On Wednesday, October 4th at 1pm EST, iCarol will host a webinar on the topic of Crisis Center/Emergency Department (ED) partnerships, specifically those where crisis centers make follow-up calls to discharged patients who came to the ED presenting with suicidal thoughts or behaviors.
Research shows that for about 1 in 5 deaths by suicide, the person had actually visited their local emergency department in the weeks before their death. While hospital EDs can keep a person safe in the short-term and provide referrals to long-term care, they aren’t often the best resource to handle the complex and ongoing mental health and emotional needs of someone who is struggling with thoughts of suicide. Most people who visit an ED for concerns related to suicide are discharged after a very short period of time, and the discharge plan often doesn’t involve ongoing direct contact to check and see how the person is doing following their visit, potentially leaving the patient feeling lost and unsupported.
This is where more and more helplines are stepping in. Crisis Centers across North America have engaged in partnerships with their local emergency department to help provide care for ED visitors or discharged patients in the form of follow-up calls. Because crisis center professionals have the best knowledge, training, and resources to provide ongoing care such as this, EDs will make connections between the ED visitor to the crisis center. From there, crisis centers talk to the patient and make a series of follow-up calls or texts to the visitor to keep them feeling supported and engaged with a safety plan. Crisis centers are also best-equipped to see that a person receives referrals to more long-term mental health care or other needed referrals that can help resolve issues compounding a person’s distress and desire to end their life.
During this hour-long webinar, we’ll invite presenters to discuss first-hand experience of these partnerships:
Charissa Tvrdy is a Lead Crisis Clinician and Hospital Follow-Up Coordinator at Rocky Mountain Crisis Partners. Ms. Tvrdy is responsible for oversight and project management of RMCP’s Hospital Follow-Up program. She works as a liaison between RMCP and participating Colorado emergency departments. Ms. Tvrdy assists call center staff in the training, implementation, quality assurance and daily operations of the program. Ms. Tvrdy received her Master of Science in Counseling Psychology from The University of Kansas. She has experience working in a call center serving people experiencing behavioral health crisis. Ms. Tvrdy also has clinical experience within a Community Mental Health Center.
Dr. Michael Allen built the model Comprehensive Psychiatric Emergency Program at Bellevue Hospital. He was chair of the APA’s Task Force on Psych Emergency Services, president of the Am Assoc for Emerg Psychiatry, member the NIH Emergency Medicine Roundtable, a National Suicide Prevention Lifeline steering committee member, a STEP-BD, ED SAFE and PRISM investigator and an author of the Suicide Prevention Resource Center’s ED Decision Support Guide. He has served as a subject matter expert for the US DOJ Civil Rights Div, CMS, NIMH, the Joint Commission and SAMHSA. He was instrumental in forming the Colorado Suicide Prevention Commission and the Colorado National Collaborative. He is currently Professor of Psychiatry and Emergency Medicine at the Johnson Depression Center, University of Colorado Anschutz Campus and Medical Director of Rocky Mountain Crisis Partners.
Caitlin Peterson is the Coordinator of Best Practices in Care Transitions for the National Suicide Prevention Lifeline, working closely with crisis centers, professional organizations, community partners, and mental health providers to support and advocate for follow-up and partnership with crisis centers. Caitlin has worked in the mental health, crisis intervention, and suicide prevention field for over 10 years, 7 of those in various positions, and later manager, of a blended suicide prevention and information and referral hotline. She has a Master of Science degree in Marriage & Family Therapy from the University of Rochester School of Medicine and Dentistry.
We hope you can attend — space is limited so please register ASAP if you’re interested in joining the live presentation. For those who can’t join us, we’ll have the recording available on our website at a later date. To learn more about this webinar and to register, click the button below.
Did you know that 87% of college students feel overwhelmed by their responsibilities and 39% feel so depressed it is difficult to function? (Source: American College Health Association, National College Health Assessment) DMAX Foundation seeks to improve those statistics by creating social clubs with a mental health focus on college campuses throughout the nation to enable students to talk to each other about how they are doing, and to help each other.
