Army Substance Abuse Program

Suicide Prevention

One Team – Ichi Dan

Suicide Prevention

One Team – Ichi Dan

AR 600-85, 600-63, 600-24, DA Pam

600-24

AR 600-85, 600-63, 600-24, DA Pam

600-24

DoDD 1010.10,6200.04

DoDD 1010.10,6200.04

Health Promotionand

Suicide Prevention

Army Substance Abuse Program

(ASAP), Risk Reduction/Suicide Prevention, Army Health Promotion

Program Authority

• Recognize the signs and triggers

• Suggested actions with an at risk individual

• Intervention process

• Available resources

Objectives

• 4th leading cause of death of 25-44 yr old men and women

• 2010 - 86 Army Civilians and Family members suicide deaths

• Vets are 2 times more likely to suicide

• 53% Veteran’s Preference - USAG-J

Civilians with activity limitations are at greater risk to suicide

• 16% Vets - USAG-J

• 6% Civilian - USAG-J

Suicide

Protective Factors

Aversion to Pain or Death• Military training reduces aversion

Sense of Belonging• Part of a group, mission, the team• Member of something bigger than oneself• Fraternal groups, religion, family, relationship, support

Sense of Usefulness• What I do counts• Activities and living have meaning• A sense of inclusion• Useful member of the team• Atmosphere

• Recent interpersonal losses

• Loss of self-esteem / status

• Humiliation / Ridicule

• Rejection (e.g., job, promotion, boy/girlfriend)

• Disciplinary or legal difficulty

• Exposure to suicide of friend or family member

• Discharge from treatment or from service

• Retirement

Triggers.

• The breakup of a close relationship

• Witnessing death

• Financial stressors

• A bad evaluation

• Drug or Alcohol Abuse

• Reunion from a long field training or isolated tour

• Leaving old friends and family

• Being alone with concerns about self or family

• Being in a foreign country

Triggers.

Inclusion

Treat with Dignity and Respect

Build the Team

Care and Concern

Good management of Peoplesignificant part of prevention

ASK• Have the courage to ask, but stay calm. • Ask the question directly – e.g do you feel like hurting yourself

CARE• Remove any means that could be used for self injury.• Calmly control the situation.• Actively listen. Reassure that he or she will be helped.

ESCORT• Never leave alone.• Escort to the ER, primary care provider, or behavioral health

professional.• Call 911 if you cannot escort them to an appropriate provider.

A.C.E!.

• Listen• Engage• Foster - an environment of trust and support• Emphasize - seeking help is good judgment• Reduce stigma - show compassion • Observe right to privacy – limit discussion to

professionals/some in the chain of supervision• Know - what services are available

As a Co-worker or Supervisor.

Stigmas to Seeking Help

Goes on my record

Will affect my career

Seeking help is a sign of weakness

Others will have negative thoughts/feelings towards me

Suicide can be prevented!

Take a threat seriously!

Take the time - be there!

It’s about choices

ContactProgram Manager – 263-8054Senior Social Worker – 263-8049 Prevention Coordinator – 263-8047 Drug Test Coordinator – 263-5850

HOURSMonday thru Friday, 0730 to 1630 (except Thurs morning)

LOCATIONBuilding 534 Readiness and Resiliency Center

SERVICESAssessment and counseling – professional counseling staffInformation and support and resourcesCoaching and consultation to assist leaders Installation Drug Testing ProgramEmployee Assistance Program