YSPI Schools Programme - Student Booklet

yspireland
  • No tags were found...

The Four Steps to

Help Programme

Schools

&

Colleges Edition

MENTAL HEALTH AWARENESS

AND SUICIDE PREVENTION

Presentaon Notes


YOUTH SUICIDE PREVENTION IRELAND

All informaon in this leaflet is provided as an informaon resource about suicide prevenon and research acvies

only. It is not the intenon of Youth Suicide Prevenon Ireland Publicaons Limited to provide specific treatment or

care advice.

Youth Suicide Prevenon Ireland Publicaons Limited does not provide cerficaon or accreditaon for any counselling

organisaon, individual praconers or treatment or care models that users may find out about through our

informaon or publicaons or other materials provided by or through us.

Youth Suicide Prevenon Ireland Publicaons Limited does not endorse or recommend any of the service providers,

agencies or organisaons listed on any leaflet or publicaon provided by us or any other organisaon.

In no event shall liability exist to any user (or any third party who obtains access to the informaon) under any law for

any loss or damage (including but not limited to direct, indirect, economic and consequenal damage) in respect of any

maer whatsoever related to any informaon in any website or leaflet or publicaon nor for the use of the informaon

nor for acons taken or not taken as a result of informaon contained in this or any other websites leaflets or

publicaons (including, without limitaon, loss or damage caused by negligence).

The material contained in this leaflet is provided for general informaon purposes only and does not constute care,

treatment or other professional advice. Due to the general nature of the informaon provided in the leaflet, should you

require specific help, you should seek the assistance of an appropriately trained professional person. While every care

has been taken in the preparaon of the informaon contained in this leaflet, due to the nature of the informaon and

the processes of publicaon, the informaon may not be complete, correct or up to date.

Informaon contained in this leaflet which has been provided by recognised third pares is provided in good faith and

no liability shall exist for any errors or omissions contained.

© Copyright Youth Suicide Prevenon Ireland Publicaons Limited 2018. All Rights Reserved. E&OE.

Youth Suicide Prevenon Ireland

Registered Charity 20070670

Head Office

1st Floor, 59 High Street, Killarney, Co Kerry V93 N977

1800 828 030 admin@yspi.ie

Main Website

www.yspi.ie

Facebook

C youth.suicide.prevenon.ireland

Campaign Websites

Schools.yspi.ie

parents.yspi.ie

Students.yspi.ie

Supported by Folens Publishers

PAGE 2


FOUR STEPS TO HELP PROGRAMME

SUICIDE WARNING SIGNS

If someone is seriously depressed and thinking of aempng suicide there are

oen warning signs that family and friends can pick up on. Nocing and acng

upon these warning signs could save a life. Most people who are considering

suicide are willing to talk about their problems if someone shows they care. Don’t

be afraid of discussing the subject with someone you think may be suicidal. Talking

about suicide won’t ‘plant the idea’ in someone’s head. This is a myth. If you are

wrong, you’re at least showing a friend you care. If you are right, you could save

their life.

Somemes stress or a traumac event like bereavement can trigger suicidal

thoughts in a vulnerable person. For this reason it’s important to ask a friend who

is going through a tough me how they are coping and if they need some support.

Having someone to talk with can make all the difference.

Warning signs can include but are not limited to:

Withdrawing from family and friends.

Having difficulty concentrang and thinking clearly.

Sleeping too much or too lile.

Feeling red most of the me.

Gaining or losing a significant amount of weight.

Talking about feeling hopeless or guilty.

Talking about suicide or death.

Self-destrucve behaviour like drinking too much or abusing drugs.

Losing interest in favourite things or acvies.

Giving away prized possessions.

Mood swings.

IMPORTANT

If a friend menons suicide, take it seriously. If they have expressed an immediate

plan, or have access to prescripon medicaon or other potenally deadly means,

do not leave them alone. Get help immediately.

PAGE 3


YOUTH SUICIDE PREVENTION IRELAND

About the Four Steps to Help Programme

The Four Steps to Help Programme for Schools has been developed and approved by our

Advisory Panel which includes a consultant child and adolescent psychiatrist and has been

deemed to be age appropriate for ages 16+.

These school visits are fully funded by the YSPI School Visits Programme as part of our

outreach work and there is no cost to the school or organisaon to book and host a talk.

The talks we present are based on our own “Four Steps to Help Programme” which is

designed to increase awareness of suicide prevenon and to provide informaon on the

support and resources available to anyone who is concerned about suicide or is concerned

about a friend or family member.

The Four Steps to Help Programme for Schools focuses on providing simple, factual guidance

for suicide awareness and prevenon.

