QQQ 26 December 26, 2018: Resources to Assist you with your Suicide Prevention Program

QPR Quick Quotes 25 December 26, 2018 Resources to Assist you with your Suicide Prevention Program
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                                                                  December 26, 2018
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     Resources to Assist you with your Suicide
                     Prevention Program

                                                                                           -Carolyn V. Coarsey, Ph.D.

 Future QQQ articles will feature stories of people who survived difficult
times—when they thought they could not go on living. They give credit
for their lives to family, friends, and co-workers who supported them
when they faced what they initially thought was unsurvivable. QQQ will
now be published the third Wednesday of each month. The first QQQ
of 2019 will be published January 16, 2019.

Since many suicidal people do not seek help, the prevention of
their deaths is difficult. But since not seeking help is a known
symptom of suicidality, the task of prevention lies more with
those people in the sufferer’s existing social and work network
than in the person contemplating suicide. This is especially true
for men.
                                                                                     -Paul Quinnett, Ph.D.,
                                                                                       Founder & CEO, QPR Institute

A major part of the mission of the Family Assistance Education and
Research Foundation is to support business and industry when disaster
strikes their workplace. We consider the rise in number of deaths from
suicide in the US and other parts of the world a disaster of major
proportions. While the number of people killed in transportation and
other multi-casualty tragedies, such as the shootings at the Fort
Lauderdale/Hollywood International Airport, attacks on the Brussell’s
Airport and Maalbeek Train Station, the 2015 attacks on Paris at a
concert hall, major stadium, restaurants and bars, the Pulse Night
Club shooting, the Las Vegas shooting—the list goes on—attracts
more attention at the time—the Foundation considers the suicide
epidemic worthy of daily, constant attention.

"Whether a large or small company, the first step toward
preventing employee suicide-in the operating room, the cockpit
of a fighter jet, or any company—is for the organization to be
“mindful” that one or more of its employees may attempt or even
die by suicide. Leadership must believe that suicide is possible
in its own workforce.
                                                            -Paul Quinnett, Ph.D.,
                                                             Founder & CEO, QPR Institute

In order to help employers detect emerging risk within their organization,
Dr. Quinnett has provided an attachment that can be downloaded and
printed. The intent of the document is to assist organizations in becoming 
mindful about the operations of its company regarding suicide prevention,
its risk exposures, and even the fundamental numbers it needs to know to
grasp the scope of the problem and the burden of suffering.(
To assist colleges and universities, Dr. Quinnett has also provided a similar


Free national resources are available to address what can be done to
prevent suicide in the workplace, 
but experience suggests that these resources are little used and often
brought into play only after one or more employee deaths by suicide.
Additional information is included in this week’s article to address the
opioid epidemic which according to the Centers of Disease National
Center for Health Statistics, has taken a relentless toll in the US, with
47,000 deaths in 2017 from drugs sold on the street such as fentanyl
and heroin as well as prescription narcotics. See the following
information, compliments of the QPR Institute faculty, staff and board. 

Facts You Need to Know about Addiction, Opioid Overdose, and

Discerning suicidal intent in drug OD deaths is difficult, but experts
agree suicide by drug intoxication is profoundly under-reported in the
US. Consider the following findings:

-Almost 12 million people over age 12 abused prescribed opioids in 2016
-The US uses more prescription opioids than the entire rest of the world
-Suicide rates and overdose rates have been increasing for 20 years 
-Prescription drug abuse increases suicidal thoughts
-Between 20% and 30% of opiate overdose deaths are intentional

-Adults who receive high doses of opioids are at increased risk for suicide
-Adults who have an opioid use disorder are 13 times more likely to die by

-Opiates have the highest death rate of any psychoactive illicit substance
-Heroin and prescription painkillers are the two leading causes of OD

-Intent of an OD death is determined by coroners or medical examiners
-Clear suicides vs. clear accidents are fairly easy; all the rest are hard to

-46% to 70% of opioid users experience one or more non-lethal ODs
-Suicide risk factors co-occur with opiate users, e.g., depression, isolation,

-Experts do not yet understand the overlap between suicide and opiate use
-Opiate replacement therapies (methadone), reduce OD risk by 75%
-Naloxone nasal spray is effective in opiate OD reversal

Urgent action needed to:

-Prevent prescription-inducing opioid addiction
-Make medication-assisted treatment of addiction widely available
-Begin universal suicide risk screening, intervention, and suicide care

Sources: CDC – National Violent Death Reporting System (NVDRS) –
National Survey on Drug Use and Health – Youth Risk Behavior
Surveillance System – National Strategy for Suicide Prevention 2012 –
National Emergency Department Sample – IIgen et. al, 2016, Ashrafioun
et al., 2017 – Wilcox. Rockett et al., 2010b – Oquendo & Volkow, 2018. 
Opioid OD in process? Rouse and stimulate, call 911, give Naloxone
(Narcan), assist breathing, care for the person.
SAMHSA Toolkit: 


If you are interested in learning more about how to become a Gatekeeper
and becoming part of a more extensive network that is dedicated to
suicide prevention, see www.qprinstitute.com. To learn more about the
training classes offered by the Family Assistance Foundation, and for
information about upcoming Gatekeeper classes and how you can
become a trainer within your workplace go to fafonline.org. You can also
contact Stephen Young at stephen.young@aviem.com.

Upcoming Gatekeeper Trainings

Hong Kong Gatekeeper Training
January 22, 2019

Hong Kong Train-the-Trainer
January 25, 2019

Burbank Gatekeeper Training
April 5, 2019

Burbank Train-the-Trainer
April 5, 2019

Atlanta Gatekeeper Training
Dates to be determined, Fall 2019

Atlanta Train-the-Trainer Training
Dates to be determined, Fall 2019

QPR Gatekeeper and Train-the-Trainer Training will be offered at
additional locations when additional dates for Foundation
Member-Partner Meetings are announced for 2019.

QPR stands for Question, Persuade and Refer and is a research-based
intervention that anyone can learn. The Foundation works with the QPR
Institute to customize this successful intervention for cruise lines,
aviation companies, human resources professionals and other workplace
groups. Please contact stephen.young@aviem.com
 at the Foundation if
you would like to know more about how you can learn to be a QPR
Gatekeeper in your organization. You can also learn how you can become
a certified trainer of the QPR Gatekeeper model. Contact the Foundation
to discuss your interests.

© 2018 QPR Institute Inc./Family Assistance Education & Research Foundation 
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