Emotionally Naked

Emotionally Naked
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Discover effective strategies to help prevent youth suicide  In  Emotionally Naked: A Teacher’s Guide to Preventing Suicide and Recognizing Students at Risk , trainer, speaker, and suicide loss survivor Anne Moss Rogers, and clinical social worker and researcher, Kimberly O’Brien, PhD, LICSW, empower middle and high school educators with the knowledge and skills to leverage their relationships with students to reduce this threat to life.  The purpose of this book is not to turn teachers into therapists but given the pervasive public health problem of suicide in our youth, it’s a critical conversation that all educators need to feel comfortable having. Educators will learn evidence-based concepts of suicide prevention, plus lesser known innovative strategies and small culture shifts for the classroom to facilitate connection and healthy coping strategies, the foundation of suicide prevention. Included is commentary from teachers, school psychologists, experts in youth suicidology, leaders from mental health nonprofits, program directors, and students. In addition, readers will find practical tips, and sample scripts, with innovative activities that can be incorporated into teaching curricula.  You’ll learn about:  The teacher’s role in suicide prevention, intervention, postvention, collaboration The different and often cryptic ways students indicate suicidality What to do/say when a student tells you they are thinking of suicide Small shifts that can create a suicide-prevention classroom/school environment How to address a class of grieving students and the empty desk syndrome Link to a download of resources, worksheets, activities, scripts, quizzes, and more Who is it for:  Middle/high school teachers and educators, school counselors, nurses, psychologists, coaches, and administrators, as well as parents who wish to better understand the complex subject of youth suicide.

Оглавление

Anne Moss Rogers. Emotionally Naked

Table of Contents

List of Illustrations

Guide

Pages

EMOTIONALLY NAKED. A Teacher's Guide to Preventing Suicide and Recognizing Students at Risk

Trigger Warning

Crisis Hotlines

About the Authors

Acknowledgments

Companion Website

Preface. ANNE MOSS ROGERS'S STORY

KIM O'BRIEN'S STORY

Introduction

NOTES

Chapter 1 Why Are We Seeing More Mental Health Problems with Students?

THE RISE IN TEEN MENTAL HEALTH PROBLEMS

Barriers to Mental Health Treatment for Teens

Teen Worries

Teen Depression

The Impact of Increased Screen Time

Co-occurring Disorders

MENTAL HEALTH DISORDERS

Major Depressive Disorder (Depression)

Conduct Disorder

Bipolar Disorder

Substance Use Disorder

Eating Disorder

Schizophrenia

Generalized Anxiety Disorder

Post-Traumatic Stress Disorder (PTSD)

NOTES

Chapter 2 Adolescent Suicide: Risk Factors, Protective Factors, and Warning Signs

Example of an Episode of Suicidal Thoughts

RISK FACTORS

Suicide Risk Factors. RISK FACTOR: HISTORICAL

RISK FACTOR: ENVIRONMENTAL

SUICIDE RISK FACTOR: HEALTH

AT-RISK STUDENT POPULATIONS

Gender and Suicide Risk

Sexual and/or Gender Minorities

Race and Ethnicity

Behavioral Health Resources for Native Americans

Demographic Region

Psychological Factors, Including Prior Suicide Attempt

Access to Firearms

Family History of Suicide

Non-Suicidal Self-Injury

Trauma

Teens with Challenging Family Dynamics

Chronic Illness or Disabilities

Youth Living with Autism

Precipitating Events. Examples of Precipitating Events

Life Transitions

School and Extracurricular Stress

Suicide Contagion

SOCIAL MEDIA, TEXTING, TEENS, AND SUICIDE

PROTECTIVE FACTORS

Risk and Protective Factors for Suicide49

SUICIDE WARNING SIGNS

WHAT DO STUDENTS SAY WHEN THEY ARE THINKING OF SUICIDE?

