Reverse the Trend of Irreversible Actions: Ohio AAP Annual Meeting - PowerPoint PPT Presentation

Reverse the Trend of Irreversible Actions: Ohio AAP Annual Meeting Dr. Sarah Denny, MD Dr. Mike Gittelman, MD

We have, as documented, no financial relationships to disclose or Conflicts of Interest (COIs) to resolve

Suicide risk • Of youth who completed suicide by firearm, 82% used a firearm from their home The National Violent Injury Statistics Center

• 2nd leading cause of death for teens • Suicide death every 3 hours Pediatrics 2017

Time Elapse Between Decision and Attempt • Interviews with survivors of near-lethal suicide attempts – 25% made attempt within 5 minutes of decision – 50% within 20 minutes – 71% within 1 hour • Most made decision within 1 hour of a crisis (eg. break-up or fight)

Firearms and Suicide Risk • Presence of a firearm at home increases the risk of suicide even among those without a previous psychiatric diagnosis • 25% of teens are depressed at any given time

Counseling About Firearms Works Pediatric practices Pediatric ED setting • Counseling by pediatrician • Counseling by physician – No significant difference – 63% locked up or disposed in gun removal firearm – 62% improved storage in – 0% controls made any home change – 27% controls

Layers of Protection Pool Drowning Suicide Death No Access to No Gun in Pool Home Four-sided Gun Locked Fencing Away Teach Child Teach Teenagers

During the Visit

For Parents of Teens:

For Teens:

What can you do to reverse the trend? http://ohioaap.org/SISPledge

Questions? Sarah.denny@nationwidechildrens.org @sdennymd Mike.gittelman@cchmc.org @gittel21

My Dude: Drey Meine 1993-2012

LOSS Mission… Vision Ø LOSS Community Services exists to be an instillation of hope to people bereaved by suicide, empowering them so they can thrive. Ø We envision a community of suicide loss survivors experiencing a restoration of hope and standing together for suicide awareness!

Thank You! Denise Meine-Graham denise@losscs.org 614-530-8064 losscs.org

1HELPS Jeremy Hardjono

Jacob Bice

Remembering Jacob

Hello Empathy Learn Parents & Professional # 1 H E L P S Save

Hello Be a friend ● Greet them whenever you see them ● The little things matter ● Photo by Eliott Reyna on Unsplash

Empathy Actions rather than words ● Care, and show it ● T ake them seriously ●

Learn Signs ● Get to know them… but be subtle ● Have a conversation with them about what is bothering them specifically ● Photo by nikko macaspac on Unsplash

Parents/Professional Better chance getting them to talk to professionals ● Parents play a vital role in treatment ● Parents can take important steps to prevent ● Monitor closely- every teen responds different to medication ●