DMAX Foundation was started by Laurie and Lee Maxwell, after the tragic loss of their son, Dan, to suicide at the age of 18. Dan had been plagued with mental and emotional pain for eighteen months, without relief, before he took his life. He tried to get better in every way possible. He and his family saw physicians, psychiatrists, and psychologists, tried medications and dietary changes, and conducted tireless research. One thing the Maxwells were not able to do is speak out. It was too difficult to confide in friends and relatives about what was happening inside their family.
Thus DMAX, named in Dan Maxwell’s honor (DMAX was the nickname his teammates gave him), was founded to eliminate stigma and encourage safe and caring conversations about mental and emotional issues in our youth. To accomplish these goals, DMAX is establishing Clubs on college campuses which provide environments for all students to get together and talk about how they are doing, how their friends are doing and how they can help each other. DMAX Club officers get the opportunity to build valuable leadership skills, are trained to recognize mental health emergencies, learn how to listen (versus give therapy), and extend the campus’ mental health resources by making referrals to the Counseling Center. While other college mental health organizations emphasize the importance of having conversations about mental wellness, DMAX is putting it into practice, providing the space and the tools for Conversations That Matter to take place.
DMAX Foundation is currently focused on establishing clubs in the Philadelphia and surrounding areas, with a plan to expand all over the country in the future. DMAX Clubs have been recently established at Penn State University and Drexel University, joining Elon University, which began in spring 2016.
You can help DMAX establish clubs throughout the nation by:
- Joining DMAX’s mailing list
- Making a tax-deductible donation
- Attending DMAX events in the Philadelphia area
- Sponsoring one of its events
- Connecting DMAX Foundation with schools and students interested in starting DMAX Clubs
For more information about DMAX Foundation and opportunities to get involved, visit www.dmaxfoundation.org
Guest Blogger Kris Kelley serves as the Outreach and Administrative Coordinator for the DMAX Foundation.
September 10th is World Suicide Prevention Day, marking the beginning of National Suicide Prevention Week. During this week, millions of people will be speaking out about the impact suicide has on individuals, families, and communities, raising awareness and promoting messages on how best to prevent suicide. So many caring organizations worldwide will be adding their voices to this important message. In order to make the biggest and deepest impact, it’s helpful to unite around a common theme and messaging to amplify our voices.
The National Action Alliance for Suicide Prevention is leading the way with a host of resources and information on their website to help organizations rally around a centralized theme of being there for others, a theme several well-known suicide prevention organizations have been promoting this year.
It’s a very simple yet powerful message, and it helps reinforce what we already know: Suicide prevention is everyone’s business, and we can all do something to help prevent suicide. Those of us who have worked at suicide prevention helplines know how effective the simple act of listening is. Just by being a sounding board, a safe place for someone to air their darkest thoughts without facing judgment, you can save a life. When a person knows that someone is willing to listen and offer their help or support and not be scared away by talk of suicide, they feel less isolated and alone with their thoughts, and can envision a better path forward.
In addition to rallying around messages of being there, the Action Alliance also encourages everyone to use #NSPW in their social media posts. This will boost all of our messages and ensures the topic trends online and receives the attention it deserves.
Visit the Action Alliance website for all the materials you need to participate. They have sample social media posts you can use, frames for your Facebook profile pic, and more. Don’t forget to join their Thunderclap, too. By signing up for the Thunderclap you can have your social media accounts post automatically at the exact same time as thousands of others across social media platforms. Click the image below to join.
Together we can bring lots of attention to National Suicide Prevention Week, and show people in need that they are loved, supported, and have a place to turn when needed.
Since its debut on Netflix earlier this year, the drama “13 Reasons Why,” an adaptation of a young adult novel, has spurred much discussion among suicide prevention experts and mental health advocates.
