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This resource booklet has many different resources for suicide prevention, including sections for crisis, learning about suicide and how to help yourself or a friend, finding a therapist, apps and interactive tools for keeping yourself safe, as well as resources for clinicians.

ABOUT THIS RESOURCE This document explores LGBTQ youth suicide prevention from the family perspective and was developed in conjunction with the "Navigating the Tough Stuff: LGBTQ Suicide Prevention for Families" webinar held on July 22, 2022. View the recorded webinar and other related resources here.   Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement

ABOUT THIS RESOURCE This document explores how to increase LGBTQ youth suicide awareness from the family perspective and was developed from the "Navigating the Tough Stuff: LGBTQ Suicide Awareness for Families" webinar held on July 8, 2022. View the recorded webinar and other related resources here.   Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement

  ABOUT THIS RESOURCE This webinar explores LGBTQ youth suicide prevention from the family perspective. Offered in collaboration with Oregon Family Support Network.   ADDITIONAL RESOURCES Presentation slides Highlights & Key Concepts Document  Providing Affirming Care to the LGBTQ+ Community The Trevor Project’s 2022 National Survey on LGBTQ Youth Mental Health Trans Lifeline Oregon Family Support Network Protective Factors Family Prevention Form The Trevor Project's Self-Care Guide The Family Acceptance Project: General Acceptance Poster (in English); visit the Family Acceptance Project website for posters in other languages and more information about the Family Acceptance Project The Family Acceptance Project: Conservative Acceptance Poster (in English); visit the Family Acceptance Project website for posters in other languages and more information about the Family Acceptance Project Parents’ Influence on the Health of Lesbian, Gay, and Bisexual Teens: What Parents and Families Should Know, from the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB PreventionDivision of Adolescent and School Health, Centers for Disease Control Suicide Risk and Prevention for LGBTQ People, from the National LGBT Health Education Center LGBTQIA+ Behavioral Health Resources curated by the Northwest MHTTC 50 Simple Self-Care Practices for a Healthy Mind, Body, and Soul Awareness and Information Resources Fifteen Apps Parents Should Know About The 10 Life Domains Self-Care for Families and Family Members Suicide in America: Frequently Asked Questions   FACILITATOR Shawna Canaga Shawna Canaga is a Family Support Specialist and the statewide Peer Delivered Services Trainer for Oregon Family Support Network (OFSN). OFSN is a family run organization that promotes mental, behavioral, and emotional wellness for families and youth through education, support, and advocacy. Shawna comes to this position with over a decade of experience supporting youth and families, and with lived experience as a mother of an adult child with complex mental health needs. Throughout both of these journeys Shawna has cultivated a passion for supporting family-driven and person-centered care within the youth and family serving systems  

  This event was part of our ongoing Workshop Wednesday series.  To access slide deck, click on DOWNLOAD above CLICK HERE to view the recording Event Description Clinical training around suicide most often emphasizes intervention efforts and prevention skills, but rarely includes information about how to manage the aftermath of a death by suicide. This webinar will focus on how to develop and implement plans for postvention, or what to do in the aftermath of a death by suicide. Our discussion will emphasize creating a plan, designating key tasks and assigning roles, how to effectively (and with less stigma) communicate about suicide, and how to transition from postvention back to prevention.   Trainer Keri Frantell, PhD Dr. Keri A. Frantell (she/her/hers) is licensed psychologist working with university counseling students. She earned her doctorate in Counseling Psychology from the University of Tennessee. Her integrated program of practice, research, teaching, and advocacy centers on multiculturalism and social justice. In both research and clinical practice, she has extensive experience working with suicidality and LGBTQ+ populations. She has published on factors related to transgender suicidal ideation and attempts, bisexual oppression and the impact on mental and physical health, and the connection between religiosity and suicidality for LGB young adults.

