Suicide prevention/life promotion

Question 1

How many people in Canada die of suicide every day, how many attempt? how many survivors are impacted?

Answer 1

12
200
7-10

Question 2

What populations are at higher risk for suicide?

Answer 2

Boys and men
People serving federal sentences
Survivors of suicide loss and survivors of suicide attempts
Some First Nations and metis communities (especially youth)
All Inuit regions in Canada
Women have higher rates of self-harm and self-harm can be a risk factor
Thoughts of suicide and suicide-related behaviours are more frequent among LGBTQ youth in comparison to their non-LGBTQ peers

Question 3

Suicidal ideation was at 2.7% in 2019, what did it rise to in spring 2021?

Answer 3

4.2%

Question 4

What does under-reacting look like? What does overreacting look like?

Answer 4

Minimizing, withdrawing, apathy

Taking an adversarial approach, controlling approach, acting out of anger or fear

Question 5

Give the 3 broad domains of risk factors and some examples of each? What are the 2 domains of risk indicators, provide examples of each?

Answer 5

Individual (gender, mental illness, chronic pain)
Social (abuse, isolation, separation)
Contextual (access to lethal means, unemployment, financial stress)

Physical (these were duplicated in the doc?)
Behavioural (talking about suicide, increased SU, withdrawing/isolation)

Question 6

What are the components of a suicide risk assessment? (Hint, 4 categories: immediate info and prior exp, aggravating factors, medical information, ability to cope)

Answer 6

Ideation
Plan + details
Means + details
Prior behaviour (circumstances + outcome)
Triggers for SI and behaviour

Unbearable distress
Recent stressors
Family/friend loss to SI

Psychiatric history
Substance Use
Mental health care

Perception of resources and supports
Safety Plan

Question 7

What factors move someone from low risk to moderate? What moves someone from moderate to high?

Answer 7

Low - Moderate
Method: decided, Means: easy access, time & place: tentative, lethality: moderate, preparation: some planning, prior: yes, trauma: one/moderate stress

Moderate - High
Means: in possession, time & place: decided, lethality: high, preparation: steps taken, trauma: several or severe

Question 8

What are the steps to take in safety planning?

Answer 8

1. establish warning signs/triggers to enact plan
2. discuss and self-define coping strategies
3. social contacts (if none exist choose a setting that may be safe to go to)
4. identify family or friends who can help with plan
5. professionals and agencies that should be involved and aware of the plan
6. make the environment as safe as possible (add friction