Santa Clara County Suicide Prevention Program Mission: To bring community awareness to the issue of suicide and to engage the community effort to stop it. Santa Clara County Department of Behavioral Health Services, Division of Integrated Behavioral Health
2010 SCC BOS ADOPTED A SUICIDE PREVENTION STRATEGIC PLAN STRATEGY ONE: Suicide Intervention Programs STRATEGY TWO: Education/Information Programs STRATEGY THREE: Develop "Best Practices" w/media STRATEGY FOUR: Implement Policy/Systems Change STRATEGY FIVE: Establish Robust Data Collection/Monitoring System
SANTA CLARA COUNTY HAS A POPULATION OF 1.78 MILLION SCC HAS 15 CITIES IN 2011 SCC RATE OF SUICIDE WAS 8.9 PER 100,000 CALIFORNIA RATE OF SUICIDE WAS 10.6 PER 100,000 US RATE OF SUICIDE WAS 12.7 PER 100,000
NUMBER AND RATE OF SUICIDES 180 160 140 150 148 158 138 151 120 100 80 60 40 20 0 8.43 8.31 8.88 7.75 8.48 2009 2010 2011 2012 2013 SANTA CLARA COUNTY
140 120 100 SUICIDES BY GENDER AND YEAR 114 115 108 106 104 80 Female 60 40 42 34 43 32 47 Male 20 0 2009 2010 2011 2012 2013 SANTA CLARA COUNTY
2009 Deaths 2010 Deaths 2011 Deaths 39% 61% 30% 70% 37% 63% 2012 Deaths 2013 Deaths 30% 45% Female 70% 55% Male
20.0 18.0 16.0 14.0 12.0 10.0 8.0 6.0 4.0 2.0 0.0 Suicide Rate per 100,000 by City 2009-2013 Mean is 7.8
25.0% Total 2009-2013 Suicides by Age Group 23.2% 20.0% 15.0% 10.0% 20.2% 12.9% 12.8% 12.0% 15.1% 15.6% 14.9% 14.8% 17.7% 10.4% 9.3% 5.0% 0.0% 6.0% 5.6% 3.5% 3.6% 1.5% 0.5% <=14 15-24 25-34 35-44 45-54 55-64 65-74 75-84 85+ Census 2010
2009-2013 Total = 745 Place of Death Number % Home 480 64.4% Car 29 3.9% Hotel/Motel 36 4.8% Train Tracks 30 4.0% Park/Trail 34 4.6% Relative/Friend Home 20 2.7% Work 9 1.2% Hospital/Nursing Home 9 1.2% Jail 7 1.0% Other Public 78 10.5% UNK 13 1.7%
MEANS 2009 2010 2011 2012 2013 Total % Asphyxiation 8 6 9 2 5 30 4.0% Helium 0 7 2 3 5 17 2.3% Cutting/Stab 5 3 7 5 3 23 3.1% Drowning 3 2 0 1 0 6.8% Drug/Poison 20 25 36 27 25 133 17.9% Firearm 55 40 47 41 41 224 30.1% Hanging 42 48 43 50 51 234 31.4% Fire 3 1 1 1 1 7.9% Jumping 4 9 2 0 10 25 3.4% Train 7 3 9 6 5 30 4.0% Other 3 4 2 2 5 16 2.1% Total 150 148 158 138 151 745 100%
% Of Suicidal Communication 2009-2013 Suicide Note 34.5% Ph/Txt/Email/Video 5.1% Verbal Comments 2.4% No Note 39.6% Unknown 18.9% 0.0% 5.0% 10.0% 15.0% 20.0% 25.0% 30.0% 35.0% 40.0% 45.0%
2009-2013 Suicides for Ages 13-18 Deaths By Year 8 9 4 10 1 2009 2010 2011 2012 2013
Strategy 1 SPSP: Strategies Implement and coordinate suicide prevention and intervention programs and services for targeted high risk populations Strategy 2 Implement a community education and information campaign to increase public awareness of suicide and suicide prevention Strategy 3 Develop local communication best practices to improve media coverage and public dialogue related to suicide Strategy 4 Implement policy and governance advocacy to promote systems change in suicide awareness and prevention Strategy 5 Establish a robust data collection and monitoring system to increase the scope and availability of suicide-related data and to evaluate suicide prevention efforts
The Spectrum of Prevention Level of Spectrum Initiatives/Programs at this level Strategy 1. Strengthening Individual Knowledge and Skill 2. Promoting Community Education Suicide and Crisis Services (early intervention/intervention), gatekeeper trainings (prevention) QPR, safetalk, Mental Health First Aid, SP Speakers Bureau 3. Educating Providers safetalk, ASIST, AMSR 2 1, 2 2, 3 4. Fostering Coalitions and Networks 5. Changing Organizational Practices 6. Influencing Policy and Legislation Intervention Workgroup, Communications Workgroup, Data Workgroup, SPOC, MOU with PHD SPOC 4 Community Partners, SP mini-grants, SP Evaluator 1-5 4, 5