Warning sign: Talk

Warning sign: Behavior

Warning sign: Mood

Phrases that can signal suicidal despair

NOTES

Chapter 3 Debunking Myths About Student Suicide

MYTH: TALKING ABOUT SUICIDE CAN GIVE THEM THE IDEA

MYTH: TEENS WHO SAY THEY ARE THINKING OF SUICIDE ARE JUST TRYING TO GET ATTENTION

MYTH: SUICIDE IS SELFISH

MYTH: YOU SHOULD USE A “NO-SUICIDE CONTRACT” WITH TEENS

MYTH: ONCE A TEEN GETS PAST A SUICIDE ATTEMPT, THEY'VE LEARNED THEIR LESSON

MYTH: TEENS WHO SELF-INJURE ARE TRYING TO KILL THEMSELVES

Why Do Teens Self Harm?

MYTH: THERE IS NO NEED TO SCREEN KIDS FOR SUICIDE BECAUSE THEY WON'T TELL ANYWAY

MYTH: IF SOMEONE IS SET ON TAKING THEIR OWN LIFE, NOTHING CAN BE DONE TO STOP THEM

MYTH: THE PARENT IS ALWAYS THE BEST PERSON TO TELL WHEN A STUDENT IS THINKING OF SUICIDE

MYTH: IF THEY DON'T HAVE A PLAN, THEY ARE NOT AT RISK FOR SUICIDE

MYTH: THE HOLIDAYS ARE PEAK TIMES FOR TEEN SUICIDE

MYTH: MOST STUDENTS WHO DIE BY SUICIDE HAVE BEEN BULLIED

NOTES

Chapter 4 Suicide-Related School Policies

PREPARE SCHOOL CRISIS PLAN

SCHOOL POLICY FOR SUICIDE PREVENTION

SCHOOL POLICY FOR COMMEMORATION AND MEMORIALIZATION

CONFIDENTIALITY POLICY

Confidentiality Policy Template

NOTES

Chapter 5 Prevention: The Educator's Role in Creating a Culture for Suicide Prevention

CREATING A CULTURE OF CONNECTEDNESS AND BELONGING

Supporting LGBTQ Youth

COLLABORATION IS THE KEY TO SUCCESS

CREATE A SAFE DIGITAL LEARNING ENVIRONMENT

CHOOSING THE RIGHT PROGRAM OR TRAINING

EDUCATOR/GATEKEEPER TRAINING

Resources for Evidence-Based Curriculums

UNIVERSAL SCHOOL-BASED SUICIDE PREVENTION PROGRAMS

SOS Signs of Suicide

SOS Signs of Suicide Second ACT

Sources of Strength

Lifelines: Prevention

Hope Squad

JED High School

CAST, Coping and Support Training

American Indian Life Skills (AILS)

PREPaRE Crisis Training

MENTAL HEALTH TRAINING PROGRAMS

Youth Mental Health First Aid (YMHFA)

Teen Mental Health First Aid (TMHFA)

More Than Sad

PROGRAMS THAT BOLSTER PROTECTIVE FACTORS FOR STUDENTS

CASEL

DBT STEPS-A

How Mindfulness Contributes to Emotional Wellness

The Emerson Model

CUSTOMIZING/ADAPTING SUICIDE PREVENTION PROGRAMS

SCREENING FOR SUICIDE RISK

Quick, Validated/Evidence-Based Suicide Screeners

Example Protocol

GETTING LEADERSHIP BUY-IN FOR SUICIDE PREVENTION EDUCATION

Barriers to School Suicide Prevention Efforts

Healthy School Culture

NOTES

Chapter 6 Suicide Prevention Activities for Schools

SIMPLE IDEAS/CONCEPTS ANYONE CAN INTEGRATE

CREATIVE ACTIVITIES FOR BOLSTERING PROTECTIVE FACTORS

Advice Column Activity

Social Justice Movie

Dia de los Muertos

Hope and Care Video

Mental Health Monday

Connect/Disconnect

Hope Versus Fear

Answer Yes or No

Mental Health Presentations by Students

Student Mental Health Presentation Guidelines. Presentation Steps

Presentation Project Guidelines

License Plate Project

Student Directions for Creating a Specialty License Plate

License Plate Requirements

Podcasts

Tammy's Mental Health Topic Podcast Guidelines/Requirements for Students

AFFINITY GROUPS

STUDENT-LED MENTAL WELLNESS CLUBS

Initiatives and Ideas for Student Wellness Clubs

Nobles Heads Together

NHT Video Project

Fishbowl

Rock Painting

Middle School Visit

No Eagle Left Behind

Godwin Real Talk Was Created with One Goal in Mind

Active Minds

Organizations Supporting School Mental Wellness Club Initiatives

Framework and Guidelines for Speaking, Panel Events, Videos, and News

Storytelling Guidelines

HARDSHIP

HELP

HEALING

HOPE

Timing

Support

Use the Right Language

Story Guidelines7

After Telling Your Story

Funding for Your Mental Wellness Club

NOTES

Chapter 7 Intervention: They've Told You They're Thinking of Suicide. What Now?

