Does everyone find themselves, when they're scrolling through videos on YouTube, that they are watching depressing videos 24/7? I mean, I don't always watch these types of videos, but when I do, it's hard to take it all in. It's hard to believe that people actually feel this way, especially when you haven't had these events ever occur in your life. On videos like these, I usually write comments saying, 'Don't worry. I know what you're going through. You can make it. If no one else loves you, I love you.' But, I realized that I don't know what you're going through. What is happening in your life may be way more traumatic then anything that has ever happened to me. I want everyone who is going through some tough times right now to go to the mirror and smile. You may be thinking, 'Why is this weird stranger telling me to do something so cliche?' Well, it's because we all forget that we are blessed with functioning and healthy bodies and we can still breath through our lungs. We forget that we are beautiful, despite our imperfections. We can do anything we want to do. Heck, we can change the world if we put our mind to it. So forget all those negative things in your life, and strive to make a better living for yourself. And despite all the doubts, know that people do love you. I don't know you, but I love you. We are all here for you. If you need a shoulder to cry on, know that people will always be by your side. We alone can change all the negative things in our life. We have the voice to make a difference. When I'm having a bad day, I close my eyes and think. I think about the world, my family, and the people I love. The main reason we should keep living is for our loved ones, the future, and ourselves. I hope everyone has a peaceful life :)
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Saturday, April 29, 2017
Uber Engineer Killed Himself
An Uber engineer killed himself. His widow says the workplace is to blame.
Marco della Cava , USA TODAY
Published 3:20 p.m. ET April 27, 2017 | Updated 8:21 a.m. ET April 28, 2017
Play Video
Arne Wishes for More Visitors
Our dear friend Arne Bryan, is on Palliative Care. I have been to see him a few times, but now my heart is too weak to go and see him in this weakened state. His connection to Deborah is that he baptised my daughter at Crescent beach 3 yrs ago. I am sad at the thought of loosing him.
This is what a friend wrote:
Subject: Holy spirit is so faithful
> Today I decided to go see Arne. I did”t know why but I knew I needed to go see him.
> On my way I said Lord I know your sending me.
> When I got there Arne was sleeping. I noticed his feeding tubes were out.. I.V. out only his oxygen was in.
> I though hmmm
> When he awoke he grinned and as we spoke he told me I could call his doctor and speak to her.
> shortly there after the R.N. came and asked me who I was and proceeded to tell me that Arne has requested to go off all heroics. She said he was of sound mind and so they were respecting his wishes.
> I told her I understood, and that you must know we do not fear death.
> I looked at Arne and said your tired , Right, he nodded yes.. I said your are ready to go home be with Kathy. He said yes . I said your at peace , of coarse you are. He closed his eyes had the biggest grin you ever saw,, and nodded and nodded and nodded his head. I have never seen a happier person so ready to go home.
> He is now listed as palliative. No more heroics.
> I asked him what do I say to your friends , he said tell them to come , you know he loves his friends.
Tonight I realized well he will be walking out speedily either here with no intervention , or in heaven but he will be walking out..
This is what a friend wrote:
Subject: Holy spirit is so faithful
> Today I decided to go see Arne. I did”t know why but I knew I needed to go see him.
> On my way I said Lord I know your sending me.
> When I got there Arne was sleeping. I noticed his feeding tubes were out.. I.V. out only his oxygen was in.
> I though hmmm
> When he awoke he grinned and as we spoke he told me I could call his doctor and speak to her.
> shortly there after the R.N. came and asked me who I was and proceeded to tell me that Arne has requested to go off all heroics. She said he was of sound mind and so they were respecting his wishes.
> I told her I understood, and that you must know we do not fear death.
> I looked at Arne and said your tired , Right, he nodded yes.. I said your are ready to go home be with Kathy. He said yes . I said your at peace , of coarse you are. He closed his eyes had the biggest grin you ever saw,, and nodded and nodded and nodded his head. I have never seen a happier person so ready to go home.
> He is now listed as palliative. No more heroics.
> I asked him what do I say to your friends , he said tell them to come , you know he loves his friends.
Tonight I realized well he will be walking out speedily either here with no intervention , or in heaven but he will be walking out..
Friday, April 28, 2017
International Student who took a cab to the Lion' Gate Bridge Still Missing
As a homestay parent of international students at times, I often worry about what would happen if one of my students went missing. Generally, they are young and cannot be left unsupervised, but still the thought haunts me. With the latest event of an international boy from Ecuador missing you wonder if they will every have closure, since bodies from this bridge get washed out to the ocean very often.
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Here's why we are breaking convention
More people jump to their deaths from the Lions Gate Bridge than any other bridge in the province.
It's not something that is discussed and you won't typically find it reported in this paper for good reasons. But it is a sad - and repeated - reality.
Those who jump to their deaths are often young, people who are just starting on their lives. Their deaths are tragedies, not just for their families, but also for the wider community. Alarmed by those statistics, five years ago the B.C. Coroner's Service recommended that high barriers or netting be installed on several Lower Mainland bridges.
Since then, at least 28 more people have ended their lives on the Lions Gate.
We think those deaths - and the debate about barriers that would prevent such deaths - need to be discussed, as a matter of urgent public interest. This week and next, we feature a two-part story which addresses that. It is difficult subject matter. On page 9, we have included information for anyone who needs help.
And a warning: some readers may find details contained in this story disturbing.
In the 75 years that the bridge has stood, this has been its picture postcard image. But there is another part of the bridge's history that is dark and full of anguish.
It was a day in mid-December three years ago, when Rio Bond, 26, jumped to her death from the Lions Gate Bridge.
It was a Saturday, early afternoon. A woman driving into Vancouver that day saw her jump but didn't have a cellphone. She drove to the nearest gas station and called 9-1-1. A marine rescue crew was dispatched.
Later, the crew told Rio's family they did their best to save her. Their efforts and the 9-1-1 call are among the few acts of compassion that Rio's mother, Lou Guest, can point to in the memory of that horrific day.
"It could have happened and she'd disappear and we'd just never know," said Guest.
The burden of what she knows weighs heavy.
In the three years since her daughter died, Guest has felt the long stares of acquaintances who don't know what to say.
She has had people ask how she is, and answered unflinchingly.
"Just imagine if your child died at 26. Suddenly they got sick or were run over by a car. That's how I feel. Except my guilt is more than yours will ever be."
She is angry and heartbroken. "I'm not the same person I was," she said.
She is tortured by the thought there is something she could have done.
More people jump to their deaths from the Lions Gate Bridge each year than any other bridge in the province. They continue to do so despite a recommendation more than five years ago from the B.C. Coroners Service to retrofit the five bridges where people most commonly jump to their deaths with some kind of suicide barrier or netting.
In 22 years between 1991 and 2013, government statistics point to 78 people ending their lives on the Lions Gate Bridge.
