Suicide Provention .1A Flashcards
What are the 7 components of the suicide program?
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- Command Climate
- Crisis Response
- Limit on Command Access to Mental Healthcare Information
- Notification and Hand-off in Criminal Investigations
- Postvention
- Reporting
- Training.
When can an OIC get a mental health evaluation for their members?
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An OIC can request the member’s voluntary cooperation to agree to an evaluation by a mental health professional. When necessary the member’s CO/OINC can order a member to be evaluated. See Chapter 5-b of reference (b) for procedures. In emergency situations military members can be taken directly to the nearest military or civilian medical treatment facility for evaluation.
What are the two types of command directed referrals?
ref b CH5b
Emergency and non emergent
What are the steps for an emergent referral?
ref b CH5b
The CO should make every effort to consult with a mental health care provider (MHCP) at the location of the desired evaluation, prior to transporting a Service Member for a mental health evaluation. If this is not possible, the CO must consult with a MHCP, or other health care provider if a MHCP is not available, at the MTF or location of the evaluation, as soon as possible after transporting the Service Member for an emergency evaluation. The purpose of this consultation is to communicate the observations and circumstances which led the CO to believe that an emergency referral was required. The CO will then forward to the MHCP consulted, a memorandum documenting the information discussed.
What are the steps for a non emergent referral?
ref b CH5b
- contact CG clinic
- provide a memo to the senior health services officer
- counsel member
- request member signs a notice to report for mental health eval
Who provides consultations to commands as needed regarding services available for distressed personnel?
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Employee Assistance Program Coordinators (EAPC)
What is the ACE model to help talk to someone about suicide?
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ACE: Ask - Care - Escort
Sourses for help?
a. Coast Guard Employee Assistance Program Coordinator at HSWL FO Work-Life: 1-800-8724957 (follow prompts)
b. The National Suicide Prevention Lifeline - a national hotline 24/7 suicide prevention service available to all who are seeking help: 1-800-273-TALK (8255)
c. Employee Assistance Program 24/7 Phone Center – for phone counseling, setting up face-to-face counseling, and obtaining other services: 1-800-222-0364
d. See http://www.uscg.mil/worklife/suicide_prevention.asp for a listing of helpful national web sites and other 24/7 hotlines.
e. Local Coast Guard Medical Clinic
f. Healthcare Provider
g. Unit Independent Duty Health Services Technician
h. Hospital emergency room
i. Coast Guard Chaplain
what are the first 5 steps an OIC should take for a member contemplating suicide?
a. All cases of suicide-related behavior or communication not involving injury. If needed, assign individual(s), preferably an IDHS if available, depending on member’s condition and level of cooperation, to remain with the member at all times until the member is screened, and a safety plan is established by the command. Applied Suicide Intervention Skills (ASIS)-trained individuals are preferred. If ASIS-trained persons are not available consider using a CISM trained Peer.
b. All cases involving attempts with possible injury. Apply emergency first aid if needed and either contact local emergency services for further assistance, or transport member to the nearest emergency care facility. c. Guidance regarding use of escorts.
(1) Use of an escort is a command judgment call based on how the member presents and the level of cooperation from the member. An escort can be any person capable of helping the member get to needed emergency services, including a family member.
(2) Assigning an escort may be perceived as demeaning by the member who otherwise is capable of getting himself/herself to needed services. Not requiring an escort would be appropriate for the member who reports he has had thoughts of suicide but reacts with
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Enclosure (2) to COMDTINST 1734.1A
convincing assertions that he has no plan or any intention of actually harming himself. In such cases it may be appropriate to make the offer of an escort as a support but not require an escort.
(3) As a general rule, use of an escort is always appropriate in cases involving attempts and selfharm when medical personnel will not be transporting. In these situations a command representative who can also act as an escort should accompany the individual to the treatment facility whenever possible.
(4) ASIS-trained individuals are preferred to serve as escorts, if available. If ASIS-trained persons are not available consider using a CISM-trained Peer if available. d. Notify support elements: SME, HSWL FO GPM, EAPC, DMOA, etc., as needed.
e. Seek professional mental health evaluation in all cases. Obtain professional screening at nearest military treatment facility, civilian medical facility, or contract physician. If care is not available via these sources contact the Employee Assistance Program and arrange for an emergency appointment if member agrees to go as a voluntary client.
When is the member notified they are under investigation for suicided?
The Coast Guard Investigative Service (CGIS), in consultation with the appropriate command cadre and servicing Legal Office, shall make the determination on when, how, and by whom a Coast Guard member or other employee will be notified or otherwise made officially aware that they are under investigation.
Does a suicied procedure have to be in the unit SOP?
YES