KIDS WANT TO TELL

Comments left by young people on Anne Moss Rogers's You Tube Channel on a video people find when searching for a way to kill themselves. (The video does not offer instructions but does offer resources.)

REMOVING MEANS

WHAT TO SAY, WHAT TO DO

ASSESSING SUICIDE RISK

SAFETY PLANNING

Three-Step Suicide Prevention Intervention for Teachers, Coaches, and Other School Staff

For School Counselors: Specific Questioning for Suicide Inquiry

Hypothetical Scenario

NOTES

Chapter 8 Reintegrating a Student into School After a Suicide Attempt or Family Loss

Tip

TRANSITION FROM THE HOSPITAL SETTING

Students Identify Their “Trusted Adult”

Key Aspects of Reentry Meeting

Peer Connections and Support

RETURNING TO SCHOOL AFTER SUICIDE LOSS. Tip

Bereaved Teens and Preteens

What Does the Teen Want to Say?

NOTES

Chapter 9 Postvention: After a Student or Teacher Suicide

Postvention Goals

Resources for Native Americans

Tip

COMMUNICATION WITH THE IMPACTED FAMILY

After a Suicide Death: Sample Email

PROTOCOL AND MAINTAINING STRUCTURE

EDUCATOR TALKING POINTS WITH STUDENTS AFTER SUICIDE

Sample Email to School Community

WHAT TEACHERS SHOULDN'T DO OR SAY

When a Friend or Classmate Dies

SCRIPTS ON HOW TO FACILITATE CONVERSATION WITH YOUR CLASS

Sharing Stories About the Deceased Script

Feelings Check-in Script

Working Through Our Grief Script

Responding to Grieving Adolescents

MEMORIAL ACTIVITIES AND SUPPORT AFTER A STUDENT SUICIDE

THE EMPTY DESK SYNDROME AND TAKING CARE OF YOU

Summary Postvention for Educators

NOTES

Chapter 10 How Students Move Forward After a Suicidal Crisis

HOW DID THESE TEENS MOVE OUT OF A SELF-DEFEATING CYCLE?

NOTE

Chapter 11 Resources

COMPREHENSIVE SUICIDE-RELATED SCHOOL-BASED MODELS AND TOOLKITS

SUICIDE-RELATED FACT SHEETS

BEST PRACTICES FOR STORYTELLING AND REPORTING ON SUICIDE

RECOMMENDED WEBSITES

EDUCATOR/GATEKEEPER TRAINING PROGRAMS MENTIONED IN THE BOOK

UNIVERSAL SCHOOL-BASED SUICIDE PREVENTION PROGRAMS MENTIONED IN THE BOOK

CRISIS AND MENTAL HEALTH TRAINING PROGRAMS MENTIONED IN THE BOOK

PROGRAMS THAT BOLSTER PROTECTIVE FACTORS FOR AT-RISK YOUTH

NONPROFITS AND GOVERNMENTAGENCIES

RECOMMENDED SUICIDE-RELATED BOOKS FOR SCHOOLS

Chapter 12 Quizzes, Worksheets, Handouts, Guides, and Scripts

WORKSHEET 1: HOW TO TELL SOMEONE YOU ARE THINKING OF SUICIDE

Your Fears

Make the decision to tell

Who should you tell?

How should you tell?

How will the person you tell react?

