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Guidelines to assist in responding to attempted suicide or suicide by ...

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Mental dis<strong>or</strong>derA diagnosable illness that significantly <strong>in</strong>terferes with an<strong>in</strong>dividual’s cognitive, emotional <strong>or</strong> social abilities.Mental healthA state of successful perf<strong>or</strong>mance of mental function,result<strong>in</strong>g <strong>in</strong> productive activities, fulfill<strong>in</strong>g relationships withpeople, and the ability <strong>to</strong> adapt <strong>to</strong> change and <strong>to</strong> cope withadversity.Mental illnessMental illness refers <strong>to</strong> all of the diagnosable mentaldis<strong>or</strong>ders. Mental dis<strong>or</strong>ders are characterized <strong>by</strong>abn<strong>or</strong>malities <strong>in</strong> th<strong>in</strong>k<strong>in</strong>g, feel<strong>in</strong>gs, <strong>or</strong> behaviours.Mental health problemA situation <strong>in</strong> which a person experiences some disturbance<strong>or</strong> impairment of n<strong>or</strong>mal emotions and/<strong>or</strong> th<strong>in</strong>k<strong>in</strong>g.Mental health professionalsProfessionally tra<strong>in</strong>ed people w<strong>or</strong>k<strong>in</strong>g specifically <strong>in</strong> mentalhealth, such asocial w<strong>or</strong>kers, occupational therapists,psychiatrists, psychologists and psychiatric nurses.Mental health promotionAction <strong>to</strong> maximise mental health and well be<strong>in</strong>g amongpopulations and <strong>in</strong>dividuals.PostventionPostvention is the provision of crisis <strong>in</strong>tervention, supp<strong>or</strong>t<strong>to</strong> alleviate the distress of suicidally bereaved <strong>in</strong>dividuals;reduc<strong>in</strong>g the risk of imitative suicidal behaviour and thepromotion of healthy recovery of the affected community.PreventionInterventions that occur bef<strong>or</strong>e the <strong>in</strong>itial onset of a dis<strong>or</strong>der.Protective fac<strong>to</strong>rsCapacities, qualities, environmental and personal resourcesthat drive <strong>in</strong>dividuals <strong>to</strong>wards growth, stability, and health.Psychological First AidPsychological First Aid (PFA) is an approach f<strong>or</strong> <strong>assist</strong><strong>in</strong>g<strong>in</strong>dividuals after an emergency <strong>or</strong> disaster. It is a supp<strong>or</strong>tive<strong>in</strong>tervention used f<strong>or</strong> children and adults f<strong>or</strong> a brief periodof time, generally dur<strong>in</strong>g the hours, days and weeks after anemergency <strong>or</strong> disaster. PFA f<strong>or</strong> teachers is about listen<strong>in</strong>g,protect<strong>in</strong>g, connect<strong>in</strong>g, modell<strong>in</strong>g and teach<strong>in</strong>g. See:Psychological First Aid and Mental Health First Aid: A Guide f<strong>or</strong>Teachers.RecoveryRecovery is the process of a gradual res<strong>to</strong>ration of asatisfy<strong>in</strong>g, hopeful and mean<strong>in</strong>gful way of life.ResilienceCapacities with<strong>in</strong> a person that promote positive outcomes,such as mental health and wellbe<strong>in</strong>g, and provide protectionfrom fac<strong>to</strong>rs that might otherwise place that person at risk ofadverse health outcomes. Fac<strong>to</strong>rs that contribute <strong>to</strong> resilience<strong>in</strong>clude personal cop<strong>in</strong>g skills and strategies f<strong>or</strong> deal<strong>in</strong>g withadversity, such as problem-solv<strong>in</strong>g, good communication andsocial skills, optimistic th<strong>in</strong>k<strong>in</strong>g, and help-seek<strong>in</strong>g.Risk fac<strong>to</strong>rsFac<strong>to</strong>rs such as biological, psychological, social and culturalagents that are associated with <strong>suicide</strong>/<strong>suicide</strong> ideation. Riskfac<strong>to</strong>rs can be def<strong>in</strong>ed as either distal (<strong>in</strong>ternal fac<strong>to</strong>rs, such asgenetic <strong>or</strong> neurochemical fac<strong>to</strong>rs) <strong>or</strong> proximal (external fac<strong>to</strong>rs,such as life events <strong>or</strong> the availability of lethal means - fac<strong>to</strong>rswhich can ‘trigger’ a <strong>suicide</strong> <strong>or</strong> suicidal behaviour).Risk-tak<strong>in</strong>g behavioursRisk tak<strong>in</strong>g behaviours are behaviours <strong>in</strong> which there issome risk of immediate <strong>or</strong> later self-harm. Risk-tak<strong>in</strong>gbehaviours might <strong>in</strong>clude activities such as dangerousdriv<strong>in</strong>g, tra<strong>in</strong> surf<strong>in</strong>g, and self-harm<strong>in</strong>g substance use.Self-harmNon-suicidal self-<strong>in</strong>jury: A f<strong>or</strong>m of <strong>in</strong>tentional physical selfdamage<strong>or</strong> self-harm that is not accompanied <strong>by</strong> suicidal<strong>in</strong>tent <strong>or</strong> ideation.Stress<strong>or</strong>An event that occasions a stress response <strong>in</strong> a person.Suicidal behaviourSuicidal behaviour <strong>in</strong>cludes the spectrum of activities related<strong>to</strong> <strong>suicide</strong> and self-harm <strong>in</strong>clud<strong>in</strong>g suicidal th<strong>in</strong>k<strong>in</strong>g, selfharm<strong>in</strong>gbehaviours not aimed at caus<strong>in</strong>g death and <strong>suicide</strong>attempts. Some writers also <strong>in</strong>clude deliberate recklessnessand risk-tak<strong>in</strong>g behaviours as suicidal behaviours.Suicidal ideationThoughts about attempt<strong>in</strong>g <strong>or</strong> complet<strong>in</strong>g <strong>suicide</strong>.Suicide clusterA <strong>suicide</strong> cluster can be def<strong>in</strong>ed as a group of <strong>suicide</strong>s<strong>or</strong> acts of deliberate self-harm (<strong>or</strong> both), that occur closer<strong>to</strong>gether <strong>in</strong> time and space than would n<strong>or</strong>mally be expectedon the basis of statistical prediction and/<strong>or</strong> communityexpectation. Schools, prisons, mental health facilities,Indigenous communities, and communities with previousexperience of <strong>suicide</strong> <strong>or</strong> <strong>suicide</strong> clusters are <strong>in</strong>dicated <strong>to</strong> beat higher risk of experienc<strong>in</strong>g a <strong>suicide</strong> cluster. In Australia,<strong>suicide</strong> clusters have most commonly been documented <strong>in</strong>Indigenous communities and <strong>in</strong> young people.Suicide preventionActions <strong>or</strong> <strong>in</strong>itiatives <strong>to</strong> reduce the risk of <strong>suicide</strong> amongpopulations <strong>or</strong> specific target groups.SuicideIt is the <strong>in</strong>tentional act of tak<strong>in</strong>g one’s own life.Suicide postventionThe ‘provision of crisis <strong>in</strong>tervention, supp<strong>or</strong>t and <strong>assist</strong>ancef<strong>or</strong> those affected <strong>by</strong> a completed <strong>suicide</strong>’.Traumic eventsA ‘traumatic event’ is any <strong>in</strong>cident experienced <strong>by</strong> theperson that is perceived <strong>to</strong> be traumatic. Common examplesof traumas that affect <strong>in</strong>dividuals <strong>in</strong>clude accidents (such astraffic, car <strong>or</strong> physical accidents), assault (<strong>in</strong>clud<strong>in</strong>g physical<strong>or</strong> sexual assault, mugg<strong>in</strong>g <strong>or</strong> robbery, <strong>or</strong> family violence),and witness<strong>in</strong>g someth<strong>in</strong>g terrible happen. Mass traumaticevents <strong>in</strong>clude terr<strong>or</strong>ist attacks, mass shoot<strong>in</strong>gs, and severeweather events (hurricane, tsunami, f<strong>or</strong>est and bush fire).Universal InterventionInterventions that target the whole of a population <strong>or</strong>populations. In <strong>suicide</strong> prevention, these <strong>in</strong>clude activities<strong>to</strong> reduce access <strong>to</strong> means of <strong>suicide</strong>, <strong>to</strong> reduce mediacoverage of <strong>suicide</strong>, <strong>or</strong> <strong>to</strong> create stronger and m<strong>or</strong>esupp<strong>or</strong>tive families, schools and communities.Section H: Def<strong>in</strong>itions<strong>Guidel<strong>in</strong>es</strong> <strong>to</strong> <strong>assist</strong> <strong>in</strong> respond<strong>in</strong>g <strong>to</strong> <strong>attempted</strong> <strong>suicide</strong> <strong>or</strong> <strong>suicide</strong> <strong>by</strong> a student51

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