The series follows the story of Hannah, a teenager who has recently died by suicide. As her parents, teachers and friends process the loss, Hannah’s close friend and crush, Clay, finds himself obsessed with Hannah’s death, what caused her to kill herself, and how it may have been prevented. He is plagued by the “what ifs” of their time together. A mysterious delivery sends Clay further down a path of grief, regret, and ultimately the start of healing and learning lessons from loss.
Some have praised the series for drawing awareness to the topic of suicide. “13 Reasons Why” is one of Netflix’s most watched programs of 2017 and has exposed people to suicide and the intense grief of survivors, and also issues like sexual assault, drug addiction, and bullying.
Unfortunately, the show is riddled with problematic content. Hannah’s suicide is romanticized, especially in the context of the star-crossed lovers relationship between Hannah and Clay. Suicide is portrayed as an acceptable method of revenge, and the revenge element often overshadows the complex and mounting reasons that Hannah took her own life. Opportunities to show how teens might reach out, and successfully receive help, are missed, and in fact it shows only how attempt’s to get help could go horribly wrong. Teenagers could construe this message as discouraging help-seeking from adults. Finally, and most upsetting, is the fact that Hannah’s suicide is graphically depicted, going against guidelines that suicide experts outline for the media. For a program aimed and marketed towards teens, who are particularly vulnerable to influence and suicide contagion, these are some dangerous missteps that overshadow any awareness message.
Suicide prevention experts and advocates have been speaking out about “13 Reasons Why” since it was released, and that includes Beau Pinkham, Director of Crisis Intervention Services at The Crisis Center of Johnson County, Iowa. In a recent Op-Ed, Beau lays out the dangers of the series’ depiction of suicide and the effects it is having. You can read Beau’s Op-Ed in the Des Moines Register here.
Have you watched “13 Reasons Why?” What were your thoughts? Please leave us a comment below.
The opinions expressed in this blog entry belong to the blog author and do not necessarily reflect the views and opinions of iCarol Software management or its other employees
From August 1-3, Polly and Rachel will attend the Department of Defense (DoD) and Department of Veterans Affairs (VA) conference on suicide prevention, held in Denver, CO.
Every two years the DoD and VA collaborate to host the Suicide Prevention Conference. The conference focuses on suicide prevention efforts across both departments and is the only suicide prevention conference that specifically addresses suicide among Military and Veteran populations at a national level. This year’s conference theme, #BeThere – It Takes a Community, is consistent with DoD and VA methodologies, which require a multi-pronged strategy for prevention including: media messaging, non-medical interventions, mental health interventions, training for gatekeepers, peer-to- peer support, troop and family member training, and leadership engagement. The DoD and VA recognize that education on a comprehensive public health approach to suicide prevention is vital.
This will be iCarol’s first year attending this conference, though suicide prevention for Veteran and active duty service members is a topic with which we’re familiar through our work in the suicide prevention industry at large, and our relationships with many clients who serve this population. Through our first visit to this conference we hope to learn even more about the unique needs and best practices for serving Veterans and active duty members of the armed services.
To read more about our work in this industry, click here.
From April 26th through the 29th, members of our team will be in Phoenix for the 50th American Association of Suicidology Conference.
We’ll have a booth at the conference and you’ll see us at many of the events and sessions, too. It’s important to us to learn about and be aware of all the latest research and the expanding needs of helplines as they work to build suicide-safer communities.
We hope you’ll stop by our booth and let us know how things have been going for your organization, and tell us about the exciting initatives you’ve had going on. We’ll be available to answer any questions you may have about iCarol, and we’ll have some fun activities to check out that are brand new this year!
In particular we’d really enjoy hearing your feedback about the new iCarol Ideas Portal we recently released. We’re excited to hear from our users about how it’s going, what you like about it, and any other feedback you may have. So if you’ve used the Ideas Portal, we definitely want to see you!
With all the excitment and so much going on, the time at the conference goes by quickly, so please look us up at the conference, or
beforehand to schedule some time to chat so we’re sure not to miss the opportunity to see you!