For the families of those who have died, the bridge remains a painful reminder of their loss.
Growing up in Gibsons on the Sunshine Coast, Rio - the only child of Guest and her husband Neil Bond - was "incredibly funny, mischievous, bright, kind. She was a much better person than I am," said Guest.
"She was at the top of the honour roll, all the way from elementary to high school," said Bond.
She was also bipolar, a diagnosis made when she was 17.
Rio's mental health deteriorated quickly. Her mother remembers how she seemed different after she came back from a foreign exchange trip between grades 11 and 12.
She didn't sleep. She didn't understand jokes other kids told in high school. She got drunk. She stole her father's truck. "She would come into my bedroom in the middle of the night and lay on the floor and start talking," said Guest. She started failing classes.
Her parents took her to the doctor, thinking Rio was depressed. She was given an anti-depressant. Within three days she was in hospital suffering full-blown psychosis.
Doctors at UBC's psychosis intervention unit told her parents that Rio was a "rapid cycler" - one of the most difficult forms of bipolar to manage. "She'd go from depression to mania in the flip of a switch," said Bond.
"They would come maybe twice a year, the bad episodes," he said.
She was put on an unending series of drugs, in the hopes of finding one that would work without incapacitating side effects.
For years, Guest slept with the phone in her hand, her clothes ready for the call that would inevitably come, telling her Rio was in trouble.
Out of the last eight years of her life, Rio was hospitalized for two.
"Her mother and I were always hoping that around the corner there was going to be something that was going to help Rio. There was going to be a new drug or something that would help her and she would survive all this," said Bond. "It was tough."
More than once, Bond recalls saying to his daughter, "Don't do anything foolish.
"She said, 'Dad, I'd never do anything like that.'"
Guest said the days leading up to Rio's death were "terribly deceptive."
Both parents talked to their daughter on the phone in the days before she died.
Guest talked to Rio that same day. "I said, 'I'm thinking of coming in.
Should I come tomorrow or Monday?' "She sounded really weird, far away and distant and vague," said Guest. At the time, however, Rio was living in Venture House, housing run by Vancouver Coastal Health for people with mental health problems that was staffed by health professionals. "I thought they'd figure it out," said Guest. "I thought she was safe."
Guest said it must have been right after they talked that Saturday that Rio walked out of Venture House. "At 2 o'clock in the afternoon, she was on the bridge."
Afterwards, nobody called her parents to tell them what had happened.
Guest got up on Sunday, and took the ferry and the bus into town. She had a bag of treats for her daughter with her, thinking they'd go for coffee or a walk like they usually did.
It wasn't until she walked into the door of her daughter's housing that a doctor grabbed her by the arm and said, "Rio committed suicide."
"I said, 'Can I see her?'" "They said 'She's in the morgue.'. .. They might as well have killed me."
She phoned her husband. Her niece from the North Shore came to get her and drove her home, back across the bridge.
Over the past two decades, numbers for those who have jumped to their deaths from the Granville Street Bridge, the Ironworkers Memorial Second Narrows Crossing and the Burrard Street Bridge are also shockingly high.
Coroners reports into these deaths are a sad record of loss, some so brief they could be a haiku to those who ended their lives this way.
A report on a 22-year-old Vancouver man who jumped from the Lions Gate lists the place of death as "water beneath Lions Gate Bridge" and the immediate cause of death as "blunt force trauma and drowning."
One man pushed himself back off the east side of the bridge as a West Vancouver police officer approached in a police car. His body was found on the cement platform below. The report listed his cause of death as "multiple severe deceleration injuries with multiple bone fractures."
The body of one 16 year-old boy was found on wet ground below the bridge on a February morning. His jeans had been split open and his shoes and been knocked off from the force of hitting the ground. He had been reported missing a day earlier after he didn't come home from school. A letter was found at a friend's house, written in the past tense.
A class counsellor at his school told the coroner none of his friends remembered him being depressed. "All are shocked by his actions," the coroner wrote.
Most people who kill themselves by jumping from a bridge in B.C. are young. The highest percentage - making up almost 27 per cent - are between 20 and 29 years old.
That's part of what prompted the Child Death Review unit of the B.C.
Coroners Service to sound the alarm on bridge suicides in a 2008 report and recommend that five Metro Vancouver bridges (the Lions Gate, Ironworkers, Granville Street, Pattullo and Burrard Street bridges) be refitted with high barriers.
"These children and youth were sons and daughters, sisters and brothers, nieces and nephew, grandchildren and cousins. .. they were the kid down the street and captain of the hockey team," wrote the authors in the introduction to their report on child and youth suicide.
Restricting access to "lethal means" can make the difference between a death and an opportunity to help a distressed individual, the authors wrote, "and is considered one of the most effective universal approaches to suicide prevention."
When it comes to bridges, "evidence indicates that physical safety barriers or safety nets on bridges significantly reduces suicides by jumping from those locations... ." the report concludes.
There are plenty of studies both in North America and around the world to show that safety barriers work. Suicide rates at almost all jumping sites where barriers have been installed have fallen dramatically. In 2004, barriers were installed on the Jacques Cartier Bridge in Montreal following recommendations from the Bureau du Coroner in Quebec after 143 people jumped to their deaths between 1996 and 2001. In Toronto, a barrier known as the Luminous Veil was installed in 2003 on the Bloor Street Viaduct - up until that time, North America's second most notorious suicide bridge - at a cost of $5.5 million. Suicides went from an average of nine a year at the viaduct to zero, although the overall suicide rate in Toronto did not decrease.
One question that's always surrounded the debates on bridge safety barriers has been whether those prevented from jumping are actually saved or simply find another means to end their lives.
Those who have studied the issue over the past 30 years say the results are conclusive - deterring people saves lives.
Suicide attempts often come in response to "overwhelming emotional pain," along with "hopelessness that things would ever get better," said David Klonsky, associate professor in the department of psychology at the University of British Columbia, who has studied the issue.
But those emotions ebb and flow "like any other powerful emotion," he said. "If you can get that person to survive that period, there's a good chance that the next day, things will be a little bit better."
One famous study tracked more than 500 people who were prevented from jumping from the Golden Gate Bridge in San Francisco for 30 years, and found 90 per cent of them went on to live normal lives and did not die by suicide.
"Barriers are very important," said Klonsky.
Attitudes to safety barriers have slowly been changing. Inclusion of higher safety barriers is now a consideration in the design of new bridges in B.C. So far, the Golden Ears Bridge across the Fraser River is the only bridge in Metro Vancouver built with higher barriers. The North Shore's Ironworkers Memorial Bridge across the Second Narrows will be the first of the older bridges to get a higher barrier installed. That will be included as part of a sidewalk widening project on the bridge slated to start this month and finish in 2015.
As part of that project a new safety fence three metres high featuring heavygauge vertical steel bars will replace the outside bridge railing. The cost of the project - including the new sidewalks and lateral bracing required to strengthen the bridge - is $20 million.
