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Supported by The Royal Australian College of General Practitioners, the Australian Psychological Society, the Australian College of Mental Health Nurses and The Royal Australian and New Zealand College of Psychiatrists DATE: November 12, 2008 Monday 28 October, 2019 Suicide Prevention and Postvention: an interdisciplinary approach
Transcript
Page 1: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Supported by The Royal Australian College of General Practitioners, the Australian Psychological Society,the Australian College of Mental Health Nurses and The Royal Australian and New Zealand College of Psychiatrists

DATE:

November 12, 2008

Monday 28 October, 2019

Suicide Prevention and Postvention: an interdisciplinary approach

Page 2: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

This webinar has been funded by The General Practice Mental Health Standards Collaboration (GPMHSC).

Learn more about GPMHSC by visiting www.gpmhsc.org.au

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Page 3: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Tonight’s panel

Facilitator

Dr Chris RyanPsychiatrist

Dr Mary EmeleusGeneral Practitioner and Psychiatric Registrar

Dr Rebecca MathewsClinical Psychologist

Associate Professor Louise Stone General Practitioner

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Page 4: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

How to use the chat box

The purpose of this webinar is to give health professionals the skills they need, so they can help people more effectively in future. Personal stories of illness are very important and MHPN often includes consumers and carers on our panels.

The chat box however is not a forum for personal stories: it is designed to complement the panel discussion by allowing professionals to share resources, and their experiences of practice.

If content in tonight’s webinar causes distress, please seek care by phoning Beyond Blue 1300 22 4636 or contacting your GP or local mental health service.

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Page 5: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Learning Outcomes

Through a facilitated panel discussion, about Aiden, at the completion of the webinar participants will be able to better:

• Recognise and respond to mental health issues which may indicate risk factors for suicide

• Support bereaved patients, communities and/or themselves when responding to a death by suicide

• Implement tips and strategies to enhance communication and build capacity between practitioners who are treating people who may be at risk of suicide or who are responding to a death by suicide.

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Page 6: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Psychiatrist perspective

• 20 year old mechanic’s apprentice

• Amphetamine-induced psychosis

• Sensible

Aiden Background

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Psychiatrist perspective

• Work certificate – relationship break-up

• “thoughts of own death” – explicitly denies suicidal ideation

• Agrees to psychologist follow-up

• Return 4 weeks

Aiden Presentation

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Psychiatrist perspective

• Everything was done well

• ? Detail of history taken in time allowed

First impressions

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Page 9: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Psychiatrist perspective

What else could you have asked?

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Page 10: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Psychiatrist perspective

• More detail. What is it like to be Aiden?

• Features that might suggest a major depression or increased use of substances

What else could you have asked?

PAGE 10

Page 11: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Psychiatrist perspective

• It is not possible to usefully categorise patients who present in psychiatric crisis into those at higher or lower risk of suicide or serious self-harm

• You can’t do suicide risk assessment, so FORGET ABOUT IT

Take home

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GP perspective

• Where do they get their support?

Louise Stone

What is it like for a GP to lose a patient to suicide?

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Page 13: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

GP perspective

• Do we visit the family?• Do we attend the funeral?

Louise Stone

As family doctors, we need to consider

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Page 14: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

GP perspective

• promote healthy grieving • provide comfort for those who are distressed • minimise adverse personal outcomes, such as complicated grief, depression

and post-traumatic stress disorder (PTSD) • reduce the risk of suicide imitation • help restore community functioning • use the experience as an opportunity to educate the community about

mental health, factors contributing to suicide, and the availability of resources to get help.

Louise Stone

As community doctors, we try to

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Page 15: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

GP perspective

• Where do they get their support?

Louise Stone

What is it like for a GP to lose a patient to suicide?

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Competence• Or confidence? • What are your professional obligations to Aiden?• When and how to refer on

Rebecca Mathews

PAGE 16

Ethical and professional challenges:What are professionals concerned about?

Psychologist perspective

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Confidentiality• What can be disclosed? • When and to whom?• What has Aiden consented to?• What about after a suicide?

- What can be shared with family and others?

Rebecca Mathews

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Ethical and professional challenges:What are professionals concerned about?

Psychologist perspective

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Communication• Communication protocols

- A clear, defendable process- What information is shared, when and to whom

• When disclosure has to be made• Follow-up with family members

Rebecca Mathews

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Ethical and professional challenges:What are professionals concerned about?

Psychologist perspective

Page 19: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Record keeping• Adequate records

- What you did- When you did it- Why you did it- Who you consulted

• To justify decisions-making, action and inactionRebecca Mathews

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Ethical and professional challenges:What are professionals concerned about?

Psychologist perspective

Page 20: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

• Processing the experience in a supportive context• Could something have been done differently?• Would it have made a difference?

Rebecca Mathews

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Reflective learning

Psychologist perspective

Page 21: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Dr Chris RyanPsychiatrist

Dr Mary EmeleusGeneral Practitioner and

Psychiatric Registrar

Dr Rebecca MathewsClinical Psychologist

Associate Professor Louise StoneGeneral Practitioner

PAGE 21

Panel discussion

Page 22: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Help guide tonight’s discussion

• Self-care/practitioner compassion

• Risk assessment

• Ethics and confidentiality

• Rural and remote versus metropolitan context

A pop up will appear on your screen shortly listing the above; choose the one you’d most like the panel to discuss.

The panel have suggested the following topics as ones they’d be interested to discuss further:

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Page 23: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Thank you for your participation • Please ensure you complete the feedback survey before you log out.

• Click the Feedback Survey tab at the top of the screen to open the survey.

• Certificates of Attendance for this webinar will be issued within four weeks.

• Each participant will be sent a link to the online resources associated with this webinar within two weeks.

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Page 24: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

If any content in tonight’s webinar caused distress, please seek care by:

• calling Beyondblue 1300 22 4636 or

• contacting your GP or local mental health service.

PAGE 24

Page 25: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Are you interested in joining an MHPN network in your local area? View a list of MHPN’s networks and join one today!

www.mhpn.org.au/find-network

For more information about MHPN networks and online activities, visit www.mhpn.org.au

PAGE 25

Page 26: ^ µ ] ] W À v ] } v v W } À v ] } v W v ] v ] ] o ] v Ç ... · Microsoft PowerPoint - FINAL Powerpoint Slides - GPMHSC 2 webinar Author: JBrown Created Date: 10/25/2019 11:48:10

Thank you for your contribution and participation

Good evening

PAGE 26


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