About this Resource: As the future of crisis care in the United States is on the cusp of being transformed, it is important to keep under-served and marginalized populations in mind when championing the changes and improvements to those services. This brief guide serves to highlight the unique struggles and barriers that many different marginalized communities experience when trying to access crisis services, and provides a glimpse into the future of crisis care.

En Español Stress Management in Children and Teens Worry and anxiety are regular parts of life, but they can also be indications that your child needs more support. The recognition of anxiety disorders in young people has increased significantly over the past 10 years. Approximately 30% of children and adolescents will experience an anxiety disorder at some point in their young lives. Knowing the signs and seeking professional help when needed will help to interrupt a progression that can lead to depression, poor school performance, and substance use. Anxiety in Children and Teens Worry and anxiety are regular parts of life, but they can also be indications that your child needs more support. The recognition of anxiety disorders in young people has increased significantly over the past 10 years. Approximately 30% of children and adolescents will experience an anxiety disorder at some point in their young lives. Knowing the signs and seeking professional help when needed will help to interrupt a progression that can lead to depression, poor school performance, and substance use. Depression in Children and Teens While people used to think that depression only occurred in adults, we now know that children and adolescents can also experience depression. In fact, on average, approximately 3% of children ages 3-17 have a diagnosis of depression. That rate increases by 6-10% during adolescence. While many children experience down moods, the symptoms of depression should not be ignored. Suicide Warning Signs in Children and Teens Suicide is a serious and real concern among children and teens. Suicide is the second leading cause of death among youth ages 10-24. Suicide attempts are often related to other mental health conditions, but not always. Particularly among younger children, suicide attempts can be impulsive. Warning signs of suicide or suicidal statements should always be taken seriously and evaluated by a mental health professional. Suicidal feelings are treatable with appropriate intervention and support.

Recording of the event Black Youth Suicide Prevention, originally held on May 19, 2022.     Slide Presentation

This is a recording of the Session 1 panel discussion in the Rising Practices & Policies in the Workforce series, that took place on May 9, 2022. The panel discussion looked at how school and mental health leaders from our region are preparing their workforce for the launch of 988, the new National Suicide Prevention Hotline. On July 16, 2022, a three-digit, national mental health crisis hotline (mandated by the federal government in October 2020) is scheduled to launch nationwide. When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing National Suicide Prevention Lifeline network. The expansion of the current National Suicide Prevention Lifeline program to effectively triage, respond, and stabilize individuals experiencing a mental health crisis will require significant workforce expansion and training. This session invited regional 988 implementers to share opportunities and challenges during this transition.   In this session, panelists explored: What is 988, and what might it mean for our region? What are some promising and cautionary elements of this rising practice? How might our workforce successfully transition from the Suicide Prevention Lifeline model to the 988 model? How might we engage meaningful partnerships in this transition? What challenges do we foresee at the workforce level, and what training, resources, or other support would help resolve these challenges? What might be some rising practices, policies, and successful strategies for 988 adoption and integration?   Click here to download a PDF of the panel presentation. 