Ian Ross, the longtime executive director of the Vancouver Crisis Centre, applauds that move. His organization has long been pushing for high barriers on
local bridges - including the Lions Gate.
"It's starting with the Second Narrows. Eventually we should have barriers everywhere," he said. "One is better than none."
Both the Lions Gate and Second Narrows bridges have been a focus for the debate about suicide barriers because of their high volume of pedestrian traffic.
Currently, cameras that monitor the Lions Gate Bridge around the clock from an operations headquarters, plus six yellow crisis phones - three on either side of the bridge - are relied on to deter suicide attempts.
The phones were installed on both North Shore bridges starting in 2009 at a cost of about $60,000.
Ross said the crisis line averages two calls a month from the two bridges. Four times as many calls come from the Lions Gate as the Second Narrows.
Most calls come from the boxes placed in the centre of the bridge - which is also where most people jump.
"We try to keep a person on the line," said Ross, to let them know, 'There is hope.'" Since the phones were installed, crisis workers have answered 55 calls from the Lions Gate Bridge and dispatched emergency help in about 90 per cent of cases.
It doesn't always work. The crisis phones were already in place on the day that Rio Bond walked by them to jump to her death.
Since the beginning of 2010, 23 people have also jumped to their deaths off the Lions Gate - 10 more than in the four years preceding that.
That's why barriers are still such an important part of the discussion, said Ross.
As part of his research into the issue, Ross said he spoke to Kevin Hines, one of very few people to have survived a jump from San Francisco's Golden Gate Bridge. "I wanted to know if the signs and the phones would have made a difference to him.
"He said they wouldn't. He was in such a psychotic state they wouldn't have helped. He said the only thing that would have stopped him would have been a net or a high barrier."
There is no great mystery about why certain places become magnets for people looking to end their lives. For the most part, there are practical reasons. "It's something they've heard about. It's something they know works," said Klonsky.
That is one of the reasons bridge suicides, and the issues surrounding them, are generally not reported.
In practical terms, people choose places that are easy to get to by bus or bike or car. They choose bridges they know don't have high railings.
"The big problem," said Ross, "is you can just walk there, flip your leg over, and you're gone."
John Kitson, an engineer who commutes over the Lions Gate Bridge by bicycle, knows that all too well.
It was a summer afternoon around 4:30 p.m. and he was cycling over the bridge to Horseshoe Bay when he saw the young woman sitting on the railing with her legs dangling over the edge. She was young - he guessed around 22 or 23.
He put down his bike. Another pedestrian, a middle-aged woman, was already standing next to the girl. "I asked her what she was doing," he said.
The girl told him that she wanted to jump. "She said something to the effect that her life wasn't worth living," said Kitson.
"I said to her, 'I think I'm a little older than you and I can tell you that it is worth living.'" He continued to talk to her while she sat on the railing, her legs dangling 60 metres above the water. "I said, 'You need to come down so we can help you."
He grabbed on to her, then, picked her up and put her on the sidewalk. She was surprisingly light.
He and the other pedestrian began walking her off the bridge. "I had an arm around her shoulder," he said. As they walked, they talked a little. Eventually, traffic stopped as the bridge shut down. A police car arrived.
Kitson doesn't remember even thinking about what was going to happen if he couldn't save the girl. "If you started to think about the consequences, you'd never do it."
It's not something he has spoken of much. Sometimes he wonders what happened to that girl. "Whether she got the right help. Whether she went out the next week and tried it again."
It made him think about the pain some people must go through that would bring them to that place on the bridge railing.
"Here you are. You can decide to slip a little bit and you're gone."
You can read Part 2 of this story The Bridge's Heavy Burden here.
If you - or someone you know - is in crisis or distress, know that you are not alone. There is help and there are people who will listen.
Talk to a family member, a teacher, a doctor, a coach or a person you trust.
Call 9-1-1 or go to the nearest hospital emergency department.
Call the Crisis Centre at 604-872-3311 or B.C.-wide at 1-800-SUICIDE.
Young people can call the Kids Help Phone at 1-800-668-6868 to speak to a professional counsellor.
Families and survivors can also get help at SAFER (Suicide Attempt Follow-up, Education & Research) at 604-675-3985.
More people jump to their deaths from the Lions Gate Bridge than any other bridge in the province.
It's not something that is discussed and you won't typically find it reported in this paper for good reasons. But it is a sad - and repeated - reality.
Those who jump to their deaths are often young, people who are just starting on their lives. Their deaths are tragedies, not just for their families, but also for the wider community. Alarmed by those statistics, five years ago the B.C. Coroner's Service recommended that high barriers or netting be installed on several Lower Mainland bridges.
Since then, at least 28 more people have ended their lives on the Lions Gate.
We think those deaths - and the debate about barriers that would prevent such deaths - need to be discussed, as a matter of urgent public interest. This week and next, we feature a two-part story which addresses that. It is difficult subject matter. On page 9, we have included information for anyone who needs help.
And a warning: some readers may find details contained in this story disturbing.
• • •
On a bright winter day, the North Shore mountains rise in a dramatic backdrop to the graceful arcs of the Lions Gate Bridge. To the west are freighters at anchor in English Bay, a fog bank low in the distance.In the 75 years that the bridge has stood, this has been its picture postcard image. But there is another part of the bridge's history that is dark and full of anguish.
It was a day in mid-December three years ago, when Rio Bond, 26, jumped to her death from the Lions Gate Bridge.
It was a Saturday, early afternoon. A woman driving into Vancouver that day saw her jump but didn't have a cellphone. She drove to the nearest gas station and called 9-1-1. A marine rescue crew was dispatched.
Later, the crew told Rio's family they did their best to save her. Their efforts and the 9-1-1 call are among the few acts of compassion that Rio's mother, Lou Guest, can point to in the memory of that horrific day.
"It could have happened and she'd disappear and we'd just never know," said Guest.
The burden of what she knows weighs heavy.
In the three years since her daughter died, Guest has felt the long stares of acquaintances who don't know what to say.
She has had people ask how she is, and answered unflinchingly.
"Just imagine if your child died at 26. Suddenly they got sick or were run over by a car. That's how I feel. Except my guilt is more than yours will ever be."
She is angry and heartbroken. "I'm not the same person I was," she said.
She is tortured by the thought there is something she could have done.
More people jump to their deaths from the Lions Gate Bridge each year than any other bridge in the province. They continue to do so despite a recommendation more than five years ago from the B.C. Coroners Service to retrofit the five bridges where people most commonly jump to their deaths with some kind of suicide barrier or netting.
In 22 years between 1991 and 2013, government statistics point to 78 people ending their lives on the Lions Gate Bridge.
For the families of those who have died, the bridge remains a painful reminder of their loss.