WORKSHEET 2: CREATING A SAFE DIGITAL LEARNING ENVIRONMENT

WORKSHEET 3: STUDENT WELLNESS SURVEYS

Student Wellness Survey for Distance Learning

Student Wellness Survey for In-Person Learning

Middle School Mental Health Survey for Students

WORKSHEET 4: TRUE OR FALSE SUICIDE PREVENTION QUIZ

WORKSHEET 5: TRUE OR FALSE SUICIDE PREVENTION QUIZ: ANSWER KEY

WORKSHEET 6: SAMPLE CONFIDENTIALITY POLICY FOR STUDENTS

WORKSHEET 7: HOW EDUCATORS CAN HELP YOUTH BEREAVED BY SUICIDE

Suggested Planning Checklist for a Bereaved Student's Return to School

What Does the Student Want to Say?

Suicide Loss Grief Support: Where to Find It

USA Hotlines and Crisis Lines

Apps

WORKSHEET 8: MANAGING A LOSS BY SUICIDE FOR MIDDLE AND HIGH SCHOOL STUDENTS. Pledge

Friends and family will struggle with:

I would like help with:

Details:

If I am having a hard time, here's what I can do:

I do not want to talk about my loss in these places (check all that apply):

I do want to talk about my loss in these places (check all that apply):

Apps

Positive Coping Strategies

WORKSHEET 9: THE COPING STRATEGIES AND RESILIENCE BUILDING GAME

Supplies

Conversation Starters

Ask students to identify unhealthy coping strategies

Ask students to identify healthy coping strategies

Talking points for unhealthy and healthy coping strategies

Problems they've faced

Talking points for the problem-posting portion of the exercise

Before dismissal or to end the exercise

WORKSHEET 10: COPING SKILLS WORKSHEET

WORKSHEET 11: WHAT IS YOUR PASSION?

WORKSHEET 12: SAMPLE SCHEDULE OF STUDENT MENTAL WELLNESS EVENTS/IDEAS

WORKSHEET 13: SCRIPT FOR RESPONDING TO STUDENTS WHO THINK INFORMATION IS BEING WITHHELD

WORKSHEET 14: SCRIPT FOR ASKING PARENTS' PERMISSION TO DISCLOSE A SUICIDE DEATH

Visitation Postvention Recommendations

WORKSHEET 15: GUIDELINES FOR TELLING YOUR STORY

4 Hs of Storytelling

HARDSHIP

HELP

HEALING

HOPE

SEUSS-LIKE SCRIPTS: A SERIOUS MESSAGE IN AN ENGAGING FORMAT

WORKSHEET 16: BULLIES AREN'T THE BOSS OF YOU!

WORKSHEET 17: TOODLE-OO TO TABOO

WORKSHEET 18: EARS FOR YOUR PEERS

WORKSHEET 19: I'M ROOTING FOR YOU!

WORKSHEET 20: DON'T BALK, DO TALK

NOTES

Glossary

SUICIDE PREVENTION, INTERVENTION, POSTVENTION

DEFINITIONS IN ALPHABETICAL ORDER

NOTES

Index

WILEY END USER LICENSE AGREEMENT

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Teachers play a central role in educating our youth but also serve as mentors and supporters. They are uniquely positioned to recognize children who are struggling emotionally. This excellent book provides a priceless resource in helping them to do this effectively and successfully. Every teacher needs to read and study this book.

—Victor Schwartz, MD, Former CMO of The JED Foundation, Founder of MindStrategies Advisors, Clinical Assoc. Professor, Dept. of Psychiatry, NYU School of Medicine

.....

Shortly after I graduated college, I hit rock bottom. I became angry and sad, closed myself off to others, and drank more alcohol. I cried daily, sometimes all day. I didn't want to wake up in the morning yet I couldn't fall asleep at night. This continued for over a year and I remember going to the doctor one day for a well visit and I couldn't stop crying. She told me I needed antidepressant medication and I agreed. I figured, why not? At that point I didn't care about living any longer but I also thought I had nothing to lose. I was already lost and it was as if my soul had died and I was just going through the motions in a lifeless body.

With the little blue pills, I found myself crying a little bit less and the days became slightly more manageable. I started picking myself up, bit by bit, and began finding more reasons to go on living. There was no magical “aha” moment for me, just continuous introspection with professional support to guide me through. And now, decades later, I can say I live a life full of purpose, love, and even happiness. I still struggle emotionally every day, but I have the skills I need and the love and support around me to get through the difficult times that are a part of every human experience.

.....

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