This event was held on April 13th, 2022, from 1:00 p.m. - 2:30 p.m. MT.  CLICK HERE to view the recording Event Description Suicide is the second leading cause of death for youth ages 10-24 per data gathered in 2019, with rates increasing 61.7% between 2009-2018 (Ivey-Stephenson et al., 2020).  Panelists represented perspectives from professionals working with youth in crisis in both the school and community. This panel discussed how some schools and communities are responding to this increasing epidemic and considerations specific to rural communities based on learned experiences. The targeted audience for this session was school mental health professionals and educators from Region 8, which takes in Colorado, Montana, North Dakota, South Dakota, Utah, and Wyoming.  Trainers McKinley Withers, Ed.D., M.Ed.                   I have had the privilege of working as teacher, counselor, and administrator. I received a Bachelor’s Degree in Social Science Teaching from Brigham Young University, a Master’s Degree in Psychology with an emphasis in School Counseling from Utah State University, and a Doctoral Degree in Educational Leadership and Policy from the University of Utah. I currently work as Jordan District’s Health and Wellness Consultant. If you don’t find me in public schools then you’ll find me with my amazing wife and beautiful children, running (preferably on trails), or trying some other outdoor hobby. I hope to meet you out in our schools or out in the wild!    Christin "Kiki" Quarry, BSN, MSN, PHN, RN                   Kiki Quarry has been practicing in the Emergency Department as an RN for 7 years in a rural community. She has earned her accelerated BSN from Samuel Merritt University graduating cum laude in 2013. And completed her MSN from UH Manoa in public health nursing graduating cum laude in 2016. She has applied to the University of Minnesota for her PhD in nursing focusing on research disparities of rural and indigenous communities. Kiki Quarry currently works at Maui Memorial Medical Center-Kaiser run community Hosptial level three trauma center. During her time there, she has worked in behavioral health and emergency medicine in the rural community of Maui. She has also spent time working in the community for Aloha house Licensed Crisis Residential Services and detox Center. She has focused trainings in Crisis Prevention Intervention, Trauma Nursing Core Certification, Advanced Trauma Certified Nurse, and community health liaison. Currently, she is a member of the DMAT team for Hawaii deployed during disasters, an OR RN for international delegations with Aloha Medical Missions, and continues to keep her 100-ton USCG-certified master/mater Captain’s License current with 20 plus years working professionally on boats.    Tina Boteilho, LMFT                   Tina Boteilho, LMFT is a Licensed Marriage & Family Therapist. Tina was born and raised on Maui. Tina lived in California for several years but couldn’t resist the invitation to go back to Maui after college. Over the past 20 years Tina has worked for several non-profit agencies and the state of Hawaii with children 0-18 years old, children with special health needs/disabilities and their families, individuals reintegrating back into their communities and families after several years of incarceration, emergency responders, military families, individuals needing crisis interventions, and individuals with serious and persistent mental illness. Tina currently runs her own private practice, contracts with several non-profits as a qualified mental health practitioner, has created several trainings for children, adolescents, couples, families, and individuals, and volunteers with several local non-profits. Tina has been invited to several trainings and conferences as a guest speaker to talk about best practices with people experiencing trauma and crisis, grief and loss, working in isolated rural areas, community resource building, pandemic relief, blending families, coparenting, LGBTQIA issues, and cultural sensitivity. In her spare time, she enjoys spending time with her family hiking, going to the beach, landscaping, ranching, and farming.

View Slide Deck This webinar will provide information on the current statistics and recent trends in suicide. Tips and resources will be provided to aid in helping someone who is suicidal. Session Objectives: Describe recent statistics about suicide across numerous demographic populations Describe recent trends in suicide Compare suicide prevalence to other common forms of mortality in the U.S. Differentiate between different types of suicidality Provide tips for helping someone who is suicidal Resources and sources for additional training Presenter: Kenneth Kinter, MA, LPC, is an Assistant Professor at Rutgers University and has been employed by Rutgers/UMDNJ since 2004. He has taught Group Dynamics in the Associates Degree Program. His current responsibilities include the implementation of evidence-based practices as well as staff training and development at Ancora Psychiatric Hospital and the Ann Klein Forensic Center. He and his wife have a private practice in Bordentown, NJ working with individuals, couples, and families. He is also an Adjunct Professor at Seton Hall University. He is currently completing his doctoral dissertation at Rowan University. His past work experience includes: screening centers, partial care programs, and a county jail. He has also done numerous presentations for (US)PRA, NJPRA, as well as several community mental health agencies. Occasionally, he plays bass guitar and sleeps.

View Slide Deck The Northeast and Caribbean Mental Health Technology Transfer Center (MHTTC) at Rutgers University provides monthly webinars to support you in developing your school-based mental health services and supports. During these sessions, the MHTTC, in collaboration with school mental health experts and New Jersey district exemplars will focus on the core features of effective school mental health practices.

