b'|Suicide Prevention Workplan - Los Angleles |39 |40 |Suicide Prevention Workplan - Los Angleles|41 Recommendations Youth On average, 15% of Los Angeles County 9th and 11th graders have thought about suicide in the previous 12 The International Association of Chiefs of Police (IACP) recommends many of the activities thatmonths. Overall, girls express suicide ideation at higher percentages than boys in either 9th or 11th grades. Among the Sheriffs department and other local agencies already have in place: EAPs, peer supportschools districts with highest suicide ideation, students who are female, identify as bisexual, have a military guardian teams and peer counseling, staff psychologists specic to rst responders, and resiliency buildingor parent, and or qualify for free/reduced meals express suicide ideation at higher percentages than their peers.(also called coherence training), leadership that speaks out on Mental health issues; time off toSuicide Attempt data is reviewed from available public health data (46). In 2014, 2,824 youth ages 0-18 were access services; convenient locations, low cost and free services,and education and support toseen in the ER or hospitalized after a suicide attempt in Los Angeles County. The majority were female and family members. In addition, the following is recommended: attempts documented in the ER have been rising for girls in the last three years. Most youth attempts occur between 14 and 18 years of age with those aged 16 having the largest numbers of attempts. The most commonOffer mental health services with providers competent in rst responder culture method to attempt suicide is poisoning. Programs and trainings offered to rst responders must be specic to their profession Conduct an anonymous, condential survey among staff to identify their unique perceived barriersSuicide Death data is reviewed from the annual report published by the Inter Agency Council on Child Abuse and and how those might be overcome Neglect (ICAN) which reviews child deaths in Los Angeles County. A subcommittee reviews suicide preventionComplete a thorough review of data on rst responder suicides in Los Angeles County and surveyrelated deaths. In 2017, 27 youth took their own lives. This is an increase of 48% in the number of suicides for youth to assess prevalence of suicidal ideation from the prior year. It also represents the highest number of youth suicides occurring in Los Angeles County in aEnsure that services are available that match the work schedules of rst responders year. Explore whether there are institutional policies and practices that create career jeopardy forPercentage ofChild and Adolescent Suicide VictimFactorsresponders who reveal their mental health strugglesChild had academic problems (8) 30.0% The PSB has three teams to focus on domestic violence, suicide, and alcohol/substance abuse. These teams could collaborate to provide services in recognition of the common overlaps amongSchool discipline/trauncy problems (4)15.0%those three problem areas Family history of CPS or Probation (15)56.0% Assess and as needed improve messaging for awareness materials, presentations, and otherChild LGBT questioning (4)15.0%efforts about suicide and suicide prevention to ensure they are in-line with safe and effective messaging principles History of an eating/body image disorder (1) 4.0% Explore/conrm if EMTs that are not reghters (or part of re department) also have accessHistory of substance use (7) 26.0%to services Disfunctional family dynamics time of death (9)33.0% Integrate a conversation about suicide prevention by rst responders to acknowledge the role they can play in suicide preventionChild had recent relationship loss or conflict (15)56.0%Child had recent conflict with parent(s) (11) 41.0%The IACPs Breaking the Silence report also recommends: Child in therapy/counseling (6) 22.0% Begin mental wellness training at the academy and continue the training throughout ofcersChild on psychotropic medication (3)11.0%careers, with a particular emphasis on rst-line supervisors Child had prior psychiatric hospitalizations (6) 22.0% Audit existing psychological services to determine whether they are effectiveChild had a mental health diagnosis (11) 41.0% Explore programs that foster family connections Leverage technology to promote wellness, offer therapy, text support, and online trainings History of self-injury or cutting (3)11.0% Establish clear post-event protocols to respond to suicide attempts and deaths. Child texted suicide intent (1) 4.0%Child left suicide note (7) 26.0%To support these efforts, the Los Angeles Suicide Prevention Network, in partnership withExhibited warning signs (10)37.0%UCLA and the Didi Hirsch Suicide Prevention Center established a workgroup to examine the issue further.Prior suicide attempts (7)26.0%0.0%10.0%20.0% 30.0%40.0% 50.0% 60.0%Source: Inter Agency Council on Child Abuse and Neglect (ICAN) 2018 Report: www.ican4kids.org/Images/Reports/Child%20Death%20Review/2019.pdfDraft 3.3.2020 Not For Distribution Draft 3.3.2020 Not For Distribution'