When your volunteers are working with a help-seeker either on the phone, in-person, or online, there may come a time where assessing that person’s risk for suicide becomes necessary. Several years ago the Lifeline developed suicide risk assessment standards based on industry research. We then took these standards into consideration and developed a tool for use in iCarol that guides your volunteers and staff through that assessment process. Like other forms in iCarol, this guide can be customized to your needs.
The assessment begins with three basic and direct questions that gauge whether the person is thinking of suicide today, if they’ve thought about suicide very recently, and whether they have ever attempted to kill themselves.
Instructions guide the worker to proceed if any of the questions receive a ‘Yes’ answer. A fourth question asking about suicide in progress can help determine imminent risk, and our ‘Help tip’ reveals important questions to help quickly clarify this risk and begin rescue if that is part of your helpline’s policies.
Four areas influencing risk are explored: Desire, Capability, Intent, and Buffers and Connectedness. Each section contains a number of topics, each with a ‘Help tip’ providing suggestions on the types of questions or statements that could be worked into the conversation. This can help your staff build rapport with the client and allows the interaction to continue naturally, rather than feeling like a questionnaire.
As they talk with the client, they can select any of three options for each area which best captures where the client is for that particular topic. As these options are selected, our tool weights these answers and provides a measurement that helps gauge the overall level of risk.
Next, your worker can discuss and record the client’s reasons for living and reasons for dying. This can be a compelling tool for discussion and an important piece of the conversation. When someone is at risk for suicide, finding and focusing on reasons for living as compared to their reasons for dying can be a powerful exercise.
Finally, your worker can record the level of risk as determined through their discussion with the client or from the measurement tool. A series of instructions can help guide them towards resolution, referral, and other outcomes.
Again, because our forms are customizable to your own practices, this guide can be used exactly as delivered or you can make your own adjustments and edits if needed.
Providing a safe place for open, honest discussion about suicide, free of judgment, is the cornerstone of any crisis service. This powerful risk assessment tool will help your volunteers and staff feel supported, equipped, and confident when working with callers at risk for suicide, all while helping your center conform with industry standards.
Want to know more about our Suicide Risk Assessment tools, or want to enable them in your system? Please , or existing users can open a support case.
The HBO Documentary “Crisis Hotline: Veterans Press 1” first aired on HBO over a year ago, and at the Academy Award Nominations on Thursday morning, they announced that the film was among the nominees for Best Short Subject Documentary! Congrats to the filmmakers for being nominated for Hollywood’s most prestigious award.
In case you haven’t seen it yet, the film is definitely worth checking out. It’s an intimate look at suicide prevention hotline work. The documentary highlights the work of the call center in Canadaigua, NY that answers the National Suicide Prevention Lifeline’s phone line operated specifically for veterans at risk of suicide. The documentary features harrowing footage of crisis responders working to find anonymous callers in imminent danger, and the quiet and touching moments between the empathetic workers who listen without judgment and the veterans reaching out for help. It’s available for purchase and rent, or HBO subscribers can watch via HBO GO.
This is a truly well-made film that shines a light on the hard work of suicide prevention lines, and the struggles faced by members of the military. I know I’ll be cheering it on when I’m watching the Oscars this February.
I distinctly remember the first time I learned the truth about a common myth related to suicide. It was nearly 14 years ago, and I was sitting with my fellow would-be hotline volunteers in our training class, ready to tackle the lesson we were all most nervous about: Suicide. We filled out a pre-test, designed to gauge our base knowledge about the topic, and see what sorts of preconceptions we were bringing with us to our volunteer experience. The true or false quiz seemed simple enough to me at the time, a college junior who had been through her share of advanced psychology classes and was about a year from graduation, in spite of those classes having provided very little mention of suicide. I arrived at one that gave me pause. “True or False: The suicide rate increases around the holidays.”
I was a little stumped. “Gosh…I feel like I hear a lot about suicide during the holiday season,” I thought to myself. “And I know I’ve heard that statistic…somewhere. And hey, what time of year is more stressful for people than that whole period between Thanksgiving and the New Year? It makes sense. True.” My pencil checked the box.
Well (spoiler alert!) I was wrong. We all listened intently to the correct answers and found that much of what we thought was true about suicide was, in fact, false. And I remember feeling almost angry about this, like why was this whole topic so taboo, so secretive, that complete fallacies could be out there in the universe parading around as truths all these years. But that particular myth about the holidays was really stuck in my craw.