Growing up in Gibsons on the Sunshine Coast, Rio - the only child of Guest and her husband Neil Bond - was "incredibly funny, mischievous, bright, kind. She was a much better person than I am," said Guest.
"She was at the top of the honour roll, all the way from elementary to high school," said Bond.
She was also bipolar, a diagnosis made when she was 17.
Rio's mental health deteriorated quickly. Her mother remembers how she seemed different after she came back from a foreign exchange trip between grades 11 and 12.
She didn't sleep. She didn't understand jokes other kids told in high school. She got drunk. She stole her father's truck. "She would come into my bedroom in the middle of the night and lay on the floor and start talking," said Guest. She started failing classes.
Her parents took her to the doctor, thinking Rio was depressed. She was given an anti-depressant. Within three days she was in hospital suffering full-blown psychosis.
Doctors at UBC's psychosis intervention unit told her parents that Rio was a "rapid cycler" - one of the most difficult forms of bipolar to manage. "She'd go from depression to mania in the flip of a switch," said Bond.
"They would come maybe twice a year, the bad episodes," he said.
She was put on an unending series of drugs, in the hopes of finding one that would work without incapacitating side effects.
For years, Guest slept with the phone in her hand, her clothes ready for the call that would inevitably come, telling her Rio was in trouble.
Out of the last eight years of her life, Rio was hospitalized for two.
"Her mother and I were always hoping that around the corner there was going to be something that was going to help Rio. There was going to be a new drug or something that would help her and she would survive all this," said Bond. "It was tough."
More than once, Bond recalls saying to his daughter, "Don't do anything foolish.
"She said, 'Dad, I'd never do anything like that.'"
Guest said the days leading up to Rio's death were "terribly deceptive."
Both parents talked to their daughter on the phone in the days before she died.
Guest talked to Rio that same day. "I said, 'I'm thinking of coming in.
Should I come tomorrow or Monday?' "She sounded really weird, far away and distant and vague," said Guest. At the time, however, Rio was living in Venture House, housing run by Vancouver Coastal Health for people with mental health problems that was staffed by health professionals. "I thought they'd figure it out," said Guest. "I thought she was safe."
Guest said it must have been right after they talked that Saturday that Rio walked out of Venture House. "At 2 o'clock in the afternoon, she was on the bridge."
Afterwards, nobody called her parents to tell them what had happened.
Guest got up on Sunday, and took the ferry and the bus into town. She had a bag of treats for her daughter with her, thinking they'd go for coffee or a walk like they usually did.
It wasn't until she walked into the door of her daughter's housing that a doctor grabbed her by the arm and said, "Rio committed suicide."
"I said, 'Can I see her?'" "They said 'She's in the morgue.'. .. They might as well have killed me."
She phoned her husband. Her niece from the North Shore came to get her and drove her home, back across the bridge.
• • •
Between 2006 and 2012, 33 people jumped to their deaths from the Lions Gate Bridge, according to statistics provided by the B.C. Coroners Service. That is about twice the number who jumped from the Pattullo (18) or the Alex Fraser (14).Over the past two decades, numbers for those who have jumped to their deaths from the Granville Street Bridge, the Ironworkers Memorial Second Narrows Crossing and the Burrard Street Bridge are also shockingly high.
Coroners reports into these deaths are a sad record of loss, some so brief they could be a haiku to those who ended their lives this way.
A report on a 22-year-old Vancouver man who jumped from the Lions Gate lists the place of death as "water beneath Lions Gate Bridge" and the immediate cause of death as "blunt force trauma and drowning."
One man pushed himself back off the east side of the bridge as a West Vancouver police officer approached in a police car. His body was found on the cement platform below. The report listed his cause of death as "multiple severe deceleration injuries with multiple bone fractures."
The body of one 16 year-old boy was found on wet ground below the bridge on a February morning. His jeans had been split open and his shoes and been knocked off from the force of hitting the ground. He had been reported missing a day earlier after he didn't come home from school. A letter was found at a friend's house, written in the past tense.
A class counsellor at his school told the coroner none of his friends remembered him being depressed. "All are shocked by his actions," the coroner wrote.
Most people who kill themselves by jumping from a bridge in B.C. are young. The highest percentage - making up almost 27 per cent - are between 20 and 29 years old.
That's part of what prompted the Child Death Review unit of the B.C.
Coroners Service to sound the alarm on bridge suicides in a 2008 report and recommend that five Metro Vancouver bridges (the Lions Gate, Ironworkers, Granville Street, Pattullo and Burrard Street bridges) be refitted with high barriers.
"These children and youth were sons and daughters, sisters and brothers, nieces and nephew, grandchildren and cousins. .. they were the kid down the street and captain of the hockey team," wrote the authors in the introduction to their report on child and youth suicide.
Restricting access to "lethal means" can make the difference between a death and an opportunity to help a distressed individual, the authors wrote, "and is considered one of the most effective universal approaches to suicide prevention."
When it comes to bridges, "evidence indicates that physical safety barriers or safety nets on bridges significantly reduces suicides by jumping from those locations... ." the report concludes.
There are plenty of studies both in North America and around the world to show that safety barriers work. Suicide rates at almost all jumping sites where barriers have been installed have fallen dramatically. In 2004, barriers were installed on the Jacques Cartier Bridge in Montreal following recommendations from the Bureau du Coroner in Quebec after 143 people jumped to their deaths between 1996 and 2001. In Toronto, a barrier known as the Luminous Veil was installed in 2003 on the Bloor Street Viaduct - up until that time, North America's second most notorious suicide bridge - at a cost of $5.5 million. Suicides went from an average of nine a year at the viaduct to zero, although the overall suicide rate in Toronto did not decrease.
One question that's always surrounded the debates on bridge safety barriers has been whether those prevented from jumping are actually saved or simply find another means to end their lives.
Those who have studied the issue over the past 30 years say the results are conclusive - deterring people saves lives.
Suicide attempts often come in response to "overwhelming emotional pain," along with "hopelessness that things would ever get better," said David Klonsky, associate professor in the department of psychology at the University of British Columbia, who has studied the issue.
But those emotions ebb and flow "like any other powerful emotion," he said. "If you can get that person to survive that period, there's a good chance that the next day, things will be a little bit better."
One famous study tracked more than 500 people who were prevented from jumping from the Golden Gate Bridge in San Francisco for 30 years, and found 90 per cent of them went on to live normal lives and did not die by suicide.
"Barriers are very important," said Klonsky.
Attitudes to safety barriers have slowly been changing. Inclusion of higher safety barriers is now a consideration in the design of new bridges in B.C. So far, the Golden Ears Bridge across the Fraser River is the only bridge in Metro Vancouver built with higher barriers. The North Shore's Ironworkers Memorial Bridge across the Second Narrows will be the first of the older bridges to get a higher barrier installed. That will be included as part of a sidewalk widening project on the bridge slated to start this month and finish in 2015.
