Safe Texas Schools: Suicide & Bullying Prevention

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Safe Texas Schools:Suicide & Bullying PreventionJenna Heise MA, NCC, BC-DMTState Suicide Prevention CoordinatorJames Wright, MS, LCPC, Substance Abuse and Mental HealthServices Administration, Suicide Prevention BranchRick Torres, Texas School Safety Center,Texas State University

Suicide PreventionBest Practices in TexasThe Department of State Health Services oversees:§ 39 Community Mental Health Centersstatewide§ Regional Centers with Suicide PreventionCoordinators, Crisis Centers, Hotlines§ School Health Network§ Educational Service Centers – School HealthSpecialistsPage 2

Suicide PreventionBest Practices in Texas§ At-Risk Avatar training for High School / Collegeo best practice registryo FREE self-navigated 1 hour class online§ NEW At-Risk training for Middle School faculty§ ASK Suicide Prevention Gatekeeper Trainingo Smartphone Appo 1st in the worldo 10,000 people trainedPage 3

Suicide PreventionBest Practices in TexasState Suicide Prevention Council§ Infrastructure for statewide suicide prevention§ 29 statewide coalitions supported§ Over 21 statewide agencies§ Updating Texas State Suicide Prevention PlanPage 4

Risk FactorsRisk Factors are stressful events,situations, or conditions in a person’slife that may increase the likelihood ofattempting or dying by suicide.55

Risk Factors:Bio-Psycho-SocialBiological & Psychological: Mental IllnessSubstance AbuseHopelessnessImpulsive or AggressiveTrauma/Abuse/BullyingMajor Physical IllnessFamily history of suicidePre-existing vulnerability(obese, GLBTQ, awkward,G&T ) Previous Suicide Attempt66

Risk Factors: SocialCulturalSocial – Cultural- Isolation and lack of social support (Bullying, GLBT, G&T,Obese, others) Stigma to seeking help (men, rural, military, lawenforcement, others) Barriers to health and mental health care Cultural and/or religious beliefs that normalize suicide.77

Risk Factors:Environmental§ Loss (Job or Financial)§ Loss (Relationship)§ Easy access to lethal means§ Exposure to clusters of suicide.88

Risk Factors: Mental andAddictive DisordersNote: Biological & Psychological Factors, include- Mental and addictive disorders, often co-occurring, asthe most powerful risk factors for suicide in all agegroups Mental or addictive disorders are thought to be presentin at least 90 percent of all completed suicides. Bipolar and schizophrenia are two disorders that havebeen found to have particularly strong associations withsuicidal behavior.Source: Moscicki, Eve K. Identification of suicide risk factors using epidemiologic studies. PsychiatricClinics of North America. Vol 20(3), Sep 1997, 499-51799

Protective Factors§ epoten*alforsuicideaswellasotherhigh- ‐riskbehaviors.”1010

Youth Risk BehaviorSurvey§ Biennial survey public high school students§ All self reported data (no measurements)§ Participation is voluntary on every level§ Parental consent is required§ Students/Schools/Districts are all avior11Survey.”

Suicide Module in YRBS§ During the past 12 months, did you ever feel so sad or hopelessalmost every day for two weeks or more in a row that youstopped doing some usual activities?§ did you ever seriously consider attempting suicide?§ did you make a plan about how you would attempt suicide?§ During the past 12 months, how many times did you actuallyattempt suicide?§ Analyze looking at 1 or more times§ Students can respond up to ‘6 or more times’§ If you attempted suicide during the past 12 months, did anyattempt result in an injury, poisoning, or overdose that had tobe treated by a doctor or orSurvey.”12

Almost 1 in 3students feltdepressed in thepast 12 monthsTexas 2011More than 1 in 6students consideredsuicideMore than 1 in 7made a plan tocommit suicide13

More than 1 in 10 studentsactually attempt suicide1in 50 make attempts sosevere that they requiremedical attention33 students in our samplehad attempted suicide 6 ormore times in the past 12months14

YRBS Bullying Questions§ § § The next 2 questions ask about bullying. Bullying is when 1 ormore students tease, threaten, spread rumors about, hit, shove, orhurt another student over and over again. It is not bullying when 2students of about the same strength or power argue or fight ortease each other in a friendly way.23. During the past 12 months, have you ever been bullied on schoolproperty?24. During the past 12 months, have you ever been electronicallybullied? (Include being bullied through e-mail, chat rooms, instantmessaging, Web sites, or aviorSurvey.”15

Attempted Suicide in Past 12months by Number of orSurvey.”

