13. Haddon's Ten Strategies

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1. Prevent initial creation of hazard.
• Motivational signs at bridges to divert people who may decide to jump from bridges.
• Guns should not be available for non-military or non-law-enforcement use. If made available, proper screening is required before license is provided.
• Manufacture of highly toxic household bug sprays, etc. has to be reduced.
• Ensure social support systems- family, peer groups, school mentoring programs.
• Increasing avenues available for engaging youth in constructive activities and recreation.

2. Reduce amount of hazard created.
• Increase connectedness within family and community members
• Suicide education in schools. An example is the 'Linking Education and Awareness of Depression and Suicide '(LEADS) curriculum implemented in Minnesota high-schools by 'Suicide Awareness Voices of Education' (SAVE), a non-profit organization in Bloomington, Minnesota dedicated to preventing suicide by educating people.
• Peer support groups.
• Reduced sales of firearms.
• Reduced sales of poisonous pills and toxic sprays.

3. Prevent release of already existing hazard.
• Gatekeeper training to identify at-risk individuals. Community members who have regular contact with youth; teachers, counselors, nurses, coaches, community recreation center staff, clergy, police, merchants and healthcare providers, are trained to identify those at risk for suicide.
• Questionnaires or screening instruments are used to identify high-risk youth and to provide further assessment and treatment.
• Increase access to and awareness of mental health services.
• Creation of crisis hotlines.
• Reduce access to amount of alcohol, frequency of alcohol especially in youth.
• Set stricter laws and regulations for purchase of firearms.
• Set Prescription restriction to buy toxic sprays and poisonous pills.

4. Modify rate of release or spatial distribution of hazard from its source.

• Prevent large consumptions of pills by packaging medicines as individual pills.
• Physicians can also prescribe shorter courses of medications so that people do not have access to large quantities at once.
• Reduce time required for pills to produce its effect on the body. i.e. medication formulations can be made into extended release versions so that effects can be delayed and reversed on time.

5. Separate in time and space, hazard from person.
• Ensure rules and regulations for firearms purchase totally excludes purchase to people with mental illness.
• Homes or facilities that have firearms should have them locked away and the bullets should not be kept in the same place as the firearms.
• Knives and substances such as cleaning agents which could be poisonous should be safely stored away so that young kids do not have easy access.

6. Interpose a barrier between hazard and person.
• Barriers placed in bridges and high buildings to prevent people from jumping.
• Set up computerized system which allows only owner to use the gun.
• Cars have codes for starting the engine so that teenagers are prevented from driving off in a parent's car to commit suicide.
• Safety caps to bottles containing pills to reduce the time taken to consume the pills. This may change the person's mind.
• Reduce purchase of gasoline into containers so that the risk of setting fires is prevented.

7. Modify contact surfaces to reduce injury.

• Difficult access to aloof bridges and tall buildings.
• Ensure that most rooms inside homes don't have locks or latches, so that a person who is trying to commit suicide can be accessed easily from outside.

8. Strengthen resistance of person who will be injured.
• Intervention programs.
• Suicide prevention curricula in schools.
• Inspire youth to achieve something in life.
• Create mentoring and support groups that include families that have been impacted by suicide so they can help support other community members and youth.
• Increase access to and awareness of Mental Health Centers, crisis centers etc.
• Promote cultural and religious orientation so that suicide is considered a "taboo" and not the way out of difficulty.

9. Rapidly detect and limit damage that has occurred.
• Post-intervention programs that emphasize coping strategies to deal with suicide crisis situation.
• Extreme caution in carefully portraying the circumstances around a suicide through the media so that it does not initiate or worsen the contagion suicide.
• "Contagion" is recognized by the CDC as a process by which exposure to the suicide or suicidal behavior of one or more persons influences others to commit or attempt suicide.
• Educate youth to treat suicidal individuals.
• Send suicide survivors to rehabilitation centers.
• Motivational talks to depressed individuals.

10. Initiate immediate and long term reparative actions.
• Intervention programs for attempters.
• Organize program or agency that has trained workers to perform follow-up monitoring and assessments for attempters and their close family and friends.
• Crisis centers and hotlines.
• Social Marketing: Guided laws on media reporting of suicide should be enforced to prevent contagion effects or community or family stigma.

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This page contains a single entry by ragha024 published on April 22, 2012 9:23 PM.

12. Haddon's Matrix was the previous entry in this blog.

14. References is the next entry in this blog.

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