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Please help As a health provider how do you see your role in educating communities, and...

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As a health provider how do you see your role in educating communities, and or individuals on suicide assessment and prevention? What were 2 important points you took away from the online training?

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*Every 15 minutes someone in the U.S. takes his or her own life. And for every one suicide, there are 25 attempts. This public health issue affects everyone: families, healthcare providers, school personnel, faith communities, friends, government, and others. It’s important that everyone know suicide’s warning signs and how to help a person contemplating suicide. This is particularly true for healthcare providers, especially those who work in integrated health settings, which are primed to make a great difference in the lives of people at-risk of suicide.

The mental health conditions of most people who die by suicide remain undiagnosed, even though most visit a primary care provider, ED, or medical specialist within the year before they die. The risk of suicide attempts and death is highest within the first 30 days after a person is discharged from an ED or inpatient psychiatric unit, yet as many as 70 per cent of patients of all ages who attempt suicide never attend their first outpatient appointment. Therefore, access to clinical interventions and continuity of care after discharge is critical for preventing suicide.

Integrated behavioural health, primary care, and EDs provide ideal settings for diagnosing and treating mental health and substance use disorders and for preventing suicide. Screening for suicidal thoughts and harmful behaviours, including  Intimate Partner Violence (IPV), is critical to good care. According to the American Psychological Association (APA), cases of murder-suicide are most likely to occur when abuse is present. For these reasons, it is important to consider IPV in relationship to trauma and suicide risk. Knowing suicide’s warning signs and how to help a person contemplating suicide can save lives.

Trauma is one of many risk factors associated with suicide and one that does not get enough attention. Using a trauma-informed approach to care can create a safe, accepting and respectful space. This type of safety is needed to reveal thoughts or behaviours associated with suicide and can promote healing and recovery from the trauma that may underlie them. It is not always necessary for a person to disclose past painful experiences. Through education about the impact of adverse childhood experiences along with teaching healthy coping skills, within a trauma-informed culture, providers can promote positive health and behavioural health outcomes. It is important to note that exploring traumatic experiences requires sensitivity, skills and training.

* A) Existence of environmental factors which signal suicide risk

B) Existence of a crisis situation inherently conducive to suicidal thoughts and feelings

C) Existence of depression warning signs

D) Existence of physical symptoms which signal suicide risk or intention

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