Talking to students with thoughts of suicde

Understanding Self-Harm and Eating disorders Dr Pooky Knightsmith

Talking to students with thoughts of suicide

6pm Wednesday 18th January 2017

cwmt.org.uk | facebook.com/charliewallermemorialtrust

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhWrite notes here1

You will do more good than harm by asking the right questions

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyh

Guidelines for Suicide Risk Assessment


Warning SignsP A T H


PPain

AAct

TTalk

HHope


PPain

AAct

TTalk

HHopeDisplaying overwhelming emotional pain or distress


PPain

AAct

TTalk

HHopeShowing worrisome behavioural cues or marked changes in behaviour


Withdrawal from social connections


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Increased agitation or irritability


Anger / hostility out of context / proportion


Changes in sleep (more or less)


PPain

AAct

TTalk

HHopeTalking about or making plans for suicide


PPain

AAct

TTalk

HHopeExpressing hopelessness about the future



Safety First

Child in questionOnlookers


Establish RapportIdeationIntent

Plan

Assess..


1 year

When?

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhPast 2 weeksPast 2 monthsEverNowHave you had thoughts about killing yourself in the past 2 weeks..


SuicideKill yourselfTake your own life

Hurt yourselfThoughts of dyingWanted to be dead


Yes..Can you tell me about these thoughts?FrequencyDurationIntensityContextDo you have these thoughts every hour, once a day, once a week?How long do they last, do they come and go or stay?Can you carry on what youre doing or are you paralysed by them?When and where do you have these thoughts?


Use their wordsPauseCalmReassureI cant believe Im telling him this


123


123On a scale of 1 to 3When you have these thoughts, how much of you wants to die?Would you say 50%, 90%...


WhatWhenHowWhoWhy

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhWhats the plan?WhatWhen will it occur?WhenHow will they kill themselves?HowWho have they told?WhoFollow up with parents / carers to keep child safe


What would keep you from following through on your plan?


cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhLow RiskPassing ideationDoesnt interfere with daily activitiesNo desire to dieNotify parents / carers

Create safety plan with child and parents / carers

Identify school based support

Parents to take child to GP

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhFrequent ideationLimited intensity and ideationMay have specific plans but not intentCan identify reasons for livingRegular contact with trusted adult at school Referral for additional supportRe-evaluate risk at each meeting, may move to low or highRegular contact with parents and CAMHS if involvedMedium Risk

cwmt.org.uk | @charliewtrustInOurHands.com | @pookyhFrequent, intense, enduring suicidal ideationSpecific plans inc lethal means & accessibilityMany risk factors, few protective factorsFollow safeguarding plan

Contact parents / carers immediately

Arrange with parents to take child to hospital or unit

Support parents and childHigh Risk


You will do more good than harm by asking the right questions


After Poll


Practical strategies for helping children manage overwhelming feelings

6pm Tuesday 24th January 2017

cwmt.org.uk | facebook.com/charliewallermemorialtrust


Facebook Live Q&Awww.facebook.com/charliewallermemorialtrust


Lovely Free Stuff from CWMT


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Free Book Club for School Mental Health Leadsinourhands.com/bookclub @CharlieWTrust | @PookyH


Mental Health: Weekly Online Learning for Staff working with CYPinourhands.com/onlinelearning @CharlieWTrust | @PookyH


Mental Health: Free training and workshops for school staff, pupils and parentsinourhands.com/cwmt@CharlieWTrust | @PookyH


E-NewsletterHighlighting events, resources, research etcinourhands.com/sign-up @CharlieWTrust | @PookyH


Dr Pooky KnightsmithDirector: CYP& SchoolsCharlie Waller Memorial Trust

[email protected] | 01635 869754

[email protected]@PookyH


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Talking to students with thoughts of suicde

Education

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