The programme emphasises:



the importance of awareness of sudden changes in behaviour in friends, family or

acquaintances;

Understanding how to recognise the suicide warning signs, as well as signs of other

PAGE 4


FOUR STEPS TO HELP PROGRAMME




mental health issues;

promoon of ‘acve listening’, giving simple listening skills and exercises which can be

used in everyday situaons;

emphasis on making appropriate family members or other adults aware of concerns so

that acon can be taken;

Praccal informaon on dealing with a crisis situaon and how to respond.

We all need to know and understand

that there is always someone that we

can turn to in our life and talk about

the issues facing us without fear of

rejecon if we are prepared to take

the first step.

What is much more challenging is

being prepared to take that first step

for someone else; to face possible

rejecon or ridicule by being

prepared to use the Four Step

Programme to potenally save a life.

But there are so many other problems, surely suicide and mental health

aren’t a priority anymore?

And yet all these crises can increase the chances of mental health issues developing AND

increase the risk of suicide

PAGE 5


YOUTH SUICIDE PREVENTION IRELAND

Ireland has the fourth highest teen suicide rate in the EU/OECD

Well-being of Young People 2017 - UNICEF

Youth Suicide Prevenon Ireland has been working for over 11 years to provide free educaon

and training services to schools and colleges around Ireland. According to the World Health

Organisaon's 2016 report suicide is the 2nd highest cause of death amongst young people

across the World. Sadly Ireland is not spared from this problem which affects almost every

community in the country.

In the European Union during 2015, according to Eurostat, there were approximately 56,000

reported deaths by suicide making it one of the leading causes of death. Males accounted for

43,000 of those deaths or 76%.

According to research by UNICEF published in 2017 Ireland has the fourth highest teen suicide

rate in the EU/OECD region. The organisaon's latest report card on well-being of young people

found that Ireland's suicide rate amongst adolescents aged 15 to 19 was 10.3 per 100,000

populaon and ranks well above the naonal country average of 6.1 per 100,000.

Schools and teachers are so important to the development of personality, social skills and selfworth

in a young person. The WHO states that among the six most important ways of reducing

suicide rates is through School-based Intervenons.

PAGE 6


FOUR STEPS TO HELP PROGRAMME

PAGE 7


YOUTH SUICIDE PREVENTION IRELAND

The Four Steps to Help Programme is a simple introducon to suicide prevenon and mental

health awareness informaon. The talks focus on four steps:

Step 1: Watching

This step focusses on raising awareness of the suicide warning signs and encouraging

parcipants to watch out for sudden behaviour changes in their friends and family members.

Step 2: Showing

This step focusses on showing friends and family members that they can discuss any concerns

with their friend or sibling, and they can turn to parents and trusted adults for support and

advice. This step introduces the Acve Listening skillset and provides techniques and

examples.

Step 3: Asking

This step focusses on simple techniques for asking someone how they are feeling and

encouraging them to talk about their concerns. This step builds on the techniques

introduced in step 2

Step 4: Helping

This step provides guidance on how to help someone you are concerned about and focusses

on geng assistance from a trusted adult or directly from a medical professional. This step

also introduces a crisis scenario and provides informaon on how to deal with the need to get

immediate assistance. This step links to the YSPI FreeText Crisis Informaon service detailed

on the back page of this leaflet.

PAGE 8


FOUR STEPS TO HELP PROGRAMME

PAGE 9


YOUTH SUICIDE PREVENTION IRELAND

PRE-SUICIDAL INDICATORS

Talking about suicide Any talk about suicide, dying, or self-harm, such as "I

wish I hadn't been born," "If I see you again..." and "I'd

be beer off dead."

Seeking out lethal means

Preoccupaon with death

No hope for the future

Self-loathing, self-hatred

Geng affairs in order

Saying goodbye

Withdrawing from others

Self-destrucve behaviour

Sudden sense of calm

Seeking access to guns, pills, knives, or other objects

that could be used in a suicide aempt.

Unusual focus on death, dying, or violence. Wring

poems or stories about death.

Feelings of helplessness, hopelessness, and being

trapped ("There's no way out"). Belief that things will

never get beer or change.

Feelings of worthlessness, guilt, shame, and self-hatred.

Feeling like a burden ("Everyone would be beer off

without me").

Making out a will. Giving away prized possessions.

Making arrangements for family members.

Unusual or unexpected visits or calls to family and

friends. Saying goodbye to people as if they won't be

seen again.

Withdrawing from friends and family. Increasing social

isolaon. Desire to be le alone.

Increased alcohol or drug use, reckless driving, unsafe

sex. Taking unnecessary risks as if they have a "death

wish."

A sudden sense of calm and happiness aer being

extremely depressed can mean that the person has

made a decision to die by suicide.

