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Suicide Red Flag Training: Crossroads Safehouse Ft. Collins, CO May 11, 2010 11:00 am – 12:15 pm StressAngerCO5.1110.ppt

Suicide Red Flag Training: Crossroads Safehouse Ft. Collins, CO May 11, 2010 11:00 am – 12:15 pm StressAngerCO5.1110.ppt (Rev. 5.1110). Suicide Red Flag Training: Crossroad Safehouse. By Robert J. Fetsch, Ph.D., Extension Specialist & Professor, Human Development & Family Studies

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Suicide Red Flag Training: Crossroads Safehouse Ft. Collins, CO May 11, 2010 11:00 am – 12:15 pm StressAngerCO5.1110.ppt

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  1. Suicide Red Flag Training:Crossroads SafehouseFt. Collins, COMay 11, 201011:00 am – 12:15 pmStressAngerCO5.1110.ppt (Rev. 5.1110)

  2. Suicide Red Flag Training: Crossroad Safehouse By Robert J. Fetsch, Ph.D., Extension Specialist & Professor, Human Development & Family Studies Colorado State University

  3. Signs of High Stress A Common Reaction to Challenging Times

  4. Why Is Addressing Managing Tough Times Important? According to the National Health Interview Survey, 75 percent of the general population suffers at least “some stress” every two weeks, and half of those experience moderate or high levels during the same time period. Farm owners were among the top 12 occupations with a significant incidence of stress-related illnesses Fetsch, R. J. (July 22, 2005). Farming, ranching: Health hazard or opportunity? Colorado State University, Cooperative Extension Fact Sheet No. 10.201. Retrieved March 26, 2007 from http://www.ext.colostate.edu/pubs/consumer/10201.html. Fetsch, R. J. (April 28, 2005). Transitions and changes: Who copes well? Colorado State University. Cooperative Extension Fact Sheet No. 10.215. Retrieved March 26, 2007, from http://www.ext.colostate.edu/pubs/consumer/10215.html.

  5. What is Stress? Stress is a response to a perceived threat. If two people experience the same threat, one might get stressed and the other might not. What’s the difference? Is all stress bad? STRESS

  6. Question What are a couple of the top stressors that you see families facing around you?

  7. Financial stress and marital distress Difficulty with money has been reported as one of the leading causes of marital stress and divorce (Benjamin, 2001). Increasing debt contributes to negative marital quality (Skogrand et al., 2005).

  8. Financial stress and depression In a study of 1,270 children, researchers found that welfare status and perceived financial stress contributed to children’s higher levels of depressive symptoms, impulsive behavior, and anti-social behavior when compared to children in families not experiencing financial stress (Takeuchi et al., 1991).

  9. Financial stress and child abuse Financial distress was an influential family related factor that contributed significantly to child abuse (Black et al., 2001). Post partum mothers were more at risk of abusing their children if they experienced financial stress (Cadzow et al., 1999).

  10. Farm/Ranch stress Farming is one of the top 12 high stress occupations. According to NIOSH, farm owners were second only to laborers in the rate of death for stress-related diseases.

  11. What were the top stressorsfor farmers? For 1,343 Iowa farm residents: Death of a spouse Death of a child Disabling injury of a family member Disabling injury to oneself Foreclosure on a mortgage/loan Divorce Machinery breakdown during harvest Loss of crop to weather Loss of crop to pests/disease Severe weather conditions

  12. Stressors in Farm Families Who is the canary in farm and ranch families?

  13. How Dangerous Is Farming/Ranching? Farming and ranching are among the most dangerous occupations in the U.S. Agriculture and mining are consistently the two most dangerous occupations in the U.S. over the last 25 years. Source: National Safety Council, 1976-2004.

  14. Figure 2. Unintentional death rates per 100,000 population for agriculture, mining/quarrying, and all industries in the U.S. Source: National Safety Council (1976-2009). Injury Facts. Ithaca, NY: National Safety Council.

  15. Farming: An At-Risk Occupation Occupation of farming affects exposure and vulnerability to stressors (financial & job) One of the most dangerous occupations ranked among the top 10 Deaths and injuries extremely high Source: National Safety Council, 1976-2004.

  16. Summary Individuals and their families who are high stressed are an at-risk population for many psychosocial dysfunctions and relationship problems including: family, marital and parenting difficulties increased levels of depression and suicide poor developmental outcomes and psychological distress for children domestic violence and substance abuse

  17. How High Are Stress Levels? According to the National Health Interview Survey, 75 percent of the general population suffers at least “some stress” every two weeks, and half of those experience moderate or high levels during the same time period. Farm owners were among the top 12 occupations with a significant incidence of stress-related illnesses. Fetsch, R. J. (July 22, 2005). Farming, ranching: Health hazard or opportunity? Colorado State University, Cooperative Extension Fact Sheet No. 10.201. Retrieved March 26, 2007 from http://www.ext.colostate.edu/pubs/consumer/10201.html Fetsch, R. J. (April 28, 2005). Transitions and changes: Who copes well? Colorado State University. Cooperative Extension Fact Sheet No. 10.215. Retrieved March 26, 2007, from http://www.ext.colostate.edu/pubs/consumer/10215.html

  18. Suicide Red Flags Stress + Anger + Depression + Suicidal Ideation  Suicide Let’s identify some Stress Red Flags….

  19. HANDOUT: Individual and Family Stress and Depression: A Checklist and Guide for Making Referrals

  20. What are signs of high stress? Change in routines Increase in illness Appearance of home declines. Care of pets and livestock declines. Increase in accidents. Children show signs of stress.

