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Voices That Inspire

This month I would like to look back on the important role that survivors of suicide loss have played in the history of suicide prevention. In the late 1990s, I worked for Senator Harry Reid. While helping him prepare for a hearing on mental health and the elderly, I discovered that Senator Reid’s home state of Nevada had the highest rate of suicide in the nation. This marked the moment when I became aware that suicide was a leading cause of death in our nation.

At the hearing, Senator Reid revealed that he had lost his own father to suicide many years earlier. This was the first time he had publically shared this aspect of his personal history. After the hearing, we heard from suicide survivors from all over the country.  I read many of these letters and spoke with many of the people who called. They acknowledged Senator Reid’s loss and asked him to help lift the veil of secrecy that surrounded suicide and help put suicide – and suicide prevention – on the public policy agenda.

Over time, many suicide survivors came to Washington to meet with the senator and other elected representatives. Two of these survivors were Jerry and Elsie Weyrauch, who had lost their daughter Terri to suicide. The Weyrauchs founded SPAN USA, which was dedicated to building the political will to address the problem of suicide. They were aware that the United Nations report The Prevention of Suicide: Guidelines for the Formulation and Implementation of National Strategies called for countries to create national strategies for suicide prevention and coordinating bodies to oversee the implementation of these strategies.

The Weyrauchs and the army of survivors and advocates who joined them collected thousands of signatures on petitions calling on Congress to pass mental health parity legislation and create a national strategy for suicide prevention. Once each year, these survivors and other advocates who shared their passion for suicide prevention would sort the petitions by state and congressional district and come to Washington to deliver the petitions to members of Congress. They gave a voice and a face to the statistics about suicide in the United States and inspired the nation to respond.

The Weyrauchs asked Senator Harry Reid and Representative John Lewis (from their home state of Georgia) to introduce resolutions affirming that suicide is a national problem that warrants a national solution and a national strategy. In 1997, Senate Resolution 84 and House Resolution 212 passed. At about the same time, Dr. David Satcher became Surgeon General of the United States. In 1999, Satcher put suicide prevention and mental health on the national agenda by issuing The Surgeon General’s Call to Action to Prevent Suicide.

In 2001 the National Strategy for Suicide Prevention: Goals and Objectives for Action (NSSP) was published. In 2004, thanks to the courageous efforts of Senator Gordon Smith, the Garrett Lee Smith Memorial Act was signed into law by President Bush. This legislation (named after Senator Smith’s son Garrett, who died by suicide) helped states, tribal nations, and colleges create youth suicide and early intervention programs.

In 2010 the National Action Alliance for Suicide Prevention was created to oversee and advance the implementation of the NSSP, champion suicide prevention as a national priority, catalyze efforts to implement high-priority objectives of the NSSP, and cultivate the resources needed to make and sustain progress. In 2012 the NSSP was revised. That revision includes a goal (Goal 10) to “Provide care and support to individuals affected by suicide deaths and attempts to promote healing and implement community strategies to help prevent further suicides."

Suicide survivors, like the Weyrauchs and countless others who joined the movement to advance suicide prevention, were the catalysts that led to the first NSSP; the creation of the Action Alliance for Suicide Prevention; and the elevation of postvention to the position it now holds in the field of suicide prevention. The efforts of the Weyrauchs and other survivors of suicide loss remind us how important it is to ensure all voices of those affected by the tragedy of suicide are included to create a truly national and truly comprehensive effort to prevent suicide. The voices of those touched by suicide loss have inspired a nation to action and inspired me to dedicate my professional career to the prevention of suicide.

 

Resource Note

SPAN USA continues its advocacy work as part of the American Foundation for Suicide Prevention. For information on these activities, visit the Suicide Prevention Advocacy Network section of the AFSP website.

Other resources for suicide survivors can be found in the Suicide Loss Survivors section of the American Association of Suicide Prevention website and the Coping with Loss section of the Suicide Awareness Voices of Education (SAVE) website.

Focus on firearm safety: Resource guide

This resource guide on provides state Maternal and Child Health and Injury and Violence Prevention programs with a summary of what is available in the area of firearm safety and prevention. It contains information on a broad range of evidence-informed interventions, firearms data, state legislation about firearms, and organizations to contact for additional information.
 

