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FM","link":"/"}},"news_11971560":{"type":"posts","id":"news_11971560","meta":{"index":"posts_1591205157","site":"news","id":"11971560","score":null,"sort":[1704326453000]},"guestAuthors":[],"slug":"san-francisco-finally-installs-suicide-prevention-nets-on-golden-gate-bridge","title":"Golden Gate Bridge Officials Finally Install Suicide-Prevention Nets","publishDate":1704326453,"format":"standard","headTitle":"Golden Gate Bridge Officials Finally Install Suicide-Prevention Nets | KQED","labelTerm":{"site":"news"},"content":"\u003cp>Kevin Hines regretted jumping off San Francisco’s Golden Gate Bridge the moment his hands released the rail, and he plunged the equivalent of 25 stories into the Pacific Ocean, breaking his back.\u003c/p>\n\u003cp>Hines miraculously survived his suicide attempt at age 19 in September 2000 as he struggled with bipolar disorder, one of about 40 people who survived after jumping off the bridge.\u003c/p>\n\u003cp>Hines, his father, and a group of parents who lost their children to suicide at the bridge relentlessly advocated for a solution for two decades, meeting resistance from people who did not want to alter the iconic landmark with its sweeping views of the Pacific Ocean and San Francisco Bay.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>On Wednesday, they finally got their wish when officials announced that crews had installed stainless-steel nets on both sides of the 1.7-mile bridge.\u003c/p>\n\u003cp>“Had the net been there, I would have been stopped by the police and gotten the help I needed immediately and never broken my back, never shattered three vertebrae, and never been on this path I was on,” said Hines, now a suicide prevention advocate. “I’m so grateful that a small group of like-minded people never gave up on something so important.”\u003c/p>\n\u003cp>Nearly 2,000 people have plunged to their deaths since the bridge opened in 1937.\u003c/p>\n\u003cp>City officials approved the project more than a decade ago, and in 2018, work began on the 20-foot-wide stainless steel mesh nets. But the efforts to complete them were repeatedly delayed until now.\u003c/p>\n\u003cp>The nets — placed 20 feet down from the bridge’s deck — are not visible from cars crossing the bridge. But pedestrians standing by the rails can see them. They were built with marine-grade stainless steel that can withstand the harsh environment, including salt water, fog and strong winds that often envelop the striking orange structure at the mouth of the San Francisco Bay.\u003c/p>\n\u003cp>“We have a continuous physical suicide barrier installed the full length of the 1.7-mile bridge on the east and the west side. The bridge is sealed up,” said Dennis Mulligan, general manager of the Golden Gate Bridge, Highway and Transportation District.\u003c/p>\n\u003cp>The barriers are already working as intended, he added.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Dennis Mulligan, Golden Gate Bridge general manager, Highway and Transportation District\"]‘It’s stainless-steel wire rope netting, so it’s like jumping into a cheese grater. It’s not soft. It’s not rubber. It doesn’t stretch. We want folks to know that if you come here, it will hurt if you jump.’[/pullquote]As the project neared completion in 2023, the number of people who jumped fell from an annual average of 30 to 14, with the deaths in the spots where crews had not finished installing the barriers yet, he said.\u003c/p>\n\u003cp>Some people still jumped into the net, and crews then helped them out of there. A handful of them jumped into the ocean from the net and died, he added.\u003c/p>\n\u003cp>The nets are meant to deter a person from jumping and curb the death rate of those who still do, though they will likely be badly injured.\u003c/p>\n\u003cp>“It’s stainless-steel wire rope netting, so it’s like jumping into a cheese grater,” Mulligan said. “It’s not soft. It’s not rubber. It doesn’t stretch.”\u003c/p>\n\u003cp>“We want folks to know that if you come here, it will hurt if you jump,” he added.\u003c/p>\n\u003cp>Firefighters in both San Francisco and Marin counties are being trained to climb down and rescue anyone who jumps into the nets. For now, ironworkers who maintain the bridge and are trained in rescue techniques perform many rescues. On the deck, members of a bridge patrol work to spot people considering suicide and prevent them from jumping. Last year, they dissuaded 149 people from jumping, Mulligan said.\u003c/p>\n\u003cp>Bridge officials were first asked to do something about the suicides shortly after the bridge opened eight decades ago. But it was a small group of parents, including Hines’ father, Patrick, who formed the Bridge Rail Foundation in 2006 and got the job done.\u003c/p>\n\u003cp>The name stems from the group’s demand that the 4-foot-high railing along the bridge be raised. Its members often showed up at bridge meetings clutching large photos of their loved ones.\u003c/p>\n\u003cfigure id=\"attachment_11971564\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971564\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671.jpg\" alt=\"Safety nets seen from the edge of a bridge with the water below.\" width=\"1024\" height=\"727\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-800x568.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-1020x724.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-160x114.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A view of a net designed to prevent suicides from the Golden Gate Bridge on Nov. 30, 2023, in San Francisco. \u003ccite>(Liu Guanguan/China News Service/VCG via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But a public comment campaign showed most people didn’t want to raise the railing because it would block the sweeping views from the bridge.\u003c/p>\n\u003cp>An architectural firm recommended the nets based on a similar net’s success in preventing suicides in Bern, Switzerland, where officials installed one at a popular terrace overlooking a river, said Paul Muller, president of the Bridge Rail Foundation.\u003c/p>\n\u003cp>In 2008, bridge officials began exploring the idea of installing nets, and after settling on a design, officials had to come up with the money to build them. In 2014, Golden Gate Bridge, Highway and Transportation District officials approved the project for $76 million.\u003c/p>\n\u003cp>Construction costs have risen to $224 million, Mulligan said. \u003ca href=\"https://apnews.com/article/health-san-francisco-business-suicide-prevention-state-courts-4b994c2b0162fae76a504417b437aab8\">In a lawsuit filed against the district that year\u003c/a>, Shimmick Construction Co. and Danny’s Construction Co., the lead contractors on the project, said the nets and other work on the bridge as part of the project would cost about $400 million.\u003c/p>\n\u003cp>Changes and flaws in the government’s design of the nets and deterioration of the bridge’s maintenance platforms raised the construction price, the companies said. The contractors said they had lost approximately $100 million on the project and spent another $100 million to pay expenses and laborers to ensure its completion.\u003c/p>\n\u003cp>[pullquote align=\"right\" size=\"medium\" citation=\"Steve Richards, CEO, Shimmick\"]‘At no point did we let the litigation, or the fact that we haven’t been paid everything we are owed, get in the way of the work.’[/pullquote]“At no point did we let the litigation, or the fact that we haven’t been paid everything we are owed, get in the way of the work,” Steve Richards, CEO of Shimmick, said in a statement.\u003c/p>\n\u003cp>“Our dispute is with the District,” he added. “The people of California should not be deprived of the safety netting because of the District’s behavior.”\u003c/p>\n\u003cp>A hearing on the dispute is scheduled for June. Mulligan said the bridge district filed a countersuit in October.\u003c/p>\n\u003cp>Critics of the project said a lot of money is being spent on the nets to deter people who are determined to end their lives and who will simply find another method to do it.\u003c/p>\n\u003cp>But supporters of the nets, including the Bridge Rail Foundation, point to studies by Harvard University and the University of California, Berkeley that show that most survivors will not try to kill themselves again. They said stopping easy access to lethal means is crucial to preventing suicides.\u003c/p>\n\u003cp>Dayna Whitmer, whose son, Matthew, jumped to his death from the Golden Gate Bridge in 2007, said she believes her son, whose body was never recovered, would have been deterred by the nets.\u003c/p>\n\u003cp>“A lot of people, when they’re that focused on a method, they don’t see anything else around them,” she said. “And if they get to that point where they can’t do it, they kind of just throw their hands up and sort of walk away. And I’m thinking that’s something he would have done.”\u003c/p>\n\u003cp>\u003cem>Associated Press reporter Haven Daley contributed to this story.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"Suicide-prevention barriers at Golden Gate Bridge have been completed more than a decade after officials greenlighted a project to install stainless-steel mesh nets on both sides of the 1.7-mile bridge. ","status":"publish","parent":0,"modified":1704391971,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":33,"wordCount":1326},"headData":{"title":"Golden Gate Bridge Officials Finally Install Suicide-Prevention Nets | KQED","description":"Suicide-prevention barriers at Golden Gate Bridge have been completed more than a decade after officials greenlighted a project to install stainless-steel mesh nets on both sides of the 1.7-mile bridge. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Golden Gate Bridge Officials Finally Install Suicide-Prevention Nets","datePublished":"2024-01-04T00:00:53.000Z","dateModified":"2024-01-04T18:12:51.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"sticky":false,"nprByline":"Olga R. Rodriguez\u003cbr>The Associated Press","excludeFromSiteSearch":"Include","showOnAuthorArchivePages":"No","articleAge":"0","path":"/news/11971560/san-francisco-finally-installs-suicide-prevention-nets-on-golden-gate-bridge","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Kevin Hines regretted jumping off San Francisco’s Golden Gate Bridge the moment his hands released the rail, and he plunged the equivalent of 25 stories into the Pacific Ocean, breaking his back.\u003c/p>\n\u003cp>Hines miraculously survived his suicide attempt at age 19 in September 2000 as he struggled with bipolar disorder, one of about 40 people who survived after jumping off the bridge.\u003c/p>\n\u003cp>Hines, his father, and a group of parents who lost their children to suicide at the bridge relentlessly advocated for a solution for two decades, meeting resistance from people who did not want to alter the iconic landmark with its sweeping views of the Pacific Ocean and San Francisco Bay.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>On Wednesday, they finally got their wish when officials announced that crews had installed stainless-steel nets on both sides of the 1.7-mile bridge.\u003c/p>\n\u003cp>“Had the net been there, I would have been stopped by the police and gotten the help I needed immediately and never broken my back, never shattered three vertebrae, and never been on this path I was on,” said Hines, now a suicide prevention advocate. “I’m so grateful that a small group of like-minded people never gave up on something so important.”\u003c/p>\n\u003cp>Nearly 2,000 people have plunged to their deaths since the bridge opened in 1937.\u003c/p>\n\u003cp>City officials approved the project more than a decade ago, and in 2018, work began on the 20-foot-wide stainless steel mesh nets. But the efforts to complete them were repeatedly delayed until now.\u003c/p>\n\u003cp>The nets — placed 20 feet down from the bridge’s deck — are not visible from cars crossing the bridge. But pedestrians standing by the rails can see them. They were built with marine-grade stainless steel that can withstand the harsh environment, including salt water, fog and strong winds that often envelop the striking orange structure at the mouth of the San Francisco Bay.\u003c/p>\n\u003cp>“We have a continuous physical suicide barrier installed the full length of the 1.7-mile bridge on the east and the west side. The bridge is sealed up,” said Dennis Mulligan, general manager of the Golden Gate Bridge, Highway and Transportation District.\u003c/p>\n\u003cp>The barriers are already working as intended, he added.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘It’s stainless-steel wire rope netting, so it’s like jumping into a cheese grater. It’s not soft. It’s not rubber. It doesn’t stretch. We want folks to know that if you come here, it will hurt if you jump.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Dennis Mulligan, Golden Gate Bridge general manager, Highway and Transportation District","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>As the project neared completion in 2023, the number of people who jumped fell from an annual average of 30 to 14, with the deaths in the spots where crews had not finished installing the barriers yet, he said.\u003c/p>\n\u003cp>Some people still jumped into the net, and crews then helped them out of there. A handful of them jumped into the ocean from the net and died, he added.\u003c/p>\n\u003cp>The nets are meant to deter a person from jumping and curb the death rate of those who still do, though they will likely be badly injured.\u003c/p>\n\u003cp>“It’s stainless-steel wire rope netting, so it’s like jumping into a cheese grater,” Mulligan said. “It’s not soft. It’s not rubber. It doesn’t stretch.”\u003c/p>\n\u003cp>“We want folks to know that if you come here, it will hurt if you jump,” he added.\u003c/p>\n\u003cp>Firefighters in both San Francisco and Marin counties are being trained to climb down and rescue anyone who jumps into the nets. For now, ironworkers who maintain the bridge and are trained in rescue techniques perform many rescues. On the deck, members of a bridge patrol work to spot people considering suicide and prevent them from jumping. Last year, they dissuaded 149 people from jumping, Mulligan said.\u003c/p>\n\u003cp>Bridge officials were first asked to do something about the suicides shortly after the bridge opened eight decades ago. But it was a small group of parents, including Hines’ father, Patrick, who formed the Bridge Rail Foundation in 2006 and got the job done.\u003c/p>\n\u003cp>The name stems from the group’s demand that the 4-foot-high railing along the bridge be raised. Its members often showed up at bridge meetings clutching large photos of their loved ones.\u003c/p>\n\u003cfigure id=\"attachment_11971564\" class=\"wp-caption alignnone\" style=\"max-width: 1024px\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11971564\" src=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671.jpg\" alt=\"Safety nets seen from the edge of a bridge with the water below.\" width=\"1024\" height=\"727\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671.jpg 1024w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-800x568.jpg 800w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-1020x724.jpg 1020w, https://cdn.kqed.org/wp-content/uploads/sites/10/2024/01/GettyImages-1823585671-160x114.jpg 160w\" sizes=\"(max-width: 1024px) 100vw, 1024px\">\u003cfigcaption class=\"wp-caption-text\">A view of a net designed to prevent suicides from the Golden Gate Bridge on Nov. 30, 2023, in San Francisco. \u003ccite>(Liu Guanguan/China News Service/VCG via Getty Images)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But a public comment campaign showed most people didn’t want to raise the railing because it would block the sweeping views from the bridge.\u003c/p>\n\u003cp>An architectural firm recommended the nets based on a similar net’s success in preventing suicides in Bern, Switzerland, where officials installed one at a popular terrace overlooking a river, said Paul Muller, president of the Bridge Rail Foundation.\u003c/p>\n\u003cp>In 2008, bridge officials began exploring the idea of installing nets, and after settling on a design, officials had to come up with the money to build them. In 2014, Golden Gate Bridge, Highway and Transportation District officials approved the project for $76 million.\u003c/p>\n\u003cp>Construction costs have risen to $224 million, Mulligan said. \u003ca href=\"https://apnews.com/article/health-san-francisco-business-suicide-prevention-state-courts-4b994c2b0162fae76a504417b437aab8\">In a lawsuit filed against the district that year\u003c/a>, Shimmick Construction Co. and Danny’s Construction Co., the lead contractors on the project, said the nets and other work on the bridge as part of the project would cost about $400 million.\u003c/p>\n\u003cp>Changes and flaws in the government’s design of the nets and deterioration of the bridge’s maintenance platforms raised the construction price, the companies said. The contractors said they had lost approximately $100 million on the project and spent another $100 million to pay expenses and laborers to ensure its completion.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"‘At no point did we let the litigation, or the fact that we haven’t been paid everything we are owed, get in the way of the work.’","name":"pullquote","attributes":{"named":{"align":"right","size":"medium","citation":"Steve Richards, CEO, Shimmick","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>“At no point did we let the litigation, or the fact that we haven’t been paid everything we are owed, get in the way of the work,” Steve Richards, CEO of Shimmick, said in a statement.\u003c/p>\n\u003cp>“Our dispute is with the District,” he added. “The people of California should not be deprived of the safety netting because of the District’s behavior.”\u003c/p>\n\u003cp>A hearing on the dispute is scheduled for June. Mulligan said the bridge district filed a countersuit in October.\u003c/p>\n\u003cp>Critics of the project said a lot of money is being spent on the nets to deter people who are determined to end their lives and who will simply find another method to do it.\u003c/p>\n\u003cp>But supporters of the nets, including the Bridge Rail Foundation, point to studies by Harvard University and the University of California, Berkeley that show that most survivors will not try to kill themselves again. They said stopping easy access to lethal means is crucial to preventing suicides.\u003c/p>\n\u003cp>Dayna Whitmer, whose son, Matthew, jumped to his death from the Golden Gate Bridge in 2007, said she believes her son, whose body was never recovered, would have been deterred by the nets.\u003c/p>\n\u003cp>“A lot of people, when they’re that focused on a method, they don’t see anything else around them,” she said. “And if they get to that point where they can’t do it, they kind of just throw their hands up and sort of walk away. And I’m thinking that’s something he would have done.”\u003c/p>\n\u003cp>\u003cem>Associated Press reporter Haven Daley contributed to this story.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11971560/san-francisco-finally-installs-suicide-prevention-nets-on-golden-gate-bridge","authors":["byline_news_11971560"],"categories":["news_8"],"tags":["news_1276","news_2883"],"featImg":"news_11971563","label":"news"},"news_11907615":{"type":"posts","id":"news_11907615","meta":{"index":"posts_1591205157","site":"news","id":"11907615","score":null,"sort":[1646865133000]},"guestAuthors":[],"slug":"its-not-just-doctors-and-nurses-veterinarians-are-burning-out-too","title":"It's Not Just Doctors and Nurses. Veterinarians Are Burning Out, Too","publishDate":1646865133,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>\u003cspan style=\"font-weight: 400\">Five o’clock p.m. at the park near Duboce Triangle in San Francisco is canine happy hour. About 40 dogs are running around, chasing balls, wrestling each other, as their owners coo and '90s hip-hop bumps out of a portable speaker.\u003c/span>[pullquote size=\"medium\" align=\"right\" citation=\"Laura Vittet, pet owner\"]'Getting your dog in to see the vet is as competitive as trying to buy Coachella tickets online.'[/pullquote]\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">One chihuahua mix named Honey lounges on a bench wearing blue Hepburn sunglasses, a blue tutu and a string of pearls. Her owner, Diana McAllister, feeds her treats from a blue plastic bag, then pops one into her own mouth. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We have turkey jerky,” she says. “I make her food. It’s a raw diet with steamed vegetables and a little brown rice. And then little turkey treats.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">One of the well-worn facts about San Francisco is that there are more dogs in the city than children. And after spending two years at home through the pandemic, it’s clear that for a lot of these owners, their dogs are their children.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11907660\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11907660\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-800x600.jpg\" alt=\"A dog wearing blue Hepburn sunglasses, a blue tutu, and a string of pearls sits next to a woman wearing glasses and a turquoise shirt on a bench outside.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A chihuahua mix named Honey lounges on a bench with her owner, Diana McAllister, at a park near Duboce Triangle in San Francisco on Feb. 28, 2022. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I always say, dogs are people, so I love him,” says Yves Dudley, looking on as her 9-month-old collie-schnauzer mix plays in the grass.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Most of the dogs out today are under age 2: pandemic puppies. Across the country, \u003c/span>\u003ca href=\"https://www.aspca.org/about-us/press-releases/new-aspca-survey-shows-overwhelming-majority-dogs-and-cats-acquired-during\">23 million American families adopted a new pet\u003c/a> in the first year of the pandemic. Others quickly became intimately familiar with their existing pets’ daily routines, noticing abnormally frequent vomiting, urinating or coughing that was easy to miss while working away from home. The spike in pet health concerns has been putting a strain on a corner of the medical world that is often overlooked: veterinarians.[aside postID=\"forum_2010101888157,perspectives_201601141615\" label=\"Related Post\"]\u003cspan style=\"font-weight: 400\">Dog owners in Duboce Park say they’ve had to wait months for vet appointments or drive to Walnut Creek or San Bruno to get care.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Getting your dog in to see the vet is as competitive as trying to buy Coachella tickets online,” says Laura Vittet, whose golden retriever, Gertrude, is a year and a half. “You have to wait by the phone, you have to be ready to refresh your browser. It's a very intense experience.”\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The overwork and short staffing of the pandemic has affected veterinarians as much as it has other doctors and nurses, and dealing with the constant moral dilemmas and emotional output is driving many to burn out. At the SPCA on Fillmore Street in San Francisco, so many vets and technicians were leaving that they had to cut back their clinic hours, says veterinarian Kathy Gervais.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Gervais walks through the ICU, checking on one dog waking up from anesthesia and another recovering from cardiac surgery. She works 12-hour days, constantly zigzagging from new puppies to dying cats. They euthanize about five animals every day, she says. And the whole time, she has to take care of the humans, too.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>[pullquote size=\"medium\" align=\"right\" citation=\"Kathy Gervais, veterinarian, SPCA\"]'I dare you to try to talk to a veterinarian who's been in practice more than five years who doesn't know somebody who has committed suicide.'[/pullquote]\u003cspan style=\"font-weight: 400\">“To these people, and especially in these times, this is their love,” she says, thinking especially of the owners who dress and coif and cook for their dogs. “This is their being, this is what they live for. And for vets, it's very hard for us to draw the line.