PAGE 10


FOUR STEPS TO HELP PROGRAMME

SPECIFIC RISK FACTORS IN TEENAGERS

Teenage suicide is a serious and growing problem. The teenage years can be emoonally

turbulent and stressful. Teenagers face pressures to succeed and fit in. They may struggle

with self-esteem issues, self-doubt, and feelings of alienaon. For some, this leads to

suicide. Depression is also a major risk factor for teen suicide.

Other risk factors for teenage suicide include:







Childhood abuse

Recent traumac event

Lack of a support network

Availability of means of suicide

Hosle social or school environment

Exposure to other teen suicides

SPECIFIC SUICIDE WARNING SIGNS IN TEENAGERS

Addional warning signs that a teen may be considering suicide:









Change in eang and sleeping habits

Withdrawal from friends, family, and regular acvies

Violent or rebellious behaviour, running away

Drug or alcohol abuse

Unusual neglect of personal appearance

Persistent boredom, difficulty concentrang, or a decline in the quality of schoolwork

Frequent complaints about physical symptoms, oen related to emoons, such as

stomach-aches, headaches, fague, etc.

Not tolerang praise or rewards

DANGEROUS CALM

Somemes when someone is under tremendous stress they can make very bad decisions,

including the decision to end their own life. In some people making this decision takes away

their pain and anxiety so their behaviours quickly return to normal. BUT their decision is sll

made and that decision can stay dormant for weeks or months!

SO if you are concerned about someone and they seem to recover very quickly, and perhaps

suddenly become very happy and enthusiasc, remember the dangerous calm. Let

someone know you are sll concerned and tell your friends so you can all be vigilant and

supporve.

PAGE 11


YOUTH SUICIDE PREVENTION IRELAND

PAGE 12


FOUR STEPS TO HELP PROGRAMME

TRUE OR FALSE?

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

TRUE OR FALSE

1. People who talk about suicide seldom mean it and can, in fact, be

regarded as low risk to aempt suicide.

2. The fact that someone has aempted suicide once greatly reduces

the risk of a second aempt.

3. Women aempt suicide more oen than men.

4. Suicide now ranks among the leading causes of youth death in the

European Union.

5. Most suicides occur "out of the blue" without any warning signs.

6. Asking someone if they are thinking about suicide will put the idea in

their head.

7. Teenagers rarely aempt suicide, although they may frequently think

about it.

8. Suicide aempts mean a person has ambivalent feelings toward life

and death.

9. Improvement following a suicidal crisis means that the suicidal risk is

over.

10. Suicide is inherited or runs in the family.

11. All suicidal individuals are mentally ill and suicide always is the act of

a psychoc person.

12. The incidence of suicide among the poor and deprived is

substanally higher than among the advantaged.

13. At least half of all people who complete suicide leave notes

explaining their acon.

14. The elderly have the highest rate of suicide for any age group.

Answers are on page 23

PAGE 13


YOUTH SUICIDE PREVENTION IRELAND

SOME MYTHS ABOUT SUICIDE

If I talk to people about their suicidal feelings, it will put the idea into their

heads.

If a person talks about wanng to die that is a sure sign that no suicide

aempt will be made.

If you think about suicide or suicide aempts, you will eventually die by

suicide.

People who think about suicide, aempt suicide or kill themselves are always

mentally ill.

When a person talks about suicide, it's just for aenon and the best thing to

do is to ignore the words.

FALSE !!

FALSE !!

FALSE !!

FALSE !!

FALSE !!

Suicide occurs without warning so there is no way to prevent it. FALSE !!

We can relax once the suicidal person is geng professional help. FALSE !!

The depression has lied and the person seems to be much beer and

happier. This is an indicaon that the person is out of danger.

FALSE !!

People who talk about suicide don't kill themselves. FALSE !!

When teenagers talk about suicide, change the subject and try to get their

minds off of it.

FALSE !!

PAGE 14


FOUR STEPS TO HELP PROGRAMME

PAGE 15


YOUTH SUICIDE PREVENTION IRELAND

WHAT IS “ACTIVE LISTENING”?

"Acve Listening" is simply the offering of friendship by one ordinary human being to

another at a me of crisis or loneliness. An Acve Listener has no professional status or

authority, but is simply a fellow human being who cares. The purpose of Acve Listening is to

listen, accept, care and empathise.

LISTEN

Allowing the person with a problem to express and to talk without being judged.

ACCEPT

Allowing the person to stay in neutral and accept feelings as they are.

CARE

Allowing one human being to reach out to another human being with respect.

EMPATHISE

Allowing the listener to hear where the speaker is coming from and allows us to be sensive

to another's feelings or ideas even when we don’t agree.

The purpose of Acve Listening is not to give advice, instruct, solve problems, or judge. It is

to respect the worth and value of another human being through Listening, Accepng, Caring,

and Empathising.

