1. Warm-up: PSA - VideoVideo What should a person do if he or she is contemplating suicide because of bullying or other forms of abuse ? © 2016 NorthsideISD (San Antonio, TX)

2. Lesson 3 © 2016 NorthsideISD (San Antonio, TX)

3. Suicide Statistics In Texas, suicide is the 2 nd leading cause of death among people ages 15 – 34 years. In Texas, suicide is the 2 nd leading cause of death among people ages 15 – 34 years. Nearly 1 out of 7 high school students in TX makes a suicide plan. Nearly 1 out of 7 high school students in TX makes a suicide plan. There is one death by suicide in the US every 13 minutes. There is one death by suicide in the US every 13 minutes. Male victims outnumber female victims 4 to 1. Male victims outnumber female victims 4 to 1. Young women attempt suicide 3x more often than males. Young women attempt suicide 3x more often than males. Guiding Question: Why do you think males outnumber female victims 4 to 1 when females attempt suicide 3x more often than males? © 2016 NorthsideISD (San Antonio, TX)

4. How Common Is Youth Suicide? … 5 students will have considered suicide. In a typical high school classroom … © 20156NorthsideISD (San Antonio, TX)

5. 3rd leading cause of death for 10-14 year olds 2nd leading cause of death for 15-24year olds. Guiding Question: Why do you think suicide is in the top 3 leading causes of death for 10-24 year olds? Guiding Question: Why do you think suicide is in the top 3 leading causes of death for 10-24 year olds? © 2016 NorthsideISD (San Antonio, TX)

6. Suicide Defined The CDC defines self-directed violence as: Suicide Suicide Death caused by self-directed injurious behavior with an intent to die as a result of the behavior. Suicide attempt Suicide attempt A non-fatal, self-directed, potentially injurious behavior with an intent to die as a result of the behavior; might not result in injury. Suicidal ideation Suicidal ideation Thinking about, considering, or planning suicide. © 2016 NorthsideISD (San Antonio, TX)

7. Risk Factors in Youth Suicide Social-cultural risk factors Social-cultural risk factors: Lack of social support and sense of isolation Stigma associated with help-seeking behavior Barriers to accessing health care, especially mental health and substance abuse treatment Certain cultural and religious beliefs (for instance, the belief that suicide is a noble resolution for a personal dilemma) Exposure to others who have died by suicide Contagion Effect – when there is a suicide in a large school, the chance of a second one increases by 300% Contagion Effect Access to means of committing suicide (guns, pills…) © 2016 NorthsideISD (San Antonio, TX)

8. Risk Factors in Youth Suicide Bio-psychosocial risk factors: Mental disorders 90% of children and adolescents who commit suicide have at least one mental disorder diagnosed before their death. Previous suicide attempt Family history of suicide Alcohol and other substance use disorders Hopelessness Isolation Impulsive and/ or aggressive tendencies History of trauma or abuse © 2016 NorthsideISD (San Antonio, TX)

9. Risk Factors in Youth Suicide Sexual Orientation LGB youth are 4 times more likely and questioning youth are 3 times more likely, to attempt suicide as their straight peers. Nearly half of young transgender people have seriously thought about taking their lives, and one quarter report having made a suicide attempt. Video © 2016NorthsideISD (San Antonio, TX)

10. Think, Pair, Share With a partner, discuss if the following statements about suicide are Myth or Fact: With a partner, discuss if the following statements about suicide are Myth or Fact: Suicide usually occurs on a whim or without a warning. Suicide usually occurs on a whim or without a warning. People who talk about or threaten suicide don’t do it. People who talk about or threaten suicide don’t do it. Suicide is not inherited or destined. Suicide is not inherited or destined. Talking about suicide will plant the idea. Talking about suicide will plant the idea. There is a relationship between bullying and suicide. There is a relationship between bullying and suicide. Suicide can’t be prevented. If someone is set on taking their own life, there is nothing that can be done to stop them. Suicide can’t be prevented. If someone is set on taking their own life, there is nothing that can be done to stop them. © 2016NorthsideISD (San Antonio, TX)