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even before the pandemic, vets’ mental health was suffering from empathy overload and compassion fatigue. They carry the weight of having to euthanize animals that could be saved, but their owners can’t afford the care. Some upset owners become downright abusive, berating vets or later bullying them online.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I dare you to try to talk to a veterinarian who's been in practice more than five years who doesn't know somebody who has committed suicide,” says Gervais. “I, unfortunately, can count on more than 10 fingers: classmates, colleagues, people I've dated.” \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.avma.org/javma-news/2015-04-01/study-1-6-veterinarians-have-considered-suicide\">\u003cspan style=\"font-weight: 400\">One out of six veterinarians\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has considered suicide, according to studies from the Centers for Disease Control and Prevention. While male vets are 1.6 times more likely to die by suicide than the general population, female vets are \u003c/span>\u003ca href=\"https://blogs.cdc.gov/niosh-science-blog/2019/09/04/veterinary-suicide/\">\u003cspan style=\"font-weight: 400\">2.4 times more likely\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and 80% of vets are women. The most common means is euthanasia drugs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In the early months of the pandemic, Gervais could see things were getting worse. She helped organize the \u003c/span>\u003ca href=\"https://www.shanti.org/programs-services/veterinary-mental-health-initiative/#1608242710921-eaba897a-9c3a\">\u003cspan style=\"font-weight: 400\">Veterinary Mental Health Initiative\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, which offers free support groups and one-on-one help to vets across the country.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">All the facilitators have doctorate-level training, says founder and director Katie Lawlor, also a psychologist, and they’re all familiar with the issues troubling vets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Burnout, compassion fatigue, managing panic attacks, and how to communicate with both supervisors, colleagues and clients when you're under extreme deadlines or very intense stress,” she says. “And, the loss of their own companion animals.”\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11907655\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11907655\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-800x602.jpg\" alt=\"A woman earring a mask and white lab coat holds a cat with a red collar on a table inside a room.\" width=\"800\" height=\"602\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-800x602.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1020x768.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1536x1157.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-2048x1542.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1920x1446.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Veterinarian Razyeeh Mazaheri inspects a cat at a shelter clinic near Chicago on March 7, 2022. \u003ccite>(Mark Primiano)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">The initiative helped Razyeeh Mazaheri work through the anxiety she was feeling every day caring for animals at a clinic outside Chicago last year. The clinic was regularly double or triple booked. As a new vet — Mazaheri graduated from vet school last spring — juggling so many cases was terrifying.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I just feel like if I make a mistake, that is a problem. And if I make a mistake and kill something, that is my fault,” she says, tearing up. “I just knew that I was burned out.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Through the support groups, Mazaheri was able to see that others shared her concerns and she learned tools for managing them. The initiative, housed under the nonprofit \u003ca href=\"https://www.shanti.org/\">Shanti Project\u003c/a>, has groups specifically for emergency vets, vet technicians, recent grads, like Mazaheri, and longtime vets, like Kathy Gervais, who have more than 20 or 30 years of experience.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I've had people look at me sometimes when they've seen me really tired, going, ‘Kathy, walk away,’” Gervais says.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I'm not ready to do it because, bottom line, I love my job. It is a vocation. It is a passion. And it's hard to walk away from that,” she says. “But if it's going to kill me on the flip side, I would hope I could just say, ‘OK, that's it. I'm done.’”\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">If you or someone you know is considering suicide, please call the \u003c/span>\u003c/i>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003ci>\u003cspan style=\"font-weight: 400\">National Suicide Prevention Lifeline\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\">: (800) 273-TALK (8255).\u003c/span>\u003c/i>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The same as other doctors and nurses, veterinarians have been overworked, short-staffed, and on the brink of a mental health crisis. Even before the pandemic, veterinarians had a high rate of suicide.","status":"publish","parent":0,"modified":1649718282,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":23,"wordCount":1187},"headData":{"title":"It's Not Just Doctors and Nurses. Veterinarians Are Burning Out, Too | KQED","description":"The same as other doctors and nurses, veterinarians have been overworked, short-staffed, and on the brink of a mental health crisis. Even before the pandemic, veterinarians had a high rate of suicide.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"It's Not Just Doctors and Nurses. Veterinarians Are Burning Out, Too","datePublished":"2022-03-09T22:32:13.000Z","dateModified":"2022-04-11T23:04:42.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11907615 https://ww2.kqed.org/news/?p=11907615","disqusUrl":"https://ww2.kqed.org/news/2022/03/09/its-not-just-doctors-and-nurses-veterinarians-are-burning-out-too/","disqusTitle":"It's Not Just Doctors and Nurses. Veterinarians Are Burning Out, Too","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/65efa347-baaf-4df0-b407-ae5201320a51/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11907615/its-not-just-doctors-and-nurses-veterinarians-are-burning-out-too","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Five o’clock p.m. at the park near Duboce Triangle in San Francisco is canine happy hour. About 40 dogs are running around, chasing balls, wrestling each other, as their owners coo and '90s hip-hop bumps out of a portable speaker.\u003c/span>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Getting your dog in to see the vet is as competitive as trying to buy Coachella tickets online.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Laura Vittet, pet owner","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">One chihuahua mix named Honey lounges on a bench wearing blue Hepburn sunglasses, a blue tutu and a string of pearls. Her owner, Diana McAllister, feeds her treats from a blue plastic bag, then pops one into her own mouth. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“We have turkey jerky,” she says. “I make her food. It’s a raw diet with steamed vegetables and a little brown rice. And then little turkey treats.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">One of the well-worn facts about San Francisco is that there are more dogs in the city than children. And after spending two years at home through the pandemic, it’s clear that for a lot of these owners, their dogs are their children.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11907660\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11907660\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-800x600.jpg\" alt=\"A dog wearing blue Hepburn sunglasses, a blue tutu, and a string of pearls sits next to a woman wearing glasses and a turquoise shirt on a bench outside.\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1536x1152.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-2048x1536.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Honey-and-Diana-McAllister-at-camera-1920x1440.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">A chihuahua mix named Honey lounges on a bench with her owner, Diana McAllister, at a park near Duboce Triangle in San Francisco on Feb. 28, 2022. \u003ccite>(April Dembosky/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I always say, dogs are people, so I love him,” says Yves Dudley, looking on as her 9-month-old collie-schnauzer mix plays in the grass.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Most of the dogs out today are under age 2: pandemic puppies. Across the country, \u003c/span>\u003ca href=\"https://www.aspca.org/about-us/press-releases/new-aspca-survey-shows-overwhelming-majority-dogs-and-cats-acquired-during\">23 million American families adopted a new pet\u003c/a> in the first year of the pandemic. Others quickly became intimately familiar with their existing pets’ daily routines, noticing abnormally frequent vomiting, urinating or coughing that was easy to miss while working away from home. The spike in pet health concerns has been putting a strain on a corner of the medical world that is often overlooked: veterinarians.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"postid":"forum_2010101888157,perspectives_201601141615","label":"Related Post "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400\">Dog owners in Duboce Park say they’ve had to wait months for vet appointments or drive to Walnut Creek or San Bruno to get care.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Getting your dog in to see the vet is as competitive as trying to buy Coachella tickets online,” says Laura Vittet, whose golden retriever, Gertrude, is a year and a half. “You have to wait by the phone, you have to be ready to refresh your browser. It's a very intense experience.”\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The overwork and short staffing of the pandemic has affected veterinarians as much as it has other doctors and nurses, and dealing with the constant moral dilemmas and emotional output is driving many to burn out. At the SPCA on Fillmore Street in San Francisco, so many vets and technicians were leaving that they had to cut back their clinic hours, says veterinarian Kathy Gervais.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Gervais walks through the ICU, checking on one dog waking up from anesthesia and another recovering from cardiac surgery. She works 12-hour days, constantly zigzagging from new puppies to dying cats. They euthanize about five animals every day, she says. And the whole time, she has to take care of the humans, too.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I dare you to try to talk to a veterinarian who's been in practice more than five years who doesn't know somebody who has committed suicide.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Kathy Gervais, veterinarian, SPCA","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cspan style=\"font-weight: 400\">“To these people, and especially in these times, this is their love,” she says, thinking especially of the owners who dress and coif and cook for their dogs. “This is their being, this is what they live for. And for vets, it's very hard for us to draw the line.” \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Even before the pandemic, vets’ mental health was suffering from empathy overload and compassion fatigue. They carry the weight of having to euthanize animals that could be saved, but their owners can’t afford the care. Some upset owners become downright abusive, berating vets or later bullying them online.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I dare you to try to talk to a veterinarian who's been in practice more than five years who doesn't know somebody who has committed suicide,” says Gervais. “I, unfortunately, can count on more than 10 fingers: classmates, colleagues, people I've dated.” \u003c/span>\u003c/p>\n\u003cp>\u003ca href=\"https://www.avma.org/javma-news/2015-04-01/study-1-6-veterinarians-have-considered-suicide\">\u003cspan style=\"font-weight: 400\">One out of six veterinarians\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\"> has considered suicide, according to studies from the Centers for Disease Control and Prevention. While male vets are 1.6 times more likely to die by suicide than the general population, female vets are \u003c/span>\u003ca href=\"https://blogs.cdc.gov/niosh-science-blog/2019/09/04/veterinary-suicide/\">\u003cspan style=\"font-weight: 400\">2.4 times more likely\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, and 80% of vets are women. The most common means is euthanasia drugs.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">In the early months of the pandemic, Gervais could see things were getting worse. She helped organize the \u003c/span>\u003ca href=\"https://www.shanti.org/programs-services/veterinary-mental-health-initiative/#1608242710921-eaba897a-9c3a\">\u003cspan style=\"font-weight: 400\">Veterinary Mental Health Initiative\u003c/span>\u003c/a>\u003cspan style=\"font-weight: 400\">, which offers free support groups and one-on-one help to vets across the country.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">All the facilitators have doctorate-level training, says founder and director Katie Lawlor, also a psychologist, and they’re all familiar with the issues troubling vets.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“Burnout, compassion fatigue, managing panic attacks, and how to communicate with both supervisors, colleagues and clients when you're under extreme deadlines or very intense stress,” she says. “And, the loss of their own companion animals.”\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_11907655\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11907655\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-800x602.jpg\" alt=\"A woman earring a mask and white lab coat holds a cat with a red collar on a table inside a room.\" width=\"800\" height=\"602\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-800x602.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1020x768.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1536x1157.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-2048x1542.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2022/03/Mazaheri-203-1920x1446.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Veterinarian Razyeeh Mazaheri inspects a cat at a shelter clinic near Chicago on March 7, 2022. \u003ccite>(Mark Primiano)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cspan style=\"font-weight: 400\">The initiative helped Razyeeh Mazaheri work through the anxiety she was feeling every day caring for animals at a clinic outside Chicago last year. The clinic was regularly double or triple booked. As a new vet — Mazaheri graduated from vet school last spring — juggling so many cases was terrifying.\u003c/span>\u003cspan style=\"font-weight: 400\"> \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I just feel like if I make a mistake, that is a problem. And if I make a mistake and kill something, that is my fault,” she says, tearing up. “I just knew that I was burned out.”\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Through the support groups, Mazaheri was able to see that others shared her concerns and she learned tools for managing them. The initiative, housed under the nonprofit \u003ca href=\"https://www.shanti.org/\">Shanti Project\u003c/a>, has groups specifically for emergency vets, vet technicians, recent grads, like Mazaheri, and longtime vets, like Kathy Gervais, who have more than 20 or 30 years of experience.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I've had people look at me sometimes when they've seen me really tired, going, ‘Kathy, walk away,’” Gervais says.\u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">“I'm not ready to do it because, bottom line, I love my job. It is a vocation. It is a passion. And it's hard to walk away from that,” she says. “But if it's going to kill me on the flip side, I would hope I could just say, ‘OK, that's it. I'm done.’”\u003c/span>\u003c/p>\n\u003cp>\u003ci>\u003cspan style=\"font-weight: 400\">If you or someone you know is considering suicide, please call the \u003c/span>\u003c/i>\u003ca href=\"https://suicidepreventionlifeline.org/\">\u003ci>\u003cspan style=\"font-weight: 400\">National Suicide Prevention Lifeline\u003c/span>\u003c/i>\u003c/a>\u003ci>\u003cspan style=\"font-weight: 400\">: (800) 273-TALK (8255).\u003c/span>\u003c/i>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11907615/its-not-just-doctors-and-nurses-veterinarians-are-burning-out-too","authors":["3205"],"categories":["news_8"],"tags":["news_28680","news_30770","news_2883","news_30769"],"featImg":"news_11907618","label":"news"},"news_11898991":{"type":"posts","id":"news_11898991","meta":{"index":"posts_1591205157","site":"news","id":"11898991","score":null,"sort":[1639518637000]},"guestAuthors":[],"slug":"it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","title":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","publishDate":1639518637,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>After 40 years of fighting debilitating depression, Emma was on the brink.\u003c/p>\n\u003cp>“I was suicidal,” said Emma, a 59-year-old Bay Area resident. KQED is not using her full name because of the stigma that can surround mental illness. “I was going to die.”\u003c/p>\n\u003cp>Over the years, Emma sat through hours of talk therapy and tried countless anti-depression medications \"to have a semblance of normalcy.\" And yet she was consumed by relentless fatigue, insomnia and chronic nausea.\u003c/p>\n\u003cp>Depression is the \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2618635\">world's leading cause of disability\u003c/a>, partly because treatment options often result in numerous side effects or patients do not respond at all. And there are many people who never seek treatment because mental illness can carry \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/\">heavy stigma and discrimination\u003c/a>. Studies show \u003ca href=\"https://www.hhs.gov/answers/mental-health-and-substance-abuse/does-depression-increase-risk-of-suicide/index.html\">untreated depression can lead to suicidal ideation\u003c/a>.[pullquote size=\"medium\" align=\"right\" citation=\"Shan Siddiqi, a Harvard psychiatrist\"]'This study not only showed some of the best remission rates we've ever seen in depression, but also managed to do that in people who had already failed multiple other treatments.'[/pullquote]\u003c/p>\n\u003cp>Three years ago, Emma’s psychiatrist urged her to enroll in a \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2019.19070720\">study\u003c/a> at Stanford University School of Medicine designed for people who had run out of options. When she arrived, scientists took an MRI scan to determine the best possible location to deliver electrical pulses to her brain. Then for 10 hours a day for five consecutive days, Emma sat in a chair while a magnetic field stimulated her brain.\u003c/p>\n\u003cp>At the end of the first day, an unfamiliar calm settled over Emma. Even when her partner picked her up to drive home, she stayed relaxed. “I’m usually hysterical,” she said. “All the time I'm grabbing things. I'm yelling, you know, ‘Did you see those lights?’ And while I rode home that first night I just looked out the window and I enjoyed the ride.”\u003c/p>\n\u003cp>The remedy was a new type of repetitive transcranial magnetic stimulation (rTMS) called \"Stanford neuromodulation therapy.\" By adding imaging technology to the treatment and upping the dose of rTMS, scientists have developed an approach that’s more effective and works more than eight times faster than the current approved treatment.\u003c/p>\n\u003cfigure id=\"attachment_11898997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11898997\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg\" alt=\"A man wearing a business suit holds a thin metal object over a woman's head who is seated in an office.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1536x1025.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-2048x1367.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1920x1281.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nolan Williams demonstrates the magnetic brain stimulation therapy he and his colleagues developed, on Deirdre Lehman, a participant in a previous study of the treatment. \u003ccite>(Steve Fisch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A coil on top of Emma’s head created a magnetic field that sent electric pulses through her skull to tickle the surface of her brain. She says it felt like a woodpecker tapped on her skull every 15 seconds. The electrical current is directed at the prefrontal cortex, which is the part of the brain that plans, dreams and controls our emotions.\u003c/p>\n\u003cp>“It’s an area thought to be underactive in depression,” said Nolan Williams, a psychiatrist and rTMS researcher at Stanford. “We send a signal for the system to not only turn on, but to stay on and remember to stay on.”\u003c/p>\n\u003cp>Williams says pumping up the prefrontal cortex helps turn down other areas of the brain that stimulate fear and anxiety. That’s the basic premise of rTMS: Electrical impulses are used to balance out erratic brain activity. As a result, people feel less depressed and more in control. All of this holds true in the new treatment — it just works faster.\u003c/p>\n\u003cp>A recent randomized control trial, published in The American Journal of Psychiatry, shows \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2021.20101429\">astounding results are possible in five days or less\u003c/a>. Almost 80% of patients crossed into remission — meaning they were symptom-free within days. This is compared to about 13% of people who received the placebo treatment. Patients did not report any serious side effects. The most common complaint was a light headache.\u003c/p>\n\u003cp>Stanford’s new delivery system may even outperform electroconvulsive therapy, which is the most popular form of brain stimulation for depression, but it requires both general anesthesia and a full medical team.\u003c/p>\n\u003cp>“This study not only showed some of the best remission rates we've ever seen in depression,” said Shan Siddiqi, a Harvard psychiatrist not connected to the study, “but also managed to do that in people who had already failed multiple other treatments.”\u003c/p>\n\u003cp>Siddiqi also said the study’s small sample size, which is only 29 patients, is not cause for concern.\u003c/p>\n\u003cp>“Often, a clinical trial will be terminated early [according to pre-specified criteria] because the treatment is so effective that it would be unethical to continue giving people placebo,” said Siddiqi. “That's what happened here. They'd originally planned to recruit a much larger sample, but the interim analysis was definitive.”\u003c/p>\n\u003cp>Mark George, a psychiatrist and neurologist at the Medical University of South Carolina, agrees. He points to other similarly sized trials for depression treatments like \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified\">ketamine, a version of which is now FDA-approved\u003c/a>.\u003c/p>\n\u003cp>He says the new rTMS approach could be a game changer because it’s both more precise and faster. George pioneered an rTMS treatment that was approved by the federal Food and Drug Administration for depression in 2008. Studies show that: It produces \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32799106/\">a near total loss of symptoms in about a third of patients\u003c/a>; another third feel somewhat better; and another third do not respond at all. But the main problem with the original treatment is that it takes six weeks, which is a long time for a patient in the midst of a crisis.[pullquote size=\"medium\" align=\"right\" citation=\"Tommy Van Brocklin, civil engineer\"]'I wake up now and I want to come to work, whereas before I'd rather stick a sharp stick in my eye.'