Suicide Prevention and Mental Health Trainings.

** This page is no replacement for crisis support. If you or someone you know is in crisis and need help immediately, call a crisis hotline or your local crisis team: 

National Suicide Hotline: 1-800-273-8255

Central Michigan Community Mental Health - Crisis Team: 1-800-317-0708

The purpose of this resource page: 

  1. To provide you with training opportunities you can bring to your community/school/church/agency.

  2. To provide stakeholders with information to better understand suicide.  

  3. To assist in decreasing discrimination of suicidal ideation and normalize the conversation. 

  4. To review some options or resources available when you, or someone you know is experiencing the crisis of suicidal ideation.

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Question Persuade Refer 

The QPR mission is to reduce suicidal behaviors and save lives by providing innovative, practical and proven suicide prevention training. The signs of crisis are all around us. We believe that quality education empowers all people, regardless of their background, to make a positive difference in the life of someone they know. 

What does QPR mean?

QPR stands for Question, Persuade, and Refer — the 3 simple steps anyone can learn to help save a life from suicide.

Just as people trained in CPR and the Heimlich Maneuver help save thousands of lives each year, people trained in QPR learn how to recognize the warning signs of a suicide crisis and how to question, persuade, and refer someone to help. Each year thousands of Americans, like you, are saying "Yes" to saving the life of a friend, colleague, sibling, or neighbor.

What is a Gatekeeper?

According to the Surgeon General’s National Strategy for Suicide Prevention (2001), a gatekeeper is someone in a position to recognize a crisis and the warning signs that someone may be contemplating suicide.

As a QPR-trained Gatekeeper you will learn to:

  • Recognize the warning signs of suicide

  • Know how to offer hope

  • Know how to get help and save a life

Training Duration: 1-1.5 hours

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Youth Mental Health First Aid

Youth Mental Health First Aid is designed to teach parents, family members, caregivers, teachers, school staff, peers, neighbors, health and human services workers, and other caring citizens how to help an adolescent (age 12-18) who is experiencing a mental health or addictions challenge or is in crisis. Youth Mental Health First Aid is primarily designed for adults who regularly interact with young people.

The course introduces common mental health challenges for youth, reviews typical adolescent development, and teaches a 5-step action plan for how to help young people in both crisis and non-crisis situations. Topics covered include anxiety, depression, substance use, disorders in which psychosis may occur, disruptive behavior disorders (including AD/HD), and eating disorders. 

Training Duration: 6-8 hours

Quick thoughts on Suicide:

  • Thoughts of suicide are not abnormal. You are not broken or alone. (even if you feel alone, there are people who will listen and love you). 

  • You do not have to act on thoughts of suicide.

  • Consider telling someone what you're feeling. Even someone you don't know very well. (sometimes it is easier to talk to people you don't know).

  • Suicidal Ideation (thoughts of suicide) may feel totally encompassing, overwhelming or even comfortable; remember, emotions and thoughts are waves of moments in time, find your support people to help you through those moments. You have the ability to live long enough to get through these moments.

Suicide Risk Factors and Warning Signs

While there is no single cause for suicide, there are risk factors and warning signs which may increase likelihood of an attempt. Learning them can save lives.

What leads to suicide?

There’s no single cause for suicide. Suicide most often occurs when stressors and health issues converge to create an experience of hopelessness and despair. Depression is the most common condition associated with suicide, and it is often undiagnosed or untreated. Conditions like depression, anxiety, and substance problems, especially when unaddressed, increase risk for suicide. Yet it’s important to note that most people who actively manage their mental health conditions go on to engage in life.

Suicide risk factors

Risk factors are characteristics or conditions that increase the chance that a person may try to take their life.

  • Mental health conditions

    • Depression

    • Substance use problems

    • Bipolar disorder

    • Schizophrenia

    • Personality traits of aggression, mood changes and poor relationships

    • Conduct disorder

    • Anxiety disorders

  • Environmental Conditions

    • Access to lethal means including firearms and drugs

    • Prolonged stress, such as harassment, bullying, relationship problems or unemployment

    • Stressful life events, like rejection, divorce, financial crisis, other life transitions or loss

    • Exposure to another person’s suicide, or to graphic or sensationalized accounts of suicide

  • Historical Conditions

    • Previous suicide attempts

    • Family history of suicide

    • Childhood abuse, neglect or trauma

Suicide warning signs

Something to look out for when concerned that a person may be suicidal is a change in behavior or the presence of entirely new behaviors. This is of sharpest concern if the new or changed behavior is related to a painful event, loss, or change. Most people who take their lives exhibit one or more warning signs, either through what they say or what they do.

Warning sign: Talk

If a person talks about:

  • Killing themselves

  • Feeling hopeless

  • Having no reason to live

  • Being a burden to others

  • Feeling trapped

  • Unbearable pain

Warning sign: Behavior

Behaviors that may signal risk, especially if related to a painful event, loss or change:

  • Increased use of alcohol or drugs

  • Looking for a way to end their lives, such as searching online for methods

  • Withdrawing from activities

  • Isolating from family and friends

  • Sleeping too much or too little

  • Visiting or calling people to say goodbye

  • Giving away prized possessions

  • Aggression

  • Fatigue

Warning sign: Mood

People who are considering suicide often display one or more of the following moods:

  • Depression

  • Anxiety

  • Loss of interest

  • Irritability

  • Humiliation/Shame

  • Agitation/Anger

  • Relief/Sudden Improvement

** content pulled from online resource: https://afsp.org/