Tag Archives: warning signs

#BeThere For The Holidays

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According to the Suicide Prevention Resource Center, it is a commonly-held misconception that suicides increase over the holidays. This is not the case. However, the holidays are an ideal time to strengthen your connections with shipmates and loved ones – a protective factor against suicide. Whether catching up via phone, social media or at a holiday gathering, pay attention to the subtle signs that may indicate someone is having difficulty navigating stress. Those signs may include expressing feelings of hopelessness or burdensomeness, increased substance use, withdrawal from usual activities and sudden mood changes. Even if it seems like they’re joking or being casual, if something seems out of the norm trust your gut and ACT (Ask Care Treat).

ACT is Navy’s call-to-action to encourage early intervention when a Sailor is experiencing difficulty navigating stress or may be at risk for suicide. All Sailors and members of the Navy community should be able to recognize the risk factors and warning signs that indicate a potential suicidal crisis, and should feel confident in their ability to ACT:

  • Ask – Ask directly: are you thinking of killing yourself?
  • Care – Listen without judgment. Show that you care.
  • Treat – Get the Sailor immediate assistance. Escort him or her to the nearest chaplain, trusted leader or medical professional for treatment.

Annual case reviews consistently reveal missed opportunities to “connect the dots” when a Sailor is experiencing the negative effects of stress, psychological health concerns or exhibiting uncharacteristic behavior. Active communication and ongoing dialogue about stress, psychological health and suicide can motivate positive action and open the door for help.

While the holiday season may be a busy time, remember that 1 Small ACT can make a difference. In addition to knowing the signs and when to intervene, encourage Sailors to get ahead of stress by practicing self-care this season, like eating a balanced diet, making time for exercise and getting adequate sleep. Like U.S. Navy Operational Stress Control on Facebook or follow @NavStress on Twitter for healthy holiday tips from the Every Sailor, Every Day campaign. For additional resources, messages and materials, download the FY-19 1 Small ACT Toolkit.

Connect and Learn Online this Suicide Prevention Month

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Each September during Suicide Prevention Month, Navy Suicide Prevention Branch’s (OPNAV N171) Every Sailor, Every Day (ESED) campaign releases new resources to empower conversations about psychological health, encourage Sailors to recognize risk among their shipmates and themselves, and motivate Small ACTs to prevent suicide. This year, in addition to introducing new educational materials in the FY-19 1 Small ACT Toolkit, ESED will offer learning opportunities for Navy gatekeepers, leaders, command resilience team (CRT) members and families.

Start off 2018 Suicide Prevention Month with Navy Suicide Prevention Branch and Navy and Marine Corps Public Health Center’s (NMCPHC) Health Promotion and Wellness (HPW) Department who will be co-hosting a webinar entitled “Your ACTions Could Save a Life: 3 Ways to #BeThere for Every Sailor, Every Day.” Join us September 6, 2018 from 1 p.m. to 2:30 p.m. EDT to explore current and emerging best practices in suicide prevention and findings from recent Navy suicide “Deep Dives.” This discussion will equip Navy leaders, health promotion coordinators, suicide prevention coordinators (SPCs), and the gatekeepers who most frequently encounter at-risk Sailors (e.g., legal staff, school house instructors and housing staff) with the tools to:

  • Identify challenges that Sailors may be encountering and recognize risk factors to provide interventions;
  • Cultivate a climate that encourages help-seeking and facilitates connections to needed psychological health resources; and
  • Promote a safe and consistent suicide prevention narrative that utilizes evidence-informed messaging and materials for local engagement.

Register for the webinar by August 31, 2018 at https://survey.max.gov/933674. You must have a Common Access Card (CAC) to register. To learn more, visit the HPW Webinars page or click here to email NMCPHC with any questions that you may have about the webinar.

End the month with U.S. Navy Operational Stress Control’s first Twitter chat; a perfect opportunity to learn more ways to recognize risk and be there for Every Sailor, Every Day. #ACT2PreventSuicide will focus on how to apply and operationalize ACT day-to-day and create discussions on:

  • Recognizing warning signs and risk factors in daily interactions, including those that take place on social media;
  • Tips to start the conversation with someone who may be at risk or displaying warning signs;
  • How and where to reach out for help for yourself or others; and
  • How to fit Small ACTs of self-care into hectic schedules.

The Twitter chat will be hosted by @NavStress on September 27, 2018 at 2 p.m. EDT. It is ideal for all audiences, including Navy family members, SPCs, gatekeepers, military health organizations and others that serve the Navy community. To participate, login to your Twitter account at the above day and time, and search #ACT2PreventSuicide. Include the hashtag in your questions and responses. Be sure to follow us on Twitter to learn more about the webinar and join the conversation on September 27.

