Situational Crisis

Direct Verbal Clues
"I"ve decided to kill myself."
"I wish I were dead."
"I'm going to commit suicide."
"I just want to end it all."
"If (such and such) doesn't happen. I'll kill myself."

Indirect Verbal Clues
"I'm so tired of my life. I just don't want to go on."
"My family would be better off without me."
"Who cares if I'm dead anyway."
"I just want out."
"I won't be around much longer anyways."
"Pretty soon you won't have to worry about me."

Behavioral Clues
Any previous suicide attempts
Acquiring means to kill oneself- purchasing a gun or stockpiling pills/meds
Putting personal affairs in order
Giving away prized possessions
Sudden interest or disinterest in religion
Drug or alcohol abuse, or relapse after a period of recovery.
Unexplained anger, aggression or irritability

Situational Clues
Being fired or expelled from school
Student who is bullied or LGBTQ
A recent unwanted move
Loss of any major relationship
Death of a spouse, child, or best friend, especially if by suicide
Diagnosis of a serious or terminal illness
Sudden unexpected loss of freedom or fear of punishment
Anticipated loss of financial security
Loss of cherished person
Fear of becoming a burden to others (especially common among senior adults) How many of you have ever asked someone if they were suicidal????

Tips for Asking the Suicide Question
1. If in doubt, don't wait, ask the question.
2. If the person is reluctant, be persistent.
3. Talk to the person alone in a private setting.
4. Give yourself plenty of time for this conversation.
5. Have your resources handy!!!! Refer them immediately or take them to the facility yourself.

Remember: How you ask the question is less important than THAT you ask it!!!! Q- Question

Less Direct Approach
Have you been unhappy lately?
Have you been depressed lately?
Do you ever wish you could go to sleep and never wake up?

Direct Approach
You know, when people are upset like you seem to have they sometimes wish they were dead. I'm wondering if you're feeling that way to?
You've been really depressed lately, are you thinking of killing yourself?
Are you thinking about killing yourself? How NOT to Ask the Question

DO NOT trivialize the issue by saying things such as:
1. You aren't thinking about doing something crazy are you?
2. You're not suicidal, are you?

What do these questions have in common???

They are all seeking a "NO" answer- this can make the person feel like you don't want to help them or that you feel uncomfortable. P-Persuade

Listen to the problem and give the person your FULL attention!!!
Remember, suicide is not the problem, only the solution to a perceived insurmountable problem.
Avoid condemnation!!
DO NOT rush to judgment about the situation
This is especially important for youth. Often adults tend to trivialize the problems that adolescents face because hindsight has revealed that the problem is not a crisis. Remember--> the person feels that whatever the situation is it is worth ending their life- that's the magnitude of the problem for them.
Offer HOPE in any form possible. Offer Another Solution to the Problem

After you have asked the question then ask:
Will you let me go with you to get help?
Will you let me help you get help?
MAKE yourself a part of the solution and this will make the person feel less alone and give them hope that there is a solution other than suicide. "One of the very best strategies for preventing suicide is to help the person change the perception of the situation, to show them that there are other possible ways of seeing things, and/or redefining what is unbearable."

Dr. Edwin Shneidman
The Suicidal Mind Suicidal people often believe they cannot be helped, so you may have to do more to help them. The best referral involves taking the person to someone who can help. The third best referral is to give referral information to try and get a good faith commitment not to complete or attempt suicide. Any willingness to accept help at some time, even if in the future, is a good outcome. The next best referral is getting a commitment from them to accept help, then making arrangements to get help. R-Refer Reinforce HOPE, Understanding & Love

Let the person know that you want them to live, that you are on their side and want to help them get through the struggle.

Stress the value that the person has at school, work, etc.

Get other people involved:
Doctor Resources: Crisis Line
1-800-928-8000 LGBTQ Resources Jeffrey White
Ext. 23
www.thenestlexington.org Increased Isolation
Withdrawal from favorite activities
Loss of motivation
Cynical attitudes
Feelings of self-hatred
Lack of direction Questions???

Thank You!!!

Jessica Miller, J.D.
Prevention Specialist
Bluegrass Prevention Center
Full transcript