Articles Tagged with 988

July 16 marks one-year anniversary of 988 Suicide & Crisis ...
Many of you know that I often write about suicide prevention. I hope you have read my latest blog on the Crosland Chroma Suicide Means Prevention art installation on top of the Georgia Institute of Technology library. Also, when the 988 Suicide Prevention and Crisis Lifeline was introduced, I wrote a blog about that. I hope you will take the time to read these two special blog posts.

The National Suicide and Crisis Lifeline, 988, marked its one year Anniversary yesterday. United States Health and Human Services Secretary Xavier Becerra observed the anniversary by noting “Through 988, our message to Americans in crisis is clear: support is here. And thanks to President Biden, millions of Americans have been able to seek out help. Nearly 5 million calls, texts, and chats have been answered over the past year – saving countless lives.

Anecdotally, we know 988 is working. For example, in Nebraska, before implementation of the new 988 lifeline in July 2022, the Boys Town National Hotline in Omaha was the home of the Suicide Prevention Hotline. In a natural evolution, Boys Town became the call center for 988 as well as the Nebraska Family Helpline. In 2021, before the existence of 988, Boys Town received 8,777 calls to the Suicide Prevention Lifeline. Since 988 Nebraska’s implementation, that number has more than doubled to 18,300.

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This is my son, Chaz. He is an artist and an architect and I am very proud of him.  As an artist he goes by chastainbernard. The colorful panels behind him were created by artist/architect Tristan al-Haddad who owns the studio Formations. Chaz works with Tristan now and he also worked with Tristan last year to design and create these colorful panels that were installed on the top of the Georgia Tech Library, Crosland Tower (shown below) on the beautiful Georgia Tech campus in Downtown Atlanta. It is called “Crosland Chroma.” You can learn more about the conceptualization of the project here. Chaz had the incredible opportunity to work on this project while he was studying for his Masters in Architecture at Georgia Tech. Tristan was one of his many inspirational professors. You can enjoy a short video of how they painstakingly created and installed these gorgeous panels and you might even see Chaz here and there in the video.  They unveiled the Chroma Project shortly before Chaz graduated in May 2022. They make a beautiful prism through which to view the downtown skyline.  Many students study or enjoy a cup of coffee on top of Crosland Tower and now they enjoy the colorful prismatic effect these panels have on their surroundings.  It is truly beautiful.

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What may not be obvious is that these beautiful panels also serve as a type of “means restriction” to prevent suicide by way of jumping off the top of Crosland Tower. These panels are made of a super-duty strong, heavy acrylic and are only a few inches apart from each other.  They are anchored in concrete by large metal bolts. You can not possibly pull them or spread them apart to get to the edge of the tower to jump.

Those of us who study suicide in an effort to prevent it have found that “means restriction,” i.e.,  restricting whatever means someone might use to kill oneself, can help reduce suicide. According to the National Institute of Health, “Limitation of access to lethal methods used for suicide—so-called means restriction—is an important population strategy for suicide prevention. Many empirical studies have shown that such means restriction is effective. Although some individuals might seek other methods, many do not; when they do, the means chosen are less lethal and are associated with fewer deaths than when more dangerous ones are available.”  Means restriction must be multi-faceted, to include various ways one could kill oneself, e.g., removal of narcotic drugs and alcohol, removal of ways to hang oneself, removal of guns from the home or office, prevention of jumping from high places, etc. In a suicide crisis, the length of time someone seriously contemplates suicide, tends to be short-lived. Over 25% of teens nationally said it was only 5 minutes from the time they made the decision until they acted on it. Another 30% said it was less than 24 hours.  We know this from suicide survivors who have jumped from the Golden Gate Bridge in San Francisco, who have said the minute they jumped, they regretted it. If they had only been prevented by jumping for just a minute or two, they wouldn’t have done it. Now, The Golden Gate Bridge has installed large nets around it as a means restriction for those who want to jump to kill themselves by suicide. This particular Suicide Deterrent System is called “The Safety Net,” and it will, hopefully, prevent the 30 or so suicides every year on the Golden Gate Bridge.

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Ever since I began the Georgia State Bar’s Suicide Prevention Program back in 2012 when I was President of the State Bar of Georgia, I have been advocating for the need for more mental health services provided during an emergency.  For longest time, all U.S. citizens have had available to them for an emergency is to call 911. This is, without question, an extremely valuable service to have when you need help from the police or fire department. But is hasn’t also proven helpful when what you have is really a mental health emergency. There have been numerous examples of incidents here in Atlanta in which, in my opinion, had there been a mental health emergency number available instead of just 911, a life would not have been lost.

The police shooting of Scout Schultz, a Georgia Tech student, is a prime example. Scout was a fourth-year computer engineering major with a minor in biomedical engineering at the time of his death.   Scout was fatally shot September 16, 2017, after approaching officers with a knife and saying, “Shoot me.”  A Georgia Tech officer who had not had mental health training shot Scout, even though Scout was yards away from him and couldn’t possibly hurt the officer with a knife from that distance.  The officers needed mental health training on how to deescalate and handle a mental health crisis someone is going through instead of shooting that person. Had we had a 988 available then, perhaps Scout would still be with us.  The same can be said for the police shooting of Nygil Cullins, who was having a mental health crisis at Fogo de Chao in Buckhead. Rather than handing it as mental health crisis, as it obviously was, the Atlanta Police shot and killed Mr. Cullins.  What is truly sad is that his mother had tried to get emergency transport for her son to a mental health living facility by calling 911 and waited for two hours. She had even called Riverwood Behavioral Health Center ahead of time to make sure they had a bed available, and told 911 dispatchers she would follow police there and fill out the paperwork when they arrived. She said “all you have to do is transport him.” Mr. Cullins waited with his mother for two hours without any help from 911 and, ultimately, left for Fogo de Chao, without mental health intervention. The Atlanta Police, rather than sending a mental health team, sent armed police officer who handled the situation by shooting and killing Mr. Cullins. Another life lost senselessly and one that 988 may have saved.

So I am thrilled that we now have available to us 988 for mental health crises. “If you are willing to turn to someone in your moment of crisis, 988 will be there,” said Xavier Becerra, the secretary of the federal Department of Health and Human Services, at a recent press briefing. “988 won’t be a busy signal, and 988 won’t put you on hold. You will get help.”  I pray this is true.  The primary goal of the new number is to make it easier for people to call for help. Lawmakers and mental health advocates also see this launch as an opportunity to transform the mental health care system and make care easily accessible everywhere in the United States. The Biden administration has invested more than $400 million in beefing up crisis centers and other mental health services to support the 988 system.

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