Suicide Prevention Month is right around the corner. To get a head start on your command’s local efforts, visit www.suicide.navy.mil > Every Sailor, Every Day > Get Involved. Additional articles and useful tips will be shared throughout the month and upcoming fiscal year on our blog, Facebook, Twitter and Flickr.

Recognizing Risk and Reaching out to a Friend on Social Media

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Recognizing risk is an essential component of suicide prevention. Human communication has changed over time and social media is now one of the most common means of interacting with friends, family and people with similar interests. Aside from enabling people to stay connected during deployments or after long distance moves, social media platforms have become channels for expressing thoughts, opinions and emotions. Sometimes, signs of suicide risk are displayed, but people may not know how to recognize them. Understanding how to spot content that may indicate risk is an important first step that can enable early intervention. Here are a few ways to identify signs that your friend is in distress on social media:

  • Joking about dying or feeling no reason to live. Naturally, any posts directly indicating a desire to die or otherwise cause self-harm are warning signs of immediate danger. But sometimes these posts may be masked by sarcasm, a casual tone or even disguised as jokes. Just because there’s an “LOL” or emoji in the post, doesn’t mean that the person is playing around. Often these statements are subtle ways of asking for help and are opportunities for others to reach out, show concern and get help.
  • Expressing hopelessness, feeling trapped or other intense emotions. Posts that discuss feeling stuck in a situation that won’t get better, or experiencing unbearable pain, guilt, shame or intense rage can be signs that someone needs help. IS PATH WARM is an acronym developed by the American Association for Suicidology for recognizing suicide warning signs. By familiarizing yourself with these signs, it may be easier to detect them in social media content.
  • Patterns or changes in the type of content posted. Posts describing destructive behaviors such as abusing substances or alcohol, driving recklessly, buying weapons, or engaging in unsafe sexual behaviors can also be signs that someone is at risk. Each year, Navy Suicide Prevention Branch conducts cross disciplinary case reviews and examines the publicly available social media posts of all Sailors who died by suicide. Many of those posts included more frequent images or discussion of excessive alcohol use in social settings and/or alone, communicating about a bad break-up, a career setback, or a strained relationship with a shipmate or supervisor leading up to the Sailor’s death. Posts about personal stressors such as social isolation, significant health issues, loss of a job or home, or deaths of loved ones were also common.

When you notice something that exhibits suicide risk in a friend or family member’s social media postings, ACT:

  • Reach out and ask direct questions, such as “are you thinking about killing yourself?”
  • Show that you care by listening without judgment and offering hope. Be there.
  • Help your friend connect with a support system immediately. Notify the social media platform’s safety team (see below). Encourage your friend to contact the Military Crisis Line (call 800-273-TALK and Press 1 or text 838255), reach out to a chaplain or call 911 if you know the person’s location. Stay in contact with your friend throughout their treatment to promote a healthy recovery.

The top social media platforms have safety teams that enable concerned users to report content that indicates potential risk of suicide or self-harm, and may even provide the concerned user with additional tools to communicate with the person. Each platform has different response times and resources. To learn more about social media safety teams, visit the following pages:

Many people do not know how to approach discussions about suicide or they feel that it can be too sad of an issue to talk about. In reality, constructive conversations about suicide prevention as well as general psychological health and wellness are among the most helpful ways to break down barriers. When having conversations about suicide prevention, always:

  • Convey a positive and hopeful narrative;
  • Emphasize the importance of seeking help from qualified counselors or mental health professionals; and
  • Avoid using terms like “commit suicide” that can be perceived as judgmental by those who may be experiencing suicidal thoughts or have lost others to suicide.

If you are not sure how to talk about suicide or what words to use, the Every Sailor, Every Day campaign’s new 1 Small ACT Toolkit provides helpful tips. Additionally, the National Action Alliance for Suicide Prevention’s Framework for Successful Messaging and Blogging On Suicide provide additional tips on how to talk about suicide safely. This year, the Every Sailor, Every Day campaign has partnered with the National Suicide Prevention Lifeline’s #BeThe1To campaign to promote five action steps for talking to someone who may be suicidal. Learn more about how these evidence-based five steps can help by visiting http://www.bethe1to.com/bethe1to-steps-evidence/. You can also promote the five steps using Every Sailor, Every Day’s customized graphics, available here: http://www.bethe1to.com/join/.