We look forward to seeing you and learning about all the latest in the life-saving work being done by the helpline industry so that we can continue to build our systems to support you.
Proponents of same-sex marriage advocated for legalization not just because they saw it as a basic human and legal right for all couples to marry, but many also argued that equality under the law could lift up young people feeling lost and hopeless.
Data is emerging that suggests this theory is valid.
Each year since 1991, a sample of high school students in the US participate in the Youth Risk Behavior Surveillance System, an annual Centers for Disease Control and Prevention survey. The anonymous survey, roughly 90 questions long, asks about everything from cyber bullying to sexual assault to carrying weapons to dating violence, and beyond. There is also a section of the survey that asks about students’ feelings of hopelessness, whether they have attempted suicide, and if so, how many times.
Suicide is the third leading cause of death for those aged 15-24, but gay, lesbian, and bisexual students surveyed are far more likely to have made a suicide attempt than their straight peers, 29% to about 6%, respectively. The survey does not ask about gender identity. Researchers analyzed data collected between 1999 and 2015, and focused on studying differences in survey results between states that legalized same-sex marriage during that time, and those that did not.
The study found that in the 32 states passing marriage equality measures between 2004 and 2015, youth suicide attempts decreased overall, even among students who identified as heterosexual. But among students who reported being gay, lesbian, or bisexual, suicide attempt rates dropped by 14%. There was no change the rate of suicide attempt in states that did not have marriage equality as of January 2015.
Researchers noted that as with all studies, a simple correlation does not mean causation. However the link between the decrease in attempts among LGB students in just these states is worth contemplation. It suggests, as supporters have been saying for years, that societal stigma towards the LGBT community is harmful to sexual minority youth, and can increase feelings of isolation and hopelessness. Even though most high schoolers are not thinking about marriage, achieving the legal right brings a sense of legitimacy and equality, and leads to a normalization of same-sex relationships and counters the sense that they are wrong or immoral.
For more on this study and the results:
Many of our clients participate in the National Suicide Prevention Lifeline. The Lifeline is a network of over 160 crisis centers in the U.S. These centers take calls and chats from all across the country, focusing on suicide prevention. These free and confidential services provide crisis support and community resource referrals, 24-hours a day.
Members of the Lifeline network follow proven protocols and guidelines to ensure safe outcomes for those in crisis. Whether you offer crisis services and/or are part of the Lifeline network, protocols and guidelines are critical to the success of your program. Ensuring they are easy to follow not only gives you better outcomes for those in crisis, but makes it easier for your staff and volunteers to do their important work.
I’m often asked by members of the Lifeline network and others in the field doing crisis center work why they should choose iCarol. Very simply put, iCarol is the expert in helping not-for-profit helplines set up their technology, to best support the protocols mentioned above.
In my experience managing a not-for-profit helpline who took calls for the Lifeline, as well as helping iCarol clients do the same, here is how iCarol can help:
- Messaging built right in! Volunteers and staff sign into one system—iCarol—to handle calls for your agencies, calls for the Lifeline, and even chats for the Lifeline, or your own chats or texts. Read more here.
- A live risk assessment gauge, developed by the Lifeline for iCarol, calculates suicide risk in real-time, and provides instructions on the next steps with each risk level. Learn more about this tool.
- Intelligently designed call report forms allow for different ‘paths’ for your call takers. Example: If the call is a Lifeline call, a set of questions appears appropriate for that. Or, if the call is for a different program your agency takes calls for, have a different set of questions pop up.
- Worried that your workers aren’t following certain protocols for imminent risk callers? Take what is described above a step further to make the response(s) required or not. This reduces error, as well as can provide crucial guidance about next steps for the call taker in tense situations.
- Help your workers to provide referrals to community resources, designed in a very easy-to-use interface, even for a worker who is only there a few hours a week can use.
- Provide staff feedback—right in iCarol—to the call taker. This feedback can be private, or visible to all. Perhaps they did not follow a certain protocol of the Lifeline, or another program appropriately. We give you the industry’s best way to provide them this feedback. It alerts them when they log in, to read their feedback, and then tracks it when they do!