YRBS “Take Away”§ YRBS shows that when one or moreprotective factors are in place then thelikeliness of suicide is decreased§ Importance of Connectedness: feelingconnected is one of the most importantprotective factors according to CDC§ Do you agree or disagree that in yourcommunity you feel like you matter to people?§ 48% Did not feel like they matterPage 17

Suicide PreventionState Legislation HB 1386§ House Bill 1386 passed in the 82nd LegislativeSession 2011§ "AN ACT relating to the public health threatpresented by youth suicide and thequalification of certain persons serving asmarriage and family therapists in schooldistricts."Page 18

Suicide PreventionState Legislation HB 1386What does the law say about Texas School DistrictLevel Planning and Decision-Making?§ Each school district shall have a district improvement plan that isdeveloped, evaluated, and revised annually, in accordance with districtpolicy, by the superintendent with the assistance of the district-levelcommittee (Section 11.251 Texas Education Code)§ The district improvement plan must include strategies for improvementof student performance that include methods for addressing the needsof students for special programs, including suicide prevention programs(Texas Education Code §11.252 (a)(3)(B))Page 19

Suicide PreventionState Legislation HB 1386Where can I find a copy of the Best Practice BasedList?The list of approved best practices and programs for suicideprevention in public schools in Texas is located at the followingwebsite under the “resources” link:www.TexasSuicidePrevention.orgSuicide Prevention Resource Center’s Best Practice Registry:www.sprc.orgSpecific instructions are located at:http://www2.sprc.org/bpr/indexPage 20

Suicide PreventionState Legislation HB 1386Page 21

Suicide PreventionState Legislation HB 1386Are there sample District Plans with sample SuicidePrevention Plans that I can view?§ Yes, samples from variety of urban, rural, small andlarge public schools:www.TexasSuicidePrevention.org§ Free Toolkit “Coming Together to Care: CommunityToolkit for Prevention and Postvention in Texas”located at:www.TexasSuicidePrevnetion.orgPage 22

Suicide PreventionState Legislation HB 1386Where can I find a list of recommended early mentalhealth intervention?§ The list of approved best practices and best practicebased programs and curriculum for early mental healthintervention in public schools in Texas can be found atthe National Registry for Evidence-Based Programsand Practices at the following website:www.nrepp.samhsa.govPage 23

Suicide PreventionState Legislation HB 1386Resources§ Links to the State and National l - After a Suicide: Toolkit for olkitforSchools.pdf§ Copy of American Association of Suicidology Guidelines for Schoolswww.suicidology.org§ Research-Based Guidelines and Practices for School-Based Suicide Prevention, D.Kimokeo, 2006http://ican-ncfr.org/documents/Schoold. Suicide.pdfSchool Suicide Prevention Accreditation, American Association of Suicidology http://SPRC.ORG/sites/sprc.org/§ Page 24

Suicide PreventionState Legislation HB 1386§ How will DSHS and TEA find out whatSchool Districts have a suicide preventionplan as part of their District Plan and whatschools do not?§ Texas Education Association annual survey§ School Health Survey§ Questions about Suicide Prevention added 2011Page 25

Suicide PreventionState Legislation HB 1386TEA Survey Question:§ “Has your school district implemented a policy,program or practice as a result of a SchoolHealth Advisory Committee recommendation?”§ § § § 1300 total school districts in Texas527 answered the question58 answered “yes”10.9 % response ratePage 26

Suicide PreventionState Legislation HB 138658 school districts have suicideprevention policy, program or practiceas result of a SHAC recommendationPage 27

Suicide PreventionState Legislation HB 1386TEA Survey Question:§ “Of the following, which topics wereaddressed on your district's website and/orhandbook?§ Suicide Prevention on Website 62.3% (230)§ Suicide Prevention in handbook 85.4% (315)Page 28

Suicide PreventionState Legislation HB 1386TEA Survey Question:§ Indicate if your district staff attends orneeds training or staff development on anyof the following topics:§ Suicide Prevention§ Attends Training now: 75.4% (361)§ Needs Training: 30.9% (148)Page 29

Suicide PreventionTEA School Health SurveyTEA Survey Question: Does your district bullying policy includespecific information on the following (mark all that apply):§ Bullying based on gender :77.1% (525)§ Bullying based on race/ethnicity 76.2% (519)§ Bullying based on sexual orientation/identity 67.1% (457)§ Bullying based on physical characteristics 72.4% (493)§ Cyberbullying 82.5% (562)Page 30

Suicide PreventionTEA SurveyTEA Survey Question:§ Does your school district integrate bullyingprevention education in one or more of itsrequired subject areas?§ YES 77.9% (511)§ NO 1.5% (10)Page 31

Suicide PreventionTEA SurveyTEA Survey Question:§ Does your district notify the parent/guardian of achild who is the victim of bullying?§ YES: 98.7% (672)§ NO: 1.5% (10)Page 32

Suicide PreventionTEA SurveyTEA Survey Question:§ Of the following health-related topics, which areaddressed in each of your district's campusimprovement plans?Elementary§ Bullying Prevention 96.6% (568)§ Bullying Intervention 94.6% (477)Page 33Middle SchoolHigh School89.8% (528)87.9% (443)86.2% (507)86.3% (435)

YRBS Bullying Questions ! The next 2 questions ask about bullying. Bullying is when 1 or more students tease, threaten, spread rumors about, hit, shove, or hurt another student over and over again. It is not bullying when 2 students of about the same strength or power ar

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