Who is most at risk for suicide? ANYONE can fall into suicidal thinking. Yes. It can be anyone. You. Your child. Your elderly parent or grandparent. Research and experience, however, tell us that suicidal thinking does happen most often in certain age ranges and in certain groups of people, and those groups of people have been targetted for training and assistance to reduce the number of suicides within those groups. That training has shown great results.

As far as age ranges, let’s look at some groups of people. Three groups stand out in particular. People aged 45-60, 70-85, and 13-20 have been high rate populations, age-wise, in the USA for a couple of decades. There are a variety of reasons that these age groups of people could fall into high suicidal thinking categories including normally high rates of physical and hormonal change; high rates of developmental and health change; work, school, and family changes; social gains and losses; and emotional upheaval. Many of our elderly population tell us that they begin to feel isolated or don’t want to burden their loved ones with their decreases in functioning or poor health or they feel they have no purpose or value, any more. Younger folks often talk about bullying and being isolated. We won’t even touch on the family, relational, job, and hormonal changes that middle-aged people go though (we could go on for days).

Now let’s look at groups. When we say groups, it can mean any type of group of people that have something in common. Certain groups, however, have been identified as having high rates of suicide in the USA, and in the future, we may identify many more. For example, a recent study completed by SAMSHA found that among high school students, Asian boys of high school age are considering suicide, right now, more than any other high school-aged group in the USA (2021), which was a surprise and new information we were not expecting to hear. This will be a population they will be targetting for suicide prevention strategies which we know work. This is good information to know and identify.

Veterans: The group with the highest rate of suicice in the USA for several decades has been the veteran population. Veterans of the armed forces are vulnerable, and they resist getting help due to their very special culture. While there is a great effort to change that culture to a “asking for help is a sign of strength” culture, it has been difficult. On the other hand, we have seen great improvement. Ten years ago, we were losing more than 25 veterans a day to suicide, and if President Biden’s numbers were correct, yesterday, those numbers have decreased to 18 per day (the research showed 20 per day as of December). That means our efforts with education and a change in how the VA is changing health care and outreach is saving at least 1800-2500 veterans per year just in reducing the number of veteran suicides. That doesn’t even count those on active, reserve, or National Guard duty.

Native Americans: Native American men, especially, experience a much higher suicide rate than the general public. They have all of the suicide risk factors of the general population with the addition of living with the effects of historical and cultural trauma, geographic isolation, and high rates of poverty. One significant risk factor in a population that has high rates of suicide, like those of the Native American population is having been close to someone who has died by suicide, and many NA folks find themselves in this position.

LGBTQAIIP+: Suicidal thinking is high in the LGBTQAIIP+ population, and it is not a surprise. More than 80% of this groups reports being assaulted or threatened during childhood, alone. The rate of discrimination and prejudice directed toward these groups can significantly be linked to diminished mental wellbeing and increased depression. Additional risk factors can be linked to isolation, unfair treatment, fear of seeking help, exposure to suicide, lack of support or non-violent problem solving skills, inability to stay at work or school, and lack of acceptance. Education and training has made a significant different in acceptance and the landscape is dramatically changing, but we still have a long way to go. We are making progress. Let’s keep up the good work!

Police Officers: A little know fact is that more police officers die of suicide than die of shootings and traffic accidents, combined, each year… about 130 per year in the USA. No one wants to talk about this: They just want to villify police officers without telling you that this is a tough job, and most officers are actually good… no great. They put their lives on the line for all of us, each day. Yes, there are some bad ones (no doubt), but the majority are great… and at risk. I recently learned that there is no agency in the USA that actually keeps track of how many officers die by suicide per year. One officer took it upon himself to create an organization which collects that information, so the 130 count may actually be lower, if they have not all been reported as suicides. While depression is the most common link to suicidal thoughts, officers and corrections officers suffer higher than normal rates of PTSD. They also have a culture of stigma which prevents them from help seeking, many perhaps being afraid that they may lose their jobs if they ask for help or tell someone they are having mental health challenges or thoughts of suicide. Many opt for self-isolation or self-medication, which often turns into substance use or abuse, which can lead to substance use disorders, another risk factor for suicide.

Native Alaskans: Native Alaskans are at a higher than usual risk for suicide. This group experiences social inequities, such as poverty, lack of transportation. isolation, and lack of access to health care at higher rates than the general population. Native Alaskans also have a history of trauma which includes high rates of childhood physical and sexual abuse. Some say there is a historical and ongoing loss of cultural identity while others say that the cultural identity is simply changing, either mindset causing distress and/or conflict.