View Session Recording This webinar will provide information on the current statistics and recent trends in suicide. Tips and resources will be provided to aid in helping someone who is suicidal. Session Objectives: Describe recent statistics about suicide across numerous demographic populations Describe recent trends in suicide Compare suicide prevalence to other common forms of mortality in the U.S. Differentiate between different types of suicidality Provide tips for helping someone who is suicidal Resources and sources for additional training Presenter: Kenneth Kinter, MA, LPC, is an Assistant Professor at Rutgers University and has been employed by Rutgers/UMDNJ since 2004. He has taught Group Dynamics in the Associates Degree Program. His current responsibilities include the implementation of evidence-based practices as well as staff training and development at Ancora Psychiatric Hospital and the Ann Klein Forensic Center. He and his wife have a private practice in Bordentown, NJ working with individuals, couples, and families. He is also an Adjunct Professor at Seton Hall University. He is currently completing his doctoral dissertation at Rowan University. His past work experience includes: screening centers, partial care programs, and a county jail. He has also done numerous presentations for (US)PRA, NJPRA, as well as several community mental health agencies. Occasionally, he plays bass guitar and sleeps.

View Session Recording The Northeast and Caribbean Mental Health Technology Transfer Center (MHTTC) at Rutgers University provides monthly webinars to support you in developing your school-based mental health services and supports. During these sessions, the MHTTC, in collaboration with school mental health experts and New Jersey district exemplars will focus on the core features of effective school mental health practices.

El suicidio es una preocupación seria y real entre los niños y adolescentes. El suicidio es la segunda causa principal de muerte entre los jóvenes de 10 a 24 años. Los intentos de suicidio a menudo están relacionados con otras condiciones de salud mental, pero no siempre. Particularmente entre los niños más pequeños, los intentos de suicidio pueden ser impulsivos. Las señales de advertencia de suicidio o declaraciones de suicidio siempre deben tomarse en serio y ser evaluadas por un profesional de la salud mental. Los sentimientos suicidas se pueden tratar con la intervención y el apoyo apropiados.

La importancia de las emociones para prevenir las autolesiones

Resources Access slide deck by clicking DOWNLOAD above CLICK HERE to view the recording   988 is the new three-digit dialing code that will route callers to the National Suicide Prevention Lifeline. When people call, text, or chat 988, they will be connected to trained counselors that are part of the existing National Suicide Prevention Lifeline network.    Learn more about March's Workshop Wednesday as we welcomed Charles Smith,PhD, MA, SAMHSA Regional Administrator, Region 8, as he presented an update on the status of 988, including the difference between 988 and 911, models for how 988 can work in your community, and additional state resources.    There was a Q&A session after the presentation.    Trainer Charles Smith, PhD, MA

ABOUT THIS RESOURCE This document addresses suicide risk assessment, prevention, and treatment, and was developed in conjunction with the "Maximizing Therapeutic Alliance in Suicide Risk Assessment, Management, and Treatment" webinar held on September 22, 2021. View the recorded webinar and other related resources here.   Terms of use and Substance Abuse and Mental Health Services Administration (SAMHSA) disclosure statement

This event was held on February 23, 2022. Access slide deck and other resources by clicking DOWNLOAD above Recording coming soon! Event Description According to the U.S. Centers for Disease Control and Prevention (CDC), people living in rural communities are at higher risk of suicide than their urban counterparts. The combination of greater access to firearms, high rates of drug and alcohol abuse, and limited access to psychologists and other mental health professionals form a lethal triad that contributes to the significantly higher numbers of suicide in rural communities.   In addition to these factors, many people living in rural community’s struggle with the stigma associated with mental health and seeking help.    For rural communities, confronting the reality of higher suicide numbers and the lingering impact on their communities while identifying and understanding how to address the relationships between these factors is key to addressing the problem.  This 4-hour seminar gave providers and anyone providing mental health support to individuals a working knowledge, resources, and community-based solutions for addressing suicide in rural communities. Participants learned about the signs and symptoms of suicide, the impact of stigma on seeking and maintaining treatment, the role of harm reduction, and suicide postvention for providers and families.        The seminar explored the following topics:  Stigma  Signs & Symptoms  Risk Factors vs. Protective Factors  How to Approach the Conversation as an individual and community.  Post-suicide - survivorship of the family "Nothing goes away in rural communities."    Content for this seminar was drawn from multiple sources including Mental Health First Aid, the Suicide Prevention Toolkit for Primary Care Practices, and the American Indian Addendum to the Suicide Prevention Toolkit for Primary Care Practices.     Due to the intensive and interactive nature of the seminar, registration was limited to 25 participants.    For more information, please contact:  [email protected]    Trainer Debra Brownlee, PhD