As part of that project a new safety fence three metres high featuring heavygauge vertical steel bars will replace the outside bridge railing. The cost of the project - including the new sidewalks and lateral bracing required to strengthen the bridge - is $20 million.
Ian Ross, the longtime executive director of the Vancouver Crisis Centre, applauds that move. His organization has long been pushing for high barriers on
local bridges - including the Lions Gate.
"It's starting with the Second Narrows. Eventually we should have barriers everywhere," he said. "One is better than none."
Both the Lions Gate and Second Narrows bridges have been a focus for the debate about suicide barriers because of their high volume of pedestrian traffic.
Currently, cameras that monitor the Lions Gate Bridge around the clock from an operations headquarters, plus six yellow crisis phones - three on either side of the bridge - are relied on to deter suicide attempts.
The phones were installed on both North Shore bridges starting in 2009 at a cost of about $60,000.
Ross said the crisis line averages two calls a month from the two bridges. Four times as many calls come from the Lions Gate as the Second Narrows.
Most calls come from the boxes placed in the centre of the bridge - which is also where most people jump.
"We try to keep a person on the line," said Ross, to let them know, 'There is hope.'" Since the phones were installed, crisis workers have answered 55 calls from the Lions Gate Bridge and dispatched emergency help in about 90 per cent of cases.
It doesn't always work. The crisis phones were already in place on the day that Rio Bond walked by them to jump to her death.
Since the beginning of 2010, 23 people have also jumped to their deaths off the Lions Gate - 10 more than in the four years preceding that.
That's why barriers are still such an important part of the discussion, said Ross.
As part of his research into the issue, Ross said he spoke to Kevin Hines, one of very few people to have survived a jump from San Francisco's Golden Gate Bridge. "I wanted to know if the signs and the phones would have made a difference to him.
"He said they wouldn't. He was in such a psychotic state they wouldn't have helped. He said the only thing that would have stopped him would have been a net or a high barrier."
There is no great mystery about why certain places become magnets for people looking to end their lives. For the most part, there are practical reasons. "It's something they've heard about. It's something they know works," said Klonsky.
That is one of the reasons bridge suicides, and the issues surrounding them, are generally not reported.
In practical terms, people choose places that are easy to get to by bus or bike or car. They choose bridges they know don't have high railings.
"The big problem," said Ross, "is you can just walk there, flip your leg over, and you're gone."
John Kitson, an engineer who commutes over the Lions Gate Bridge by bicycle, knows that all too well.
It was a summer afternoon around 4:30 p.m. and he was cycling over the bridge to Horseshoe Bay when he saw the young woman sitting on the railing with her legs dangling over the edge. She was young - he guessed around 22 or 23.
He put down his bike. Another pedestrian, a middle-aged woman, was already standing next to the girl. "I asked her what she was doing," he said.
The girl told him that she wanted to jump. "She said something to the effect that her life wasn't worth living," said Kitson.
"I said to her, 'I think I'm a little older than you and I can tell you that it is worth living.'" He continued to talk to her while she sat on the railing, her legs dangling 60 metres above the water. "I said, 'You need to come down so we can help you."
He grabbed on to her, then, picked her up and put her on the sidewalk. She was surprisingly light.
He and the other pedestrian began walking her off the bridge. "I had an arm around her shoulder," he said. As they walked, they talked a little. Eventually, traffic stopped as the bridge shut down. A police car arrived.
Kitson doesn't remember even thinking about what was going to happen if he couldn't save the girl. "If you started to think about the consequences, you'd never do it."
It's not something he has spoken of much. Sometimes he wonders what happened to that girl. "Whether she got the right help. Whether she went out the next week and tried it again."
It made him think about the pain some people must go through that would bring them to that place on the bridge railing.
"Here you are. You can decide to slip a little bit and you're gone."
You can read Part 2 of this story The Bridge's Heavy Burden here.
• • •
Seek help - for yourself or othersIf you - or someone you know - is in crisis or distress, know that you are not alone. There is help and there are people who will listen.
Talk to a family member, a teacher, a doctor, a coach or a person you trust.
Call 9-1-1 or go to the nearest hospital emergency department.
Call the Crisis Centre at 604-872-3311 or B.C.-wide at 1-800-SUICIDE.
Young people can call the Kids Help Phone at 1-800-668-6868 to speak to a professional counsellor.
Families and survivors can also get help at SAFER (Suicide Attempt Follow-up, Education & Research) at 604-675-3985.
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Home >> Info Sheets >> Suicide
Suicide
Author: Canadian Mental Health Association, BC Division
It isn’t a topic most people want to talk about, but
odds are you know someone who has attempted or died by suicide. Maybe
you’ve even lost a friend, family member or coworker to suicide. Every
year, over 3,500 Canadians die by suicide. That’s more lives lost than
from traffic accidents and homicide combined that year. Suicide has been
called a “hidden epidemic,” and it’s time to take it out of the
shadows.
Who does it affect?
On this page: |
Age
-
In BC, the average age of people who die by suicide is about 47.
-
Men over the age of 80 have the highest rate of suicide. A
shrinking circle of friends, the death of a spouse or a major illness
can all lead to depression and in turn lead to suicide. Aboriginal
elders are an exception to this trend.
-
Suicide is the second leading cause of death among young people in
BC, Canada and worldwide. About 7% of BC teenagers said they attempted
suicide in the past year. Stress, loneliness, fighting with family or
friends, feelings of “not measuring up” and a loss of hope for the
future can all contribute to youth feeling overwhelmed, and may lead
them to consider suicide as a way out.
Gender
-
In Canada, there are three male suicides for every female death by
suicide. However women are more likely than men to attempt suicide.
Women tend to choose less violent forms of suicide, leaving more
opportunity for rescue. They also tend to seek help from friends and
professionals more often.
Social and cultural factors
-
While many Aboriginal communities have rates of suicide that are
much higher than the general population, some Aboriginal communities
have rates of suicide that are very low or zero. Those communities with
low rates of suicide are those that are working towards self-governance,
are actively engaged in settling their land claims, have recovered many
traditional practices and enjoy greater control over the delivery of
local services.
-
Studies on the rate of suicide in the Canadian immigrant population
have had conflicting results. While one Canadian study found that the
suicide rate in immigrants was closer to the rate of suicide in Canada,
another found that the suicide rate was closer to the immigrant group’s
home country. There is likely extreme under-reporting of suicides in the
immigrant population because in many cultures suicide is considered
shameful. What is agreed on is that personal factors such as learning to
speak the host country language, ethnic pride and a positive attitude
toward the new country’s culture can reduce stress. Social resources,
such as family and ethnic community support and a warm welcome by the
new country can also reduce stress, leading to more positive mental
health. There has been very little research done on the suicide rates
in Canada’s refugee population.
Is someone you know thinking about suicide?