So stuck, in fact, that it’s become a running joke between me and my husband because he’s been witness to my missionary-like commitment to setting the record straight. I yell at the TV when I see a show reinforcing the myth. We’d be at a party and someone would find out where I worked and inevitably I’d get lots of questions about suicide, mental health, and other topics. Without a doubt someone would ask if it’s true, or make a comment about how more suicides happen around the holidays. My eyes would widen (another potential convert to help spread my gospel of truth!) as I got to explain (my husband might prefer the term “lecture”) that this was false, and that December can actually be a month where there are fewer suicides, but that springtime does seem to be a time where we lose more people to suicide than other times of year.
In addition to the fact that falsehoods in general just bug me, something about this one would set me over the edge, and I think it’s because I feel it’s actually a bit dangerous to have myths such as this one circulating.
Look, I’m glad that there are articles about suicide this time of year, any time of year for that matter, but too many of them use the myth as a means to drive traffic to their site or increase readership without clearly and categorically setting the record straight that there’s really no relationship between suicide and the holiday season. They also tend to leave out important information about prevention, according to a report by the Annenberg Public Policy Center.
What ends up happening is that people continue to feel there is a relationship (look at all these articles that come out about suicide in December, it must be true!) and I think, from that, two things happen.
First, attention to the topic of suicide is heightened at a time of year when incidents are typically at their lowest. Again, awareness is a good thing anytime, but where are all these articles during the rest of the year, particularly in springtime through summer when the incidents of suicide actually do increase? We end up with an abundance of articles and material when the myth creates a demand for content yet incidents are at their lowest, and a lack of attention when they’re at their highest in the spring and the public’s heightened awareness and knowledge of prevention methods could especially be put to good use.
Second, I think the perpetration of this myth promotes a sort of romanticism of, or glamorizes the idea of a holiday suicide. While you cannot put the thought of suicide in someone’s head by simply talking about it (another myth we frequently try to squash), irresponsible reporting of suicide in the media can contribute to the contagion phenomenon, which is very real. This idea that the holidays are a “good” time or a normal time to complete one’s suicide plan, or that a person “should” feel extra depressed, lonely, and susceptible to their thoughts of suicide this time of year can put someone already contemplating suicide in an especially vulnerable place.
It’s true that the holidays can be a stressful time of year. For someone who is already lonely, depressed, or otherwise suffering it can be a tough time. But there’s no evidence to suggest that this results in more people ending their own life around the holidays. I hope everyone will join me in what’s become a personal crusade to stop this myth in its tracks, and replace it with more productive information and education towards suicide prevention all year round.
This week our business development team will convene in Nashville to participate in the CUSA/NASCOD conference. This event is going to be a particularly special one for us because so many members of our team will be together at once, someone’s even travelling internationally to be there; Britt will be coming all the way from Germany to meet our North American clients!
After Friday’s sessions, we invite you to join us and CONTACT of Mercer County, NJ for a special session at 5pm. We will highlight the TxtToday pilot project; a national Texting Helpline. This pilot is a partnership between CONTACT of Mercer County New Jersey and CONTACT Crisis Line in Jackson, with iCarol as the software platform that accommodates the data aggregation and load balancing of the texts among the centers. We’re excited to talk about iCarol’s role in this partnership and to listen to the centers’ experiences in the pilot.
If you’ve ever considered the benefits of having your center join a national network, then this session is definitely for you. The pilot participants wish to expand this network by adding on more participating centers, so we invite you to come and find out how you might become a part of this exciting venture to reach help seekers all over the nation via this extremely popular and growing channel of text communication. And if you’re still not convinced whether you should join us, we’ll have some treats to share with our audience. Everyone enjoys something to snack on after a busy day of learning and networking! 😛
So if you’ll be one of the many people in Music City later this week, please stop by our booth and say hi! If you use iCarol at your helpline then we’d certainly love to get to meet you face to face! If you’re not a current user, we’d be grateful for the opportunity to tell you about iCarol Helpline Software and how it’s used by helplines all over the world, many of whom will be represented at this conference. Hope to see you there!
