1.a) I have been a community service worker (CSW) in a community drop in center that deals with the patients suffering from depression and mental and psychological issues. I believe suicide is one of the most complex phenomenons that tends to emerge out of the dynamic interactions that encircles around the psychological, biological, cultural and the spiritual factors. According to my personal insight, the tendency of suicide is often the cause of profound pain, despair and hopelessness that objectify the triumph of the fear, pain and loss over the hope of individual. While meeting with Angela Simartan’s husband, he initiated a discussion regarding suicides. While initiating communication with Angela’s husband I tried to emphasize on the significant factors that might affect the mental health condition of him. I tried to find out whether Mr. Simartan is suffering from any kind of depression and anxiety disorders that may contribute to the increasing suicidality of him.
While analyzing the steps that I require to take for assisting him using the module and the structure of the course identified some of the essential factors that are necessary symptoms for dealing with the suicidal patients like Angela’s husband. The comprehensive approach towards the management of the individual who have high risk of tendency includes some of the essential stages (Linehan, 2018).
When the targeted client is in the middle of the thought or the crisis related to suicide, the steps and the intervention must firstly target on the immediate safety and the stabilization of the client. In the category and instances of imminent or high risk, the context of stabilization might take the form of impatient hospitalization. This particular stage will furthermore involve the development and implication of the safety plan.
Further effective and appropriate management of the context of suicide requires simple delineation of the factors contributing to the increased risk of the ongoing management and the active problem solving (Behere & Sharma, 2017).
In this particular context, ABC model of psychology can be illustrated in the context of Angela’s husband’s conversation regarding suicide. In the year 1980s, the Alberta Model was firstly designed by an entire team of sociologists regarding the spike or the increase in the rate of suicide caused in the society or economy. ABC Model of Crisis Intervention illustrates the emotional and the psychological aspects that are generally used for the establishment of the connection with the suicidal person targeted (Reeves, 2017). The three stages of the model include Achieving Rapport, Boiling Down the problem and Contradicting for Action.
Achieving Rapport – illustrates the emotion and the psychological aspects for the establishment of the connection that includes the ensuring of the obstacles among the community service workers and the suicidal person. It furthermore includes solid eye contact, orientation with the body towards someone and keeping the arms uncrossed and legs open.
Boiling down the problem – it is the next step of the model of the crisis intervention that involves a careful mix of the open and the close ended questions for the full understanding of the suicidal tendency of the patient (Miloseva et al., 2015).
Contracting for Action – The next or the final step of the crisis intervention model includes effective understanding of the problem or the issue of the suicidal person and the importance or the essentiality onwards working with them for the implementation of some of the long term changes. This particular step will help in assessing and analyzing the level or the degree of the suicide intervention of Angela’s husband.
b) The Edmonton Suicide Prevention Advisory Committee (ESPAC) targets towards the development of the strategy that is mostly grounded in the context of the research and in the insights shared in the process of the engagement. Two of the major resource that can be identified in Edmonton for reference to a suicidal patient like Angela’s husband includes the following.
Counseling session with health professionals – While the prevention from the risk of the suicide requires some of the collaborative approaches, the counseling sessions with the health professionals are essential for the prevention of the mental health problems and the wellbeing of the clients together with the reduced access to the means of suicide.
Social support, cohesiveness and healthy relationships – These are some of the important factors of resources in Edmonton for effective clinical care for the substance use of disorders, for positive coping skills, for the promotion of reduced stigmas related to the mental illness and suicide and improvement of the cultural and the religious belief which helps in discouraging the factor of suicide and promote support for the self-preservations.
2.a) In the second scenario, when Angela came to the community service organization to have a talk regarding the sudden suicide of her husband after they have spent so many beautiful years together ,being a community service worker I outlines some of the steps for assisting her.