Some statistics and other group information to keep in mind:

The most common races to attempt and die by suicide in the USA: White, Native American and Native Alaskan

Women Attempt Suicide 3 times More Often than Men; however, Men Die 4 Times More Often than Women

There is 1 Suicide approximately Every 11 Minutes in the USA, about 130 Per Day

About 48,500 American Lives Are Lost to Suicide, Each Year

For every 25 suicide attempts, there is one suicide, except for the in the elderly. That number climbs significantly. In the elderly, the CDC tells us that for every four suicide attempts there is one suicide.

Knowledge is the key to suicide prevention. The more people we can educate, the better. People need to know that they are important, and you need to know how to recognize the signs and symptoms of suicidal ideation, as well as the risk factors and protective factors, so we can keep your loved ones, co-workers, employees, neighbors, and community members safe. The more we train people, the lower the percentage of people who die by suicide has been, and the more people have been getting help. Strong people ask for help. Stronger people understand that it is okay to not be okay, and it is okay to allow them to ask for help.

You can make a difference. Get trained. Ask for help if you need it, and offer help when you see someone else needs it. Ask someone, straight out if they are thinking about suicide, if they are showing signs and symptoms. You just might save a life. He matters. She matters. They Matter. You Matter.

The Lighthouse Certifies 22 in Youth Mental Health First Aid!

a fantastic organization

Last Saturday, I spent the day in Bunker Hill, Indiana at the Lighthouse! It is an organization of community members who work with at-risk youth in a number of ways to help them, teach them, and give them opportunities to just be kids and grow into good, productive adults. This group is fantastic! I love that their mission is to ensure that the youth, who will be the leaders of tomorrow, have every opportunity to learn to live good lives and have a safe environment to grow up in.

On Saturday, I was able to train them in a blended version of YOUTH Mental Health First Aid, my first blended class of 2021! First, they did a 2-hour, online series of pre-work before they came to class. Then, on Saturday, we practiced applying the ALGEE Action Plan in a number of scenarios and through activitties and discussions starting with identifying newly developing mental health challenges through identifying and helping youth get help when they are in crisis.

It was a wonderful way to spend a day training a wonderful group of people! The Lighthouse now has 23 certified YOUTH Mental Health First Aiders, ready to help the youth of their community in yet another way!

YOUTH Mental Health First Aid can change a life forever: You can be the difference!

I am ready to bring Mental Health First Aid (adult or Youth) to your organization or business! MHFA@educationwellness.lorg

October is Breast Cancer Awareness Month

October 30th, last year, my mother was diagnosed with breast cancer… not just breast cancer, but a fast-growing, invasive, triple negative breast cancer… one of the hardest types to have. In addition, she is over the age of 65, and the recommended treatments for this type of breast cancer are considered way too harsh for the majority of people over the age of 65. It was a tough year, but Mom is doing very well.

One interesting thing the breast surgeon who lead the cancer team said to my mom that first day, had little to do with the cancer treatment, although that is important. It was that Mom should not get upset at the amount of information, propaganda, advertising, and exposure that breast cancer gets from October 1st through about the first week of November, because October is Breast Cancer Awareness Month. There are lots of activities and advertisements going on to remind us, to raise awareness, and to raise money for research… and it is ultimately important. As we found out in the next 6 month, that is so true.

Because of the impact that Breast Cancer Awareness Month has brought about, we now know much more about breast cancer, the different types of cancer, and that there are many types of treatments that match perfectly to many different types of cancers. We have been instrumental in the amount of money that has lead to massive research and development and the number of scientists that can work on breast cancer science. While triple negative cancers still must use the harshest of chemotherapies and surgical removal to have the most effective treatment, scientists have learned that other types of breast cancer don’t all even need to use chemotherapy, and testing has been perfected to be able to identify many specific types of those cancers.

