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Download - New York State Office of Mental Health

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Saving Lives in <strong>New</strong> <strong>York</strong> Volume 2: Approaches and Special Populations<br />

prevention training should focus on developing<br />

the knowledge, attitudes and skills to<br />

identify individuals at risk, determine the<br />

levels <strong>of</strong> risk, and to make referrals.<br />

Resources: Question, Persuade and Refer (QPR)<br />

(www.qprinstitute.com).<br />

Applied Suicide Intervention Skills Training (ASIST),<br />

Living Works Education (www.livingworks.net).<br />

Public Safety Department<br />

Means Restriction on Campus (II C.1)<br />

College and university <strong>of</strong>ficials should<br />

undertake a comprehensive analysis <strong>of</strong> all<br />

structures and activities that may provide<br />

an opportunity for suicide, and take appropriate<br />

actions to limit students’ access to<br />

potentially lethal means. This may involve<br />

a range <strong>of</strong> activities including constructing<br />

barriers on balconies, ro<strong>of</strong>tops and bridges;<br />

and establishing clear policies and procedures<br />

that restrict the availability and use <strong>of</strong><br />

alcohol, illicit drugs and firearms on campus.<br />

Resources: Reducing Underage Drinking: A Collective<br />

Responsibility. Richard<br />

Bonnie and Mary Ellen O’Connell, Editors, Committee on<br />

Developing a Strategy to Reduce and Prevent Underage<br />

Drinking, National Research Council, Institute <strong>of</strong> Medicine.<br />

(www.nap.edu/catalog/10729.html). National Strategy for<br />

Suicide Prevention (www.mentalhealth.samhsa. gov/suicideprevention/strategy.asp).<br />

Residential Life Staff<br />

Residence Advisor and Other Gatekeeper/Caregiver<br />

Training Programs (II B.2)<br />

Training programs that increase the ability<br />

<strong>of</strong> potential gatekeepers to identify and<br />

refer for treatment at-risk students are an<br />

important part <strong>of</strong> campus suicide prevention.<br />

Because <strong>of</strong> their daily proximity to a<br />

substantial number <strong>of</strong> students, residence<br />

hall advisers are in a unique position to<br />

recognize signs <strong>of</strong> suicide risk. Other gatekeepers<br />

might include faculty, athletic personnel<br />

and student life personnel. Suicide<br />

prevention training should focus on developing<br />

the knowledge, attitudes and skills to<br />

identify individuals at risk, determine the<br />

levels <strong>of</strong> risk, and to make referrals.<br />

Resources: Question, Persuade and Refer (QPR) (www.qprinstitute.com).<br />

Applied Suicide Intervention Skills Training (ASIST), Living Works<br />

Education (www.livingworks.net).<br />

Social Network Promotion (II D.1)<br />

Promoting a sense <strong>of</strong> belonging among all<br />

students is an important element <strong>of</strong> suicide<br />

prevention. Administrators, faculty, staff<br />

and student leaders should explore ways <strong>of</strong><br />

encouraging the development <strong>of</strong> smaller<br />

groups within the larger campus community,<br />

and reaching out to student groups who<br />

may experience isolation and a lack <strong>of</strong><br />

connectedness (e.g. racial and ethnic<br />

minorities, international students, gay and<br />

lesbian students, commuter students, older<br />

students, etc.).<br />

Resources: National <strong>Mental</strong> <strong>Health</strong> Association/Jed Foundation,<br />

2002. National Strategy for Suicide Prevention (www.mentalhealth.samhsa.gov/suicideprevention/strategy.asp).<br />

Life Skills Development (II D.2)<br />

Programs to improve students’ management<br />

<strong>of</strong> the rigors <strong>of</strong> college life, and to<br />

equip students with tools to recognize and<br />

manage triggers and stressors should be<br />

developed and incorporated into student<br />

orientation, residence hall meetings and<br />

other student life venues.<br />

Resource: National <strong>Mental</strong> <strong>Health</strong> Association/Jed Foundation,<br />

2002.<br />

Student Counseling Services/Campus<br />

<strong>Mental</strong> <strong>Health</strong> Pr<strong>of</strong>essionals<br />

Post-Attempt Treatment Programs (II A.2)<br />

It is essential that campuses establish clear,<br />

non-punitive procedures for<br />

assessing a student’s continued risk following<br />

a suicide attempt. Campus personnel<br />

should be specifically trained to link the<br />

suicidal student to evaluation and treatment<br />

resources, either on or <strong>of</strong>f campus.<br />

These individuals must be thoroughly<br />

knowledgeable about the availability <strong>of</strong> and<br />

access to all campus and community<br />

resources. Campus mental health services<br />

should have clear procedures in place to<br />

ensure that students who have made a suicide<br />

attempt are given priority access to<br />

evaluation and treatment services.<br />

Resource: The American Foundation for Suicide Prevention (AFSP)<br />

(www.afsp.org) has developed educational posters highlighting<br />

suicide risk factors and management guidelines for emergency<br />

personnel.<br />

72 College Students

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