This is issues Tony fourteen I'm Steve Macintosh with our guest is Jason -- Director of outpatient services that come care of Sedgwick county welcome to issues Tony fourteenth good morning nice to have you with us this morning are topics. They always want pretty serious we've talked about this before on the -- show it's suicide in the the recent Robin Williams suicide. Presents an opportunity to take another look. First if you would tell us a little -- a dot com care what is can't get what what's your commission -- here is the community know how senator for such accounting so we provided. A wide range of mental health and addiction treatment services to -- residents of Cedric county. And Armisen is really to help people with. Mental health and substance use needs improve the quality of their lives you know a lot of things to come here. We -- I mean I'm I was into the police scanners in the morning and as there are times when they say read this person is a melting come care. This guy analyst Tony for seven -- operations somewhat is that it is our crisis program is open 24 hours a day and and like you mentioned we we do get. A law enforcement referrals -- firmer today. So what are your your specific duties and -- and -- sure I'm the director of outpatient services overseas. The outpatient therapy clinic and her addiction treatment services. -- are 24 hour crisis services so these are people who don't know hospitalized becoming a country to knowingly used a swear words. I don't know much about but outpatient is that the definition and printed its it's the treatment services that we deliver in the community outside of the hospital and that is. The bulk of the service that we deliver. Physically where you're located. Our crisis program is at 934 north water. And 934 north water and then you know we also that -- for our suicide prevention hotline. And we knew we handle about 80000 calls a year so -- wanna make sure that folks have that number is 6607500. Do it again at 66 heroes -- in size here's hero and I should never -- because I've done this show you're Tyson. And we always hit it hasn't changed which is good. What if somebody calls up obviously not gonna get if they recorded message correct -- -- trained staff available 24 hours a day answering those calls. The federal Centers for Disease Control says suicide is -- twelfth leading cause of death in the United States ranking ahead of car accidents. In 2010 -- 38364. Suicides were reported in the US. I guess these figures are accurate I -- for the -- Internet they have to -- actor Wright's friend. What are the annual suicide rates in here in this century county Jason. I would have to look at the exact numbers are are and did the best that we report as suicide there are reported by the coroner's office. And they usually average in the the sixties to seventies to each year OK see you talking there's at least as several dozen every year then. Correct when he more than one a weakened and generally there's twice as many suicides as homicides. The United States has something that and many of us aren't familiar with because we hear about homicides on the news but that's suicide. Unfortunately it happens about twice as often as as best -- homicide. Let's talk about doesn't a little bit about that because I know it's it's a person who's been doing journalism for over forty years I know that's. Suicide is generally are not something run to report. In its suit unless it did happen to be a celebrity in the middle via the day or two later before we find out and then release something like that it. As news media people there we don't cover suicides has generally speaking turn will you know. And it and I think it how how and suicides are reported as is just is as important so we. We certainly want to discourage. Sensationalizing. Providing a lot of details about the manner of death but it. But suicide is out there and and in some ways I think it's unfortunate that we don't talk about. The the mental health needs that and bitter. Part of our daily life and there's the reality a suicide. Because I think it it's in the talking about a -- we encourage people to reach out. They did to help they need the big headline Robin Williams commits suicide in book but really for over the next few days Evers and a little more about what to led up to it -- -- -- he was having some real. Problems things like that. Which may have unlike the other people are just nosy and curious to you know -- Do we see fluctuations in the rate of suicide during economic times Jason. You know that. He did it it is tough to I think -- that especially in recent. In the most recent years because suicide data on a national level. Is usually delayed several years in in terms of gathering it from a bunch of local offices in two and a national database so we were not able to track it. Super. Close to the current year. I think in in general there there have been some studies that have suggested that. Economic downturns can impact. Suicide. Rates will certainly if you've lost your job and as in this -- -- can't pay your bills. -- are going to be more prone to things like depression and anxiety would get your picture. So I'm not really stressful life events do you have can he figures it did didn't say anything about age and gender whose most likely to commit suicide in Jason teacher will. Generally. Men are more more likely to die by suicide then went on that women are more actually more likely to attempt suicide than men. So one of the reasons that that may account for that is that men. They're the most frequent means of death here and Cedric county is by firearms and and men tend to choose more lethal means. Four of four suicide and soon. We're just so -- suicide attempts are our tend to be more more lethal not always pretend to be. You -- so -- it's a bit but is the most common