[/pullquote]\u003c/p>\n\u003cp>“This study shows that you can speed it all up and that you can add treatments in a given day and it works,” said George.\u003c/p>\n\u003cp>The shorter treatment will increase access for a lot of people who cannot get six weeks off work or cover child care for that long.\u003c/p>\n\u003cp>“The more exciting applications, however, are due to the rapidity,” said George. \"These people [the patients] got unsuicidal and undepressed within a week. Those patients are just clogging up our emergency rooms, our psych hospitals. And we really don't have good treatments for acute suicidality.”\u003c/p>\n\u003cp>After 45 years of depression and numerous failed attempts to medicate his illness, Tommy Van Brocklin, a civil engineer, says he didn’t see a way out.\u003c/p>\n\u003cp>“The past couple of years I just started crying a lot,” he said. “I was just a real emotional wreck.”\u003c/p>\n\u003cp>So last September, Van Brocklin flew across the country from his home in Tennessee to Stanford, where he underwent the new rTMS treatment for a single five-day treatment. Almost immediately he started feeling more optimistic and sleeping longer and deeper.\u003c/p>\n\u003cp>“I wake up now and I want to come to work, whereas before I’d rather stick a sharp stick in my eye,” said Van Brocklin. “I have not had any depressed days since my treatment.”\u003c/p>\n\u003cp>He is hopeful the changes stick. More larger studies are needed to verify how long the new rTMS treatment will last.\u003c/p>\n\u003cp>At least for Emma, the woman who received Stanford’s treatment three years ago in a similar study, the results are holding. She says she still has ups and downs but \"it's an entirely different me dealing with it.\"\u003c/p>\n\u003cp>She says the regimen rewired her from the inside out. “It saved my life, and I'll be forever grateful,” said Emma, her voice cracking with emotion. “It saved my life.”\u003c/p>\n\u003cp>Stanford’s neuromodulation therapy could be widely available by the end of next year — that’s when scientists are hoping FDA clearance comes through. Williams, the lead researcher at Stanford, says he’s optimistic insurance companies will eventually cover the new delivery model because it works faster, so it’s likely more cost-effective than a conventional rTMS regimen. Major insurance companies and Medicare currently cover rTMS, though \u003ca href=\"https://www.tmsbrainhealth.com/tms-therapy/how-much-does-tms-therapy-cost/\">some plans\u003c/a> require patients to demonstrate that they’ve exhausted other treatment options.\u003c/p>\n\u003cp>The next step is studying how rTMS may improve other mental health disorders like addiction and traumatic brain injury.\u003c/p>\n\u003cp>“This study is hopefully just the tip of the iceberg,” said Siddiqi. “I think we're finally on the verge of a paradigm shift in how we think about psychiatric treatment, where we'll supplement the conventional chemical imbalance and psychological conflict models with a new brain circuit model.” In other words, psychiatrists will use electricity instead of talk therapy and drugs to treat mental health disorders.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"A new type of brain stimulation is being used to treat people with depression, with promising results: In five days or fewer, almost 80% of patients were symptom-free.","status":"publish","parent":0,"modified":1644356261,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1479},"headData":{"title":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days | KQED","description":"A new type of brain stimulation is being used to treat people with depression, with promising results: In five days or fewer, almost 80% of patients were symptom-free.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","datePublished":"2021-12-14T21:50:37.000Z","dateModified":"2022-02-08T21:37:41.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11898991 https://ww2.kqed.org/news/?p=11898991","disqusUrl":"https://ww2.kqed.org/news/2021/12/14/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days/","disqusTitle":"'It Saved My Life': Depression Treatment Is Turning Lives Around in Five Days","audioUrl":"https://traffic.omny.fm/d/clips/0af137ef-751e-4b19-a055-aaef00d2d578/ffca7e9f-6831-4[…]f-aaef00f5a073/1d05e8fe-57e8-461a-9d57-adfa0160c6e7/audio.mp3","excludeFromSiteSearch":"Include","path":"/news/11898991/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>After 40 years of fighting debilitating depression, Emma was on the brink.\u003c/p>\n\u003cp>“I was suicidal,” said Emma, a 59-year-old Bay Area resident. KQED is not using her full name because of the stigma that can surround mental illness. “I was going to die.”\u003c/p>\n\u003cp>Over the years, Emma sat through hours of talk therapy and tried countless anti-depression medications \"to have a semblance of normalcy.\" And yet she was consumed by relentless fatigue, insomnia and chronic nausea.\u003c/p>\n\u003cp>Depression is the \u003ca href=\"https://jamanetwork.com/journals/jama/article-abstract/2618635\">world's leading cause of disability\u003c/a>, partly because treatment options often result in numerous side effects or patients do not respond at all. And there are many people who never seek treatment because mental illness can carry \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1489832/\">heavy stigma and discrimination\u003c/a>. Studies show \u003ca href=\"https://www.hhs.gov/answers/mental-health-and-substance-abuse/does-depression-increase-risk-of-suicide/index.html\">untreated depression can lead to suicidal ideation\u003c/a>.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'This study not only showed some of the best remission rates we've ever seen in depression, but also managed to do that in people who had already failed multiple other treatments.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Shan Siddiqi, a Harvard psychiatrist","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Three years ago, Emma’s psychiatrist urged her to enroll in a \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2019.19070720\">study\u003c/a> at Stanford University School of Medicine designed for people who had run out of options. When she arrived, scientists took an MRI scan to determine the best possible location to deliver electrical pulses to her brain. Then for 10 hours a day for five consecutive days, Emma sat in a chair while a magnetic field stimulated her brain.\u003c/p>\n\u003cp>At the end of the first day, an unfamiliar calm settled over Emma. Even when her partner picked her up to drive home, she stayed relaxed. “I’m usually hysterical,” she said. “All the time I'm grabbing things. I'm yelling, you know, ‘Did you see those lights?’ And while I rode home that first night I just looked out the window and I enjoyed the ride.”\u003c/p>\n\u003cp>The remedy was a new type of repetitive transcranial magnetic stimulation (rTMS) called \"Stanford neuromodulation therapy.\" By adding imaging technology to the treatment and upping the dose of rTMS, scientists have developed an approach that’s more effective and works more than eight times faster than the current approved treatment.\u003c/p>\n\u003cfigure id=\"attachment_11898997\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003ca href=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-scaled.jpg\">\u003cimg class=\"size-medium wp-image-11898997\" src=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg\" alt=\"A man wearing a business suit holds a thin metal object over a woman's head who is seated in an office.\" width=\"800\" height=\"534\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-800x534.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1020x681.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1536x1025.jpg 1536w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-2048x1367.jpg 2048w, https://ww2.kqed.org/app/uploads/sites/10/2021/12/STIM-Dierdre_088-1-1920x1281.jpg 1920w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Nolan Williams demonstrates the magnetic brain stimulation therapy he and his colleagues developed, on Deirdre Lehman, a participant in a previous study of the treatment. \u003ccite>(Steve Fisch)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>A coil on top of Emma’s head created a magnetic field that sent electric pulses through her skull to tickle the surface of her brain. She says it felt like a woodpecker tapped on her skull every 15 seconds. The electrical current is directed at the prefrontal cortex, which is the part of the brain that plans, dreams and controls our emotions.\u003c/p>\n\u003cp>“It’s an area thought to be underactive in depression,” said Nolan Williams, a psychiatrist and rTMS researcher at Stanford. “We send a signal for the system to not only turn on, but to stay on and remember to stay on.”\u003c/p>\n\u003cp>Williams says pumping up the prefrontal cortex helps turn down other areas of the brain that stimulate fear and anxiety. That’s the basic premise of rTMS: Electrical impulses are used to balance out erratic brain activity. As a result, people feel less depressed and more in control. All of this holds true in the new treatment — it just works faster.\u003c/p>\n\u003cp>A recent randomized control trial, published in The American Journal of Psychiatry, shows \u003ca href=\"https://ajp.psychiatryonline.org/doi/10.1176/appi.ajp.2021.20101429\">astounding results are possible in five days or less\u003c/a>. Almost 80% of patients crossed into remission — meaning they were symptom-free within days. This is compared to about 13% of people who received the placebo treatment. Patients did not report any serious side effects. The most common complaint was a light headache.\u003c/p>\n\u003cp>Stanford’s new delivery system may even outperform electroconvulsive therapy, which is the most popular form of brain stimulation for depression, but it requires both general anesthesia and a full medical team.\u003c/p>\n\u003cp>“This study not only showed some of the best remission rates we've ever seen in depression,” said Shan Siddiqi, a Harvard psychiatrist not connected to the study, “but also managed to do that in people who had already failed multiple other treatments.”\u003c/p>\n\u003cp>Siddiqi also said the study’s small sample size, which is only 29 patients, is not cause for concern.\u003c/p>\n\u003cp>“Often, a clinical trial will be terminated early [according to pre-specified criteria] because the treatment is so effective that it would be unethical to continue giving people placebo,” said Siddiqi. “That's what happened here. They'd originally planned to recruit a much larger sample, but the interim analysis was definitive.”\u003c/p>\n\u003cp>Mark George, a psychiatrist and neurologist at the Medical University of South Carolina, agrees. He points to other similarly sized trials for depression treatments like \u003ca href=\"https://www.fda.gov/news-events/press-announcements/fda-approves-new-nasal-spray-medication-treatment-resistant-depression-available-only-certified\">ketamine, a version of which is now FDA-approved\u003c/a>.\u003c/p>\n\u003cp>He says the new rTMS approach could be a game changer because it’s both more precise and faster. George pioneered an rTMS treatment that was approved by the federal Food and Drug Administration for depression in 2008. Studies show that: It produces \u003ca href=\"https://pubmed.ncbi.nlm.nih.gov/32799106/\">a near total loss of symptoms in about a third of patients\u003c/a>; another third feel somewhat better; and another third do not respond at all. But the main problem with the original treatment is that it takes six weeks, which is a long time for a patient in the midst of a crisis.\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I wake up now and I want to come to work, whereas before I'd rather stick a sharp stick in my eye.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Tommy Van Brocklin, civil engineer","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“This study shows that you can speed it all up and that you can add treatments in a given day and it works,” said George.\u003c/p>\n\u003cp>The shorter treatment will increase access for a lot of people who cannot get six weeks off work or cover child care for that long.\u003c/p>\n\u003cp>“The more exciting applications, however, are due to the rapidity,” said George. \"These people [the patients] got unsuicidal and undepressed within a week. Those patients are just clogging up our emergency rooms, our psych hospitals. And we really don't have good treatments for acute suicidality.”\u003c/p>\n\u003cp>After 45 years of depression and numerous failed attempts to medicate his illness, Tommy Van Brocklin, a civil engineer, says he didn’t see a way out.\u003c/p>\n\u003cp>“The past couple of years I just started crying a lot,” he said. “I was just a real emotional wreck.”\u003c/p>\n\u003cp>So last September, Van Brocklin flew across the country from his home in Tennessee to Stanford, where he underwent the new rTMS treatment for a single five-day treatment. Almost immediately he started feeling more optimistic and sleeping longer and deeper.\u003c/p>\n\u003cp>“I wake up now and I want to come to work, whereas before I’d rather stick a sharp stick in my eye,” said Van Brocklin. “I have not had any depressed days since my treatment.”\u003c/p>\n\u003cp>He is hopeful the changes stick. More larger studies are needed to verify how long the new rTMS treatment will last.\u003c/p>\n\u003cp>At least for Emma, the woman who received Stanford’s treatment three years ago in a similar study, the results are holding. She says she still has ups and downs but \"it's an entirely different me dealing with it.\"\u003c/p>\n\u003cp>She says the regimen rewired her from the inside out. “It saved my life, and I'll be forever grateful,” said Emma, her voice cracking with emotion. “It saved my life.”\u003c/p>\n\u003cp>Stanford’s neuromodulation therapy could be widely available by the end of next year — that’s when scientists are hoping FDA clearance comes through. Williams, the lead researcher at Stanford, says he’s optimistic insurance companies will eventually cover the new delivery model because it works faster, so it’s likely more cost-effective than a conventional rTMS regimen. Major insurance companies and Medicare currently cover rTMS, though \u003ca href=\"https://www.tmsbrainhealth.com/tms-therapy/how-much-does-tms-therapy-cost/\">some plans\u003c/a> require patients to demonstrate that they’ve exhausted other treatment options.\u003c/p>\n\u003cp>The next step is studying how rTMS may improve other mental health disorders like addiction and traumatic brain injury.\u003c/p>\n\u003cp>“This study is hopefully just the tip of the iceberg,” said Siddiqi. “I think we're finally on the verge of a paradigm shift in how we think about psychiatric treatment, where we'll supplement the conventional chemical imbalance and psychological conflict models with a new brain circuit model.” In other words, psychiatrists will use electricity instead of talk therapy and drugs to treat mental health disorders.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11898991/it-saved-my-life-depression-treatment-turns-lives-around-in-five-days","authors":["11229"],"categories":["news_457","news_8"],"tags":["news_20634","news_27626","news_17983","news_30381","news_30382","news_1928","news_2883"],"featImg":"news_11898996","label":"news"},"news_11865058":{"type":"posts","id":"news_11865058","meta":{"index":"posts_1591205157","site":"news","id":"11865058","score":null,"sort":[1616184944000]},"guestAuthors":[],"slug":"childrens-mental-health-still-big-concern-as-schools-begin-reopening","title":"Children's Mental Health Still Big Concern as Schools Begin Reopening","publishDate":1616184944,"format":"standard","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Mental health professionals say the toll of the pandemic on children and teenagers means schools will need extra resources to prepare for an influx of children in crisis as they reopen for in-person instruction.\u003c/p>\n\u003cp>“Reopening schools isn’t the answer,” to addressing the needs of kids experiencing mental health problems during the pandemic, said Marisol Cruz Romero, a psychologist at UCSF Benioff Children’s Hospital Oakland, where the number of suicide attempts coming into the emergency department doubled last fall compared to the previous year. [pullquote size=\"medium\" align=\"right\" citation=\"Marisol Cruz Romero, psychologist at UCSF Benioff Children’s Hospital Oakland\"]'The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus.'[/pullquote]\u003c/p>\n\u003cp>“The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus,” Romero said.\u003c/p>\n\u003cp>Schools need to prepare and train their teachers and staff to recognize that some kids will need more help as they return to the routines of schooling, because distance learning was taxing and many families have suffered great losses from the virus, Romero said. She argues that schools should provide these mental health resources, but for children who are already in crisis, more targeted counseling services and psychiatric beds are needed.\u003c/p>\n\u003cp>Hospital beds, mental health programs, psychiatric beds and therapy services for young people were hard to find even before the pandemic, Romero said. Now the influx of children in crisis to hospital emergency rooms has put more pressure on a system that was already stretched thin.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Romero described a 6-year-old boy who recently spent hours in the emergency room while waiting for a placement in a psychiatric hospital. The waitlist was long and his family became homeless due to the pandemic. The hospital reminded him of the recent death of a family member. Waiting in a small hospital room with loud noises and people coming and going was triggering to the boy and also a challenge for providers, creating \"a lot of additional stressors in providers and not knowing really how to access these resources or what to do to improve the system.\"\u003c/p>\n\u003cp>Some children in crisis have to wait two months to see a psychiatrist, Romero said. Telehealth is an option but it doesn’t work for many children. Kids are experiencing loss, grief and economic uncertainty as they watch their family members get sick, lose work and even die. Because of social distancing, it’s also harder for children and their caregivers to take breaks by going to a relative’s home.\u003c/p>\n\u003cp>“A lot of kids fall into the gap between needing a couple weeks of inpatient care at a psychiatric hospital or just a weekly therapist visit,” or partial hospitalization or behavioral therapy, Romero said.\u003c/p>\n\u003cp>Many of the programs designed to fill that gap are built around in-person or group therapy, like the hospital’s 30-day after-school program for children recently released from the hospital after experiencing mental health crises. But Romero says those programs are now carried out primarily online, which can be less effective.\u003c/p>\n\u003cp>“The program is still going on, but it’s not as successful via telehealth,\" Romero said. \"Some kids do well with telehealth, others don’t — just like at school, just like adults at work.”\u003c/p>\n\u003cp>Romero said there is also a need for more psychiatric beds. \"I wish we could focus on prevention. But the reality is kids are in crisis and we don’t have enough beds,” she said.\u003c/p>\n\u003cp>With these added stressors, Children’s Hospital emergency room staff have instituted universal screening, to make sure they ask directly about self-harm and suicidal thoughts. That’s something a teacher in an in-person classroom might help identify, but with kids taking online classes, those interactions are happening less frequently.\u003c/p>\n\u003cp>“Many of the primary care providers have expressed concerns and sometimes hesitation around asking about suicide directly because it might put [self-harm] in their head or because it's a really hard conversation. I want to advocate that it is important to ask. The research does show that it does not increase the risk of suicide. It actually reduces it,” she said. [aside tag=\"education, mental health\" label=\"More Related Stories\"]\u003c/p>\n\u003cp>Romero and her colleagues are bracing themselves for an increase in referrals, which have been delayed because of distance learning. She’s encouraged to see many large school districts finally rolling out plans for children to return to in-person instruction, but there’s already a backlog of children waiting for appointments and services.\u003c/p>\n\u003cp>Schools are in the best position to help the most children, and screen those who need more intensive support. School-based mental health resources can provide “a safe space for kids to address their emotional challenges,” Romero said. Plus, they target some barriers to care, like lack of transportation or insurance. “If kids have trauma or abuse at home, they only say something if someone asks. There’s a space for that at school and with teachers.”\u003c/p>\n\u003cp>Finally, if young people are feeling sadness or overwhelmed, Romero encourages caretakers to find ways to help them stay connected and communicate. \"The most important thing to keep note is that communication is key for our youth and providing them a safe space to express their emotions,\" she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>To get help for a child or teenager in crisis, call the National Suicide Prevention Lifeline: 1-800-273-8255.\u003c/em>\u003c/p>\n\n","blocks":[],"excerpt":"'The stressors of the pandemic don’t go away when schools reopen,' said a psychologist at UCSF Benioff Children’s Hospital Oakland. ","status":"publish","parent":0,"modified":1616184944,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":19,"wordCount":960},"headData":{"title":"Children's Mental Health Still Big Concern as Schools Begin Reopening | KQED","description":"'The stressors of the pandemic don’t go away when schools reopen,' said a psychologist at UCSF Benioff Children’s Hospital Oakland. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Children's Mental Health Still Big Concern as Schools Begin Reopening","datePublished":"2021-03-19T20:15:44.000Z","dateModified":"2021-03-19T20:15:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11865058 https://ww2.kqed.org/news/?p=11865058","disqusUrl":"https://ww2.kqed.org/news/2021/03/19/childrens-mental-health-still-big-concern-as-schools-begin-reopening/","disqusTitle":"Children's Mental Health Still Big Concern as Schools Begin Reopening","path":"/news/11865058/childrens-mental-health-still-big-concern-as-schools-begin-reopening","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Mental health professionals say the toll of the pandemic on children and teenagers means schools will need extra resources to prepare for an influx of children in crisis as they reopen for in-person instruction.\u003c/p>\n\u003cp>“Reopening schools isn’t the answer,” to addressing the needs of kids experiencing mental health problems during the pandemic, said Marisol Cruz Romero, a psychologist at UCSF Benioff Children’s Hospital Oakland, where the number of suicide attempts coming into the emergency department doubled last fall compared to the previous year. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Marisol Cruz Romero, psychologist at UCSF Benioff Children’s Hospital Oakland","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The stressors of the pandemic don’t go away when schools reopen. Schools need to be ready for dysregulation, depression, kids who can’t focus,” Romero said.\u003c/p>\n\u003cp>Schools need to prepare and train their teachers and staff to recognize that some kids will need more help as they return to the routines of schooling, because distance learning was taxing and many families have suffered great losses from the virus, Romero said. She argues that schools should provide these mental health resources, but for children who are already in crisis, more targeted counseling services and psychiatric beds are needed.\u003c/p>\n\u003cp>Hospital beds, mental health programs, psychiatric beds and therapy services for young people were hard to find even before the pandemic, Romero said. Now the influx of children in crisis to hospital emergency rooms has put more pressure on a system that was already stretched thin.