  21. What are signs of chronic, prolonged stress? Physical Headaches Ulcers Backaches Eating irregularities Sleep disturbances Frequent sicknesses Exhaustion

  22. What are signs of chronic, prolonged stress? Physical Panic attacks and/or heart palpitations Sweating, trembling or shaking Shortness of breath, chest pain or discomfort Difficulty swallowing, nausea or abdominal distress Lightheadedness, derealization or depersonalization Adapted from Rosmann, M. R. (2002, September 9). Weathering tough times: Responding to farmers, ranchers and rural businesspersons [Satellite Video Conference]. Available from http://www.panhandle.unl.edu/tough_times .

  23. What are signs of chronic, prolonged stress? Emotional Sadness Depression Bitterness Anger/Blame Anxiety/Worry Loss of humor/spirit

  24. What are signs of chronic, prolonged stress? Emotional Fear of losing control Restlessness Unable to relax Easily fatigued Irritable Adapted from Rosmann, M. R. (2002, September 9). Weathering tough times.

  25. What are signs of chronic, prolonged stress? Behavioral Irritability Backbiting Acting out Withdrawal Passive-aggressiveness Increased alcohol consumption Violence

  26. What are signs of chronic, prolonged stress? Intellectual/Self-Esteem “I’m a failure.” “I blew it.” “I can’t handle it.” “I can’t concentrate.” “All my thoughts are of dread.” “I can’t decide.” “I just can’t remember those things.”

  27. What are some healthy ways to manage stress?

  28. What are some healthy ways to manage stress? Be grateful. Decrease cortisol and norepinephrine. Relax coronary arteries. Increase blood supply to your heart. Deepen your breathing. Source: Sam Quick, Carole Gnatuk, & Douglas Burnham, UKY.

  29. Anger A Common Reaction to Challenging Times

  30. Suicide Red Flags Stress + Anger + Depression + Suicidal Ideation  Suicide

  31. What is anger? Anger is a bio-physical-emotional reaction to an unmet expectation. When we get angry, if we stop, step back and think about it, somewhere there is an unmet expectation. Recall a recent time when you got angry…. What might your unmet expectation have been?

  32. How do you feel? Annoyed?…Enraged? Enraged? Furious? Angry? Frustrated? Irritated? Aggravated? Annoyed?

  33. RETHINK Recognize Empathize Think Hear Integrate Notice Keep

  34. Signs of High Depression A Common Reaction to Challenging Times

  35. Financial stress and depression The lower the monthly income, the higher the chronic depression level (Gilmer et al., 2005).

  36. Financial stress and depression In a study of 425 students, poverty and unemployment significantly predicted depressive symptoms even after controlling for demographic and familial risk factors (Dallaire et al., 2008). Depressive symptoms in childhood predicted adolescent depression, suicide attempts, interpersonal problems and career dissatisfaction in early adulthood (Reinherz et al., 1999).

  37. Financial stress and marital distress Difficulty with money has been reported as one of the leading causes of marital stress and divorce (Benjamin, 2001). Increasing debt contributes to negative marital quality (Skogrand et al., 2005).

  38. Financial stress and depression In a study of 1,270 children, researchers found that welfare status and perceived financial stress contributed to children’s higher levels of depressive symptoms, impulsive behavior, and anti-social behavior when compared to children in families not experiencing financial stress (Takeuchi et al., 1991).

  39. Financial stress and child abuse Financial distress was an influential family related factor that contributed significantly to child abuse (Black et al., 2001). Post partum mothers were more at risk of abusing their children if they experienced financial stress (Cadzow et al., 1999).

  40. Financial stress and depression Unemployed individuals were more likely to experience chronic depression than employed individuals. Participants with no/publicly funded health insurance were more likely to experience chronic episodes than individuals with private insurance (Gilmer et al., 2005).

  41. Financial stress and suicide Financial stress has historically been reported as a leading factor in completing suicide (Dublin & Bunzel, 1933). Financial loss and depressive symptoms are characteristics of individuals experiencing suicidal ideation (Turvey et al., 2002).

  42. Farm/Ranch depression Many farmers/ranchers struggle with depression. It is not clear whether they experience lower/higher levels of depression and other mental health issues as does the general population.

  43. Farm/Ranch depression Some researchers found a relationship between exposure to pesticides and high levels of depression among CO farmers/ranchers. ND farmers’ depression levels were almost twice that of other rural populations in the past.

  44. Farm/Ranch depression IA farm men were more likely to experience depression if within the previous year they had: Lost something of sentimental value Experienced substantial income decline Gone deeply into debt Faced legal problems Or experienced an increase in health problems.

  45. Suicide Red Flags Stress + Anger + Depression + Suicidal Ideation  Suicide Let’s identify some Depression Red Flags….

  46. HANDOUT: Individual and Family Stress and Depression: A Checklist and Guide for Making Referrals

  47. What are signs of depression? Appearance Unhappy feelings Negative thinking Reduced activity and pleasure in usual activities People problems Physical problems Guilt and low self-esteem

  48. What are signs of depression? Sadness Inability to experience genuine pleasure Significant weight loss (not due to dieting) or gain (5% of body weight/month) Excessive sleep and/or middle or late night insomnia Feeling lethargic or agitated Loss of energy Adapted from Rosmann, M. R. (2002, September 9). Weathering tough times.

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