Creator 
Children's Safety Network
Publisher 
Education Development Center
Date published 
2013
Full Text Online 
Yes

Data-based planning for effective prevention: State epidemiological outcomes workgroups

The Substance Abuse and Mental Health Services Administration’s Center for Substance Abuse Prevention has funded State Epidemiological Outcomes Workgroups (SEOWs) to assist states, jurisdictions, tribal entities (collectively referred to as states), and communities to adopt and implement the Strategic Prevention Framework (SPF). The SPF provides a structure for the selection, funding, implementation, and evaluation of substance abuse prevention programming and, under a 2010 funding initiative, mental, emotional, and behavioral health programming.
This publication describes the evolution, structure, and accomplishments of SEOWs as a key component of SAMHSA’s support of states as they address problems related to substance abuse and mental, emotional & behavioral (MEB) disorders. It highlights SEOW successes and offers guidance for providing data to support prevention decision-making in the future at the state and community levels.

Creator 
Substance Abuse and Mental Health Services Administration (SAMHSA)
Publisher 
Substance Abuse and Mental Health Services Administration (SAMHSA)
Date published 
2012
Full Text Online 
Yes

Interventions to prevent suicide: A literature review to guide evaluation of California's mental health prevention and early intervention initiative

A number of prevention and early intervention initiatives aim to reduce the incidence of suicide, and the authors evaluate these initiatives by reviewing suicide prevention (SP) literature to learn about SP program effectiveness and the methodologies previously used to evaluate SP programs. Using evidence from the literature review, they provide an overview of the epidemiology of suicides and of non-fatal self-inflicted injuries in California and present a framework for conceptualizing SP programs. They find that identifying whether a SP program was effective at reducing suicide deaths is challenging because suicide is such a rare event. They also find that programs may have differential effects on population subgroups, because suicide rates differ by age, race, and gender. Finally, they determine that SP programs may show immediate reductions in suicide attempts but their long-term effects are uncertain.
RAND copyrighted publications are protected under copyright law. Permission is given to download this free eBook for individual use only.
 

Creator 
Acosta JD, Ramchand R, Jaycox LH, Becker A, Eberhart NK.
Publisher 
RAND Health, RAND Corporation
Contributor 
California Mental Health Services Authority
Date published 
2012
Full Text Online 
Yes

IASP News Bulletin, October/November, 2012

This issue features an opinion piece by president Lanny Berman discussing correlates of suicide, how they affect trends and difficulties associated with determining which correlates can explain increases and decreases in rates.
The newsletter also includes the first column in a series, Young Researchers, prepared by Jennifer McLaughlin, PhD Student at the University of Stirling, Scotland, describing her study, Understanding intimate partner abuse and suicide risk; reports from new IASP special interest groups Prevention of Intentional Poisoning with Pesticides and Suicidal Behavior in Adolescents; and a column by Dr. Dan Reidenberg on the revised US National Strategy for Suicide Prevention. 

Creator 
International Association for Suicide Prevention (IASP)
Publisher 
International Association for Suicide Prevention (IASP)
Date published 
2012
Full Text Online 
Yes

The coordination & integration of fatality reviews: Improving health & safety outcomes across the life course

This document reports on a meeting convened in Washington DC to identify opportunities and challenges associated with enhancing collaboration between death reviews for the purpose of improving outcomes across the lifespan. Thirty-seven state and national leaders of death review programs such as CDR, FIMR, MMR, DVFR, CRP, and EAFR programs gathered with twelve federal partners to affirm the importance of joint reviews and to develop guidance for states to enhance coordination across review processes.
The meeting led to affirmation among participants that collaboration is important and can be a catalyst for moving from reviews to prevention. While not all participants believed extensive coordination across all reviews is feasible, most participants acknowledged that substantial benefits for improving prevention outcomes from reviews could be realized through improving coordination.
 

Creator 
National Center for Review and Prevention of Child Deaths at the Michigan Publ;ic health Institute
Publisher 
U.S. Health Resources and Services Administration
Contributor 
Abnderson Benson Consulting Services
Date published 
2012
Full Text Online 
Yes

Prevention and Public Health Fund: Activities funded in fiscal years 2010 and 2011

The Prevention and Public Health Fund was established in March, 2010.  This document reports on the 43 activities administered by the Department of Health and Human Services under this fund.  It includes details on SAMHSA funding for suicide prevention including the Garrett Lee Smith Memorial Act and the SPRC.