Most people who take their own lives show some noticeable signs that they are thinking about it beforehand. If you recognize these signs, you can take immediate action and give support. There are ten warning signs that experts suggest you should watch out for. You just need to remember IS PATH WARM?Has someone you know:
-
Talked about or threatened to hurt or kill themselves, or looked for ways to do it? [I = Ideation]
-
Increased their use of alcohol or other drugs? [S = Substance use]
-
Mentioned having no reason to live or no purpose in life? [P = Purposelessness]
-
Showed increased anxiety and changes in sleep patterns? [A = Anxiety]
-
Talk about feeling trapped, like there’s no way out? [T = Trapped]
-
Expressed feeling hopeless about the future? [H = Hopelessness]
-
Withdrawn from friends, family members or activities they enjoy? [W = Withdrawal]
-
Shown uncontrolled anger or say they want to seek revenge? [A = Anger]
-
Engaged in risky activities, seemingly without thinking? [R = Recklessness]
-
Experienced dramatic changes in their mood? [M = Mood change]
Top
What can I do about it?
-
Remind yourself that all talk of suicide must be taken seriously
-
Say to the person:
-
“You are really important to me”
-
“I don’t want you to die”
-
“It’s reasonable to feel like you do, but I can help you find other solutions”
-
“You are really important to me”
-
If you are concerned that someone you know may be considering
suicide, ask a direct question like, “Are you thinking about suicide?”
You won’t be putting the idea in the person’s head. If they are thinking
about it, they will likely be relieved to tell someone. Consult the
“Where do I go from here?” section on the next page so you know what to
do if they say yes.
-
If you think someone’s life is in immediate danger, call 911.
-
Call 1-800-SUICIDE, that’s 1-800-784-2433. Help is available 24 hours a day.
-
Seeing a doctor or mental health professional is often the next
step for the person. Remember to maintain your support if the person is
getting help for a mental illness like depression. In the early stages
of treatment, some people start to feel physically well enough to carry
out a plan before they start to feel better emotionally. This is a time
when professionals and loved ones should carefully monitor for warning
signs.
Where do I go from here?
If you think someone’s life is in immediate danger, call 911.If you or someone you know is thinking about suicide, a good place to start is your local crisis line. Trained suicide prevention volunteers can help you or your loved one, and they will connect you to local emergency mental health services if you need them. Confidentiality can be waived in life-or-death situations. If you aren’t completely sure about the risk, it’s still safer to call and talk to someone.
Resources available in many languages:
1-800-SUICIDE
If you are in distress or are worried about someone in distress who may hurt themselves, call 1-800-SUICIDE 24 hours a day to connect to a BC crisis line, without a wait or busy signal. That’s 1-800-784-2433. If English is not your first language, say the name of your preferred language in English to be connected to an interpreter. More than 100 languages are available.
Resources available in English only:
Youth in BC
Visit www.youthinbc.com for youth resources and support. They are trained to help with crisis situations like suicide and other difficult situations. Call 1-866-661-3311 (toll-free in BC) or 604-872-3311 (in the Lower Mainland) 24 hours a day to talk by phone, or chat online at www.youthinbc.com between noon and 1:00 am Pacific Time.
Centre for Suicide Prevention
Visit www.suicideinfo.ca for information, research and links to national distress websites.
Coping with Suicide Thoughts: A Resource for Patients
Coping with Suicidal Thought is a short workbook to help you understand thoughts of suicide, cope with these thoughts, stay safe, and reduce suicidal thoughts over time. Download the workbook at www.sfu.ca/carmha/publications/coping-with-suicidal-thoughts.html.
Crisis lines aren’t only for people in crisis. You can call for
information on local services or if you just need someone to talk to. If
you are in distress, call 310-6789 (do not add 604,
778 or 250 before the number) 24 hours a day to connect to a BC crisis
line, without a wait or busy signal. The crisis lines linked in through
310-6789 have received advanced training in mental health issues and
services by members of the BC Partners for Mental Health and Addictions
Information.
Attorney: Hernandez hinted at suicide weeks before his death
Attorney: Hernandez hinted at suicide weeks before his death
BOSTON
— Aaron Hernandez hinted about suicide weeks before he was found
hanging by a bedsheet in prison last week, according to a jailhouse
friend who once sought to share a cell with the former NFL star.
Lawrence
Army Jr., an attorney for inmate Kyle Kennedy, said Wednesday that
Hernandez wrote in a letter to his client: "I think I'm going to hang it
up."
The 22-year-old, who is serving an armed robbery sentence, didn't take the comments seriously at the time, his lawyer said.
The
remark came sometime in March, during Hernandez's trial in the killings
of two men in Boston in 2012. The former New England Patriots tight end
was acquitted in the case five days before his suicide.
"I
miss my friend," Kennedy said in a statement provided by Army. "I would
like to send my condolences to his fiancee, his mother and his
daughter."
Hernandez
had been serving life without the possibility of parole for a third
murder — the 2013 shooting death of Odin Lloyd, a Boston man who had
been dating the sister of Hernandez's fiancee. He killed himself April
19, and funeral services were held Monday in his hometown of Bristol,
Connecticut.
Army
said Kennedy, of Uxbridge, was "stunned and saddened" by his close
friend's death. He said Kennedy and Hernandez were acquainted before
prison.
In
September 2016, the two had even requested to be cellmates, Army said.
The attorney said the request was denied because of the "size
difference" between the two men. A prison spokesman declined to comment
on the decision.
Army
said Kennedy also is entitled to see one of three handwritten notes
Hernandez left when he died because Kennedy believes it was intended for
him.
Hernandez's
lawyer has said no note was left to any inmate. Prison officials
haven't commented on the notes, which were turned over to Hernandez's
family, along with other writings found in the cell.
Kennedy
also is seeking a $47,000, custom-made watch that he says Hernandez
verbally gifted to him on his birthday last summer, his lawyer said.
Meanwhile,
the Souza-Baranowski prison remains on lockdown with inmates not
allowed to leave their cells and visiting hours cancelled . State
Department of Corrections spokesman Christopher Fallon confirmed the
lockdown has been in place since Monday and will remain in effect while
officials search for drugs and other contraband.
In
other developments, a Massachusetts judge scheduled arguments on a
request to vacate Hernandez's conviction in the Lloyd case. Judge E.
Susan Garsh announced Wednesday that she'll hold a May 9 hearing in Fall
River.
On
Tuesday, Hernandez's lawyers asked that his first-degree murder
conviction be dismissed. The Bristol County district attorney's office,
which prosecuted the case, has said it intends to challenge the request.
It has until May 1 to file papers making its case.
Under
a long-standing Massachusetts legal principle, courts customarily
vacate the convictions of defendants who die before their appeals are
heard.
___
Associated Press writer Denise Lavoie in Boston contributed to this report.
Philip Marcelo, The Associated Press
New Zealand kids not allowed to watch '13 Reasons Why" unless Parents present
The Netflix drama that debuted last month has sparked widespread discussion on suicide prevention and concern from some mental health organizations.
