CGG Project Zelfmoordpreventie

1
CGG Project Zelfmoordpreventie
Supported by
2
Two-day training suicide prevention for police
officers content and methods

• Van Dooren V, Mertens J, Vandervoort M, Van der
  Meeren S, De Waele K, Durang A, Lievrouw A,
  Vanhove R, Andriessen K
• Suicide Prevention Program
• Flemish Mental Health Centres
• Belgium
• info_at_zelfmoordpreventievlaanderen.be

3

• Introduction

• Aims of the Flemish Suicide Prevention Program
• To optimize the care for clients at risk for
  suicide, in the MHC
• To develop chains of care, to follow-up suicidal
  clients
• To support/skill various professional caregivers
• To improve the support for the bereaved by
  suicide
• To advocate the topic of suicide prevention in
  health/social institutions
• To cooperate in regional and national suicide
  prevention activities

4

• Introduction

• Aims of the Flemish Suicide Prevention Program
• To optimize the care for clients at risk for
  suicide, in the MHC
• To develop chains of care, to follow-up suicidal
  clients
• To support/skill various professional caregivers
  
• - youth workers
• - hospital staff
• - police ?
• - general practitioners
• To improve the support for the bereaved by
  suicide
• To advocate the topic of suicide prevention in
  health/social institutions
• To cooperate in regional and national suicide
  prevention activities

5

• Police as risk group
• Police as community key person ?
• why
• who
• where

6
Day 1

• Quiz
• Epidemiology
• Suicidal process video demonstration
• Signals
• Riskfactors
• Communication skills to talk about suicide Risk
  assessment

7
Day 2

• Own attitude
• Crisis Intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

8
Day 1

• Quiz
• Epidemiology (short)
• Suicidal process video demonstration
• Signals
• Riskfactors
• Communication skills to talk about suicide Risk
  assessment

9
Day 1

• Quiz
• Epidemiology
• Suicidal process video demonstration
• Signals
• Riskfactors
• Communication skills to talk about suicide Risk
  assessment

10
Suicidal process
Thougths
(Retterstol, 1993)
11
Tunnel vision Ambivalence Hopelessness Impulsivi
ty Psychache / entrapment - cry of pain
11
12
Day 1

• Quiz
• Epidemiology
• Suicidal process video demonstration
• Signals
• Riskfactors
• Communication skills to talk about suicide Risk
  assessment

13
Signals and risk factors

• Individual task
• Group discussion
• Theory (short!)

14
Risk factors
15
Day 1

• Quiz
• Epidemiology
• Suicidal process video demonstration
• Signals
• Riskfactors
• Communication skills to talk about suicide Risk
  assessment

16
Communication skills to talk about suicide risk
assessment

• Introduction
• Exercise (Mien)
• Theory
• importancy of talking about suicidal
  thoughts/plans
• how to do it
• Exercise (Kerkhof Van Heeringen)
• Role play

17

• Mien Now my husband is dead and I dont have to
  take care for him anymore, it seems for me the
  end of the world,
• A Try not to worry about it, you will be fine
  later on.
• B You miss him a lot and maybe you feel like
  you are not needed anymore.

18
Communication skills to talk about suicide Risk
assessment

• Introduction
• Exercise (Mien)
• Theory
• importancy of talking about suicidal
  thoughts/plans
• how to do it, dos and donts
• Exercise (Kerkhof Van Heeringen)
• Role play

19
Day 2

• Own attitude
• Crisis intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

20
Day 2

• Own attitude
• Crisis intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

21
Crisis intervention

• Suggestions are given for situations with higher
  risk
• Suggestions are given about how to talk with
  somebody in a crisis situation, with role play
  (person on the roof)

22
Day 2

• Own attitude
• Crisis intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

23
How to inform relatives after suicide grief
after suicide

• Role play, group discussion, theory
• First reactions of grief
• Free talk about own experiences with suicide
  survivors or
• Discussion on a text or
• Seeing a video suicide survivor tells about the
  difficulties to grief and talks about going to a
  discussion group for survivors after suicide
• Ending with some basic first reactions in the
  grief process and short theory

24
Day 2

• Own attitude
• Crisis intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

25
Police as risk group

• Why do we have a high risk?
• What can I do about it?
• What can the organisation do about it?

26
Suicide prevention for police

• What can the organisation do about it?
• Give more (mental) support
• Availability of guns?
• Training in suicideprevention
• Make a policy about suicide preventionThe
  policy aims
• To prevent suicidal behaviour
• To prevent repetition and imitation
• To provide guidance for specific interventions
• A policy can be outlined in a script including
  four chapters
• Early detection
• Crisis intervention
• After a suicide attempt
• After a suicide

27
Day 2

• Own attitude
• Crisis intervention
• How to inform relatives after suicide
• Grief after suicide
• Police as risk group
• Evaluation

28
Evaluation

• VROS (SIRI) significant increase in attitudes
  towards suicidal behaviour, especially with
  police
• Evaluation questionnaire very positive comments

29
Conclusion what works in trainings for police

• Brief theoretical backgrounds
• Many exercises
• Role play
• Time for discussion