A GUIDE TO “ACTIVE LISTENING”

It's hard to know what to do when someone you care about is feeling depressed or upset.

You can use the following list as a guide to good Acve Listening:

DO:

Befriend

Consider the possibility of suicide

Focus on the pain

Ask if suicide is on their minds

Get involved

Allow the expression of feeling

LISTEN

Make life an opon

Be non-judgmental

Get help from responsible persons

Stay with the person at risk

Keep details of the story confidenal

PAGE 16


FOUR STEPS TO HELP PROGRAMME

DON'T:

× Lecture or moralise or give advice

× Think it is a passing phase

× Brush off feelings with inane remarks

× Be afraid that you will insl the idea

× Do nothing

× Trample on feelings

× TALK TOO MUCH

× Dare them to follow through with suicide

× React verbally or physically with shock

× Go it alone

× Leave the person alone

× Promise not to tell anyone

WHAT MAKES A GOOD “ACTIVE LISTENER”?

A good Acve Listener is someone who:

Does

listen more than talk

direct the conversaon to the painful

feelings

have compassion for sufferer

risk being foolish

aempt to be available at all mes

remain willing to share another person's

pain

respect confidences

listen

accept

empathise

Does not

× offer opinion or judgments

× belile or minimise concerns

× discuss one's own problems

× give advice

× express shock or surprise

× patronise or probe

× offer platudes and clichés

× make promises that cannot be kept

× interpret, lecture or diagnose

× Say "I know just how you feel."

× fail to pay aenon or care

Remember, a good friend will always tell a trusted adult about someone who is

struggling with a serious problem, is deeply depressed or considering suicide.

PAGE 17


YOUTH SUICIDE PREVENTION IRELAND

PAGE 18


FOUR STEPS TO HELP PROGRAMME

ASKING ABOUT SUICIDE











DO be yourself. Let the person know you care, that he/she is not alone. The right words

are oen unimportant. If you are concerned, your voice and manner will show it.

DO Listen. Let the suicidal person unload despair, venlate anger. No maer how

negave the conversaon seems, the fact that it exists is a posive sign.

DO be sympathec, non-judgmental, paent, calm, accepng. Your friend or family

member is doing the right thing by talking about his/her feelings.

DO offer hope. Reassure the person that help is available and that the suicidal feelings

are temporary. Let the person know that his or her life is important to you.

If the person says things like, “I’m so depressed, I can’t go on,” ask the queson: “Are

you having thoughts of suicide?” You are not pung ideas in their head; you are

showing that you are concerned, that you take them seriously, and that it’s OK for them

to share their pain with you.

DON’T argue with the suicidal person. Avoid saying things like: "You have so much to live

for," "Your suicide will hurt your family," or “Look on the bright side.”

DON’T act shocked, lecture on the value of life, or say that suicide is wrong.

DON’T promise confidenality. Refuse to be sworn to secrecy. A life is at stake and you

may need to speak to a mental health professional in order to keep the suicidal person

safe. If you promise to keep your discussions secret, you may have to break your word.

DON’T offer ways to fix their problems, or give advice, or make them feel like they have

to jusfy their suicidal feelings. It is not about how bad the problem is, but how badly it’s

hurng your friend or loved one.

DON’T blame yourself. You can’t “fix” someone’s depression. Your loved one’s happiness

or lack thereof, is not your responsibility.

PAGE 19


YOUTH SUICIDE PREVENTION IRELAND

PAGE 20


FOUR STEPS TO HELP PROGRAMME

PAGE 21


YOUTH SUICIDE PREVENTION IRELAND

What are they thinking? - A Parents’ Guide

This book gives a broad introducon to youth mental health awareness and suicide

prevenon and the state of youth mental health in Ireland today for parents and those

concerned about the welfare of young people in this fast paced, ever-changing world of 21st

Century Ireland.

Order online & we'll deliver to your door. We provide this book to you free of charge but we

do ask for a small voluntary donaon to cover the cost of postage. Your book will be

dispatched to you within 10 working days via An Post. All orders are dispatched in plain

envelopes with no charity informaon visible.

Order at parents.yspi.ie

PAGE 22


FOUR STEPS TO HELP PROGRAMME

www.saythesword.eu

True Or False Answers

1 False 2 False 3 True 4 True 5 False 6 False 7 False 8 True 9 False 10 False 11 False 12 False

13 False 14 True

PAGE 23


FreeText Crisis Assistance is a service of Youth Suicide Prevenon Ireland in associaon with NeonSMS. This

service is provided free of charge and without cost to the user. All informaon provided is in the public domain.

E&OE.

You can also visit ineedhelp.ie at anyme 24/7 for informaon on naonal and local helplines,

naonal and local support groups and safe places near you.

More magazines by this user