And now it’s concerning the government of New Zealand, so much so they upped the rating to RP18 – meaning minors should only be watching with their parents or guardians.
The main reason? There’s no alternative to suicide presented.
The show, which Netflix rates as “mature” and says may not be suitable for children under the age of 17, tells the story of a high school student who takes her own life, and leaves behind 13 cassette tapes created for people she blames.
New Zealand has the highest youth suicide rates according to the Organisation for Economic Co-operation and Development (OECD), a global organization aiming to promote people’s well-being around the world.
The Office of Film and Literature Classification in New Zealand decided to up their rating of the show after consulting with experts who say 13 Reasons Why could have a major effect on teenagers around the country.
While the office admits that there’s merit to having a show that can jump-start a conversation about suicide, they want the conversations to be “informed and safe,” which means “parents, guardians, and other adults need to have open conversations with their young people about the issues,” officials from the office explained in a blog post.
“This is a nuanced show that asks a lot of questions, and raises a lot of issues, but often fails to either answer or fully address them. Therefore, discussion needs to occur outside the series itself.”The Sexual Abuse Prevention Network told the classification office the show offers no “positive examples of appropriate responses to rape disclosures.”
READ MORE: Facebook implementing new tools to prevent livestream of suicides
“It is also extremely damaging to present rape as a ‘good enough’ reason for someone to commit suicide. This sends the wrong message to survivors of sexual violence about their futures, and their worth.”
Another reason given is “suicide contagion,” in which youth are more likely to commit suicide after hearing about someone else’s suicide. It accounts for five per cent of youth suicides, according to the classification office.
It’s a point that Canadian suicide prevention experts have already made.
“Dramatic portrayal of a suicide death glamorizes suicide, and may trigger those who are already struggling with suicidal thoughts. Suicide is not glamorous; it is an act carried out in complete and utter desperation as a result of acute suffering,” the Centre for Suicide Prevention said in a release.
READ MORE: ‘13 Reasons Why’ sparks concerns among mental health advocates: ‘Suicide is not glamorous’
Psychologist Cory Hrushka told Global News earlier this week that watching the show with your kids could make broaching sensitive topics easier.
He said a lot of teens have encountered topics such as bullying and suicide by the time they reach high school.
“It also allows you to not only bond with the child but gauge how they are reacting to the show, and if they have any questions, it allows them to ask those, if the parent is open enough to that,” Hrushka said.
In Ontario, the Ministry of Education warned teachers not to use it as a classroom tool — but also encourages discussion of suicide.
— With files from Global News’ Laurel Gregory
© 2017 Global News, a division of Corus Entertainment Inc.
Trauma and Suicide
Trauma and Suicide
Centre for Suicide Prevention
This toolkit is one of a suite of three focused on trauma. The full suite includes: Trauma and suicide, Trauma and suicide in children and Trauma and suicide in Indigenous people.
Most people receiving treatment for mental health issues have had some form of trauma (Rosenberg, 2011). Trauma places us at a higher risk for mental health issues such as depression and addiction. People who have experienced trauma are also at a greater risk for suicide.
Symptoms of ASD and PTSD may trigger other disorders such as substance use, anxiety, mood, personality, and eating disorders (Halpern, Maunder, Schwartz & Gurevich, 2011; APA, 2013).
When a traumatized individual has one or more disorder they are at higher risk for suicide.
Read more about TIC in iE13: Trauma Informed Care: Trauma, Substance abuse and Suicide Prevention
Psychological First Aid is an evidence-informed approach for assisting children, adolescents, adults, and families in the aftermath of disaster and terrorism.
Critical Incident Stress Debriefing (CISD) is a “7-phase, small group supportive crisis intervention process” (Mitchell, n.d., p.1).
Cognitive Behavioural Therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving.
Exposure Therapy is an approach that allows the patient to confront their traumatic memories either all at once or gradually.
Eye Movement Desensitization Reprocessing (EMDR) is an evidence-based psychotherapy for PTSD which aims to reorient and repair the patient’s inability to process traumatic experiences.
Narrative Therapy is a psychotherapeutic approach which allows people to re-tell and re-interpret their personal stories and gives them an opportunity to construct alternative possibilities to their individual narratives.
Stress Inoculation Training (SIT) is a psychotherapy method intended to help patients prepare themselves in advance to handle stressful events successfully and with a minimum of upset (SAMHSA, 2014).
Bath, H. (2008). The three pillars of trauma-informed care. Reclaiming Children and Youth, 17(3),17-21.
British Columbia Ministry of Health. (2013). Trauma-Informed Practice Guide. Retrieved from http://bccewh.bc.ca/wp-content/uploads/2012/05/2013_TIP-Guide.pdf
Centre for Addictions and Mental Health. (2012). Trauma: What is trauma? Retrieved from http://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/Trama/Pages/default.aspx
Elliott, D., Bjelajac, P., Fallot, R., Markoff, L., & Reed, B. (2005). Trauma-informed or trauma-denied: Principles and implementation of trauma-informed services for women. Journal of Community Psychology, 33(4), 461-477.
Greenwald, R. (2007). EMDR: Within a phase model of trauma-informed treatment. New York: Routledge.
Halpern, J., Maunder, R., Schwartz, B., & Gurevich, M. (2011). Identifying risk of emotional sequelae after critical incidents. Emergency Medicine Journal. Retrieved from http://emj.bmj.com/content/early/2010/05/29/emj.2009.082982.short
Hodas, G. (2006). Responding to childhood trauma: The promise and practice of trauma informed care. Retrieved from http://www.childrescuebill.org/VictimsOfAbuse/RespondingHodas.pdf
Huckshorn, K. & LeBel, J. (2013). Trauma-informed care. In Yeager, K., Cutler, D., Svendsen, D., & Sills, G. (Eds.), Modern community mental health: An interdisciplinary approach (p.62-83). Oxford, UK: Oxford University Press.
Klinic Community Health. (2013). Trauma-informed: The trauma toolkit. Retrieved from http://www.klinic.mb.ca/docs/PostersAndBrochures/Klinic%20Trauma%20-%20a%20normal%20reaction%20Broch.pdf
Mitchell, J. (n.d.). Critical Incident Stress Debriefing. Retrieved from http://www.info-trauma.org/flash/media-e/mitchellCriticalIncidentStressDebriefing.pdf
Olson, R. (2013). infoExchange 13: Trauma informed care. Retrieved from https://suicideinfo.ca/LinkClick.aspx?fileticket=6UAobvbsp7Y%3d&tabid=625
Rosenberg, L. (2011). Addressing trauma in mental health and substance use treatment. The Journal of Behavioral Health Services & Research, 38(4), 428-431.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Trauma-informed care in behavioral health services: A treatment improvement protocol. Rockville, MD: U.S. Department of Health and Human Services.