There has been one of the common estimates that the action or the instances of the suicide leaves behind the survivors and the loved ones who are most affected by the sudden death. These survivors are themselves at the increased risk towards degrading mental conditions and suicide in their near future (Sanford, Cerel & Frey, 2018). A practice of suicide postventions is thus necessary for the survivors like Angela. Some of the factors include being present, deflecting the feelings of blame, dictating the detailed of the share and helping them towards the embracing of their grief.
Regardless of science supporting a neurobiological reason for dysfunctional behavior, suicide is still covered by shame. A significant part of the overall population trusts that demise by suicide is disgraceful and corrupt. Others think of it as a “decision that was made” and accuse relatives for its result. And afterward there are individuals who are uncertain how to connect and provide support to the individuals who have lost a friend or family member to suicide, and just dodge the circumstance out of obliviousness (Sanford, 2016). Whatever the reason, it is important to take a note of the fact that the fundamental structure of distress for survivor of suicide loss is unpredictably muddled.
As per the ABC model the crisis intervention, the scenario of Angela can be described as follows:
Achieving Rapport – illustrates the emotion and the psychological aspects towards the establishment of the connection that includes the ensuring of the obstacles among the community service workers and the survivor of suicide (Peterson, 2018). These steps of the model includes proper counselling sessions ensuring mental and psychological support to the survivor so that they do not loos faith on them and their extended part of their family.
Boiling down the problem – This step includes an interview cu, analysis that helps the community service workers to analyze and detect the emotional turmoil the survivors are facing in absence of their partners.
Contracting for Action – The next or the final step of the crisis intervention model includes effective understanding of the problem or the issue that led the person commit suicide. The step furthermore enables support to the survivor so that there remains no chances of their future suicidal tendencies.
b) The Edmonton Suicide Prevention Advisory Committee (ESPAC) illustrates towards the identification and the implementation of the strategy that is mostly used in the context of the research and in the insights shared in the process of the engagement. Two of the major resource that can be identified in Edmonton for reference to a grieving client to and explain why you think these would be appropriate is illustrated below.
Listening to the feelings of the survivors – It is one of the most essential factors to list to the expression of the feelings and the thoughts of the survivors of suicide since these helps them to find some of the ways to let their feelings out and feel comfortable to have people around them who can at least listen to their stories and console them (Bhise & Behere, 2016). This helps in giving mental peace to the survivors in their state of mental dilemma.
Initiating participation in activities – Another important factor since engagement in participation and activities will help in decreasing and diminishing the depression, the emotional turmoil. Continuing to participate in any actions that the survivors previously enjoyed will give a change in the scene and help them to connect, socialize and try to lead a normal life.
References
Behere, P. B., & Sharma, A. (2017). Suicide from a global perspective. Indian Journal of Psychiatry, 59(2), 256.
Bhise, M. C., & Behere, P. B. (2016). A case–control study of psychological distress in survivors of farmers’ suicides in Wardha District in central India. Indian journal of psychiatry, 58(2), 147.
Life After Suicide: Full Documentary. (2018). Retrieved from https://www.youtube.com/watch?v=xkusweeNM-8
Linehan, M. M. (2018). Cognitive-behavioral treatment of borderline personality disorder. Guilford Publications.
Miloseva, L., Cuijeprs, P., Stojcev, S., Niklewski, G., & Richter, K. (2015). Clinically relevant risk factors for suicide: Comparison between clinical group with passive suicidal ideation, active suicidal ideation and without suicidal ideation.
Peterson, E. J. (2018). SUICIDE PREVENTION AND RESPONSE IN THE COLLEGE SETTING.
Reeves, A. (2017). Suicide and self harm. Sage Publications.
Sanford, R. L. (2016). An Exploratory Factor Analysis of the Survivor of Suicide Support Group Facilitator Scale: Identifying Meaningful Factors for Group Facilitation and Outcomes.
Sanford, R. L., Cerel, J., & Frey, L. M. (2018). Survivor of Suicide Loss Support Group Facilitators: Do Peers and Professionals Differ?. Social Work with Groups, 41(4), 306-322.
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