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Romero described a 6-year-old boy who recently spent hours in the emergency room while waiting for a placement in a psychiatric hospital. The waitlist was long and his family became homeless due to the pandemic. The hospital reminded him of the recent death of a family member. Waiting in a small hospital room with loud noises and people coming and going was triggering to the boy and also a challenge for providers, creating \"a lot of additional stressors in providers and not knowing really how to access these resources or what to do to improve the system.\"\u003c/p>\n\u003cp>Some children in crisis have to wait two months to see a psychiatrist, Romero said. Telehealth is an option but it doesn’t work for many children. Kids are experiencing loss, grief and economic uncertainty as they watch their family members get sick, lose work and even die. Because of social distancing, it’s also harder for children and their caregivers to take breaks by going to a relative’s home.\u003c/p>\n\u003cp>“A lot of kids fall into the gap between needing a couple weeks of inpatient care at a psychiatric hospital or just a weekly therapist visit,” or partial hospitalization or behavioral therapy, Romero said.\u003c/p>\n\u003cp>Many of the programs designed to fill that gap are built around in-person or group therapy, like the hospital’s 30-day after-school program for children recently released from the hospital after experiencing mental health crises. But Romero says those programs are now carried out primarily online, which can be less effective.\u003c/p>\n\u003cp>“The program is still going on, but it’s not as successful via telehealth,\" Romero said. \"Some kids do well with telehealth, others don’t — just like at school, just like adults at work.”\u003c/p>\n\u003cp>Romero said there is also a need for more psychiatric beds. \"I wish we could focus on prevention. But the reality is kids are in crisis and we don’t have enough beds,” she said.\u003c/p>\n\u003cp>With these added stressors, Children’s Hospital emergency room staff have instituted universal screening, to make sure they ask directly about self-harm and suicidal thoughts. That’s something a teacher in an in-person classroom might help identify, but with kids taking online classes, those interactions are happening less frequently.\u003c/p>\n\u003cp>“Many of the primary care providers have expressed concerns and sometimes hesitation around asking about suicide directly because it might put [self-harm] in their head or because it's a really hard conversation. I want to advocate that it is important to ask. The research does show that it does not increase the risk of suicide. It actually reduces it,” she said. \u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"education, mental health","label":"More Related Stories "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Romero and her colleagues are bracing themselves for an increase in referrals, which have been delayed because of distance learning. She’s encouraged to see many large school districts finally rolling out plans for children to return to in-person instruction, but there’s already a backlog of children waiting for appointments and services.\u003c/p>\n\u003cp>Schools are in the best position to help the most children, and screen those who need more intensive support. School-based mental health resources can provide “a safe space for kids to address their emotional challenges,” Romero said. Plus, they target some barriers to care, like lack of transportation or insurance. “If kids have trauma or abuse at home, they only say something if someone asks. There’s a space for that at school and with teachers.”\u003c/p>\n\u003cp>Finally, if young people are feeling sadness or overwhelmed, Romero encourages caretakers to find ways to help them stay connected and communicate. \"The most important thing to keep note is that communication is key for our youth and providing them a safe space to express their emotions,\" she said.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>To get help for a child or teenager in crisis, call the National Suicide Prevention Lifeline: 1-800-273-8255.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11865058/childrens-mental-health-still-big-concern-as-schools-begin-reopening","authors":["11495","11690"],"categories":["news_18540","news_8"],"tags":["news_2109","news_27881","news_2998","news_2883","news_922","news_23612"],"featImg":"news_11865094","label":"news"},"news_11808968":{"type":"posts","id":"news_11808968","meta":{"index":"posts_1591205157","site":"news","id":"11808968","score":null,"sort":[1585749610000]},"guestAuthors":[],"slug":"coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help","title":"Coronavirus Is Impacting the Bay Area's Mental Health. Where Can You Find Help?","publishDate":1585749610,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>\u003ci>This post has been updated\u003c/i>\u003c/p>\n\u003cp>\u003cem>For a list of resources and who to contact if you're in crisis, \u003ca href=\"#resources\">jump to the bottom of this story.\u003c/a> \u003c/em>\u003c/p>\n\u003cp>On an average day, workers staffing the phones at Crisis Support Services of Alameda County (CSS) might receive around 100 calls. But on March 16, the day Bay Area officials announced that shelter-in-place orders would be issued, those calls jumped by 50%.\u003c/p>\n\u003cp>The agency's executive director, Narges Zohoury Dillon, said many of the people calling in aren't necessarily experiencing suicidal ideation but, instead, anxiety.\u003c/p>\n\u003cp>\"We're getting a lot more folks who are in a lot of distress and have a lot of anxiety about what this means — especially considering the fact that it's open-ended,\" said Dillon. \"We really don't know what it's going to look like in a few weeks.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Crisis centers often take calls from people struggling with mental health issues, from anxiety to depression to suicidal ideation. And across the United States, calls from people in crisis have risen, including reported increases in \u003ca href=\"https://www.portlandmercury.com/blogtown/2020/03/26/28196873/portland-clinicians-prepare-for-uptick-in-mental-health-crises-due-to-covid-19\">Oregon\u003c/a>, \u003ca href=\"https://www.bostonglobe.com/2020/03/24/metro/amid-coronavirus-surge-calls-massachusetts-suicide-prevention-hotline/\">Massachusetts\u003c/a> and \u003ca href=\"https://wskg.org/news/crisis-line-calls-soar-as-coronavirus-spreads/\">New York\u003c/a>.\u003c/p>\n\u003cp>Since California's shelter-in-place order took effect, the calls to CSS have remained around 120 to 130 calls daily.\u003c/p>\n\u003cp>For some, the isolation and uncertainly of COVID-19 can exacerbate existing mental health issues, and some people are even experiencing virus-like symptoms induced by their anxiety.\u003c/p>\n\u003cp>Daniella Bermudez, a crisis counselor at CSS, said helping callers determine if they are experiencing symptoms is the first step.\u003c/p>\n\u003cp>\"Are they feeling very winded, like they just sprinted and even at rest, they can't catch their breath? — which is, you know, a good way to tell if somebody is having difficulty breathing. Or is the breathing connected to anxiety? Are they getting more anxiety from feeling like they can't breathe?\" she said.\u003c/p>\n\u003cp>The next step is helping a caller figure out what to do next.\u003c/p>\n\u003cp>\"Some people are like, 'Should I go to the hospital?' And right now we know that we don't want to put more people at risk by going to the hospital. So, what are the alternatives?\" said Bermudez. \"Who else can they involve in their care right now?\"\u003c/p>\n\u003cp>Bermudez said she tries to refer callers to speak with an advice nurse, family members or friends — essentially, people who can help make choices about health care. She also provides them with factual information from the Centers for Disease Control and Prevention, which can help put their minds at ease.\u003c/p>\n\u003cp>Other organizations in the Bay Area say they haven't seen the same uptick in people reaching out for help, but they expect that as people continue sheltering in place, those numbers will rise.\u003c/p>\n\u003ch3>Danger at Home\u003c/h3>\n\u003cp>Some providers said one reason calls may not yet have increased is that people could be afraid to call from where they're sheltering, which may not be a safe or accepting place.\u003c/p>\n\u003cp>Aaron Almanza is the executive director of the San Francisco-based Lesbian, Gay, Bisexual and Transgender National Help Center. He said they've seen an uptick in online chats since the outbreak — about 55 to 60 per day, up from an average of 40 — but not yet an increase in calls. Almanza theorized that may be due, in part, to the nature of his organization's call center, where a lot of callers are closeted or in the process of coming out.\u003c/p>\n\u003cp>\"They're stuck at home with people who are transphobic, biphobic, homophobic,\" Almanza explained. \"So they can't really call us and talk to us on the phone like they normally can.\"\u003c/p>\n\u003cp>Some may even be experiencing \u003ca href=\"https://www.kqed.org/news/11807639/how-to-shelter-in-place-if-you-live-with-domestic-abuse\">domestic violence\u003c/a> and are unable to make calls safely.\u003c/p>\n\u003cp>The Trevor Project, a nationwide suicide prevention and crisis intervention nonprofit focused on LGBTQ youth, reported increased mentions of COVID-19 from the youth who have reached out for support.\u003c/p>\n\u003cp>\"For LGBTQ young people, many of whom already face unique mental health challenges due to increased experiences with discrimination and harassment, social isolation can mean being forced back into the closet or unsupportive, even abusive home environments,\" said Tia Dole, chief clinical operations officer for the nonprofit.\u003c/p>\n\u003ch3>Finding Ways to Cope\u003c/h3>\n\u003cp>It can be hard to emotionally navigate an unprecedented event like the COVID-19 pandemic. And Bermudez, who works the night shift for Alameda County's CSS, said she tries to remind callers that there's no \"right\" way to react.\u003c/p>\n\u003cp>\"Really, all responses are OK and valid and appropriate,\" said Bermudez. \"We're having our valid, true, genuine, appropriate responses to a very atypical, not-expected situation.\"\u003c/p>\n\u003cp>https://www.youtube.com/watch?v=cT77fQ57IP4&feature=youtu.be\u003c/p>\n\u003cp>During his daily briefing on April 7, Gov. Gavin Newsom announced a \u003ca href=\"https://www.kqed.org/news/11811110/not-just-in-your-head-california-rolls-out-mental-health-guides-for-coping-with-coronavirus\">series of guides\u003c/a> to help people manage stress during the pandemic.\u003c/p>\n\u003cp>\"The health impacts of coronavirus go beyond infection and COVID disease,\" said California Surgeon General, Dr. Nadine Burke Harris. \"It’s important to know that these changes aren't just in your head, and to begin to identify how stress shows up for you – physically, emotionally and behaviorally.\"\u003c/p>\n\u003cp>The two \"playbooks\" rely on evidence-based guidance for how to relieve stress. One is for everyone; the other is specifically designed for parents and caregivers.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid19.ca.gov/img/wp/california-surgeon-general_stress-busting-playbook_draft-v2clean_ada-04072020.pdf\">Stress Relief During COVID-19\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://covid19.ca.gov/pdf/caregivers_and_kids_california_surgeon_general_stress_busting_playbook_draft_v2_clean_ada_04072020v2.pdf\">Stress Relief for Caregivers and Kids During COVID-19\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Here are a few other things you can do to help address the anxiety:\u003c/p>\n\u003cp>\u003cstrong>Acknowledge your feelings \u003c/strong>\u003c/p>\n\u003cp>Be it a loss of our jobs, routines or just a feeling of normalcy, CSS's Dillon said it's important to set aside some intentional time to identify and acknowledge our feelings.\u003c/p>\n\u003cp>\"[To] actually name that, and give it space and allow ourselves to be upset as opposed to try and put on a brave face can actually help the negative feelings pass with less pain, as opposed to when we're trying to hold everything and pretend that we're going to get through this strongly,\" said Dillon.\u003c/p>\n\u003cp>\u003cstrong>Reduce your news consumption\u003c/strong>\u003c/p>\n\u003cp>\"One of the ways that people can manage their anxiety would be to give themselves an allotment, [like]: 'I will check in X amount of times per day for X amount of minutes' so I can stay informed without becoming overwhelmed,\" Dillon said.\u003c/p>\n\u003cp>\u003cstrong>Connect with loved ones\u003c/strong>\u003c/p>\n\u003cp>Whether it's a phone call or FaceTime, finding ways to connect with friends and family can help alleviate moments of crisis.\u003c/p>\n\u003cp>\"Even if you can't talk to people face to face, [it's] finding those different routes to finding the support that you deserve to have in your life,\" said LGBT National Help Center's Almanza.\u003c/p>\n\u003cp>\u003cstrong>Find ways to spend your time\u003c/strong>\u003c/p>\n\u003cp>Whether it's going for a walk, watching a movie, practicing yoga or meditation, or just listening to music — finding a way to get your mind off what's going on can help you mitigate your stress.\u003c/p>\n\u003cp>\u003ca id=\"#resources\">\u003c/a>\u003cstrong>Reach out\u003c/strong>\u003c/p>\n\u003cp>Whether you're in crisis, or just feeling anxious and overwhelmed, you can reach out for help.\u003c/p>\n\u003cp>\"You don't have to be in crisis to call us,\" said Dillon. \"We want people to call us when they're having a bad day as a way for us to \u003cem>prevent\u003c/em> them ultimately being in crisis.\"\u003c/p>\n\u003cp>Here's a few organizations you can reach out to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://suicidepreventionlifeline.org\">The National Suicide Prevention Lifeline\u003c/a>: \u003c/strong>Call 1-800-273-8255 or chat online with a counselor \u003ca href=\"https://suicidepreventionlifeline.org/chat/\">here\u003c/a>. They've also compiled ways to care for your emotional well-being \u003ca href=\"https://suicidepreventionlifeline.org/current-events/supporting-your-emotional-well-being-during-the-covid-19-outbreak/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.thetrevorproject.org\">The Trevor Project\u003c/a>:\u003c/strong> Call the TrevorLifeline at 1-866-488-7386, chat online \u003ca href=\"https://www.thetrevorproject.org/get-help-now/\">here,\u003c/a> or send a text to 678-678. They've also compiled tips on how to cope with stress and anxiety during the outbreak \u003ca href=\"https://www.thetrevorproject.org/2020/03/26/how-lgbtq-youth-can-cope-with-anxiety-and-stress-during-covid-19/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.glbthotline.org\">\u003cstrong>LGBT National Help Center\u003c/strong>\u003c/a>: You can call the national hotline at 888-843-4564, the youth talkline at 800-246-7743 or the senior hotline at 888-234-7243. You can also chat online via their homepage.\u003c/li>\n\u003cli>\u003ca href=\"https://www.crisissupport.org\">\u003cstrong>Crisis Support Services of Alameda County\u003c/strong>\u003c/a>: Call the 24-hour crisis line at 1-800-309-2131. The organization is also taking applications for call center volunteers \u003ca href=\"https://www.crisissupport.org/get-involved/volunteering/online-volunteer-application/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.sfsuicide.org\">\u003cstrong>San Francisco Suicide Prevention\u003c/strong>\u003c/a>: You can call the crisis hotline at 415-781-0500 or text 'MYLIFE' to 741-741\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.crisis-center.org\">Contra Costa Crisis Center\u003c/a>\u003c/strong>: Area residents can call 211 or 800-833-2900. You can also text 'HOPE' to 20121.\u003c/li>\n\u003cli>\u003ca href=\"https://namisonomacounty.org\">\u003cstrong>National Alliance on Mental Illness (NAMI) Sonoma County\u003c/strong>\u003c/a>: To be connected with the emotional support hotline, or \"warmline,\" call or text 866-960-6264. They've also compiled a guide of what to do \u003ca href=\"https://static1.squarespace.com/static/5c410dd5f407b4f80cdb4afd/t/5e751d5e1bb0c10992c334af/1584733534920/COVID-19-Updated-Guide-1.pdf\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://namisantaclara.org\">\u003cstrong>NAMI Santa Clara\u003c/strong>\u003c/a>: Connect with the warm line at 1-408-453-0400, option 1.\u003c/li>\n\u003c/ul>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>The state has also compiled a list of mental health resources, which you can find \u003ca href=\"https://covid19.ca.gov/resources-for-emotional-support-and-well-being/#top\">here\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"Some Bay Area organizations are already seeing increased calls, while others say they expect numbers to rise as people continue sheltering in place. ","status":"publish","parent":0,"modified":1610570594,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":43,"wordCount":1473},"headData":{"title":"Coronavirus Is Impacting the Bay Area's Mental Health. Where Can You Find Help? | KQED","description":"Some Bay Area organizations are already seeing increased calls, while others say they expect numbers to rise as people continue sheltering in place. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Coronavirus Is Impacting the Bay Area's Mental Health. Where Can You Find Help?","datePublished":"2020-04-01T14:00:10.000Z","dateModified":"2021-01-13T20:43:14.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11808968 https://ww2.kqed.org/news/?p=11808968","disqusUrl":"https://ww2.kqed.org/news/2020/04/01/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help/","disqusTitle":"Coronavirus Is Impacting the Bay Area's Mental Health. Where Can You Find Help?","source":"Coronavirus","sourceUrl":"https://www.kqed.org/coronavirus","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2020/03/WileyCrisisCenterCalls.mp3","path":"/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003ci>This post has been updated\u003c/i>\u003c/p>\n\u003cp>\u003cem>For a list of resources and who to contact if you're in crisis, \u003ca href=\"#resources\">jump to the bottom of this story.\u003c/a> \u003c/em>\u003c/p>\n\u003cp>On an average day, workers staffing the phones at Crisis Support Services of Alameda County (CSS) might receive around 100 calls. But on March 16, the day Bay Area officials announced that shelter-in-place orders would be issued, those calls jumped by 50%.\u003c/p>\n\u003cp>The agency's executive director, Narges Zohoury Dillon, said many of the people calling in aren't necessarily experiencing suicidal ideation but, instead, anxiety.\u003c/p>\n\u003cp>\"We're getting a lot more folks who are in a lot of distress and have a lot of anxiety about what this means — especially considering the fact that it's open-ended,\" said Dillon. \"We really don't know what it's going to look like in a few weeks.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Crisis centers often take calls from people struggling with mental health issues, from anxiety to depression to suicidal ideation. And across the United States, calls from people in crisis have risen, including reported increases in \u003ca href=\"https://www.portlandmercury.com/blogtown/2020/03/26/28196873/portland-clinicians-prepare-for-uptick-in-mental-health-crises-due-to-covid-19\">Oregon\u003c/a>, \u003ca href=\"https://www.bostonglobe.com/2020/03/24/metro/amid-coronavirus-surge-calls-massachusetts-suicide-prevention-hotline/\">Massachusetts\u003c/a> and \u003ca href=\"https://wskg.org/news/crisis-line-calls-soar-as-coronavirus-spreads/\">New York\u003c/a>.\u003c/p>\n\u003cp>Since California's shelter-in-place order took effect, the calls to CSS have remained around 120 to 130 calls daily.\u003c/p>\n\u003cp>For some, the isolation and uncertainly of COVID-19 can exacerbate existing mental health issues, and some people are even experiencing virus-like symptoms induced by their anxiety.\u003c/p>\n\u003cp>Daniella Bermudez, a crisis counselor at CSS, said helping callers determine if they are experiencing symptoms is the first step.\u003c/p>\n\u003cp>\"Are they feeling very winded, like they just sprinted and even at rest, they can't catch their breath? — which is, you know, a good way to tell if somebody is having difficulty breathing. Or is the breathing connected to anxiety? Are they getting more anxiety from feeling like they can't breathe?\" she said.\u003c/p>\n\u003cp>The next step is helping a caller figure out what to do next.\u003c/p>\n\u003cp>\"Some people are like, 'Should I go to the hospital?' And right now we know that we don't want to put more people at risk by going to the hospital. So, what are the alternatives?\" said Bermudez. \"Who else can they involve in their care right now?\"\u003c/p>\n\u003cp>Bermudez said she tries to refer callers to speak with an advice nurse, family members or friends — essentially, people who can help make choices about health care. She also provides them with factual information from the Centers for Disease Control and Prevention, which can help put their minds at ease.\u003c/p>\n\u003cp>Other organizations in the Bay Area say they haven't seen the same uptick in people reaching out for help, but they expect that as people continue sheltering in place, those numbers will rise.\u003c/p>\n\u003ch3>Danger at Home\u003c/h3>\n\u003cp>Some providers said one reason calls may not yet have increased is that people could be afraid to call from where they're sheltering, which may not be a safe or accepting place.\u003c/p>\n\u003cp>Aaron Almanza is the executive director of the San Francisco-based Lesbian, Gay, Bisexual and Transgender National Help Center. He said they've seen an uptick in online chats since the outbreak — about 55 to 60 per day, up from an average of 40 — but not yet an increase in calls. Almanza theorized that may be due, in part, to the nature of his organization's call center, where a lot of callers are closeted or in the process of coming out.\u003c/p>\n\u003cp>\"They're stuck at home with people who are transphobic, biphobic, homophobic,\" Almanza explained. \"So they can't really call us and talk to us on the phone like they normally can.\"\u003c/p>\n\u003cp>Some may even be experiencing \u003ca href=\"https://www.kqed.org/news/11807639/how-to-shelter-in-place-if-you-live-with-domestic-abuse\">domestic violence\u003c/a> and are unable to make calls safely.\u003c/p>\n\u003cp>The Trevor Project, a nationwide suicide prevention and crisis intervention nonprofit focused on LGBTQ youth, reported increased mentions of COVID-19 from the youth who have reached out for support.\u003c/p>\n\u003cp>\"For LGBTQ young people, many of whom already face unique mental health challenges due to increased experiences with discrimination and harassment, social isolation can mean being forced back into the closet or unsupportive, even abusive home environments,\" said Tia Dole, chief clinical operations officer for the nonprofit.\u003c/p>\n\u003ch3>Finding Ways to Cope\u003c/h3>\n\u003cp>It can be hard to emotionally navigate an unprecedented event like the COVID-19 pandemic. And Bermudez, who works the night shift for Alameda County's CSS, said she tries to remind callers that there's no \"right\" way to react.\u003c/p>\n\u003cp>\"Really, all responses are OK and valid and appropriate,\" said Bermudez. \"We're having our valid, true, genuine, appropriate responses to a very atypical, not-expected situation.\"\u003c/p>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/cT77fQ57IP4'\n title='//www.youtube.com/embed/cT77fQ57IP4'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003cp>During his daily briefing on April 7, Gov. Gavin Newsom announced a \u003ca href=\"https://www.kqed.org/news/11811110/not-just-in-your-head-california-rolls-out-mental-health-guides-for-coping-with-coronavirus\">series of guides\u003c/a> to help people manage stress during the pandemic.\u003c/p>\n\u003cp>\"The health impacts of coronavirus go beyond infection and COVID disease,\" said California Surgeon General, Dr. Nadine Burke Harris. \"It’s important to know that these changes aren't just in your head, and to begin to identify how stress shows up for you – physically, emotionally and behaviorally.