11. Suicide: Myth or Fact? Suicide usually occurs on a whim or without warning. Suicide usually occurs on a whim or without warning. That is a myth. That is a myth. Most people who take their lives have communicated intent beforehand, either blatantly or subtly. Most people who take their lives have communicated intent beforehand, either blatantly or subtly. © 2016NorthsideISD (San Antonio, TX)

12. Suicide: Myth or Fact? People who talk about or threaten suicide don’t do it. People who talk about or threaten suicide don’t do it. That is a myth. That is a myth. A large percentage of people who threaten suicide carry out their threat. Take all threats seriously. A large percentage of people who threaten suicide carry out their threat. Take all threats seriously. © 2016NorthsideISD (San Antonio, TX)

13. Suicide: Myth or Fact? Suicide is not inherited or destined. Suicide is not inherited or destined. That is a fact. That is a fact. Since suicides often do run in families, the assumption is made that suicide is inherited. However, suicide often occurs in individuals with no family history of suicide. Since suicides often do run in families, the assumption is made that suicide is inherited. However, suicide often occurs in individuals with no family history of suicide. © 2016NorthsideISD (San Antonio, TX)

14. Suicide: Myth or Fact? Talking about suicide will plant the idea. Talking about suicide will plant the idea. That is a myth. That is a myth. Youth are already well aware of suicide from their experiences with suicidal peers and from things they have been exposed to in the media. Youth are already well aware of suicide from their experiences with suicidal peers and from things they have been exposed to in the media. © 2016NorthsideISD (San Antonio, TX)

15. Suicide: Myth or Fact? There is a relationship between bullying and suicide. There is a relationship between bullying and suicide. That is a fact. That is a fact. Youth who report both bullying others and being bullied (bully-victims) have the highest risk for suicide-related behavior of any groups that report involvement in bullying. Youth who report both bullying others and being bullied (bully-victims) have the highest risk for suicide-related behavior of any groups that report involvement in bullying. © 2016 NorthsideISD (San Antonio, TX)

16. Suicide: Myth or Fact? Suicide can’t be prevented. If someone is set on taking their own life, there is nothing that can be done to stop them. Suicide can’t be prevented. If someone is set on taking their own life, there is nothing that can be done to stop them. That is a myth. Suicide is preventable. The vast majority of people contemplating suicide don’t really want to die, they are seeking an end to intense mental and/or physical pain. Suicide is preventable. The vast majority of people contemplating suicide don’t really want to die, they are seeking an end to intense mental and/or physical pain. Most have a mental illness, interventions can save lives. Most have a mental illness, interventions can save lives. © 2016NorthsideISD (San Antonio, TX)

17. Warning Signs Some warning signs include: A sad or hopeless appearance Dramatic mood changes such as rage, anxiety, or agitation Talking about wanting to die or not having a reason to live Researching suicide methods Changes in sleeping patterns Seeking revenge or participating in risky activities © 2016NorthsideISD (San Antonio, TX)

18. People who talk about suicide or say they want to die really could take their own life and need your attention. “You don’t have to be a counselor to help. You have to be someone who cares.” Suicide is NOT inherited or destined.

19. How Can You Help TAKE THEM SERIOUSLY! Tell them you are concerned Let them know you care Be warm, trustworthy, and nonjudgmental Let them know you’re available to listen whenever they need to talk If you don’t have all the answers, let them know you can find out CALL 2-1-1 to find out available resources in your community © 2016NorthsideISD (San Antonio, TX)

20. Getting Help 1-800-273-TALK (8255) 1-866-488-7386 The Trevor Project is the leading national organization providing crisis intervention and suicide prevention services to lesbian, gay, bisexual, transgender and questioning (LGBTQ) young people ages 13-24. © 2016NorthsideISD (San Antonio, TX) Web: www.thetrevorproject.orgwww.thetrevorproject.org Text: “Trevor” to 1-202-304-1200 Chat: www.trevorproject.org/pages/get-help-now#tcwww.trevorproject.org/pages/get-help-now#tc Space: www.trevorspace.orgwww.trevorspace.org

21. Video  What does the suicidal teen look like?  ______ students die every year from suicide.  The Contagion Effect is when:  When committing suicide, most students don’ t want to end their _____, they want to end their_____.  Who do teens talk to most often if they are considering suicide? © 2016 NorthsideISD (San Antonio, TX)