- Legal lock of call reports: Did something happen on an interaction that may be subpoenaed or looked into more? You can put a legal lock on it to ensure that no one, even the administrative users in your system, can make changes to it.
Hands down, iCarol is the best solution to support your work with the Lifeline, or other programs.
Want to learn more? Start a free trial or contact me.
The Frank Capra Christmas classic “It’s a Wonderful Life” tops many lists for holiday viewing, and it’s already making the rounds on TV channels everywhere (check your local listings!). But have you ever stopped and thought about how this popular and enduring holiday program centers around the topic of one man’s suicide plan? Most people view the film casually and for them the suicide aspect of the story may take a backseat to the other major themes. For anyone working in the suicide prevention or crisis industry though, it’s hard not to view the film from that unique perspective.
13 thoughts of crisis workers when watching “It’s a Wonderful Life”
- It bothers you that the movie perpetuates the myth that suicide rates go up at Christmastime
- You’re envious of the detailed and factual background Clarence has on George, and think of how helpful this would be when working with your clients
- You know of a dozen people you’ve spoken to this month who are in way worse circumstances than George, but knowing how complex and unique suicide can be for each person you’d never judge George for feeling how he does
- You can list all the warning signs that George is giving, and yell at the other characters for not picking up on them
- Even better, you wish someone would talk to George about his behavior and ask him directly if he was thinking of suicide
- You cheer on Mary when she calls a family member to talk about how George was behaving, and doesn’t keep his behavior a secret. Mary – 1 Stigma and Shame – 0
- George’s story reminds you of all the people you’ve spoken to that thought their suicide would be what’s best for their family
- You note the high lethality of George’s plan for suicide
- And think of how more bridges need suicide barriers for this very reason
- It angers you when Clarence tells George he “shouldn’t say such things” when George discusses suicide, effectively shutting him down and judging him rather than listening to why he feels this way.
- You’re relieved when George finds his reasons for living
- You’re thankful for the happy ending, but you know that it’s rarely wrapped up so easily
- You’re reminded of why you do the work you do
Have you had any of these thoughts while watching this classic film? Got any other thoughts to add? We’d love to hear from you, leave us a comment!
And while you may not have wings, we know the countless individuals touched by your caring voices consider you all guardian angels. Thank you for your hard work and dedication to saving lives, during the holidays and all year ’round.
Last week we shared information with you about “The Listeners,” a new documentary film that goes inside the work of suicide prevention helplines and the listeners who work there.
My hometown is one of the locations hosting a screening in the coming weeks, and my local paper published this article about the upcoming screening, the film itself, and the work of the local helpline (where I used to work!) which is a program of the Mental Health Association of Frederick County in Maryland. In fact, this showing is at capacity, having sold out all available tickets.
The article provides information about the services of the helpline in Frederick, Maryland and highlights the tough but valuable work they do. The publication also interviewed Robert Hurst, the director of the film, and he shares his thoughts on the work of the service where he filmed the documentary. He even participated in the volunteer training so he could get a first-hand feeling of what the volunteers go through, and he shares his feelings and experiences on that process.
A final thing to note about the newspaper article is that the author identifies herself as a suicide attempt survivor with lived experience, and shares her thoughts and comments on helpline services. She had valuable insight to provide that is not only interesting and adds a unique and important perspective to the topic, but may be worth sharing with the listeners at your own helpline.
The screening and local media attend around will undoubtedly lead to increased awareness of the hotline’s services, and integrated fundraising both at the screening and online associated with it, will likely lead to a donation boost as well. I’m excited to attend our local screening of “The Listeners” tomorrow and I’ll be sure to share my thoughts after.
UPDATE: The film was awesome and very well-received by the sold out audience of community supporters, mental health advocates, and helpline staff and volunteers. I can’t wait to share my thoughts — stay tuned!