\"\u003c/p>\n\u003cp>The two \"playbooks\" rely on evidence-based guidance for how to relieve stress. One is for everyone; the other is specifically designed for parents and caregivers.\u003c/p>\n\u003cul>\n\u003cli>\u003ca href=\"https://covid19.ca.gov/img/wp/california-surgeon-general_stress-busting-playbook_draft-v2clean_ada-04072020.pdf\">Stress Relief During COVID-19\u003c/a>\u003c/li>\n\u003cli>\u003ca href=\"https://covid19.ca.gov/pdf/caregivers_and_kids_california_surgeon_general_stress_busting_playbook_draft_v2_clean_ada_04072020v2.pdf\">Stress Relief for Caregivers and Kids During COVID-19\u003c/a>\u003c/li>\n\u003c/ul>\n\u003cp>Here are a few other things you can do to help address the anxiety:\u003c/p>\n\u003cp>\u003cstrong>Acknowledge your feelings \u003c/strong>\u003c/p>\n\u003cp>Be it a loss of our jobs, routines or just a feeling of normalcy, CSS's Dillon said it's important to set aside some intentional time to identify and acknowledge our feelings.\u003c/p>\n\u003cp>\"[To] actually name that, and give it space and allow ourselves to be upset as opposed to try and put on a brave face can actually help the negative feelings pass with less pain, as opposed to when we're trying to hold everything and pretend that we're going to get through this strongly,\" said Dillon.\u003c/p>\n\u003cp>\u003cstrong>Reduce your news consumption\u003c/strong>\u003c/p>\n\u003cp>\"One of the ways that people can manage their anxiety would be to give themselves an allotment, [like]: 'I will check in X amount of times per day for X amount of minutes' so I can stay informed without becoming overwhelmed,\" Dillon said.\u003c/p>\n\u003cp>\u003cstrong>Connect with loved ones\u003c/strong>\u003c/p>\n\u003cp>Whether it's a phone call or FaceTime, finding ways to connect with friends and family can help alleviate moments of crisis.\u003c/p>\n\u003cp>\"Even if you can't talk to people face to face, [it's] finding those different routes to finding the support that you deserve to have in your life,\" said LGBT National Help Center's Almanza.\u003c/p>\n\u003cp>\u003cstrong>Find ways to spend your time\u003c/strong>\u003c/p>\n\u003cp>Whether it's going for a walk, watching a movie, practicing yoga or meditation, or just listening to music — finding a way to get your mind off what's going on can help you mitigate your stress.\u003c/p>\n\u003cp>\u003ca id=\"#resources\">\u003c/a>\u003cstrong>Reach out\u003c/strong>\u003c/p>\n\u003cp>Whether you're in crisis, or just feeling anxious and overwhelmed, you can reach out for help.\u003c/p>\n\u003cp>\"You don't have to be in crisis to call us,\" said Dillon. \"We want people to call us when they're having a bad day as a way for us to \u003cem>prevent\u003c/em> them ultimately being in crisis.\"\u003c/p>\n\u003cp>Here's a few organizations you can reach out to:\u003c/p>\n\u003cul>\n\u003cli>\u003cstrong>\u003ca href=\"https://suicidepreventionlifeline.org\">The National Suicide Prevention Lifeline\u003c/a>: \u003c/strong>Call 1-800-273-8255 or chat online with a counselor \u003ca href=\"https://suicidepreventionlifeline.org/chat/\">here\u003c/a>. They've also compiled ways to care for your emotional well-being \u003ca href=\"https://suicidepreventionlifeline.org/current-events/supporting-your-emotional-well-being-during-the-covid-19-outbreak/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.thetrevorproject.org\">The Trevor Project\u003c/a>:\u003c/strong> Call the TrevorLifeline at 1-866-488-7386, chat online \u003ca href=\"https://www.thetrevorproject.org/get-help-now/\">here,\u003c/a> or send a text to 678-678. They've also compiled tips on how to cope with stress and anxiety during the outbreak \u003ca href=\"https://www.thetrevorproject.org/2020/03/26/how-lgbtq-youth-can-cope-with-anxiety-and-stress-during-covid-19/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.glbthotline.org\">\u003cstrong>LGBT National Help Center\u003c/strong>\u003c/a>: You can call the national hotline at 888-843-4564, the youth talkline at 800-246-7743 or the senior hotline at 888-234-7243. You can also chat online via their homepage.\u003c/li>\n\u003cli>\u003ca href=\"https://www.crisissupport.org\">\u003cstrong>Crisis Support Services of Alameda County\u003c/strong>\u003c/a>: Call the 24-hour crisis line at 1-800-309-2131. The organization is also taking applications for call center volunteers \u003ca href=\"https://www.crisissupport.org/get-involved/volunteering/online-volunteer-application/\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://www.sfsuicide.org\">\u003cstrong>San Francisco Suicide Prevention\u003c/strong>\u003c/a>: You can call the crisis hotline at 415-781-0500 or text 'MYLIFE' to 741-741\u003c/li>\n\u003cli>\u003cstrong>\u003ca href=\"https://www.crisis-center.org\">Contra Costa Crisis Center\u003c/a>\u003c/strong>: Area residents can call 211 or 800-833-2900. You can also text 'HOPE' to 20121.\u003c/li>\n\u003cli>\u003ca href=\"https://namisonomacounty.org\">\u003cstrong>National Alliance on Mental Illness (NAMI) Sonoma County\u003c/strong>\u003c/a>: To be connected with the emotional support hotline, or \"warmline,\" call or text 866-960-6264. They've also compiled a guide of what to do \u003ca href=\"https://static1.squarespace.com/static/5c410dd5f407b4f80cdb4afd/t/5e751d5e1bb0c10992c334af/1584733534920/COVID-19-Updated-Guide-1.pdf\">here\u003c/a>.\u003c/li>\n\u003cli>\u003ca href=\"https://namisantaclara.org\">\u003cstrong>NAMI Santa Clara\u003c/strong>\u003c/a>: Connect with the warm line at 1-408-453-0400, option 1.\u003c/li>\n\u003c/ul>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The state has also compiled a list of mental health resources, which you can find \u003ca href=\"https://covid19.ca.gov/resources-for-emotional-support-and-well-being/#top\">here\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11808968/coronavirus-is-impacting-the-bay-areas-mental-health-where-can-you-find-help","authors":["11526"],"categories":["news_8"],"tags":["news_27350","news_29029","news_27504","news_27645","news_2109","news_27808","news_2883"],"featImg":"news_11809625","label":"source_news_11808968"},"news_11774381":{"type":"posts","id":"news_11774381","meta":{"index":"posts_1591205157","site":"news","id":"11774381","score":null,"sort":[1568490086000]},"guestAuthors":[],"slug":"how-a-proposed-3-digit-suicide-hotline-could-help-prevention-efforts","title":"How A Proposed 3-Digit Suicide Hotline Could Help Prevention Efforts","publishDate":1568490086,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>The Federal Communications Commission is proposing to launch a new three-digit hotline for people who are feeling suicidal or are going through any other mental health crisis. It recommends making 988 the new national number to call for help, replacing the current 10-digit number.\u003c/p>\n\u003cp>The agency presented the idea to Congress in a \u003ca href=\"https://docs.fcc.gov/public/attachments/DOC-359095A1.pdf\">report\u003c/a> earlier this month and is expected to release more information and seek public comment about the proposal in the coming months.\u003c/p>\n\u003cp>Mental health advocates are excited about the proposal. They say it will make it easier for people in crisis to seek help, but caution that effective implementation could be costly, as the move could increase the need for staff to answer calls.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[aside tag='mental-health' label='Related Coverage']\u003c/span>\u003c/p>\n\u003cp>\"This is a great idea,\" says\u003ca href=\"https://www.columbiapsychiatry.org/profile/madelyn-gould-phd\"> Madelyn Gould\u003c/a>, a psychiatrist at Columbia University and an expert on suicide prevention.\u003c/p>\n\u003cp>The current \u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a> number — 1-800-273-TALK or 1-800-273-8255 — can be difficult for people to remember in the midst of a crisis, she says.\u003c/p>\n\u003cp>\"People can have a cognitive shutdown or blank, as any of us do, when we can't remember things during times of extreme stress,\" she says.\u003c/p>\n\u003cp>Having a three-digit hotline, she says, will \"facilitate people's access to care at times when they are in dire need.\"\u003c/p>\n\u003cp>Her research shows that the current suicide prevention lifeline can save lives — that when people who are feeling suicidal call and talk to someone, \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1521/suli.2007.37.3.338\">they do tend to feel better\u003c/a>.\u003c/p>\n\u003cp>And the existing number is being used by a large number of people. In 2018, the lifeline answered more than 2 million calls, up from about 46,000 in 2005, according to the report submitted by the FCC. Gould thinks a three-digit hotline will make it easier for more people to call.\u003c/p>\n\u003cp>\u003cstrong>\"A 911 for the brain\"\u003c/strong>\u003c/p>\n\u003cp>The FCC proposal stems from a congressional mandate in the \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/2345\">National Suicide Hotline Improvement Act of 2018\u003c/a>, which required the agency to work with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Department of Veterans Affairs to evaluate the effectiveness of the suicide prevention lifelines and consider the feasibility of having a three-digit dialing code for mental health emergencies.\u003c/p>\n\u003cp>Americans know to call 911 for all other kinds of emergencies, says\u003ca href=\"https://riinternational.com/about-us/leadership/executive-leadership/david-covington-lpc-mba/\"> David Covington\u003c/a>, the CEO of \u003ca href=\"https://riinternational.com/\">RI International\u003c/a>, a nonprofit that provides behavioral health care around the country.\u003c/p>\n\u003cp>\"When my father was having chest pains we immediately called 911,\" says Covington. \"It's very straightforward what you do in our society in case of fire, or medical or other emergencies.\"\u003c/p>\n\u003cp>But \"we don't have a 911 for the brain,\" he adds.\u003c/p>\n\u003cp>And the stigma around mental illness makes people hesitate to seek help during a mental health crisis, says Covington. Those who do, either call the suicide prevention lifeline, or end up in a hospital emergency department after calling 911, he says.\u003c/p>\n\u003cp>\"The most common experience for individuals who make it through to some kind of hospital emergency department is to wait for hours and days in order to get a referral,\" says Covington.\u003c/p>\n\u003cp>He says he hopes the new hotline will reduce stigma and make it easier for people to seek help.\u003c/p>\n\u003cp>\"Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help,\" he says.\u003c/p>\n\u003cp>\"It's reinforcing the idea that seeking help is good,\" agrees Gould.\u003c/p>\n\u003cp>Gould hopes that the new hotline will encourage more people to call before they start feeling suicidal. \"If we can have people recognize that there's help in times of extreme depression or anxiety,\" she says, then the crisis is less likely to \"escalate to the point where they're so overwhelmed that they may think that suicide is the only solution.\"\u003c/p>\n\u003cp>\u003cstrong>Challenges of keeping up with call volume\u003c/strong>\u003c/p>\n\u003cp>Gould cautions that just launching a new three-digit hotline isn't enough.\u003c/p>\n\u003cp>\"The only way this is going to work is if additional services are funded,\" she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">[pullquote size='medium' align='right' citation='David Covington']'Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help.'[/pullquote]\u003c/span>\u003c/p>\n\u003cp>Calls to the current Suicide Prevention Lifeline are handled by a patchwork of more than 160 crisis centers around the country. Each center has its own — often local, or regional — source of funding, and some centers are better resourced than others. Calls are usually taken by trained volunteers at these crisis centers, although some centers also employ clinicians.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/allie-franklin-93441614\">Allie Franklin\u003c/a>, the executive director of \u003ca href=\"https://www.crisisconnections.org/\">Crisis Connections\u003c/a>, one of the National Suicide Prevention Lifeline centers in Washington, says she expects a surge in calls when the national 988 number becomes available — and that's a good thing.\u003c/p>\n\u003cp>\"But how do we make sure we always have additional funding to make sure we always have someone answering the line?\" she asks.\u003c/p>\n\u003cp>If individual crisis centers don't receive additional funding to increase their staff and volunteers, callers might be left waiting, and feeling discouraged and helpless, she adds.\u003c/p>\n\u003cp>The FCC reports that the current system is challenged by \"rising call volume and uneven coverage in many states.\" This results in many calls getting routed to backup centers where wait times are longer.\u003c/p>\n\u003cp>\"We know that it's really important for people to get live answers very quickly when they call one of these numbers or one of these centers,\" says Franklin. \"At Crisis Connections, we strive to answer the line within 30 seconds, 95% of the time or more. And so someone doesn't have to wait for for very long at all before they get a live answer.\"\u003c/p>\n\u003cp>But in 2018, there was a surge in calls to the Suicide Prevention lifeline for a couple of reasons, says Franklin — and call wait times went up. The rapper Logic \u003ca href=\"https://www.cnn.com/2018/02/03/us/logic-grammys-performance-suicide-prevention-calls-trnd/index.html\">performed his song\u003c/a> about suicidal thoughts at the Grammys, a song titled, \"1-800-273-TALK,\" the number to the suicide prevention hotline. Then, a \u003ca href=\"https://www.newyorker.com/news/daily-comment/preventable-tragedies\">couple of celebrities\u003c/a> died by suicide last year.\u003c/p>\n\u003cp>\"It was really difficult in Washington when we had a 45% increase in calls statewide,\" she says. She said she had to find additional funds to respond to the higher call volume.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Proposed+3-Digit+Suicide+Hotline+Could+Help+Prevention+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n","blocks":[],"excerpt":"The current suicide hotline — 1-800-273-TALK or 1-800-273-8255 — has helped many people. But it's long and tough to remember in a crisis. The FCC is proposing a new national, three-digit number. ","status":"publish","parent":0,"modified":1568490086,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1069},"headData":{"title":"How A Proposed 3-Digit Suicide Hotline Could Help Prevention Efforts | KQED","description":"The current suicide hotline — 1-800-273-TALK or 1-800-273-8255 — has helped many people. But it's long and tough to remember in a crisis. The FCC is proposing a new national, three-digit number. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"How A Proposed 3-Digit Suicide Hotline Could Help Prevention Efforts","datePublished":"2019-09-14T19:41:26.000Z","dateModified":"2019-09-14T19:41:26.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11774381 https://ww2.kqed.org/news/?p=11774381","disqusUrl":"https://ww2.kqed.org/news/2019/09/14/how-a-proposed-3-digit-suicide-hotline-could-help-prevention-efforts/","disqusTitle":"How A Proposed 3-Digit Suicide Hotline Could Help Prevention Efforts","source":"NPR","sourceUrl":"https://www.npr.org","nprImageCredit":"Jenny Kane","nprByline":"\u003ca href=\"https://www.npr.org/people/578890280/rhitu-chatterjee\">Rhitu Chatterjee\u003c/a>","nprImageAgency":"AP","nprStoryId":"760511982","nprApiLink":"http://api.npr.org/query?id=760511982&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2019/09/13/760511982/how-a-proposed-3-digit-suicide-hotline-could-help-prevention-efforts?ft=nprml&f=760511982","nprRetrievedStory":"1","nprPubDate":"Fri, 13 Sep 2019 14:08:00 -0400","nprStoryDate":"Fri, 13 Sep 2019 11:39:53 -0400","nprLastModifiedDate":"Fri, 13 Sep 2019 14:08:40 -0400","path":"/news/11774381/how-a-proposed-3-digit-suicide-hotline-could-help-prevention-efforts","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>The Federal Communications Commission is proposing to launch a new three-digit hotline for people who are feeling suicidal or are going through any other mental health crisis. It recommends making 988 the new national number to call for help, replacing the current 10-digit number.\u003c/p>\n\u003cp>The agency presented the idea to Congress in a \u003ca href=\"https://docs.fcc.gov/public/attachments/DOC-359095A1.pdf\">report\u003c/a> earlier this month and is expected to release more information and seek public comment about the proposal in the coming months.\u003c/p>\n\u003cp>Mental health advocates are excited about the proposal. They say it will make it easier for people in crisis to seek help, but caution that effective implementation could be costly, as the move could increase the need for staff to answer calls.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"mental-health","label":"Related Coverage "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>\"This is a great idea,\" says\u003ca href=\"https://www.columbiapsychiatry.org/profile/madelyn-gould-phd\"> Madelyn Gould\u003c/a>, a psychiatrist at Columbia University and an expert on suicide prevention.\u003c/p>\n\u003cp>The current \u003ca href=\"https://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a> number — 1-800-273-TALK or 1-800-273-8255 — can be difficult for people to remember in the midst of a crisis, she says.\u003c/p>\n\u003cp>\"People can have a cognitive shutdown or blank, as any of us do, when we can't remember things during times of extreme stress,\" she says.\u003c/p>\n\u003cp>Having a three-digit hotline, she says, will \"facilitate people's access to care at times when they are in dire need.\"\u003c/p>\n\u003cp>Her research shows that the current suicide prevention lifeline can save lives — that when people who are feeling suicidal call and talk to someone, \u003ca href=\"https://onlinelibrary.wiley.com/doi/abs/10.1521/suli.2007.37.3.338\">they do tend to feel better\u003c/a>.\u003c/p>\n\u003cp>And the existing number is being used by a large number of people. In 2018, the lifeline answered more than 2 million calls, up from about 46,000 in 2005, according to the report submitted by the FCC. Gould thinks a three-digit hotline will make it easier for more people to call.\u003c/p>\n\u003cp>\u003cstrong>\"A 911 for the brain\"\u003c/strong>\u003c/p>\n\u003cp>The FCC proposal stems from a congressional mandate in the \u003ca href=\"https://www.congress.gov/bill/115th-congress/house-bill/2345\">National Suicide Hotline Improvement Act of 2018\u003c/a>, which required the agency to work with the Substance Abuse and Mental Health Services Administration (SAMHSA) and the Department of Veterans Affairs to evaluate the effectiveness of the suicide prevention lifelines and consider the feasibility of having a three-digit dialing code for mental health emergencies.\u003c/p>\n\u003cp>Americans know to call 911 for all other kinds of emergencies, says\u003ca href=\"https://riinternational.com/about-us/leadership/executive-leadership/david-covington-lpc-mba/\"> David Covington\u003c/a>, the CEO of \u003ca href=\"https://riinternational.com/\">RI International\u003c/a>, a nonprofit that provides behavioral health care around the country.\u003c/p>\n\u003cp>\"When my father was having chest pains we immediately called 911,\" says Covington. \"It's very straightforward what you do in our society in case of fire, or medical or other emergencies.\"\u003c/p>\n\u003cp>But \"we don't have a 911 for the brain,\" he adds.\u003c/p>\n\u003cp>And the stigma around mental illness makes people hesitate to seek help during a mental health crisis, says Covington. Those who do, either call the suicide prevention lifeline, or end up in a hospital emergency department after calling 911, he says.\u003c/p>\n\u003cp>\"The most common experience for individuals who make it through to some kind of hospital emergency department is to wait for hours and days in order to get a referral,\" says Covington.\u003c/p>\n\u003cp>He says he hopes the new hotline will reduce stigma and make it easier for people to seek help.\u003c/p>\n\u003cp>\"Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help,\" he says.\u003c/p>\n\u003cp>\"It's reinforcing the idea that seeking help is good,\" agrees Gould.\u003c/p>\n\u003cp>Gould hopes that the new hotline will encourage more people to call before they start feeling suicidal. \"If we can have people recognize that there's help in times of extreme depression or anxiety,\" she says, then the crisis is less likely to \"escalate to the point where they're so overwhelmed that they may think that suicide is the only solution.\"\u003c/p>\n\u003cp>\u003cstrong>Challenges of keeping up with call volume\u003c/strong>\u003c/p>\n\u003cp>Gould cautions that just launching a new three-digit hotline isn't enough.\u003c/p>\n\u003cp>\"The only way this is going to work is if additional services are funded,\" she says.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'Having a three-digit national hotline would go a long way in beginning to normalize that it's OK to seek help.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"David Covington","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/span>\u003c/p>\n\u003cp>Calls to the current Suicide Prevention Lifeline are handled by a patchwork of more than 160 crisis centers around the country. Each center has its own — often local, or regional — source of funding, and some centers are better resourced than others. Calls are usually taken by trained volunteers at these crisis centers, although some centers also employ clinicians.\u003c/p>\n\u003cp>\u003ca href=\"https://www.linkedin.com/in/allie-franklin-93441614\">Allie Franklin\u003c/a>, the executive director of \u003ca href=\"https://www.crisisconnections.org/\">Crisis Connections\u003c/a>, one of the National Suicide Prevention Lifeline centers in Washington, says she expects a surge in calls when the national 988 number becomes available — and that's a good thing.\u003c/p>\n\u003cp>\"But how do we make sure we always have additional funding to make sure we always have someone answering the line?\" she asks.\u003c/p>\n\u003cp>If individual crisis centers don't receive additional funding to increase their staff and volunteers, callers might be left waiting, and feeling discouraged and helpless, she adds.\u003c/p>\n\u003cp>The FCC reports that the current system is challenged by \"rising call volume and uneven coverage in many states.\" This results in many calls getting routed to backup centers where wait times are longer.\u003c/p>\n\u003cp>\"We know that it's really important for people to get live answers very quickly when they call one of these numbers or one of these centers,\" says Franklin. \"At Crisis Connections, we strive to answer the line within 30 seconds, 95% of the time or more. And so someone doesn't have to wait for for very long at all before they get a live answer.\"\u003c/p>\n\u003cp>But in 2018, there was a surge in calls to the Suicide Prevention lifeline for a couple of reasons, says Franklin — and call wait times went up. The rapper Logic \u003ca href=\"https://www.cnn.com/2018/02/03/us/logic-grammys-performance-suicide-prevention-calls-trnd/index.html\">performed his song\u003c/a> about suicidal thoughts at the Grammys, a song titled, \"1-800-273-TALK,\" the number to the suicide prevention hotline. Then, a \u003ca href=\"https://www.newyorker.com/news/daily-comment/preventable-tragedies\">couple of celebrities\u003c/a> died by suicide last year.\u003c/p>\n\u003cp>\"It was really difficult in Washington when we had a 45% increase in calls statewide,\" she says. She said she had to find additional funds to respond to the higher call volume.