Safety planning and suicide intervention
Suicide and suicidal behaviour touches the lives of many people in our community, but there are ways we can all intervene.
Prevalence of suicide
Between 2001 and 2017 there were 419 suicides in serving, reserve & ex-serving ADF personnel who have served since 2001. Between 2002–2017 the age-adjusted rate of suicide was:
- 18% higher in ex-serving men than the Australian male population
- 48% lower for serving and reserve men than the Australian male population
- 2.15 times higher for ex-serving women than the Australian female population.
More information on the prevalance of veteran suicide is available from the AIHW report.
Risk factors / warning signs
Observable and strong signs of a suicidal crisis needing immediate attention are when someone is:
- threatening to hurt or kill themselves
- looking for the means (gun, pills, rope, etc.) to kill themselves
- talking or writing about death, dying or suicide.
Call 000. Do not leave the person alone.
Indications of suicide where professional help is needed are someone showing signs of:
- persistent crying
- loss of interest in previously pleasurable activities
- rage, anger, seeking revenge
- acting reckless/engaging in risky activities
- feeling trapped (like there is no way out)
- increasing alcohol or drug use
- anxiety, agitation, unable to sleep/sleeping all the time
- giving away possessions
- dramatic changes in mood
- no reason for living; no sense of purpose in life.
Seek professional help, including referral to Open Arms – Veterans & Families Counselling (formerly VVCS) on 1800 011 046.
Protective factors can be seen as the actions or efforts a person can take to reduce the negative impact of issues like mental health problems, transition from military life or isolation from friends and family.
Positive steps can be made by someone experiencing such issues or you could support someone to take these positive steps to make changes in their life to protect against suicide.
There are many protective factors that can help to reduce the risk of suicide. Some important ones are:
- staying connected to community
- having significant others or someone to share concerns with, and to care for
- physical and mental health
- a strong sense of self-worth and hope for the future
- a sense of personal control
- resilience (being able to bounce back from challenges in life)
- safe and stable housing
- opportunities to participate meaningfully in work, leisure or community groups
- financial security
- spirituality and belief
Not all of these will be relevant to every individual, but some will be relevant for most people.
A framework for responding to, and minimising risk of suicide
Open Arms uses the SafeSide Recovery-Oriented Risk Prevention Framework (SafeSide Framework).
SafeSide Recovery-Oriented Risk Prevention Framework
The SafeSide framework is an approach to suicide and violence prevention. The SafeSide Framework focuses on planning interventions, rather than predicting the risk of suicide. This represents a best practice approach to suicide and violence risk assessment and intervention.
It is widely accepted that suicide cannot be predicted. Applying the SafeSide Framework provides an avenue for assessing vulnerabilities and strengths. While simultaneously developing plans to mitigate risk and extend support.
In chaotic and unpredictable situations, having a structure and clear definition of good care is comforting and empowering. The SafeSide Framework provides teams with:
- a common language
- a roadmap of best-practice approaches
The SafeSide Framework uses the CARE model:
This model is a client centred and practical approach that addresses safety, recovery, and quality of life.
Use of the SafeSide Framework anchors risk formulation in the clinical context and client population in which assessment occurs. Rather than assessing clients as ‘low’ or ‘high’ risk in the abstract. The SafeSide Framework assesses them as at lower/higher risk relative to other clients in the same context. Which is more meaningful. In this way, the Framework helps to capture the fluid nature of risk in the life of an individual client.
Risk formulation leads directly to intervention strategies. These are the building blocks necessary to produce risk management plans. Risk formulation is based on judgements that take into account:
- risk status
- risk state
- immediately available resources
- foreseeable changes
Safety planning apps
A safety plan is for people to use when they are feeling unsafe or suicidal. A safety plan to refer to and remind themselves of:
- reasons to live,
- family and friends they can talk to or
- activities to do when they are feeling vulnerable.
Open Arms safety planner Operation Life
Operation Life - provides personalised access to relevant:
- professional and
- personal support networks.
The app includes positive reminders and self-help tools to help people regain control, keep calm and take action to stay safe. The app also contains web links to relevant online resources on suicide awareness, and counselling numbers for the veteran community. Use with the support of a clinician of a clinician is recommended. The supporting Clinicians Guide provides a step-by-step guide to help clinicians’ set-up and use the app with their clients.
Visit our Operation life app page to find out more.
Beyond Blue has developed Beyond Now. A suicide safety planning app that provides a convenient way for people to develop a personalised safety plan. It can be updated or edited anytime and offers the option of sharing it with support people.
Visit Beyond Blues Beyond Now app page to find out more.
Treatment services for veterans
Open Arms Care Coordination
Care coordination is available to serving and ex-serving members of the Australian Defence Force, and their families who may have complex needs.
Care coordination replaces a haphazard process of referrals with a single, well-structure service. This offers continuity of care and stability for the client. The care coordinator provides:
- a single point of contact.
- familiarity with the protocols and operating procedures of other health professionals and agencies
- awareness of informal networks and resources that may not be found in formal service directories.
Pathways to refer clients to Open Arms is presented on our referral page.
Complementary to primary and allied health treatment, DVA provides whole-of-person rehabilitation to eligible veterans. Rehabilitation can assist individuals coordinate their medical treatment, assist individuals maximise their independent functioning and quality of life, and return to work when they are ready. Veterans may be eligible for rehabilitation assistance through DVA if they are incapacitated for service or work, or have an impairment, as a result of a service injury or disease.
Under a rehabilitation plan with psychosocial goals, veterans can access support to help address psychosocial challenges that may be impacting on their family, connections with others, resilience and overall quality of life.
Psychosocial activities under a rehabilitation plan may include:
- intervention counselling or self-management programs to support relationships with others, provide the veteran with strategies to build resilience, or manage and adapt to their health conditions more effectively
- connecting the veteran with local community supports, services or programs, or
- supporting the veteran to participate in local activities and programs - this could include, undertaking time-limited short course education to assist them to better engage with their community, or where this participation may be a ‘first step’ achievement in their long term recovery.
More information about DVA rehabilitation is available online.
Group treatment programs
Open Arms offers a variety of evidence based group treatment programs and educational workshops on a range of topics such as anger, anxiety, PTSD and depression. These groups are free to Open Arms clients and are delivered nationally to small groups face-to-face, led by highly skilled facilitators with military awareness.
Open Arms suicide intervention workshops are also available to family, friends, co-workers or others in the veteran community who wish to recognise warning signs for suicide, and learn intervention strategies.
Trauma recovery programs
The Department of Veterans’ Affairs funds Trauma Recovery Programs – in hospitals across Australia. These programs are required to meet DVA’s National accreditation Standards for Trauma Recovery Programs – PTSD (2015). These standards provide a framework for ensuring that hospitals provide high quality evidenced based treatment for veterans and former serving members of the ADF who have PTSD. A list of hospitals is provided on our referral page.
The factors that can lead someone to suicide can be complex and often involve a mixture of causal and circumstantial risk factors. There are many factors in our lives that can help to protect us and others against suicide.
Open Arms offers group treatment programs and educational workshops, relationship retreats, and suicide prevention workshops.
This app is designed to help those at risk deal with suicidal thoughts. It is recommended to be used with the support of a clinician.