Access slide deck with the green DOWNLOAD button above CLICK HERE to watch the recording This event was held on February 22nd, 2022.  Event Description Everyone can all think of things they want to change about themselves or their behavior. Why is it so difficult for many people to make those desired changes? In a word, motivation. When someone is motivated, changing their behavior for the better is no longer a matter of “if” but of “how.”  This understanding is the essence of Motivational Interviewing (MI), a popular psychotherapy technique that helps individuals make positive changes to their health, relationships, and quality of life.     Motivational Interviewing is a person-centered, non-confrontational counseling technique that prompts behavior change.  Behavioral and Cognitive Psychotherapy defines MI as “a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence.”  Originally MI was designed to address alcohol or other drug addictions but has recently been effective in situations where people may feel ambivalent about making positive behavioral changes. Motivational Interviewing is widely used to help patients address eating disorders, thoughts of suicide, smoking, gambling, hoarding, substance use disorder, and co-occurring disorders.  In this one-hour training, participants went away with a clear understanding of what Motivational Interviewing is and what it is not. Including steps on how to begin to use it most effectively to assist patients in discovering ways to make positive changes in their lives.     Trainer Ivory Tubbs, PhD Technical Expert, RCORP WICHE Behavioral Health Program                 Prior to earning his doctorate in psychology, Ivory served in the United States Air Force during Operation Desert Shield in logistics in 1991. Prior to his discharge from the military, Ivory’s career in the mental/behavioral health field began in Las Vegas, Nevada as a crisis intervention specialist. Later, he transitioned to the role of child development assistant with Clark County Family Services.  In 1999 he was appointed as the Executive Director of Windsor Village Social Services, an agency working in conjunction with FEMA to provide emergency food, shelter and utility assistance for area residents. In addition to fulfilling his duties as Executive Director, Ivory was also a Senior Public Health Investigator with the City of Houston, Bureau of Epidemiology conducting psycho-social assessments regarding sexual practices and opioid use within the HIV/AIDS community for the CDC. After his simultaneous roles as Executive Director and Senior Public Health Investigator, Ivory began adding to his knowledge base by joining the University of Texas School of Health Sciences, Psychiatric Center working with acute and subacute psychosis patients as well as patients in the forensic psychology unit for the Houston Police Department.  Ivory was also a Psychological Assessor focusing on dual diagnosis patients as well as outpatient therapy to monitor psychotropic drug interactions. Ivory took a hiatus from behavioral health to become an HR Manager in compliance and performance management for Walmart US. Ivory has served on several boards of directors and has done extensive work in the homeless community. He has also held the role of director working with the developmentally delayed population. 