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=How+A+Proposed+3-Digit+Suicide+Hotline+Could+Help+Prevention+Efforts&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\u003cdiv>\u003c/div>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11774381/how-a-proposed-3-digit-suicide-hotline-could-help-prevention-efforts","authors":["byline_news_11774381"],"categories":["news_457","news_8"],"tags":["news_2109","news_2883","news_6616"],"featImg":"news_11774385","label":"source_news_11774381"},"news_11746907":{"type":"posts","id":"news_11746907","meta":{"index":"posts_1591205157","site":"news","id":"11746907","score":null,"sort":[1558129961000]},"guestAuthors":[],"slug":"this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","title":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","publishDate":1558129961,"format":"audio","headTitle":"The California Report | KQED News","labelTerm":{"term":72,"site":"news"},"content":"\u003cp>At first glance, Sophia Ng has all the hallmarks of a typical pageant queen: She has beauty, brains and charisma.\u003c/p>\n\u003cp>But last August, when Ng, 27, competed in San Francisco’s\u003ca href=\"https://www.missasianglobal.com/\"> Miss Asian Global & Miss Asian America\u003c/a> pageant, the longest-running Asian beauty pageant in the nation, she surprised her audience with what she revealed on stage.\u003c/p>\n\u003cp>“I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living,” she told the crowd at Herbst Theatre in San Francisco. The audience that night was mostly Asian.\u003c/p>\n\u003cp>Later that evening, Ng was crowned Miss Asian America. It was the first pageant she had ever competed in.\u003c/p>\n\u003cp>At 5 foot 9 inches tall, Ng never used to wear high heels. But now, she is a pro. Since she has entered the pageant world, she regularly dons a gown, sash and crown to attend charity and community events, like this year’s Lunar New Year Parade in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_11746925\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746925 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng, second from right, strikes a pose on a Lunar New Year Parade float with some court members of the Miss Asian Global & Miss Asian America pageant, 2019. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But along with the networking and modeling opportunities, Ng spends her time doing what inspired her to compete in pageants in the first place: raising awareness about mental health, particularly among the Asian American and Pacific Islander communities.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Ng is a mental health therapist, a profession she says offers an impact that’s deep but often struggles with reach. Until recently, she counselled students at elementary and high schools in San Francisco.\u003c/p>\n\u003cp>Earlier this spring, she embarked on a typical work day at Lowell High School — one of the most competitive high schools in the state.\u003c/p>\n\u003cp>As students attended classes and roamed the hallways during breaks, Ng met with her clients at Lowell’s Wellness Center, a place where students can come in for counseling and access community resources, or relax and sip a cup of tea.\u003c/p>\n\u003cfigure id=\"attachment_11747793\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11747793\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg\" alt=\"Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students.\" width=\"800\" height=\"603\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-160x121.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1020x769.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1200x904.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading.jpg 1736w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small office in the Wellness Center, as a white noise machine hummed nearby to help protect privacy during conversations, one student told Ng about the painful relationship he has with his mom.\u003c/p>\n\u003cp>“She went on a rant,” he told Ng, referring to a recent incident involving him, his brother and his mother, in which their mother told them they were \"useless.\"\u003c/p>\n\u003cp>“She also mention[ed] something like, 'you guys were a waste of giving birth' in Chinese.\"\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sophia Ng']'I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living.'[/pullquote]Like this student, and many of the students she works with, Ng is also Chinese, growing up in Hong Kong. She says many students and their parents hesitate to seek out therapy, and that this may trace back to a culture in which shame and honor play an important role.\u003c/p>\n\u003cp>It's also seen in the parenting style, where they use shame and guilt to parent their kid, said Ng, who stressed that not all Asian American moms and dads do this.\u003c/p>\n\u003cp>Parents also worry that if their kids need help, maybe they’ve done something wrong as parents. But, she noted, people in the community are under pressure to present a good face to the world despite whatever their going through.\u003c/p>\n\u003cp>[aside tag='mental-health' label='More Coverage of Mental Health Issues']In fact, Asian Americans are \u003ca href=\"https://www.apa.org/pi/oema/resources/ethnicity-health/asian-american/article-mental-health\">three times less likely\u003c/a> to seek out mental health services than white people. And they make up only \u003ca href=\"https://www.apa.org/workforce/publications/16-demographics/report.pdf\">4%\u003c/a> of the U.S. psychology workforce, which is mostly white. That all influences the reaction Ng gets when students come to her for the first time, she said.\u003c/p>\n\u003cp>\"They're like, ‘Oh, I expected you to be, like, a white person,’” she said.\u003c/p>\n\u003cp>A therapist she had as a teenager inspired Ng to do this work. Ng had been on her way to becoming a competitive athlete, when an accident during a basketball tournament crushed her leg. She was 16, and her whole identity at that time revolved around being an athlete.\u003c/p>\n\u003cp>“While I was still like, recovering physically, my mind definitely began to sort of spiral downwards,” Ng said.\u003c/p>\n\u003cp>Ng had a hard time getting out of bed and didn’t want to hang out with friends.\u003c/p>\n\u003cp>[pullquote size='medium' align='right' citation='Sophia Ng']'My passion is removing the stigma that exists around mental health.'[/pullquote]At her lowest point, Ng said she attempted suicide by taking a bunch of sleeping pills. That’s when she found herself in a therapist’s office, talking with someone who could offer the perspective her family and friends couldn’t.\u003c/p>\n\u003cp>“I think at that time, people in your personal life, they kind of have this ... need or urge to just sort of, like, get you out of that mentality ASAP,” Ng said. “So they tell you to be positive, they tell you to, you know, not think like that, and just, you know, things will get better. And I think those were not the things I needed to hear at the time. Because it didn't make me feel listened to.”\u003c/p>\n\u003cp>The night Ng won the Miss Asian America title and talked openly about her suicide attempt, a common refrain echoed among the audience.\u003c/p>\n\u003cp>“'Whoa, like, you were extremely vulnerable up there,'” Ng said, recalling the conversations she had after the pageant ended. The people she met knew what it meant for her to challenge the cultural pressures to keep those struggles quiet.\u003c/p>\n\u003cfigure id=\"attachment_11746928\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746928 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng started competing in pageants to raise awareness around mental health, especially among the Asian American and Pacific Islander community. Now that she is a pageant titleholder, she often goes to community events, like this Bay Area Chinese Association banquet, that offer her a platform to spread her message. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On a Saturday night, Ng was once again out as a beauty queen, this time at a dinner banquet in Pinole that was sponsored by the Chinese Association of Hercules. She was joined by two other winners of the Miss Asian Global & Miss Asian America pageant. The three of them were dolled up for the occasion in long gowns and flawless hair and makeup.\u003c/p>\n\u003cp>When it was time to introduce the women to the banquet attendees, Ng took the mic and spoke in both Cantonese and in English.\u003c/p>\n\u003cp>“My passion is removing the stigma that exists around mental health. And I’m currently doing that by doing a lot of speaking engagements, especially with college students, educating them about this,” she told the dinner guests, knowing the banquet was another platform for her, too. They burst into applause.\u003c/p>\n\u003cp>In the last few weeks, a lot has changed for Ng. She left her job as a school counselor because she is moving back to Hong Kong to be closer to her parents and her fiancé, who got a job in China. She hopes to someday start her own therapy practice, and launch a mental health consulting agency for companies and schools.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Ng's international move fits her new beauty queen title. She recently stepped down as Miss Asian America because she was crowned “\u003ca href=\"https://missglobal.com/\">Miss Global\u003c/a>” in a worldwide competition — the second pageant in which she has ever competed. She says in this new role, she’ll continue to spread her message that it’s \"OK not to be OK.\"\u003c/p>\n\n","blocks":[],"excerpt":"Sophia Ng entered — and won — her first pageant so she could raise awareness about mental health, particularly among the Asian American and Pacific Islander communities. She wants people to know it’s \"OK not to be OK.\"","status":"publish","parent":0,"modified":1558138655,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":31,"wordCount":1326},"headData":{"title":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community | KQED","description":"Sophia Ng entered — and won — her first pageant so she could raise awareness about mental health, particularly among the Asian American and Pacific Islander communities. She wants people to know it’s "OK not to be OK."","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","datePublished":"2019-05-17T21:52:41.000Z","dateModified":"2019-05-18T00:17:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11746907 https://ww2.kqed.org/news/?p=11746907","disqusUrl":"https://ww2.kqed.org/news/2019/05/17/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community/","disqusTitle":"This Beauty Queen Uses Her Platform to Ease Mental Health Stigma in Asian American Community","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcrmag/2019/05/BeautyQueenFightsMentalHealthStigma.mp3","nprByline":"Sonia Paul","audioTrackLength":353,"path":"/news/11746907/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","audioDuration":352000,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>At first glance, Sophia Ng has all the hallmarks of a typical pageant queen: She has beauty, brains and charisma.\u003c/p>\n\u003cp>But last August, when Ng, 27, competed in San Francisco’s\u003ca href=\"https://www.missasianglobal.com/\"> Miss Asian Global & Miss Asian America\u003c/a> pageant, the longest-running Asian beauty pageant in the nation, she surprised her audience with what she revealed on stage.\u003c/p>\n\u003cp>“I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living,” she told the crowd at Herbst Theatre in San Francisco. The audience that night was mostly Asian.\u003c/p>\n\u003cp>Later that evening, Ng was crowned Miss Asian America. It was the first pageant she had ever competed in.\u003c/p>\n\u003cp>At 5 foot 9 inches tall, Ng never used to wear high heels. But now, she is a pro. Since she has entered the pageant world, she regularly dons a gown, sash and crown to attend charity and community events, like this year’s Lunar New Year Parade in San Francisco.\u003c/p>\n\u003cfigure id=\"attachment_11746925\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746925 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37059_IMG_3611-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng, second from right, strikes a pose on a Lunar New Year Parade float with some court members of the Miss Asian Global & Miss Asian America pageant, 2019. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>But along with the networking and modeling opportunities, Ng spends her time doing what inspired her to compete in pageants in the first place: raising awareness about mental health, particularly among the Asian American and Pacific Islander communities.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ng is a mental health therapist, a profession she says offers an impact that’s deep but often struggles with reach. Until recently, she counselled students at elementary and high schools in San Francisco.\u003c/p>\n\u003cp>Earlier this spring, she embarked on a typical work day at Lowell High School — one of the most competitive high schools in the state.\u003c/p>\n\u003cp>As students attended classes and roamed the hallways during breaks, Ng met with her clients at Lowell’s Wellness Center, a place where students can come in for counseling and access community resources, or relax and sip a cup of tea.\u003c/p>\n\u003cfigure id=\"attachment_11747793\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11747793\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg\" alt=\"Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students.\" width=\"800\" height=\"603\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-800x603.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-160x121.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1020x769.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading-1200x904.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/Sophia-Ng-Reading.jpg 1736w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng reviews some paperwork in an office at Lowell High School's Wellness Center. As a mental health therapist, Ng visited schools in San Francisco and counseled students. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>In a small office in the Wellness Center, as a white noise machine hummed nearby to help protect privacy during conversations, one student told Ng about the painful relationship he has with his mom.\u003c/p>\n\u003cp>“She went on a rant,” he told Ng, referring to a recent incident involving him, his brother and his mother, in which their mother told them they were \"useless.\"\u003c/p>\n\u003cp>“She also mention[ed] something like, 'you guys were a waste of giving birth' in Chinese.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'I was once in a suicide depression, and in my hour of darkness, I believed I was worthless and that life was not worth living.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Ng","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>Like this student, and many of the students she works with, Ng is also Chinese, growing up in Hong Kong. She says many students and their parents hesitate to seek out therapy, and that this may trace back to a culture in which shame and honor play an important role.\u003c/p>\n\u003cp>It's also seen in the parenting style, where they use shame and guilt to parent their kid, said Ng, who stressed that not all Asian American moms and dads do this.\u003c/p>\n\u003cp>Parents also worry that if their kids need help, maybe they’ve done something wrong as parents. But, she noted, people in the community are under pressure to present a good face to the world despite whatever their going through.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"aside","attributes":{"named":{"tag":"mental-health","label":"More Coverage of Mental Health Issues "},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>In fact, Asian Americans are \u003ca href=\"https://www.apa.org/pi/oema/resources/ethnicity-health/asian-american/article-mental-health\">three times less likely\u003c/a> to seek out mental health services than white people. And they make up only \u003ca href=\"https://www.apa.org/workforce/publications/16-demographics/report.pdf\">4%\u003c/a> of the U.S. psychology workforce, which is mostly white. That all influences the reaction Ng gets when students come to her for the first time, she said.\u003c/p>\n\u003cp>\"They're like, ‘Oh, I expected you to be, like, a white person,’” she said.\u003c/p>\n\u003cp>A therapist she had as a teenager inspired Ng to do this work. Ng had been on her way to becoming a competitive athlete, when an accident during a basketball tournament crushed her leg. She was 16, and her whole identity at that time revolved around being an athlete.\u003c/p>\n\u003cp>“While I was still like, recovering physically, my mind definitely began to sort of spiral downwards,” Ng said.\u003c/p>\n\u003cp>Ng had a hard time getting out of bed and didn’t want to hang out with friends.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"'My passion is removing the stigma that exists around mental health.'","name":"pullquote","attributes":{"named":{"size":"medium","align":"right","citation":"Sophia Ng","label":""},"numeric":[]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>At her lowest point, Ng said she attempted suicide by taking a bunch of sleeping pills. That’s when she found herself in a therapist’s office, talking with someone who could offer the perspective her family and friends couldn’t.\u003c/p>\n\u003cp>“I think at that time, people in your personal life, they kind of have this ... need or urge to just sort of, like, get you out of that mentality ASAP,” Ng said. “So they tell you to be positive, they tell you to, you know, not think like that, and just, you know, things will get better. And I think those were not the things I needed to hear at the time. Because it didn't make me feel listened to.”\u003c/p>\n\u003cp>The night Ng won the Miss Asian America title and talked openly about her suicide attempt, a common refrain echoed among the audience.\u003c/p>\n\u003cp>“'Whoa, like, you were extremely vulnerable up there,'” Ng said, recalling the conversations she had after the pageant ended. The people she met knew what it meant for her to challenge the cultural pressures to keep those struggles quiet.\u003c/p>\n\u003cfigure id=\"attachment_11746928\" class=\"wp-caption aligncenter\" style=\"max-width: 1920px\">\u003cimg class=\"wp-image-11746928 size-full\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg\" alt=\"\" width=\"1920\" height=\"1440\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/05/RS37057_IMG_3777-qut-536x402.jpg 536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\">\u003cfigcaption class=\"wp-caption-text\">Sophia Ng started competing in pageants to raise awareness around mental health, especially among the Asian American and Pacific Islander community. Now that she is a pageant titleholder, she often goes to community events, like this Bay Area Chinese Association banquet, that offer her a platform to spread her message. \u003ccite>(Sonia Paul/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>On a Saturday night, Ng was once again out as a beauty queen, this time at a dinner banquet in Pinole that was sponsored by the Chinese Association of Hercules. She was joined by two other winners of the Miss Asian Global & Miss Asian America pageant. The three of them were dolled up for the occasion in long gowns and flawless hair and makeup.\u003c/p>\n\u003cp>When it was time to introduce the women to the banquet attendees, Ng took the mic and spoke in both Cantonese and in English.\u003c/p>\n\u003cp>“My passion is removing the stigma that exists around mental health. And I’m currently doing that by doing a lot of speaking engagements, especially with college students, educating them about this,” she told the dinner guests, knowing the banquet was another platform for her, too. They burst into applause.\u003c/p>\n\u003cp>In the last few weeks, a lot has changed for Ng. She left her job as a school counselor because she is moving back to Hong Kong to be closer to her parents and her fiancé, who got a job in China. She hopes to someday start her own therapy practice, and launch a mental health consulting agency for companies and schools.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Ng's international move fits her new beauty queen title. She recently stepped down as Miss Asian America because she was crowned “\u003ca href=\"https://missglobal.com/\">Miss Global\u003c/a>” in a worldwide competition — the second pageant in which she has ever competed. She says in this new role, she’ll continue to spread her message that it’s \"OK not to be OK.\"\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11746907/this-beauty-queen-uses-her-platform-to-ease-mental-health-stigma-in-asian-american-community","authors":["byline_news_11746907"],"programs":["news_72"],"categories":["news_457","news_8"],"tags":["news_20634","news_2109","news_2883"],"featImg":"news_11747789","label":"news_72"},"news_11741825":{"type":"posts","id":"news_11741825","meta":{"index":"posts_1591205157","site":"news","id":"11741825","score":null,"sort":[1555879660000]},"guestAuthors":[],"slug":"reach-out-ways-to-help-a-loved-one-at-risk-of-suicide","title":"Reach Out: Ways to Help a Loved One at Risk of Suicide","publishDate":1555879660,"format":"standard","headTitle":"KQED News","labelTerm":{},"content":"\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"http://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cem> at 1-800-273-8255 (En Español: 1-888-628-9454; Deaf and Hard of Hearing: 1-800-799-4889) or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\">Crisis Text Line\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em>\u003c/p>\n\u003chr>\n\u003cp>If you know someone struggling with despair, depression or thoughts of suicide, you may be wondering how to help.\u003c/p>\n\u003cp>Most Americans say that they understand that suicide is preventable and that they would act to help someone they know who is at risk, according to a\u003ca href=\"https://afsp.org/harrispoll/\" target=\"_blank\" rel=\"noopener\"> national survey\u003c/a> conducted by the \u003ca href=\"https://afsp.org/our-work/education/talk-saves-lives-introduction-suicide-prevention/?gclid=Cj0KCQjwhuvlBRCeARIsAM720Hqxm9eZDpNjndysuxGpkBIjgkhtH4_bIuVW60dbiQYBf6p9_iL4r3AaAvKaEALw_wcB\">American Foundation for Suicide Prevention\u003c/a> and the\u003ca href=\"https://theactionalliance.org/\" target=\"_blank\" rel=\"noopener\"> National Action Alliance for Suicide Prevention \u003c/a>in 2018.\u003c/p>\n\u003cp>Yet many of us are afraid to do the wrong thing. In fact, you don't have to be a trained professional to help, says \u003ca href=\"https://afsp.org/about-afsp/doreen-marshall-ph-d/\" target=\"_blank\" rel=\"noopener\">Doreen Marshall\u003c/a>, a psychologist and vice president of programs at the AFSP.\u003c/p>\n\u003cp>\"Everyone has a role to play in suicide prevention,\" she says. But \"most people hold back. We often say, 'Trust your gut. If you're worried about someone, take that step.' \"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>And that first step starts with simply reaching out, says Marshall. It may seem like a small thing, but survivors of suicide attempts and suicide experts say, it can go long way.\u003c/p>\n\u003cp>Simple acts of connection are powerful, says\u003ca href=\"https://www.ursulawhiteside.org/about-1\" target=\"_blank\" rel=\"noopener\"> Ursula Whiteside\u003c/a>, a psychologist and a faculty member at the University of Washington.\u003c/p>\n\u003cp>\"Looking out for each other in general reduces [suicide] risk,\" says Whiteside. \"Because people who feel connected are less likely to kill themselves.\"\u003c/p>\n\u003cp>And \"the earlier you catch someone,\" she adds, \"the less they have to suffer.\"\u003c/p>\n\u003cp>Here are nine things you can do that can make a difference.\u003c/p>\n\u003ch3>1. Recognize the warning signs\u003c/h3>\n\u003cp>\u003ca href=\"https://afsp.org/about-suicide/risk-factors-and-warning-signs/\" target=\"_blank\" rel=\"noopener\">Signs of suicide risk to watch for\u003c/a> include changes in mood and behavior, Marshall says.\u003c/p>\n\u003cp>\"For example, someone who is usually part of a group or activity and you notice that they stop showing up,\" explains Marshall. \"Someone who is usually pretty even-tempered, and you see they are easily frustrated or angry.\"\u003c/p>\n\u003cp>Other signs include feeling depressed, anxious, irritable or losing interest in things.\u003c/p>\n\u003cp>Pay attention to a person's words, too.\u003c/p>\n\u003cp>\"They may talk about wanting to end their lives or seeing no purpose or wanting to go to sleep and never wake up,\" says Marshall. \"Those are signs that they may be thinking about [suicide]. It may be couched as a need to get away from, or escape the pain.