Today we recognize World Suicide Prevention Day and in its first ever global report on suicide, the World Health Organization reports that a staggering 800,000 lives per year are lost to suicide worldwide; one person every 40 seconds.
The report goes on to say:
- National prevention plans endorsed by governments could go a long way in preventing suicide, but currently only 28 countries have such strategies.
- Most people who die by suicide have a diagnosable mental illness. It’s extremely important for mental illness or substance abuse issues to be identified, diagnosed, treated, and managed as early as possible.
- Follow up care plays a huge role in keeping someone safe if they have previously had thoughts or made attempts at suicide. Phone calls, visits, and other regular contact with health professionals is key, as well as vigilance among family and friends.
- In almost all regions of the world, people over age 70 have the highest rate of suicide.
- Globally suicide is the leading cause of death for 15-29 year olds.
- Removal of means is a key component to suicide prevention
You can read that full report by the WHO here.
If we could impart just one thing on society it’d be this: Suicide is preventable, and it’s everyone’s business. It takes all of us, every single person out there, to help prevent suicide. Of course social workers, therapists, psychologists, doctors, and nurses all have an important role to play. But it’s the teachers, coaches, colleagues, professors, employers, friends, and family who are arguably the ones on the front lines of suicide prevention. They are the ones with the opportunity to recognize the warning signs, be aware of the risk factors, and know the difference between myths and facts. They are some of the first ones who should ask the direct question about suicide, and be ready and accepting of an honest answer. They can make a world of a difference by being there to listen without judgment even though the conversation can be uncomfortable and scary. They are the ones who can help most in reducing the stigma and shame all too commonly associated with mental illness and suicide. Suicide prevention is everyone’s responsibility.
And of course we have to give some major recognition to all of the suicide prevention helpline workers all around the world who save countless lives every single day through the simple act of being there. You are there for people at all hours to listen, empathize, normalize and validate feelings, and provide resources. For many people that phone call, text, or chat session is the first step at getting help, and your warm, accepting demeanor reassures them that they will encounter kindness and understanding along the way, and that there is hope. Thank you, we at iCarol are honored to play a small part in the incredible work you do.
Suicide Prevention Month is quickly approaching, with Suicide Prevention Week being recognized from September 8th – 14th and World Suicide Prevention Day on September 10th. There are lots of ways you can recognize this upcoming event.
Join an Out of the Darkness Walk near you. These walks help raise awareness as well as money for research and education. During the month of September, particularly during suicide prevention Week, dozens of these walks will be held. Find one near you and register today.
Donate to a suicide prevention service in your area. You can donate to organizations that focus on research or education, though we humbly suggest you consider donating to a helpline that provides direct help and suicide prevention to those in need. Whether you’re in Canada, the US, or another country, there are suicide prevention lines near you that would greatly appreciate your donation and will put it to excellent use in directly preventing suicide in your community.
Volunteer for a suicide prevention service. These services are always looking for qualified volunteers to answer phones, help with fundraising efforts, and more. Suicide prevention month is a great time to start the application process.
Educate yourself on the topic of suicide. Did you know that suicide is the 9th leading cause of death in Canada and 10th in the United States, or that the elderly are at the highest risk of suicide? By learning the notable statistics, risk factors, warning signs, and myths and facts about suicide, you’ll be empowered to do more and share that knowledge with others.
Receive training on how to help others who are suicidal. Suicide prevention is everyone’s responsibility and everyone is capable of doing something to prevent it. Trainings like ASIST, safeTALK, QPR, and Mental Health First Aid are some examples of common trainings that may be offered in your community.
Spread the word with social media. Whether you use Twitter, Facebook, Instagram, or all of the above, post information in support of suicide awareness and prevention. Maybe try sharing some of those facts you learned, or share a personal story about how suicide has touched your life, or the life of someone you care about. Discussing suicide goes a long way in reducing stigma and bringing the issue out into the open where it belongs!
Alert the media and use your expertise or experience as a helpline agency to do a story on suicide prevention in your community and how people can be helped by contacting you. Agencies that have texting and live chat services always have a great angle for contacting the media to do a story on how those struggling with suicidal thoughts can use those services if they don’t want to call on the phone.
Whether you take one of these actions, or do something different, it’s important to recognize suicide prevention month. Your actions will show others that you care about raising awareness of suicide, and preventing it.