Watch the webinar.   Objectives: Discuss suicide prevalence rates in tribal communities  Identify suicide prevention strategies and programs for tribal communities  Identify interventions to use when a member of the community is experiencing suicidal ideation  Discuss culturally appropriate strategies to implement after a suicide occurs    Speakers:   Patricia Cerda-Lizarraga, Ph.D., graduated from the University of California, Irvine with a double major in Cognitive Psychology and Spanish Language and Culture. She moved to the Midwest where she completed her Masters degree and doctoral degree in Counseling Psychology from the University of Nebraska-Lincoln. Patricia previously worked as a staff psychologist at UNL where she provided individual and group therapy to college students. Patricia was the diversity coordinator at Counseling and Psychological Services at UNL and has a passion to work with issues of diversity and with people of color. She recently came on board at Morningstar to work with the American Indian population in Nebraska and expand her training in working with children and families. Dr. Patty was born and raised in Southern California. Together with her two young boys and her husband they have made Lincoln, Nebraska their home. Dr. Patty enjoys family time and taking trips to California and Mexico.     Dr. Katie Doud, Ph.D., Licensed Psychologist, attended the University of Nebraska-Lincoln, where she completed her Bachelor of Psychology, and received her Master’s in Counseling Psychology. She completed her PhD in Counseling Psychology from Loyola University-Chicago. She works providing mental health services to the American Indian communities in Nebraska. Her previous experiences include; psychologist at the University of Nebraska-Lincoln college counseling center, a local private practice, Cook County Hospital and a pediatric developmental center in Chicago, domestic violence shelter and sexual assault and domestic violence crisis center. Katie’s areas of practice include working with individuals from diverse backgrounds, children, trauma, crisis management, survivors of interpersonal violence and sexual assault, family of origin issues, anxiety, depression and grief.    Learn more about Healing Roots: Considerations for Mental Health Accessibility and Delivery of Services Across Tribal Communities    

Download the slides   Objectives: Discuss suicide prevalence rates in tribal communities  Identify suicide prevention strategies and programs for tribal communities  Identify interventions to use when a member of the community is experiencing suicidal ideation  Discuss culturally appropriate strategies to implement after a suicide occurs    Speakers:   Patricia Cerda-Lizarraga, Ph.D., graduated from the University of California, Irvine with a double major in Cognitive Psychology and Spanish Language and Culture. She moved to the Midwest where she completed her Masters degree and doctoral degree in Counseling Psychology from the University of Nebraska-Lincoln. Patricia previously worked as a staff psychologist at UNL where she provided individual and group therapy to college students. Patricia was the diversity coordinator at Counseling and Psychological Services at UNL and has a passion to work with issues of diversity and with people of color. She recently came on board at Morningstar to work with the American Indian population in Nebraska and expand her training in working with children and families. Dr. Patty was born and raised in Southern California. Together with her two young boys and her husband they have made Lincoln, Nebraska their home. Dr. Patty enjoys family time and taking trips to California and Mexico.     Dr. Katie Doud, Ph.D., Licensed Psychologist, attended the University of Nebraska-Lincoln, where she completed her Bachelor of Psychology, and received her Master’s in Counseling Psychology. She completed her PhD in Counseling Psychology from Loyola University-Chicago. She works providing mental health services to the American Indian communities in Nebraska. Her previous experiences include; psychologist at the University of Nebraska-Lincoln college counseling center, a local private practice, Cook County Hospital and a pediatric developmental center in Chicago, domestic violence shelter and sexual assault and domestic violence crisis center. Katie’s areas of practice include working with individuals from diverse backgrounds, children, trauma, crisis management, survivors of interpersonal violence and sexual assault, family of origin issues, anxiety, depression and grief.    Learn more about Healing Roots: Considerations for Mental Health Accessibility and Delivery of Services Across Tribal Communities  

  Health providers are at significant risk for stress and burnout compared to the general population. This can lead to conditions such as insomnia, anxiety, substance use and feelings of depression. Add the burdens of COVID-19, grief and other losses and we see health provider suicide rates increasing. We can all make a difference to intervene and potentially save a life. En Español Related Products: Peer Support for Healthcare Providers Taking Care of Yourself While Taking Care of Others

Los proveedores de servicios de salud presentan un riesgo significativo de estrés y quemazón laboral en comparación con la población en general, lo que puede provocar condiciones de salud mental como insomnio, ansiedad, consumo de sustancias y sentimientos de depresión. Agregue a eso la carga del COVID-19, el dolor y otras pérdidas, las tasas de suicidio en proveedores de salud están aumentando. ¡Todos podemos hacer la diferencia!