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Reaching Out

How Caring Contacts Can Prevent Suicide

[Event/Location if applicable]

© 2021 Ursula Whiteside

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Caring Messages Defined

Brief, repeated, non-demanding messages of care, support and personal connection that convey a sense of kinship and hope.

- Ursula Whiteside

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Learning Objectives

At the end of this class, you will be prepared to: ��

  • Relay history of caring contacts research to others at work

  • Send prepared caring contacts to those at risk for suicide

  • Identify potential obstacles and success strategies for using caring contacts at your organization

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Caring What?

Many Names

Caring Contacts

Caring Messages

Caring Letters

What else?

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Part 1: CBS Sunday Morning

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Loneliness and Social Isolation

One-third of adults aged 45+ feel lonely�

  • 50% increased dementia risk; 29% heart disease; 32% stroke�
  • Premature death rivaling smoking, obesity, & physical inactivity �
  • Not surpisingly, greater rates of depression, anxiety & suicide

- CDC, 2021

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“No one suffers pretty”

When we need help, we might be the most likely to push it away

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Part 2: CBS Sunday Morning

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Caring Contacts: Non-demanding

“No expressions like ‘you really should try to resume therapy’ or ‘would you fill out this depressive scale so we can determine what your status is?”

Jerome Motto

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Caring Contacts: Kinship

“Simply what one might say to a friend.”

Jerome Motto

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Caring Contacts: Brief

“It has been some time since you were here at the hospital, and we hope things are going well for you. If you wish to drop us a note we would be glad to hear from you.”

Motto’s letters

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Caring Contacts: Repeated

Mailed on a set schedule:

  • once a month for first 4 months �
  • every two months for next 8 months �
  • every three months for next 4 years

�A total of 24 letters, sent over 5 years

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Caring Contacts: Repeated

“This is just a note to assure you of our continuing interest in how you are getting along.”

�“Just a note to say that we hope things are going well, as we remain interested in your well being. Drop us a line anytime you like.”�

“We realize that receiving a letter periodically expressing our interest in how things are going may seem a bit routine. However, we continue to be interested in you and how you are doing. We hope that our brief notes will be one way of expressing this.”

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The Bingo Letter

“You are the most persistent son-of-a-bitch I’ve ever encountered, so you must really be sincere in your interest in me.”

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Caring Contacts: Motto Results

In the first two years following hospitalization, the suicide rate of the control group was nearly twice as high as that of the contact group.

Motto, Jerome A., and Alan G. Bostrom. "A randomized controlled trial of postcrisis suicide prevention." Psychiatric services 52, no. 6 (2001): 828-833

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Part 3: CBS Sunday Morning

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CBS Sunday Morning: Wrap Up

What’s one that stood out to you?

  • Examples:
    • Question
    • Surprise
    • Poignant
    • Concerning

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Sending Caring Messages

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Preparing Caring Messages: �Let’s Practice Together

  1. Send one to a friend
  2. Prepare several for a patient (real or imagined)
  3. Provide feedback based on criteria

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Friend

Share a memory

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Self

I see your strength

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Evaluate

Check Yourself

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Preparing Caring Messages: Evaluation Criteria

  • Brief
  • Non-demanding
  • A sense of kinship

Rate yourself: 1 = meets criteria well, 2= could use input from others, 3 = definitely not!

Also, repeated

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NowMattersNow.org �Caring Message Resources

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Connection

Use them for yourself, �use them for others

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References

  • Reger M.A., Luxton D.D., Tucker R.P. et al. "Implementation methods for the caring contacts suicide prevention intervention." Professional psychology: research and practice 48, no. 5 (2017): 369.
  • Motto J.A. & Bostrom A.G. "A randomized controlled trial of postcrisis suicide prevention." Psychiatric services 52, no. 6 (2001): 828-833
  • Luxton, D., June, J., & Comtois, K. (2013). Can postdischarge follow-up contacts prevent suicide and suicidal behavior? Crisis, 34(1), 32-41. Retrieved from http://econtent.hogrefe.com/doi/abs/10.1027/0227-5910/a000158