form ministers and probably the firearm firearms considering county and simmer down over half an and I think that reflects national. The closer than what nationally senate Bryant what what other the other much comes in second at this is kind of morbid but what kind of what other media are used. A sixty nation so that could be hanging or restricting oxygen. Would be next and then that's followed by. Overdose. Many times people have some type of substance on board some some types. Medicine or alcohol or other other type of drug which. We know we know that that it increases the risk for or suicide things like alcohol decreases your inhibition and then and now -- A lot of dating is certainly increases risk. So maybe you're not just congress I know I'm depressed -- that the into my room and missed -- -- debt depression can be influence and that mood via a some sort of -- And alcohol or drugs in on the Internet and a I'm -- guy -- yesterday ages and yes yes when there is that we we have been concerned about and continue to be concerned about is suicide among young people. So. We we still want to tinker it's parents and teachers and in and others to be. On alert for kids who are showing signs of depression and in and making comments about wanting to die -- -- Suicide is is definitely still a risk for young people who did the group that has shown sort of an increase nationally and locally is -- Twenties to sixties it's it's those of us in the the middle. Ranges of an age groups that have have seen an increase in in death by suicide and in just a couple of minutes here -- someone talk about those signs have you heard. Speaking about them leverage a little more must decide what we should be looking for will talk about that in a minute you're gonna. I had a couple more questions here about. The demographics I guess you know in recent years and I know there was a spike in suicides for middle aged -- Do you do you hear -- is this right is this something correct but still very much very much the case yeah. Why you say you think. You know I don't know that I I don't know that we have a lot of answers for that except that that there are a lot of pressures facing. Middle aged males and and it tends to be white males. As well also so certainly economic pressures I think our our part of that substance use can be part of that their reluctance to seek. Mental health treatment. Maybe part of that. You can talk you into making it okay to reach out for help. Here to. Two macho -- for an idea parents if you've mentioned it we talked about the gender. Aspect of this what about races there and anything juicy authorities say. There is races won race more proud pro news and other anything like that on there there are a couple that really do stand out American Indians Alaskan natives. Our are couple that that show particular high risk and we we didn't mention older adults that older adults still aren't that risk of suicide and and particularly. Older. Men. -- are at particularly high risk group known as it doesn't -- younger people. Is bullying having an impact on suicides among younger people. The studies and -- will fit. It's it certainly is this Dresser and in a very real stress -- for kids in the end I think it can contribute and I think. One of the things that we wanna be. Careful about is attributing suicide anyone cause you know it. I think I think of Robin Williams's death in the reporting on that and we heard about some potential. Of contributing successors in in his life. -- but usually. Suicide and is the reasons that lead to suicide or complex usually there's an underlying mental health or substance use disorder I'm 90% of the time. And mass. And there's usually multiple factors not just not just any one factor that all of the stresses that you mentioned that. You know employment economic bullying. Can certainly contribute this is a big general question mr. and had. Maybe you can't and shouldn't there be such a dumb question but why do people take their own lives not that. But he sort of based there a million reasons -- there are a million reasons but I think and and sometimes very individualized reasons that. I think it's helpful for me to think about it as. An escape from paying you know as I've talked to people who survived suicide attempts and and with one thing they talk about is that they they really were looking. For a way out of both pain and didn't see another option for themselves and think that's that's one of the reasons it is so important to talk about it because there are ways through. Stressful times and threw. Mental disorders center and substance use problems in and we know that there's effective treatment that can help. Many times people experience. Thoughts of suicide and impulses to end their life during times of crises and those paths. So and so we wanna get. Better as a culture recognizing that and in. Encouraging people to reach out for helping getting getting folks through those times of crises and then connecting them with the treatment that will really help in the long. You know Jay's number if you sit down talk prison -- people here in and they were totally in brutally honest. At least three or four of them say at one time or another. In my life ever for an Irish really up against it -- thought about it. And so do you think it's pretty common though this did just think about that had to have a statistic about that eight million adults. In the United States and a given year report report thinking about suicide and they report reported but. There lottery don't let -- yeah right if that's a hard hard thing to capture him. Removing the things you wanna make sure that people know here again and -- -- this one -- two more times there is help available within 24/7 nine. Hotline it's 6607506607500. Might write down put under the the magnet on the refrigerators -- how many calls you think you get there and in a dreary years time -- -- I have a year until you're never in my head that tells -- as it's gone up a bit to 80000 and -- -- soon about 67000. A month. And those those are a wide range of of crisis type -- also mentioned that that people don't have to be suicidal to call that number certainly if they're. Have run into a stressful time and I don't know what the next step is or how to how to get treatment. For themselves or even for a loved one that they can call that number so we call it a crisis hotline as well as a crisis are giving kids -- like a lot of people. This isn't just Cedric county then it is it that is a lot of fuel we we also answer from Butler and Sumner counties after hours. So it if we have partnership with the mental health centers there. But you know most of the calls are from Wichita on Centre county. -- think -- somebody to -- and talk and obviously someone who JP trained person. Who who has dealt with this before and knows exactly what to say a -- absolutely believe -- this is familiar territory to them there they're trained in. In helping people with mental health crises and in sorting out ways to keep people safe if they're experiencing thoughts of suicide. Ways to figure out so what the best next steps are to get them help. What's the impact. -- decide on loved ones and friends of people. Who or close to those who decide to take their own lives what what -- impacted it's it's it has a tremendous impact and end. One minute that really can last a lifetime some some of the things that we know is that the is that. Those who moved to lose a loved one to suicide or more at risk of suicide themselves. So it has that kind of impact. Certainly. Can that caused tremendous amount of grief and a complicated kind of grief. Because there's so many unanswered questions some anyone -- And so it. There are socially -- and sometimes alone was it didn't angry about it absolutely they're angry the person who's done it's why you you know who knew better and it's going to be very -- -- for trying to Laura -- and and very unique and different situations so. Would encourage those who lost a loved one. A two suicide to it -- also. Reach out and get some help for themselves what will sponsor a -- survivors of suicide day later this year in. Wichita but it's also an international events and it's four. People who lost loved ones to suicide. I think that's a helpful. Way to connect with other people to learn more about. The causes of suicide and and how others are are. Coping with victories to sort of find out more about that and encourage folks to visited the city county website. -- -- -- -- -- Image and connecting with them with mr. shelter maybe there's somebody that lost loved when the suicide in his gun goes through this emotional stuff in the in real -- has some help to grappling with -- and so forth than they can contact come care for. Counseling -- what -- direction or. This -- group therapy or whatever well yeah we can we cannot talk with them in and understand what their needs are and then and then develop a plan. For either. Services with us services. With someone else who -- or others there's a couple of groups in town that are pretty active in supporting those who lost loved ones to suicide and wanted to mention the good grief -- Kansas group they have that's his name good grief. I think -- it as it -- -- -- that that helps survivors is. Suicide -- those who lost loved ones to suicide and I have their phone number to hit its 61207006120700. Scene called their for more information. -- we have on the Cedric Kenny website under. -- curious part of -- Chinese on the secretary website we have. A guidebook for those who lost loved ones to suicide and and it's available electronically there. And then also the the American Foundation for Suicide Prevention has a local chapter. And they are becoming more active locally they've got a suicide prevention -- coming up but I wanted to mention it's on -- twentieth it was a Saturday. And so folks want to. Remember a loved one contribute to funding for. Local and national researcher on suicide prevention that would be a great way to participate. And you can find out more about that by going to. AF SP dot org Timothy FSP. Yes -- American and frank examiner who think American Foundation for Suicide Prevention. Very good you know there -- phenomenon that we've been seeing in the media tour of several years now. And you will see people who are involved with armed showdowns with police in being. -- or murder or murder got shot and killed by police officers and it's like these people say well. It's a way it's what they call it. Cops who cut and his suicide was that I cost per cent confident as strange it meant that Mendoza and his surreal it's a real phenomenon and -- A tragic there phenomenon. Book gives it and then here -- and we think police officers in their immune that. They get involved in something like that lifting somebody's life that can make some repercussions for them as well ranked in Italy saw them they do not want to hurt people. Absolutely there there there to protect us and and to protect the public and in. I do think it has a tremendous stolen and then in that kind of like are we hear about an armed forces has. A higher suicide rate. Law enforcement officers do as well it's a stressful job. On both ends of the people with -- seeing her didn't receiving counseling or whatever but you're in contact with you seen many veterans. Here in incentive accounting but we do we do see some some veterans and and but I think the VA in Wichita here's his. -- -- -- -- And -- and some very specific suicide prevention. And outreach have protocols they're really. Stepped up there they're suicide prevention efforts as well one didn't -- touched on this briefly now we're coming back to