Creator 
Government Accountability Office
Publisher 
U.S. Department of Health and Human Services
Date published 
2012
Full Text Online 
Yes

Policies and protocols addressing the needs of youths who have attempted or are considering suicide

This document provides recommendations for developing protocols designed to meet the immediate needs of adolescents and young adults who have expressed suicidal plans or have attempted suicide and guides youth-serving organizations in the development and implementation of a suicide prevention or postvention protocol, regardless of the availability of on-staff mental health professionals.

Creator 
Lessons Learned Working Group
Publisher 
Substance Abuse and Mental Health Service Administration (SAMHSA)
Contributor 
SPRC; CDC; SAMHSA; ICF International; Gallup Consulting
Date published 
2012
Full Text Online 
Yes

Preventing Suicide through Improved Training in Suicide Risk Assessment and Care

Setting 
Mental Health Care
Type of Program 
Guidelines & Protocols
2001 NSSP Goals Addressed 
6.0

Developed by the Clinical Taskforce of the American Association of Suicidology (AAS) Task Force on Improving Clinical Competency in Suicide of the American Association of Suicidology, Preventing Suicide through Improved Training in Suicide Risk Assessment and Care addresses the fact that only 50 percent of psychologists, 25 percent of social workers, and 6 percent of counselors have training in suicide risk assessment. The task force made one general recommendation and five specific recommendations to remedy this situation. Preventing Suicide through Improved Training in Suicide Risk Assessment and Care is available from the AAS website without charge.

Program Description 

Developed by the Clinical Taskforce of the American Association of Suicidology, the Preventing Suicide through Improved Training in Suicide Risk Assessment and Care recommendations provides support for increased suicide risk assessment and management training and certification requirements for mental health and other service-related professionals. The Taskforce made following general recommendation and five specific recommendations:

 

General Recommendation: A summit comprised of national leaders in mental health should be convened to formulate plans for implementing the following recommendations.

  1. Accrediting organizations must include suicide-specific education and skill acquisition as part of their requirements for post-baccalaureate degree program accreditation.
  2. State licensing boards must require suicide-specific continuing education as a requirement for the renewal of every mental health professional’s license.
  3. State and federal legislation should be enacted requiring healthcare systems and facilities receiving state or federal funds to show evidence that mental health professionals in their systems have had explicit training in suicide risk detection, assessment, management, treatment, and prevention.
  4. Accreditation and certification bodies for hospital and emergency department settings must verify that staff members have the requisite training in assessment and management of suicidal patients.
  5. Individuals without appropriate graduate or professional training and supervised experience should not be entrusted with the assessment and management of suicidal patients.
Program Objectives 

Those who read the recommendations will have increased:

  1. Understanding of the importance of professional training for suicide risk assessment and management, and methods of increasing such professional training
Contact Information 

William "Bill" Schmitz Jr., Psy.D.
Clinical Psychologist
VA Outpatient Clinic
7850 Anselmo Lane
Baton Rouge, Louisiana  70810
Tel: (225) 768-6401
Fax: (225) 768-6408
Email: William.SchmitzJr@va.gov

Costs 

The Preventing Suicide through Improved Training in Suicide Risk Assessment and Care can be downloaded from the American Association of Suicidology website at www.suicidology.org. An abbreviated version was published in the 42nd volume, 3rd issue, of Suicide and Life-Threatening Behavior (June, 2012).

First Posted 
Sep 27 2012

Supporting students: A model policy for colleges and universities

The Bazelon Center offers this model policy to help colleges and universities develop a nondiscriminatory approach to a student who is in crisis because of a mental health problem. The model was developed after consultation with mental health experts, higher education administrators, counselors and students. It places particular emphasis on how to deal fairly and non-punitively with students in crisis, and how to support those whose mental health problems may be interfering with their academic, extracurricular or social lives. It does not, however, attempt to address the full range of activities and services that a college or university should undertake to promote student mental health.

Creator 
Bazelon Center for Mental Health Law
Publisher 
Bazelon Center for Mental Health Law
Date published 
2007
Full Text Online 
Yes
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