Suicide and Crisis Services (SACS) FY12-13 JULY AUG SEPT OCT NOV DEC JAN FEB MAR APRIL MAY JUNE TOTAL SUICIDE IN PROGRESS 2 8 5 6 3 3 3 4 4 4 3 5 50 HIGH RISK 6 20 17 16 8 8 10 9 17 9 8 20 148 MEDIUM RISK 16 23 39 23 37 25 25 27 32 26 25 26 324 LOW RISK 77 97 101 68 123 118 166 105 129 134 134 94 1356 CRISIS ONLY (NON- SUICIDAL) INFORMATION AL (TRIAGE, MISC) 1505 1560 1581 1365 1413 1492 1676 1342 1531 1422 1533 1202 17,622 797 561 619 570 552 670 683 548 490 565 501 401 6957 TOTAL 2403 2269 2362 2048 2136 2316 2563 2035 2213 2160 2204 1748 26,457 FY13-14 JULY AUG SEPT OCT NOV DEC JAN FEB MAR APRIL MAY JUNE TOTAL SUICIDE IN PROGRESS 5 6 3 5 4 4 5 0 1 0 0 0 33 HIGH RISK 18 8 10 14 23 9 14 3 16 6 9 10 140 MEDIUM RISK 32 26 38 19 27 27 38 12 36 16 14 24 309 LOW RISK 117 122 97 128 117 118 108 63 98 84 37 63 1152 CRISIS ONLY (NON- SUICIDAL) INFORMATION AL (TRIAGE, MISC) 1444 1412 1513 1325 1091 1325 1810 1593 2288 1997 1605 1792 19,195 502 571 419 513 463 531 78 66 66 69 28 41 3347 TOTAL 2118 2145 2080 2004 1725 2014 2053 1737 2505 2172 1693 1930 24,176
April August 2014 59 males, 45 females Ages: 0 10: 2 11-19: 12 20-29: 11 30-39: 12 40-49: 19 50-59: 21 60-69: 8 70-79: 1 Unknown: 18 ED Report
Public Awareness Campaign
School Policy Update There were slow and gradual outcomes: 5 school districts: SP policy & ARs prior to 2010 4 school districts: SP policy & ARs in 2010 5 school districts: SP policy & ARs in 2012 10 school districts: SP policy & ARs since June 2013 4 school districts: considering a SP policy & ARs 3 school districts: no indication of any action 1 district: unique, so no request Santa Clara County Office of Education: SP policy & ARs
Summary of SP Policies: Santa Clara County Alum Rock Union School District Berryessa Union School District Campbell Union High School District Fremont Union High School District Milpitas Unified School District San Jose Unified School District Gilroy Unified School District Moreland School District Saratoga Union School District Lakeside Joint School District Mount Pleasant School District Sunnyvale School District Campbell Union School District Loma Prieta Joint Union School District Mountain View Los Altos High School District Union Elementary School District East Side Union High School District Los Gatos Union School District Oak Grove School District Evergreen School District Franklin-McKinley School District Los Gatos-Saratoga Joint Union H.S. District Luther Burbank School District Orchard School District Palo Alto Unified School District Santa Clara County Office of Education
Online Question, Persuade and Refer (QPR) code distribution 1% 5,800 1% 5% 6% 21% 26% 8% 16% 12% 4% Schools Cities Faith Comm. Org. County Clinics Vol. Colleges Public Private
Sunday, October 26, 2014 DeAnza College www.afsp.org/walk SCVHHS Walk to Wellness
Evidence Based Health Promotion and Education Assessing & Managing Suicide Risk: Core Competencies for Mental Health Professionals
Gatekeeper Trainings by SP Staff Training How many offered Participants Pending QPR 17 509 October 10 safetalk 4 64 October 24 ASIST (early intervention) 4 88 September 29-30 December 16-17 MHFA (Spanish) 1 5 November 21-22
Community Events Community Events #/Locations Participants Pending Health Fairs 6 Over 1000 October 6 Escuela Popular (Binational Healthweek) October 18 Open Air Health Fair October 23 - Senior Resource and Wellness Fair October 26 Out of the Darkness Walk Suicide Prevention Presentations 7 Over 300 October 3 & 14 - County Office of Education Summit: October 3 - MHB-Executive Committee Stigma and Discrimination Reduction Initiative Speakers Bureau: Community Conversations 3 68
Evelyn Tirumalai, MPH Suicide Prevention Coordinator Phone: (408) 885-3982 Mobile: (408) 401-6117 Evelyn.tirumalai@hhs.sccgov.org www.sccmhd.org/sp Pain isn t always obvious. Learn the signs at ww.suicideispreventable.org Find support at your fingertips at any time of the day: www.my3app.org To download on your smart phone, search: my3 support network