It is simply amazing what Breast Cancer Awareness month and its activities has brought about. Essentially, please support breast cancer awareness month. what can you do? Of course, you can donate your time or money; however, you can do other things, so don’t think that is the only thing available. If you have no time or no money, you can still do something: There are so many other things you can do during Breast Cancer Awareness Month. How about some of these ideas:

  • Join or host a Relay team for one of the fundraisers
  • Host or take part in a Pink Ribbon Fashion Show
  • Take part in a breast cancer awareness lunch-n-learn program – teach or learn!
  • Pink Ribbons! – wear them, make them, sell them, pass them out
  • Neighborhood PINK Garage Sale Day – neighbors donate the proceeds
  • Make & Donate Caps/Headbands to a cancer center
  • Learn from any of the many Breast Cancer experts available
  • Provide pink cupcakes to a women’s organization, girl’s club
  • Write about your personal experiences – Share with others! try to balance the bad with the good.
  • Create a yearly workplace program or fundraiser for November – the sky’s the limit for these ideas!
  • Post your support for cancer patients and cancer survivors on Social media

What we all benefit from just may save your life, your mom’s life… your friend, your neighbor, your co-worker, your sister, your aunt, your girlfriend, your daughter, your granddaughter, your wife… November is Breast Cancer Awareness Month

Mental Health First Aid certification

Recognition of Mental Health First Aid
Do You Know ALGEE?

Some of you recognize ALGEE, and some of you will get to know ALGEE throughout the next few years. ALGEE is a very special little Koala. He is the mascot of the Mental Health First Aid program and is a reminder of the 5-step action plan that you are taught in Mental Health First Aid courses. Thanks to all of you who have certified and have become mental health “first-aiders.” You rock and have saved many lives with your thoughtful interactions, questions, and suggestion to help people who experience mental health challenges.

For those of you who are not familiar with Mental Health First Aid: What is it?

Mental Health First Aid is a certification program on the same level as CPR and First Aid & Safety. It is evidence-based which means that it is grounded in research and practices proven to work. It is for the person who has not had upper level psychology education and who does not work in the psychological services on a regular basis (they already know all of this stuff). So…, basically, it is for the rest of us! The program helps us understand how common mental health issues are, how to recognize when someone might be dealing with a mental health challenge or mental health crisis, how to approach someone we might be concerned about, and how to help them get the help which could change their lives.

Anyone who understands both physical and mental health understands that the earlier we can get a person help, the more likely the outcomes will be positive; however the longer it takes to get help, the more detrimental a health condition can become. Yes, that includes both physical and mental health. In Mental Health First Aid courses, we talk about how to approach a person we suspect may be having difficulty and how to start a conversation to find out more. Often, we find that the person is not having issues or may have a difficult situation that they can handle quickly and be well. How would we know if we didn’t ask, though?

In my experience, if I ask 15 people about what I observe, I generally find that 2 people could really use some help. Most of the time, the help they need is minimal. They may need to talk about something to get it out or to try to understand something they are struggling with better. They may need to learn a way to relax in certain circumstances. Students may need to talk with an academic advisor on advice about a course. Veterans may need an outlet for their experiences that they feel they can’t talk with because others have not “been there.” There are so m any thing and so many people who have mental health issues (1 in every 5 people or more), and they may need to know that they are not alone and someone has noticed and wants to be there for them.

On the other hand, every once in a while, I ask someone about what they are experiencing, and I find that they could use the help of a professional in the medical or mental health fields, or a social worker, or even police intervention, if necessary. If they probably could benefit from treatment, but don’t realize it, as a First-Aider, I can guide them toward choosing to get help by offering them information and letting them know they are not alone in whatever they are struggling with. There are lots of kinds of professional help.

My favorite role is encouraging people to use self-help skills and learning all they can about their disorders. It helps to reduce fear and anxiety and gives a person a way to help themselves to some degree without constantly needing medical care. If you have read this blog for a while, then you know that I am a huge fan of deep breathing exercises. WHY? Because it works for me. When we talk about self-help skills, though, we have to realize that there are many and they don’t all work to the same degree in everyone. I do deep breathing and gardening to reduce anxiety. My neighbor likes to work and stay as busy as possible. A friend of mine loves using acupuncture to relieve stress and reduce depression. A great question a Mental Health First-Aider can ask is: What makes you happy? What do you like to do that helps you relax/cope/learn/feel free/or whatever the person needs?

Mental Health First Aid can be as easy as this: Hi Tom, I noticed (XYZ)… I was wondering if we could talk about it in private. I want to help. What happens next depends on what you learn.

Use the ALGEE action plan. If you do not know it, then please find a Mental Health First Aid course, take it, and get certified! Now that we can teach Mental Health First Aid completely online, in a blended manner (half online and half in class), or in our wonderful traditional in-person course, there is no excuse to not get certified. WE have certified more than 2.4 million people in the USA, and you could be next! Come join the movement!

Thank you for being out there and saving lives, ya’ll!

Do you want to take Mental Health First Aid or Youth Mental Health First Aid online? We can get you into a class! email us at MHFA@educationwellness.org to get details.