\"\u003c/p>\n\u003cp>According to the AFSP, people who take their own lives often show a combination of these warning signs.\u003c/p>\n\u003cp>And the signs can be different for different individuals, says \u003ca href=\"https://www.mailman.columbia.edu/people/our-faculty/msg5\" target=\"_blank\" rel=\"noopener\">Madelyn Gould\u003c/a>, a professor of epidemiology in psychiatry at Columbia University who studies suicide and suicide prevention.\u003c/p>\n\u003cp>\"For some people, it might be starting to have difficulty sleeping,\" she says. Someone else might easily feel humiliated or rejected.\u003c/p>\n\u003cp>\"Each one of these things can put [someone] more at risk,\" explains Gould, \"Until at some point, [they're] not in control anymore.\"\u003c/p>\n\u003ch3>2. Reach out and ask, \"Are you OK?\"\u003c/h3>\n\u003cp>So, what do you do when you notice someone is struggling and you fear they may be considering suicide?\u003c/p>\n\u003cp>Reach out, check in and show you care, say suicide prevention experts.\u003c/p>\n\u003cp>\"The very nature of someone struggling with suicide and depression, [is that] they're not likely to reach out,\" says Marshall. \"They feel like a burden to others.\"\u003c/p>\n\u003cp>People who are having thoughts of suicide often feel trapped and alone, explains\u003ca href=\"https://www.suicidology.org/about-aas/board\" target=\"_blank\" rel=\"noopener\"> DeQuincy Lezine\u003c/a>, a psychologist and a member of the board of directors of the \u003ca href=\"https://www.suicidology.org/\" target=\"_blank\" rel=\"noopener\">American Association of Suicidology\u003c/a>. He is also a survivor of suicide attempts.\u003c/p>\n\u003cp>When someone reaches out and offers support, it reduces a person's sense of isolation, he explains.\u003c/p>\n\u003cp>\"Even if you can't find the exact words [to say], the aspect that somebody cares makes a big difference,\"says Lezine.\u003c/p>\n\u003cp>Questions like \"Are you doing OK?\" and statements like \"If you need anything, let me know\" are simple supportive gestures that can have a big impact on someone who's in emotional pain, explains Julie DeGolier, a medical assistant in Seattle and a survivor of suicide attempts. It can interrupt the negative spiral that can lead to crisis.\u003c/p>\n\u003cp>The website for the National Suicide Prevention Lifeline has a list \u003ca href=\"https://suicidepreventionlifeline.org/help-someone-else/\" target=\"_blank\" rel=\"noopener\">of do's and don'ts \u003c/a>when trying to help someone at risk.\u003c/p>\n\u003ch3>3. Be direct: Ask about suicide\u003c/h3>\n\u003cp>\"Most people are afraid to ask about suicide, because they [think they] don't want to put the thought in their head,\" says Marshall. \"But there's no research to support that.\"\u003c/p>\n\u003cp>Instead, she and other suicide prevention experts say discussing suicide directly and compassionately with a person at risk is key to preventing it.\u003c/p>\n\u003cp>One can ask a direct question like, \"Have you ever had thoughts of suicide?\" says Marshall.\u003c/p>\n\u003cp>More general questions like, \"What do you think of people who kill themselves?\" can also open up a conversation about suicide, says Gould. \"Now they are talking about it, when you might not have had the conversation before.\"\u003c/p>\n\u003ch3>4. Assess risk and don't panic: Suicidal feelings aren't always an emergency\u003c/h3>\n\u003cp>Say a loved one confides in you that they have been thinking about suicide. What do you do then?\u003c/p>\n\u003cp>\"Don't let yourself panic,\" says Whiteside.\u003c/p>\n\u003cp>People often believe that a person considering suicide needs to be rushed to the hospital. But \"not everyone who expressed these thoughts needs to be hospitalized immediately,\" says Marshall.\u003c/p>\n\u003cp>Research shows that most people who've had suicidal thoughts haven't had the kind of overpowering thoughts that might push them to make an attempt, explains Whiteside. In other words, \u003ca href=\"https://www.sprc.org/scope/attempts\" target=\"_blank\" rel=\"noopener\">many more people experience suicidal thoughts\u003c/a> than take action on them.\u003c/p>\n\u003cp>But how do you know whether your loved one's situation is an immediate crisis?\u003c/p>\n\u003cp>Whiteside suggests asking direct questions like: \"Are you thinking of killing yourself in the next day or so?\" and \"How strong are those urges?\"\u003c/p>\n\u003cp>For help with this conversation, psychiatrists at Columbia University have developed \u003ca href=\"http://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/\" target=\"_blank\" rel=\"noopener\">the Columbia Protocol,\u003c/a> which is a risk-assessment tool drawn from their research-based suicide severity rating scale. It \u003ca href=\"http://cssrs.columbia.edu/wp-content/uploads/Community-Card-2women-2018c.pdf\" target=\"_blank\" rel=\"noopener\">walks you through six questions\u003c/a> to ask your loved one about whether they've had thoughts about suicide and about the means of suicide and whether they have worked out the details of how they would carry out their plan.\u003c/p>\n\u003cp>Someone who has a plan at hand is at a high risk of acting on it — according to the \u003ca href=\"https://www.sprc.org/scope/attempts\" target=\"_blank\" rel=\"noopener\">Suicide Prevention Resource Center\u003c/a>, about 38 percent of people who have made a plan go on to make an attempt.\u003c/p>\n\u003ch3>5. If it's a crisis, stick around\u003c/h3>\n\u003cp>So what if you've assessed risk and you fear your loved one is in immediate crisis? First, request them to hold off for a day or so, says Whiteside, at the same time being \"validating and gentle.\"\u003c/p>\n\u003cp>The kind of intense emotions that might make someone act on an impulse, \"usually resolve or become manageable in less than 24 or 48 hours,\" she says. If you can, offer to stay with them during that time period, she adds. Otherwise, help them find other immediate social support or medical help. They shouldn't be alone at these times of crisis.\u003c/p>\n\u003cp>Ask whether they have any means of harming themselves at hand and work with them to remove those things from their environment. \u003ca href=\"https://www.hsph.harvard.edu/means-matter/means-matter/saves-lives/\">Research shows\u003c/a> that removing or limiting access to means reduces suicide deaths.\u003c/p>\n\u003cp>The National Suicide Prevention Lifeline offers this guide to the \u003ca href=\"http://www.bethe1to.com/bethe1to-steps-evidence/\" target=\"_blank\" rel=\"noopener\">five action steps to take\u003c/a> if someone you know is imminent danger.\u003c/p>\n\u003cp>If you don't feel confident about helping someone through a crisis period, call the \u003ca href=\"https://suicidepreventionlifeline.org/\" target=\"_blank\" rel=\"noopener\">National Suicide Prevention Lifeline\u003c/a>, says Gould.\u003c/p>\n\u003ch3>6. Listen and offer hope\u003c/h3>\n\u003cp>If the person is not in immediate risk, it is still important to listen to them, say survivors of suicide attempts like Lezine and DeGolier.\u003c/p>\n\u003cp>\"The biggest thing is listening in an open-minded way, to not be judgmental,\" says DeGolier.\u003c/p>\n\u003cp>\"Don't tell a person what to do. They're looking to be heard, to have their feelings acknowledged.\"\u003c/p>\n\u003cp>The next step is to offer hope, says Whiteside. It helps to say things like, \"I know how strong you are. I've seen you get through hard things. I think we can get through this together,\" she explains.\u003c/p>\n\u003cp>One of Lezine's closest friends in college did just that during his suicidal phases, he says.\u003c/p>\n\u003cp>\"For one thing, she never lost faith in me,\" says Lezine. \"She always believed I have a positive life possible and I would achieve good things.\"\u003c/p>\n\u003cp>He says her faith in him kept him from giving in to his despair completely.\u003c/p>\n\u003cp>\"Having somebody, a confidante who absolutely believed as a person in [my] ability to do something meaningful in life\" was instrumental in his recovery, he says.\u003c/p>\n\u003ch3>7. Help your loved one make a safety plan\u003c/h3>\n\u003cp>When a person is not in immediate risk of attempting suicide, it's a good time to think about preventing a future crisis.\u003c/p>\n\u003cp>\"That's where we want to make help-seeking and adaptive coping strategies a practice,\" says Gould.\u003c/p>\n\u003cp>Suicide prevention experts advise people develop what's known as a safety plan, which research has shown \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk\" target=\"_blank\" rel=\"noopener\">can help reduce suicide risk.\u003c/a> It's a simple plan for how to cope and get help when a crisis hits, and typically, an at-risk person and their mental health provider create it together, but a family member or friend can also help.\u003c/p>\n\u003cp>The American Foundation for Suicide Prevention has a \u003ca href=\"https://suicidepreventionlifeline.org/wp-content/uploads/2016/08/Brown_StanleySafetyPlanTemplate.pdf\" target=\"_blank\" rel=\"noopener\">template for creating a safety plan\u003c/a>. It includes making a list of the person's triggers and warning signs of a coming crisis, people they feel comfortable reaching out to for help and activities they can do to distract themselves during those times — it can be something simple as watching a funny movie.\u003c/p>\n\u003cp>Safety planning includes helping your loved one make their environment safer. This is one of the most \u003ca href=\"https://www.hsph.harvard.edu/means-matter/means-matter/saves-lives/\" target=\"_blank\" rel=\"noopener\">important steps to preventing suicide\u003c/a>, says Marshall. That involves a conversation about lethal means.\u003c/p>\n\u003cp>\"If you ask what kinds of thoughts you're having, they may tell you the means,\" she says.\u003c/p>\n\u003cp>If they don't volunteer that information, it's worth asking them directly, she adds. Once they say what means they have thought of using, one can discuss with them how to limit their access to it.\u003c/p>\n\u003cp>\"The more time and space you can put between the person and harming themselves, the better,\" says Marshall. \"If this is someone who is a firearm owner, you may talk with them to make sure they don't have ready access to firearm in moments of crisis.\"\u003c/p>\n\u003ch3>8. Help them tackle the mental health care system\u003c/h3>\n\u003cp>When someone is in urgent crisis mode, it's often not the best time to try to navigate the mental health care system, says DeGolier. But to prevent a future crisis, offer to help your loved one connect with a mental health professional to find out whether medications can help them and to learn ways to manage their mood and suicidal thinking.\u003c/p>\n\u003cp>A kind of talk therapy called\u003ca href=\"https://www.sprc.org/resources-programs/dialectical-behavior-therapy\" target=\"_blank\" rel=\"noopener\"> dialectical behavior therapy\u003c/a>, or DBT, has been\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/25806661\" target=\"_blank\" rel=\"noopener\"> shown to be effective\u003c/a> in reducing risk of suicide. It teaches people strategies to calm their minds and distract themselves when the suicidal thoughts surface.\u003c/p>\n\u003cp>It can be hard for someone who's struggling with negative emotions to get and keep a mental health appointment. Family members and friends can help, notes Whiteside.\u003c/p>\n\u003cp>\"Know that it takes persistence,\" she says. \"You don't stop until you have an appointment for them. That may mean you call 30 people until you find someone who has an availability. You take the day off from work, go with them.\"\u003c/p>\n\u003cp>Lezine says he was fortunate to have had that kind of help and support from his college friend when he was struggling.\u003c/p>\n\u003cp>\"One of the things that was helpful ... was she went with me [to my appointment],\" he says. \"When you're feeling really down and feeling like you don't matter as much, you might not want to take time, or think that it's worth the time, or feel like I don't want to go through this.\"\u003c/p>\n\u003cp>Many people don't make it to their first appointment, or don't follow up, he says. Having a person hold your hand through the process, accompany you to your appointments can prevent that.\u003c/p>\n\u003cp>\"If somebody is sitting there with you, you can have eye contact, touch contact,\" says Lezine. \"It does make a difference, making you feel like you have another person who cares.\"\u003c/p>\n\u003ch3>9. Explore tools and support online\u003c/h3>\n\u003cp>For those struggling to access mental health care there are some evidence-based digital tools that can also help.\u003c/p>\n\u003cp>For example, there's a smartphone app called \u003ca href=\"https://itunes.apple.com/us/app/virtual-hope-box/id825099621?mt=8\" target=\"_blank\" rel=\"noopener\">Virtual Hope Box\u003c/a>, which is modeled on cognitive behavioral therapy techniques. Research shows that veterans who were feeling suicidal and used the app were able to \u003ca href=\"https://www.research.va.gov/research_in_action/Virtual-Hope-Box-smartphone-app-to-prevent-suicide.cfm\" target=\"_blank\" rel=\"noopener\">cope better with negative emotions. \u003c/a>\u003c/p>\n\u003cp>Whiteside and her colleagues started a website called\u003ca href=\"https://www.nowmattersnow.org/\" target=\"_blank\" rel=\"noopener\"> Now Matters Now\u003c/a>, which offers videos with personal stories of suicide survivors talking about their own struggles and how they have overcome their suicidal thoughts. Stories of survival and coping with suicidal thoughts have been shown to \u003ca href=\"https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/role-of-media-reports-in-completed-and-prevented-suicide-werther-v-papageno-effects/DFF62CAE7A44147EE9CAB4DFB50B49F0\" target=\"_blank\" rel=\"noopener\">have a positive effect\u003c/a> on people at risk of suicide.\u003c/p>\n\u003cp>The website also has videos that teach some simple skills that are otherwise taught by a therapist trained to offer DBT.\u003c/p>\n\u003cp>Those skills include mindfulness and paced breathing, which involves breathing with exhales that last longer than the inhales. Whiteside explains that this can calm the nervous system. Similarly, a cold shower or splashing ice water on one's face or making eye contact with someone can distract and/or calm the person who is at immediate risk of taking their own life.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Surveys show that people who visit the website and watch the videos have a short-term reduction in their suicidal thoughts, she says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Reach+Out%3A+Ways+To+Help+A+Loved+One+At+Risk+Of+Suicide&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"What can you do when you fear someone you know may be considering suicide? It can feel daunting, but suicide prevention experts say we all can help someone at risk by reaching out and showing we care.","status":"publish","parent":0,"modified":1555879660,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":76,"wordCount":2345},"headData":{"title":"Reach Out: Ways to Help a Loved One at Risk of Suicide | KQED","description":"What can you do when you fear someone you know may be considering suicide? It can feel daunting, but suicide prevention experts say we all can help someone at risk by reaching out and showing we care.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Reach Out: Ways to Help a Loved One at Risk of Suicide","datePublished":"2019-04-21T20:47:40.000Z","dateModified":"2019-04-21T20:47:40.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11741825 https://ww2.kqed.org/news/?p=11741825","disqusUrl":"https://ww2.kqed.org/news/2019/04/21/reach-out-ways-to-help-a-loved-one-at-risk-of-suicide/","disqusTitle":"Reach Out: Ways to Help a Loved One at Risk of Suicide","source":"NPR","sourceUrl":"https://www.npr.org","nprByline":"\u003ca href=\"https://www.npr.org/people/578890280/rhitu-chatterjee\" rel=\"noopener\" target=\"_blank\">Rhitu Chatterjee\u003c/a>","nprImageAgency":"Maria Fabrizio for NPR","nprStoryId":"707686101","nprApiLink":"http://api.npr.org/query?id=707686101&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2019/04/20/707686101/reach-out-ways-to-help-a-loved-one-at-risk-of-suicide?ft=nprml&f=707686101","nprRetrievedStory":"1","nprPubDate":"Sat, 20 Apr 2019 12:51:00 -0400","nprStoryDate":"Sat, 20 Apr 2019 10:00:00 -0400","nprLastModifiedDate":"Sat, 20 Apr 2019 12:51:11 -0400","path":"/news/11741825/reach-out-ways-to-help-a-loved-one-at-risk-of-suicide","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>If you or someone you know may be considering suicide, contact the \u003c/em>\u003ca href=\"http://suicidepreventionlifeline.org/\">National Suicide Prevention Lifeline\u003c/a>\u003cem> at 1-800-273-8255 (En Español: 1-888-628-9454; Deaf and Hard of Hearing: 1-800-799-4889) or the \u003c/em>\u003ca href=\"http://www.crisistextline.org/\">Crisis Text Line\u003c/a>\u003cem> by texting HOME to 741741.\u003c/em>\u003c/p>\n\u003chr>\n\u003cp>If you know someone struggling with despair, depression or thoughts of suicide, you may be wondering how to help.\u003c/p>\n\u003cp>Most Americans say that they understand that suicide is preventable and that they would act to help someone they know who is at risk, according to a\u003ca href=\"https://afsp.org/harrispoll/\" target=\"_blank\" rel=\"noopener\"> national survey\u003c/a> conducted by the \u003ca href=\"https://afsp.org/our-work/education/talk-saves-lives-introduction-suicide-prevention/?gclid=Cj0KCQjwhuvlBRCeARIsAM720Hqxm9eZDpNjndysuxGpkBIjgkhtH4_bIuVW60dbiQYBf6p9_iL4r3AaAvKaEALw_wcB\">American Foundation for Suicide Prevention\u003c/a> and the\u003ca href=\"https://theactionalliance.org/\" target=\"_blank\" rel=\"noopener\"> National Action Alliance for Suicide Prevention \u003c/a>in 2018.\u003c/p>\n\u003cp>Yet many of us are afraid to do the wrong thing. In fact, you don't have to be a trained professional to help, says \u003ca href=\"https://afsp.org/about-afsp/doreen-marshall-ph-d/\" target=\"_blank\" rel=\"noopener\">Doreen Marshall\u003c/a>, a psychologist and vice president of programs at the AFSP.\u003c/p>\n\u003cp>\"Everyone has a role to play in suicide prevention,\" she says. But \"most people hold back. We often say, 'Trust your gut. If you're worried about someone, take that step.' \"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>And that first step starts with simply reaching out, says Marshall. It may seem like a small thing, but survivors of suicide attempts and suicide experts say, it can go long way.\u003c/p>\n\u003cp>Simple acts of connection are powerful, says\u003ca href=\"https://www.ursulawhiteside.org/about-1\" target=\"_blank\" rel=\"noopener\"> Ursula Whiteside\u003c/a>, a psychologist and a faculty member at the University of Washington.\u003c/p>\n\u003cp>\"Looking out for each other in general reduces [suicide] risk,\" says Whiteside. \"Because people who feel connected are less likely to kill themselves.\"\u003c/p>\n\u003cp>And \"the earlier you catch someone,\" she adds, \"the less they have to suffer.\"\u003c/p>\n\u003cp>Here are nine things you can do that can make a difference.\u003c/p>\n\u003ch3>1. Recognize the warning signs\u003c/h3>\n\u003cp>\u003ca href=\"https://afsp.org/about-suicide/risk-factors-and-warning-signs/\" target=\"_blank\" rel=\"noopener\">Signs of suicide risk to watch for\u003c/a> include changes in mood and behavior, Marshall says.\u003c/p>\n\u003cp>\"For example, someone who is usually part of a group or activity and you notice that they stop showing up,\" explains Marshall. \"Someone who is usually pretty even-tempered, and you see they are easily frustrated or angry.\"\u003c/p>\n\u003cp>Other signs include feeling depressed, anxious, irritable or losing interest in things.\u003c/p>\n\u003cp>Pay attention to a person's words, too.\u003c/p>\n\u003cp>\"They may talk about wanting to end their lives or seeing no purpose or wanting to go to sleep and never wake up,\" says Marshall. \"Those are signs that they may be thinking about [suicide]. It may be couched as a need to get away from, or escape the pain.\"\u003c/p>\n\u003cp>According to the AFSP, people who take their own lives often show a combination of these warning signs.\u003c/p>\n\u003cp>And the signs can be different for different individuals, says \u003ca href=\"https://www.mailman.columbia.edu/people/our-faculty/msg5\" target=\"_blank\" rel=\"noopener\">Madelyn Gould\u003c/a>, a professor of epidemiology in psychiatry at Columbia University who studies suicide and suicide prevention.\u003c/p>\n\u003cp>\"For some people, it might be starting to have difficulty sleeping,\" she says. Someone else might easily feel humiliated or rejected.\u003c/p>\n\u003cp>\"Each one of these things can put [someone] more at risk,\" explains Gould, \"Until at some point, [they're] not in control anymore.\"\u003c/p>\n\u003ch3>2. Reach out and ask, \"Are you OK?\"\u003c/h3>\n\u003cp>So, what do you do when you notice someone is struggling and you fear they may be considering suicide?\u003c/p>\n\u003cp>Reach out, check in and show you care, say suicide prevention experts.\u003c/p>\n\u003cp>\"The very nature of someone struggling with suicide and depression, [is that] they're not likely to reach out,\" says Marshall. \"They feel like a burden to others.\"\u003c/p>\n\u003cp>People who are having thoughts of suicide often feel trapped and alone, explains\u003ca href=\"https://www.suicidology.org/about-aas/board\" target=\"_blank\" rel=\"noopener\"> DeQuincy Lezine\u003c/a>, a psychologist and a member of the board of directors of the \u003ca href=\"https://www.suicidology.org/\" target=\"_blank\" rel=\"noopener\">American Association of Suicidology\u003c/a>. He is also a survivor of suicide attempts.\u003c/p>\n\u003cp>When someone reaches out and offers support, it reduces a person's sense of isolation, he explains.\u003c/p>\n\u003cp>\"Even if you can't find the exact words [to say], the aspect that somebody cares makes a big difference,\"says Lezine.\u003c/p>\n\u003cp>Questions like \"Are you doing OK?\" and statements like \"If you need anything, let me know\" are simple supportive gestures that can have a big impact on someone who's in emotional pain, explains Julie DeGolier, a medical assistant in Seattle and a survivor of suicide attempts. It can interrupt the negative spiral that can lead to crisis.\u003c/p>\n\u003cp>The website for the National Suicide Prevention Lifeline has a list \u003ca href=\"https://suicidepreventionlifeline.org/help-someone-else/\" target=\"_blank\" rel=\"noopener\">of do's and don'ts \u003c/a>when trying to help someone at risk.\u003c/p>\n\u003ch3>3. Be direct: Ask about suicide\u003c/h3>\n\u003cp>\"Most people are afraid to ask about suicide, because they [think they] don't want to put the thought in their head,\" says Marshall. \"But there's no research to support that.\"\u003c/p>\n\u003cp>Instead, she and other suicide prevention experts say discussing suicide directly and compassionately with a person at risk is key to preventing it.\u003c/p>\n\u003cp>One can ask a direct question like, \"Have you ever had thoughts of suicide?\" says Marshall.\u003c/p>\n\u003cp>More general questions like, \"What do you think of people who kill themselves?\" can also open up a conversation about suicide, says Gould. \"Now they are talking about it, when you might not have had the conversation before.\"\u003c/p>\n\u003ch3>4. Assess risk and don't panic: Suicidal feelings aren't always an emergency\u003c/h3>\n\u003cp>Say a loved one confides in you that they have been thinking about suicide. What do you do then?\u003c/p>\n\u003cp>\"Don't let yourself panic,\" says Whiteside.\u003c/p>\n\u003cp>People often believe that a person considering suicide needs to be rushed to the hospital. But \"not everyone who expressed these thoughts needs to be hospitalized immediately,\" says Marshall.\u003c/p>\n\u003cp>Research shows that most people who've had suicidal thoughts haven't had the kind of overpowering thoughts that might push them to make an attempt, explains Whiteside. In other words, \u003ca href=\"https://www.sprc.org/scope/attempts\" target=\"_blank\" rel=\"noopener\">many more people experience suicidal thoughts\u003c/a> than take action on them.