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EARLY START PEISUICIDE PREVENTION AD HOC COMMITTEE

PROPOSAL

Olivia CelisCarlotta Childs-Seagle

Rocio Gonzalez

Sam Bloom & James Cunningham

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WHO DIES FROM SUICIDE?(CALIFORNIA STRATEGIC PLAN ON SUICIDE PREVENTION)

• 10TH ranking cause of death in California• Older adults over the age of 85 have the

highest suicide rate in California• Suicide is the 3rd largest cause of death

between the ages of 16 to 25• Males are three times more likely than

females to die by suicide than women• Women attempt suicide three times more

than men, and are more likely to be hospitalized for self-inflicted injuries

Draft California Stategic Plan on Suicide Prevention

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CALIFORNIA DATASUICIDE ATTEMPTS (2006)

0102030405060708090

5-14

15 -19

20 -29

30 -49

50 -69

70+

Attempt

Suicide

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LOS ANGELES COUNTY DATASUICIDE RATE BY SA/AGE (2003)

0 - 15 16 - 25 26 - 59 60+ TOTAL

SA 1 0.0 0.0 3.8 55.4 9.9

SA 2 0.0 0.4 2.5 34.9 7.7

SA 3 0.0 0.4 1.0 23.1 5.4

SA 4 0.0 0.0 1.2 47.0 8.4

SA 5 0.0 0.0 1.5 33.6 10.2

SA 6 0.0 0.6 1.4 24.9 3.8

SA 7 0.0 2.1 3.0 29.4 6.5

SA 8 0.0 0.0 1.7 33.8 7.3

0.0 0.5 1.9 32.6 7.0

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EARLY START PRINCIPLES

• Coincide with statewide projects

• Consistence with PEI & Early Start

• Feasibility

• Short start-up

• Meets community needs

• Leveraging

• Transformation as necessary

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MHSOAC RECOMMENDATIONS:

• Build a system of suicide prevention at State and Local levels

• Provide technical assistance, resources to develop and implement suicide prevention

• Increase the capacity & quality of local suicide prevention hotlines

• Increase the capacity of the workforce to effectively prevent suicide

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Suicide Prevention Transformation:

Didi Hirsch “24/7 Crisis Hotline”

Increase County-wide capacity & quality of local suicide hotline (MHSOAC & CA DMH Guidelines)

National Lifeline CertificationCollaboration with NIMH & SAMHSATransformed under ASIST (Columbia Univ.) 1. Prevention 2. Early Intervention

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Pacific Clinics Latina Youth Program

High TAY suicide SA7

Underserved community

EBP – CBT & Columbia Teen Screen

1. Prevention

2. Early Intervention

Suicide Prevention Transformation:

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Suicide Prevention Expansion

Suicide Prevention Specialist Teams

CA DMH Early Start Guideline Recommendation: Liaison to State

DMH infrastructure: Age group specialists

1. Prevention

Training, Resources, Needs Assessment, Integration & Coordination of County-wide Suicide Prevention activities

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Suicide Prevention Expansion

Health Care Partners

Specialty Program (>risk co-morbidity) 60+ Suicide Rate Co-location in Primary Care Centers EBP: PROSPECT (Prevention of Suicide in Primary Care Elderly: Collaborative Trial) 2. Early Intervention

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Suicide Prevention Expansion

Web-Based Training & Resources

Partner with Educational Community

Jason Flatt Act

Increasing capacity of Workforce

1. Prevention

Suicide Prevention Training

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Suicide Prevention Expansion

Service Programs:• Expansion of Local Hotline to underserved &

ethnic communities• Promotion & Expansion of Peer Support for

survivors & bereaved• Partner with hospitals for follow-up post

suicide attempt• Partner with law enforcement & first

responders• 1. Prevention 2. Early Intervention

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Suicide PreventionEstimated Budget

Transformation:

“24/7 Crisis Hotline” $ 450,000

Latina Youth Program $ 375,000

Expansion of Services:

DMH SP Teams $ 850,000

Health Care Partners $ 350,000

Web-based Training $ 255,000

Proposed New Services $1,050,000

TOTAL $3,330,000

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Thank You for Your Attention.