Introduction
Trauma is very common among people in Canada.Most people receiving treatment for mental health issues have had some form of trauma (Rosenberg, 2011). Trauma places us at a higher risk for mental health issues such as depression and addiction. People who have experienced trauma are also at a greater risk for suicide.
What is Trauma?
Trauma is “a horrific event beyond the scope of normal human experience” (Greenwald, 2007, p.7).Some examples of traumatic experiences include:
- motor vehicle collision;
- rape;
- losing a loved one; and
- childhood abuse or neglect.
Some effects of trauma are:
- alcoholism;
- depression;
- insomnia;
- suicide attempts; and
- relationship problems.
Symptoms of trauma include:
- disconnection from self;
- emotional numbing (including drinking alcohol and doing drugs);
- eeduced awareness or hyper-awareness of surroundings;
- memories, flashbacks, and/or nightmares of the traumatic event;
- blame of self or others;
- loss of interest in former activities;
- aggressive or risk-taking behaviours; and/or
- change in sleeping habits.
Disorders associated with trauma
Acute Stress Disorder (ASD) may be an individual’s initial reaction to a traumatic event. If trauma symptoms (noted above) go on for more than one month, that individual should be assessed for Post Traumatic Stress Disorder (PTSD).Symptoms of ASD and PTSD may trigger other disorders such as substance use, anxiety, mood, personality, and eating disorders (Halpern, Maunder, Schwartz & Gurevich, 2011; APA, 2013).
When a traumatized individual has one or more disorder they are at higher risk for suicide.
Who is at risk?
Everyone is at risk of trauma, especially:- people with poor/deteriorating health;
- people receiving ongoing medical treatment (e.g. cancer and psychiatric patients);
- homeless people;
- Indigenous people;
- children who have suffered neglect;
- refugees;
- first responders (e.g. police, fire fighters, paramedics);
- military personnel and veterans; and
- medical doctors.
What is Trauma-Informed Care?
Health care professionals are more aware of the effects of trauma than ever, and this has led to the creation of Trauma-Informed Care (TIC) — a determined effort to implement a better approach to treating patients that takes into account the impact that previous traumatic experiences have had on an individual’s overall mental health. TIC represents a significant paradigm shift from what has been called a “deficit perspective” to one that is strengths-based (British Columbia Ministry of Health, 2013).“What is wrong with you?” has shifted to “What has happened to you?” (Rosenberg, 2011).Trauma-Informed Care (TIC) can be adopted by anywhere in the “behavioural health system” including:
- emergency rooms;
- doctors’ offices;
- rehabilitation centres;
- transitional housing centres; and
- counselling offices.
Being trauma-informed means:
- understanding the prevalence of trauma and its impact;
- recognizing the signs and symptoms of traumatization;
- creating an emotionally and physically safe space, and empowering the individual with an active voice in collaborative decision-making; and
- respecting the person’s experience through active listening, being sensitive to the language used, being transparent, being trustworthy, and offering stability and consistency.
Read more about TIC in iE13: Trauma Informed Care: Trauma, Substance abuse and Suicide Prevention
Trauma-Informed Interventions and Therapies
Psychological First AidPsychological First Aid is an evidence-informed approach for assisting children, adolescents, adults, and families in the aftermath of disaster and terrorism.
Critical Incident Stress Debriefing (CISD) is a “7-phase, small group supportive crisis intervention process” (Mitchell, n.d., p.1).
Cognitive Behavioural Therapy (CBT) is a short-term, goal-oriented psychotherapy treatment that takes a hands-on, practical approach to problem-solving.
Exposure Therapy is an approach that allows the patient to confront their traumatic memories either all at once or gradually.
Eye Movement Desensitization Reprocessing (EMDR) is an evidence-based psychotherapy for PTSD which aims to reorient and repair the patient’s inability to process traumatic experiences.
Narrative Therapy is a psychotherapeutic approach which allows people to re-tell and re-interpret their personal stories and gives them an opportunity to construct alternative possibilities to their individual narratives.
Stress Inoculation Training (SIT) is a psychotherapy method intended to help patients prepare themselves in advance to handle stressful events successfully and with a minimum of upset (SAMHSA, 2014).
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders, DSM-5 (5th ed.). Washington, DC: American Psychiatric Publishing.Bath, H. (2008). The three pillars of trauma-informed care. Reclaiming Children and Youth, 17(3),17-21.
British Columbia Ministry of Health. (2013). Trauma-Informed Practice Guide. Retrieved from http://bccewh.bc.ca/wp-content/uploads/2012/05/2013_TIP-Guide.pdf
Centre for Addictions and Mental Health. (2012). Trauma: What is trauma? Retrieved from http://www.camh.ca/en/hospital/health_information/a_z_mental_health_and_addiction_information/Trama/Pages/default.aspx
Elliott, D., Bjelajac, P., Fallot, R., Markoff, L., & Reed, B. (2005). Trauma-informed or trauma-denied: Principles and implementation of trauma-informed services for women. Journal of Community Psychology, 33(4), 461-477.
Greenwald, R. (2007). EMDR: Within a phase model of trauma-informed treatment. New York: Routledge.
Halpern, J., Maunder, R., Schwartz, B., & Gurevich, M. (2011). Identifying risk of emotional sequelae after critical incidents. Emergency Medicine Journal. Retrieved from http://emj.bmj.com/content/early/2010/05/29/emj.2009.082982.short
Hodas, G. (2006). Responding to childhood trauma: The promise and practice of trauma informed care. Retrieved from http://www.childrescuebill.org/VictimsOfAbuse/RespondingHodas.pdf
Huckshorn, K. & LeBel, J. (2013). Trauma-informed care. In Yeager, K., Cutler, D., Svendsen, D., & Sills, G. (Eds.), Modern community mental health: An interdisciplinary approach (p.62-83). Oxford, UK: Oxford University Press.
Klinic Community Health. (2013). Trauma-informed: The trauma toolkit. Retrieved from http://www.klinic.mb.ca/docs/PostersAndBrochures/Klinic%20Trauma%20-%20a%20normal%20reaction%20Broch.pdf
Mitchell, J. (n.d.). Critical Incident Stress Debriefing. Retrieved from http://www.info-trauma.org/flash/media-e/mitchellCriticalIncidentStressDebriefing.pdf
Olson, R. (2013). infoExchange 13: Trauma informed care. Retrieved from https://suicideinfo.ca/LinkClick.aspx?fileticket=6UAobvbsp7Y%3d&tabid=625
Rosenberg, L. (2011). Addressing trauma in mental health and substance use treatment. The Journal of Behavioral Health Services & Research, 38(4), 428-431.
Substance Abuse and Mental Health Services Administration (SAMHSA). (2014). Trauma-informed care in behavioral health services: A treatment improvement protocol. Rockville, MD: U.S. Department of Health and Human Services.
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