them what are the signs we can look for. When someone is possibly considering suicide tradition. Soon so I think and certainly if somebody's behavior has changed if they're. Talking about suicide. If they're mentioning wanting to die if they're making plans for. Ending their alliance talking about feeling. Hopelessly trapped -- in unbearable pain. Acting recklessly using more alcohol and drugs. All of those would be indications that. Viewers having a conversation with them out. You're listening to issue Tony fourteen on the intercom radio stations our guest is Jason -- who is director of outpatient services that come Kara Cedric county our topic today. It is suicide. Jason. A quarter science and medicine going to -- what does that mean I'm I'm sure there's not an anti suicide pill and I don't get me wrong mr. I'm sure it's being studied all the research. Stewart is -- it is being studied in research and I don't I'm not up on those various fronts they -- that's an encouraging research from around. New new ways of assessing suicide risky new medications new treatment approaches bit. In general. At the the ways that we know are effective cars are to use mental health and substance use treatment so cognitive behavioral therapies well researched. And not part of part of as I mentioned getting folks through this suicidal crisis is having a safety plan. To help them through debt crisis and sometimes that that involves means restrictions restricting. Access to. A weapon for example that they can they may use to to harm themselves -- doesn't mean that they have to give it up for life. But coming up with a plan with a counselor to to to delay their access to that can really can really help. Save a life and get somebody through the treatment process. That many times that again that those thoughts of suicide this impulses of suicide. Are. Time limited to happen during a crisis time and so if we can get through that crisis. And and help the person with medication with counseling. It it really is very effective at helping people recover you know program like this helps to educate people about -- what about the what about the dangers of suicide and being discussed in schools is that something million that is appropriate for schools are being discussed in schools and in locally we have yellow ribbon campaign. That. Helps kids recognize. That there's signs in in each other and in themselves and and just as importantly know what to do with that information not to keep that a secret to go to a trusted adult good teacher to the school counselor to the parent. And say I need help or to say. Joseph you know my friend needs help. Services available. Obviously via. The crisis offline 600 semifinal and a disservice -- what other specific assurances do you have -- If somebody is not in crisis and in his is ready to to take that stepping jets mental health or substance use treatment -- offers. Those services and to access those. Folks can call 6607. Fives here 406607540. To find out more information about how to access those services. There's also a number of other providers in the community you know a lot of mental health care is delivered by primary care physician so. So talking with your doctor would also be a good idea. If you if you are depressed or think you might be depressed says to. Talk you talk to doctor. Don't have to wait till you be joining for the annual check up was up like right. If a person is having suicidal thoughts. What should he or she do obviously making collier your current crisis linemen are there any other things they can do immediately. I think I think -- reach out for help and and if somebody's experiencing suicidal. Thoughts that can be a symptom of depression. Could be. Something else prompting that as well but it it can be. We know that they're thinking of death and suicide more often is a symptom of depression so would encourage them to talk with a professional whether it's there. They're family doctor whether it's coming to the crisis program we're available 21 today for -- walk -- Don't have to schedule an appointment there. Can talk with a master's level trained therapist. Or or reach out for help by phone and that 66 or 7500 number but it's important to talk with a professional. Did you I would imagine them to them and those you take a lot of pain to. To protect people's identities and and keep keeping what they're doing. Not secret does not public here you know people don't want others to notice -- doing this I don't presume. We want folks to know that the services that we provide -- confidential. And so yeah I think it's it's about. It's really about getting health care. We will I think we've seen the mine in the body a separate times that but we're really all one mind one mind body and so. And as C mental health care very much as just health care and that's. There's -- many protections in place to keep that private information -- what about paying for those services is everything you do. Offered to the public free is at all financed -- carrier like well we we accepts most forms of insurance so that that's the bulk of our funding. Is through. Fee for service type work in and we accept all forms of insurance. And including Medicaid and Medicare. And so for folks who don't have. A form of payment we knew we offered services at a sliding scale fee based on income. And the number of folks and their households who were able to set very reasonable rates and I would just encourage folks not to let. The inability to pay keep them from reaching out for help. All right -- -- your time is the information this morning on the crisis hotline is 6607506607500. Our guest musicians check. Director outpatient services that come care of surgery counter talk about suicide this week and that's all for this edition of issues Tony fourteen proceed next week I'm Steve Macintosh.