Suicide Training: Sprc Calm

Front 1

CALM

Back 1

Counseling on Access to Lethal Means

Front 2

Successful Suicide Means

Back 2

Firearms 50%
Suffocation 24%
Poison 18%
Jump 2%
Sharp 2%
Other 4%
Source CDC WISQARS, 2008

Front 3

Nonfatal Self-Harm

Back 3

Poison 83%
Sharp 11%
Suffocation 1%
Firearms 1%
Other 4%
AHRQ, 2005

Front 4

% self inflicted gunshot wounds lead to death?

Back 4

85-90%

Front 5

% cutting, overdose or stabbing injuries result in death?

Back 5

1-2%

Front 6

Overall success rate of suicide:

Back 6

9%
Source: Vyrostek et al. 2004

Front 7

State with the highest percentage of adults living with firearms in their home:

Back 7

Wyoming (65.5%)
Source: CDC Behavioural Risk Factor Surveillance System 2004

Front 8

% of guns used in youth suicide that come from the victim's home:

Back 8

85%

Front 9

Percent of people who survive suicide attempt who will NOT die by suicide later:

Back 9

90%

Front 10

Three steps of CALM

Back 10

Ask about suicidal thoughts and past attempts
Ask about access to means: methods considered and lethal means accessible during impulsive moments
Work with individual and family to reduce access

Front 11

Asking about suicide. Good or bad?

Back 11

Does not increase the risk. Most are relieved.

Front 12

Warning signs

Back 12

Talking about suicide
Seeking suicide means
Acting anxious or agitated; reckless
Talking about hopelessness or no reason to live
Social withdrawal
Substance abuse
Talking about feeling trapped or being in unbearable pain
Insomnia
Mood changes
Talking about being a burden to others
Rage and talking about revenge

Past suicide attempts
Triggering events leading to humiliation or despair, like relationship break-ups, family conflict, arrests, etc.

Front 13

Direct questions

Back 13

"Sometimes when people

Front 14

Ask for specifics

Back 14

"Have you thought about when you'd kill yourself or how."
Ask about firearm access