\u003c/p>\n\u003cp>But how do you know whether your loved one's situation is an immediate crisis?\u003c/p>\n\u003cp>Whiteside suggests asking direct questions like: \"Are you thinking of killing yourself in the next day or so?\" and \"How strong are those urges?\"\u003c/p>\n\u003cp>For help with this conversation, psychiatrists at Columbia University have developed \u003ca href=\"http://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/\" target=\"_blank\" rel=\"noopener\">the Columbia Protocol,\u003c/a> which is a risk-assessment tool drawn from their research-based suicide severity rating scale. It \u003ca href=\"http://cssrs.columbia.edu/wp-content/uploads/Community-Card-2women-2018c.pdf\" target=\"_blank\" rel=\"noopener\">walks you through six questions\u003c/a> to ask your loved one about whether they've had thoughts about suicide and about the means of suicide and whether they have worked out the details of how they would carry out their plan.\u003c/p>\n\u003cp>Someone who has a plan at hand is at a high risk of acting on it — according to the \u003ca href=\"https://www.sprc.org/scope/attempts\" target=\"_blank\" rel=\"noopener\">Suicide Prevention Resource Center\u003c/a>, about 38 percent of people who have made a plan go on to make an attempt.\u003c/p>\n\u003ch3>5. If it's a crisis, stick around\u003c/h3>\n\u003cp>So what if you've assessed risk and you fear your loved one is in immediate crisis? First, request them to hold off for a day or so, says Whiteside, at the same time being \"validating and gentle.\"\u003c/p>\n\u003cp>The kind of intense emotions that might make someone act on an impulse, \"usually resolve or become manageable in less than 24 or 48 hours,\" she says. If you can, offer to stay with them during that time period, she adds. Otherwise, help them find other immediate social support or medical help. They shouldn't be alone at these times of crisis.\u003c/p>\n\u003cp>Ask whether they have any means of harming themselves at hand and work with them to remove those things from their environment. \u003ca href=\"https://www.hsph.harvard.edu/means-matter/means-matter/saves-lives/\">Research shows\u003c/a> that removing or limiting access to means reduces suicide deaths.\u003c/p>\n\u003cp>The National Suicide Prevention Lifeline offers this guide to the \u003ca href=\"http://www.bethe1to.com/bethe1to-steps-evidence/\" target=\"_blank\" rel=\"noopener\">five action steps to take\u003c/a> if someone you know is imminent danger.\u003c/p>\n\u003cp>If you don't feel confident about helping someone through a crisis period, call the \u003ca href=\"https://suicidepreventionlifeline.org/\" target=\"_blank\" rel=\"noopener\">National Suicide Prevention Lifeline\u003c/a>, says Gould.\u003c/p>\n\u003ch3>6. Listen and offer hope\u003c/h3>\n\u003cp>If the person is not in immediate risk, it is still important to listen to them, say survivors of suicide attempts like Lezine and DeGolier.\u003c/p>\n\u003cp>\"The biggest thing is listening in an open-minded way, to not be judgmental,\" says DeGolier.\u003c/p>\n\u003cp>\"Don't tell a person what to do. They're looking to be heard, to have their feelings acknowledged.\"\u003c/p>\n\u003cp>The next step is to offer hope, says Whiteside. It helps to say things like, \"I know how strong you are. I've seen you get through hard things. I think we can get through this together,\" she explains.\u003c/p>\n\u003cp>One of Lezine's closest friends in college did just that during his suicidal phases, he says.\u003c/p>\n\u003cp>\"For one thing, she never lost faith in me,\" says Lezine. \"She always believed I have a positive life possible and I would achieve good things.\"\u003c/p>\n\u003cp>He says her faith in him kept him from giving in to his despair completely.\u003c/p>\n\u003cp>\"Having somebody, a confidante who absolutely believed as a person in [my] ability to do something meaningful in life\" was instrumental in his recovery, he says.\u003c/p>\n\u003ch3>7. Help your loved one make a safety plan\u003c/h3>\n\u003cp>When a person is not in immediate risk of attempting suicide, it's a good time to think about preventing a future crisis.\u003c/p>\n\u003cp>\"That's where we want to make help-seeking and adaptive coping strategies a practice,\" says Gould.\u003c/p>\n\u003cp>Suicide prevention experts advise people develop what's known as a safety plan, which research has shown \u003ca href=\"https://www.npr.org/sections/health-shots/2018/07/11/628029412/a-simple-emergency-room-intervention-can-help-cut-future-suicide-risk\" target=\"_blank\" rel=\"noopener\">can help reduce suicide risk.\u003c/a> It's a simple plan for how to cope and get help when a crisis hits, and typically, an at-risk person and their mental health provider create it together, but a family member or friend can also help.\u003c/p>\n\u003cp>The American Foundation for Suicide Prevention has a \u003ca href=\"https://suicidepreventionlifeline.org/wp-content/uploads/2016/08/Brown_StanleySafetyPlanTemplate.pdf\" target=\"_blank\" rel=\"noopener\">template for creating a safety plan\u003c/a>. It includes making a list of the person's triggers and warning signs of a coming crisis, people they feel comfortable reaching out to for help and activities they can do to distract themselves during those times — it can be something simple as watching a funny movie.\u003c/p>\n\u003cp>Safety planning includes helping your loved one make their environment safer. This is one of the most \u003ca href=\"https://www.hsph.harvard.edu/means-matter/means-matter/saves-lives/\" target=\"_blank\" rel=\"noopener\">important steps to preventing suicide\u003c/a>, says Marshall. That involves a conversation about lethal means.\u003c/p>\n\u003cp>\"If you ask what kinds of thoughts you're having, they may tell you the means,\" she says.\u003c/p>\n\u003cp>If they don't volunteer that information, it's worth asking them directly, she adds. Once they say what means they have thought of using, one can discuss with them how to limit their access to it.\u003c/p>\n\u003cp>\"The more time and space you can put between the person and harming themselves, the better,\" says Marshall. \"If this is someone who is a firearm owner, you may talk with them to make sure they don't have ready access to firearm in moments of crisis.\"\u003c/p>\n\u003ch3>8. Help them tackle the mental health care system\u003c/h3>\n\u003cp>When someone is in urgent crisis mode, it's often not the best time to try to navigate the mental health care system, says DeGolier. But to prevent a future crisis, offer to help your loved one connect with a mental health professional to find out whether medications can help them and to learn ways to manage their mood and suicidal thinking.\u003c/p>\n\u003cp>A kind of talk therapy called\u003ca href=\"https://www.sprc.org/resources-programs/dialectical-behavior-therapy\" target=\"_blank\" rel=\"noopener\"> dialectical behavior therapy\u003c/a>, or DBT, has been\u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/25806661\" target=\"_blank\" rel=\"noopener\"> shown to be effective\u003c/a> in reducing risk of suicide. It teaches people strategies to calm their minds and distract themselves when the suicidal thoughts surface.\u003c/p>\n\u003cp>It can be hard for someone who's struggling with negative emotions to get and keep a mental health appointment. Family members and friends can help, notes Whiteside.\u003c/p>\n\u003cp>\"Know that it takes persistence,\" she says. \"You don't stop until you have an appointment for them. That may mean you call 30 people until you find someone who has an availability. You take the day off from work, go with them.\"\u003c/p>\n\u003cp>Lezine says he was fortunate to have had that kind of help and support from his college friend when he was struggling.\u003c/p>\n\u003cp>\"One of the things that was helpful ... was she went with me [to my appointment],\" he says. \"When you're feeling really down and feeling like you don't matter as much, you might not want to take time, or think that it's worth the time, or feel like I don't want to go through this.\"\u003c/p>\n\u003cp>Many people don't make it to their first appointment, or don't follow up, he says. Having a person hold your hand through the process, accompany you to your appointments can prevent that.\u003c/p>\n\u003cp>\"If somebody is sitting there with you, you can have eye contact, touch contact,\" says Lezine. \"It does make a difference, making you feel like you have another person who cares.\"\u003c/p>\n\u003ch3>9. Explore tools and support online\u003c/h3>\n\u003cp>For those struggling to access mental health care there are some evidence-based digital tools that can also help.\u003c/p>\n\u003cp>For example, there's a smartphone app called \u003ca href=\"https://itunes.apple.com/us/app/virtual-hope-box/id825099621?mt=8\" target=\"_blank\" rel=\"noopener\">Virtual Hope Box\u003c/a>, which is modeled on cognitive behavioral therapy techniques. Research shows that veterans who were feeling suicidal and used the app were able to \u003ca href=\"https://www.research.va.gov/research_in_action/Virtual-Hope-Box-smartphone-app-to-prevent-suicide.cfm\" target=\"_blank\" rel=\"noopener\">cope better with negative emotions. \u003c/a>\u003c/p>\n\u003cp>Whiteside and her colleagues started a website called\u003ca href=\"https://www.nowmattersnow.org/\" target=\"_blank\" rel=\"noopener\"> Now Matters Now\u003c/a>, which offers videos with personal stories of suicide survivors talking about their own struggles and how they have overcome their suicidal thoughts. Stories of survival and coping with suicidal thoughts have been shown to \u003ca href=\"https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/role-of-media-reports-in-completed-and-prevented-suicide-werther-v-papageno-effects/DFF62CAE7A44147EE9CAB4DFB50B49F0\" target=\"_blank\" rel=\"noopener\">have a positive effect\u003c/a> on people at risk of suicide.\u003c/p>\n\u003cp>The website also has videos that teach some simple skills that are otherwise taught by a therapist trained to offer DBT.\u003c/p>\n\u003cp>Those skills include mindfulness and paced breathing, which involves breathing with exhales that last longer than the inhales. Whiteside explains that this can calm the nervous system. Similarly, a cold shower or splashing ice water on one's face or making eye contact with someone can distract and/or calm the person who is at immediate risk of taking their own life.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Surveys show that people who visit the website and watch the videos have a short-term reduction in their suicidal thoughts, she says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2019 NPR. To see more, visit https://www.npr.org.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Reach+Out%3A+Ways+To+Help+A+Loved+One+At+Risk+Of+Suicide&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11741825/reach-out-ways-to-help-a-loved-one-at-risk-of-suicide","authors":["byline_news_11741825"],"categories":["news_457","news_8"],"tags":["news_2109","news_2883"],"featImg":"news_11741826","label":"source_news_11741825"},"news_11673252":{"type":"posts","id":"news_11673252","meta":{"index":"posts_1591205157","site":"news","id":"11673252","score":null,"sort":[1529413229000]},"guestAuthors":[],"slug":"suicide-by-train-will-technology-offer-a-solution","title":"Suicide by Train: Will Technology Offer a Solution?","publishDate":1529413229,"format":"audio","headTitle":"KQED News","labelTerm":{"site":"news"},"content":"\u003cp>Caroline Camhy didn’t have a plan the night she decided to grab a lawn chair and sit along the Caltrain tracks near her home. It was Oct. 20, 2009, and all she knew was that teenagers were killing themselves, and she had to do something.\u003c/p>\n\u003cp>\"At that point I had a son coming into third grade and a son coming into fifth grade, and I started to think of what was going to happen,\" says Camhy, at her home office in Palo Alto. \"What was I doing? Why was I here? What was I doing here? And how could I continue to live here when, just down the street, students of our local high school and middle school were taking their lives?\"\u003c/p>\n\u003cp>It didn’t take long for other moms and dads to join Camhy. They'd sit in the dead of night, watching the trains barrel down the tracks. \"It's very loud. And it's very bright and it comes very fast and it takes a long time being out there to get used to the speed at which it comes,\" says Camhy.\u003c/p>\n\u003cp>It was hard to see beyond a few feet. The light was almost blinding.\u003cbr>\nBut maybe, Camhy thought, their presence would be a deterrent. Maybe what’s really needed, she thought, is for someone to sit in a chair outside, when it's cold, and \"just be there.\"\u003c/p>\n\u003cp>At the height of the TrackWatch program, 150 volunteers in rotating shifts kept watch over the tracks. Camhy did it for three years, even after the city added paid security guards. And the number of suicides at Palo Alto’s four train stops went down.\u003c/p>\n\u003cfigure id=\"attachment_11673626\" class=\"wp-caption alignright\" style=\"max-width: 320px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/Death-By-Train-infographic.png\">\u003cimg class=\"wp-image-11673626\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/Death-By-Train-infographic-160x607.png\" alt=\"\" width=\"320\" height=\"1213\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-160x607.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-240x910.png 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-375x1422.png 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-520x1971.png 520w\" sizes=\"(max-width: 320px) 100vw, 320px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Click for a timeline of Caltrain suicides on the Peninsula from 2009-2018 \u003ccite>(Tonya Mosley)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By 2012, volunteers began to peter out, and as Camhy’s children got older, they needed her around more. It also occurred to Camhy that simply having someone sitting along the tracks was an unsustainable solution to a much deeper problem.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\"Today, I was outside and I drove by and I noticed a guard looking at his phone. So it is very difficult to be out there for hour after hour and in all kinds of weather,\" says Camhy. \"And after a while, you sit out there and nothing happens. Time after time and day after day, people begin to lose focus. And so the security guards were somewhat of a mixed bag.\"\u003c/p>\n\u003cp>The city says there is no way to know for certain how much of a deterrent it has been to have people watching the tracks. While train deaths on the Peninsula have gone down, schools and community groups have also invested a lot in suicide prevention and education.\u003c/p>\n\u003ch3>Cameras replace the human eye\u003c/h3>\n\u003cp>For nearly 10 years security guards in Palo Alto have kept close watch of Caltrain crossings. This summer those guards will be replaced by cameras.\u003c/p>\n\u003cp>Over the spring, the city installed surveillance cameras at its four Caltrain stops. The city hired an outside surveillance company for $1.5 million to monitor the tracks 24 hours per day. The biggest advantage, the city believes, is that cameras will be more effective than human guards because they can detect movement at night and “see” up to 1,000 feet in each direction. Humans will monitor from a remote location, and will be able to talk through a speaker to those near or on the train tracks.\u003c/p>\n\u003cp>Palo Alto resident Mike Coffee walks across the tracks on his way to work and waves to the guards each morning.\u003c/p>\n\u003cp>\"You could get into all sorts things like, how tech is always looking for some facile solution for a complex problem, and I suppose it’s better than nothing,\" said Coffee. \"It definitely feels like it’s treating the symptom rather than the disease.\"\u003c/p>\n\u003cp>But as Camhy has learned, suicide is a complex phenomenon. She realized this all those years ago when she decided to place a lawn chair at the railroad tracks and watch.\u003c/p>\n\u003cp>\"A lot of these things are just hope. We try, and we hope it works, and then we see where it works. We'll see where it doesn't work. We try and we hope again. That is really the nature of this whole process,\" says Camhy. \"And I think that this switch to the electronic surveillance is definitely part of it.\"\u003c/p>\n\u003cp>The switch to electronic surveillance, she believes, is the next evolution as the Palo Alto community continues to work to understand the complexities of suicide.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The cameras will replace the human guards at the start of the new school year, in late summer.\u003c/p>\n\n","blocks":[],"excerpt":"For nearly 10 years, security guards in Palo Alto have kept close watch at Caltrain crossings. This summer, they'll be replaced by cameras.","status":"publish","parent":0,"modified":1529797004,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":18,"wordCount":787},"headData":{"title":"Suicide by Train: Will Technology Offer a Solution? | KQED","description":"For nearly 10 years, security guards in Palo Alto have kept close watch at Caltrain crossings. This summer, they'll be replaced by cameras.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"NewsArticle","headline":"Suicide by Train: Will Technology Offer a Solution?","datePublished":"2018-06-19T13:00:29.000Z","dateModified":"2018-06-23T23:36:44.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png","isAccessibleForFree":"Y","publisher":{"@type":"NewsMediaOrganization","@id":"https://www.kqed.org/#organization","name":"KQED","url":"https://www.kqed.org","logo":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}}},"disqusIdentifier":"11673252 https://ww2.kqed.org/news/?p=11673252","disqusUrl":"https://ww2.kqed.org/news/2018/06/19/suicide-by-train-will-technology-offer-a-solution/","disqusTitle":"Suicide by Train: Will Technology Offer a Solution?","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/06/MosleyPACaltrainCameras.mp3","path":"/news/11673252/suicide-by-train-will-technology-offer-a-solution","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Caroline Camhy didn’t have a plan the night she decided to grab a lawn chair and sit along the Caltrain tracks near her home. It was Oct. 20, 2009, and all she knew was that teenagers were killing themselves, and she had to do something.\u003c/p>\n\u003cp>\"At that point I had a son coming into third grade and a son coming into fifth grade, and I started to think of what was going to happen,\" says Camhy, at her home office in Palo Alto. \"What was I doing? Why was I here? What was I doing here? And how could I continue to live here when, just down the street, students of our local high school and middle school were taking their lives?\"\u003c/p>\n\u003cp>It didn’t take long for other moms and dads to join Camhy. They'd sit in the dead of night, watching the trains barrel down the tracks. \"It's very loud. And it's very bright and it comes very fast and it takes a long time being out there to get used to the speed at which it comes,\" says Camhy.\u003c/p>\n\u003cp>It was hard to see beyond a few feet. The light was almost blinding.\u003cbr>\nBut maybe, Camhy thought, their presence would be a deterrent. Maybe what’s really needed, she thought, is for someone to sit in a chair outside, when it's cold, and \"just be there.\"\u003c/p>\n\u003cp>At the height of the TrackWatch program, 150 volunteers in rotating shifts kept watch over the tracks. Camhy did it for three years, even after the city added paid security guards. And the number of suicides at Palo Alto’s four train stops went down.\u003c/p>\n\u003cfigure id=\"attachment_11673626\" class=\"wp-caption alignright\" style=\"max-width: 320px\">\u003ca href=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/Death-By-Train-infographic.png\">\u003cimg class=\"wp-image-11673626\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2018/06/Death-By-Train-infographic-160x607.png\" alt=\"\" width=\"320\" height=\"1213\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-160x607.png 160w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic.png 800w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-240x910.png 240w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-375x1422.png 375w, https://ww2.kqed.org/app/uploads/sites/10/2018/06/Death-By-Train-infographic-520x1971.png 520w\" sizes=\"(max-width: 320px) 100vw, 320px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Click for a timeline of Caltrain suicides on the Peninsula from 2009-2018 \u003ccite>(Tonya Mosley)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>By 2012, volunteers began to peter out, and as Camhy’s children got older, they needed her around more. It also occurred to Camhy that simply having someone sitting along the tracks was an unsustainable solution to a much deeper problem.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\"Today, I was outside and I drove by and I noticed a guard looking at his phone. So it is very difficult to be out there for hour after hour and in all kinds of weather,\" says Camhy. \"And after a while, you sit out there and nothing happens. Time after time and day after day, people begin to lose focus. And so the security guards were somewhat of a mixed bag.\"\u003c/p>\n\u003cp>The city says there is no way to know for certain how much of a deterrent it has been to have people watching the tracks. While train deaths on the Peninsula have gone down, schools and community groups have also invested a lot in suicide prevention and education.\u003c/p>\n\u003ch3>Cameras replace the human eye\u003c/h3>\n\u003cp>For nearly 10 years security guards in Palo Alto have kept close watch of Caltrain crossings. This summer those guards will be replaced by cameras.\u003c/p>\n\u003cp>Over the spring, the city installed surveillance cameras at its four Caltrain stops. The city hired an outside surveillance company for $1.5 million to monitor the tracks 24 hours per day. The biggest advantage, the city believes, is that cameras will be more effective than human guards because they can detect movement at night and “see” up to 1,000 feet in each direction. Humans will monitor from a remote location, and will be able to talk through a speaker to those near or on the train tracks.\u003c/p>\n\u003cp>Palo Alto resident Mike Coffee walks across the tracks on his way to work and waves to the guards each morning.\u003c/p>\n\u003cp>\"You could get into all sorts things like, how tech is always looking for some facile solution for a complex problem, and I suppose it’s better than nothing,\" said Coffee. \"It definitely feels like it’s treating the symptom rather than the disease.\"\u003c/p>\n\u003cp>But as Camhy has learned, suicide is a complex phenomenon. She realized this all those years ago when she decided to place a lawn chair at the railroad tracks and watch.\u003c/p>\n\u003cp>\"A lot of these things are just hope. We try, and we hope it works, and then we see where it works. We'll see where it doesn't work. We try and we hope again. That is really the nature of this whole process,\" says Camhy. \"And I think that this switch to the electronic surveillance is definitely part of it.\"\u003c/p>\n\u003cp>The switch to electronic surveillance, she believes, is the next evolution as the Palo Alto community continues to work to understand the complexities of suicide.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>The cameras will replace the human guards at the start of the new school year, in late summer.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11673252/suicide-by-train-will-technology-offer-a-solution","authors":["11373"],"categories":["news_457","news_8","news_248"],"tags":["news_510","news_803","news_23374","news_2883","news_23369","news_23379"],"featImg":"news_11673255","label":"news"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/On-Our-Watch-Podcast-Tile-703x703-1.jpg","imageAlt":"On Our Watch from NPR and KQED","officialWebsiteLink":"/podcasts/onourwatch","meta":{"site":"news","source":"kqed","order":"1"},"link":"/podcasts/onourwatch","subscribe":{"apple":"https://podcasts.apple.com/podcast/id1567098962","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5ucHIub3JnLzUxMDM2MC9wb2RjYXN0LnhtbD9zYz1nb29nbGVwb2RjYXN0cw","npr":"https://rpb3r.app.goo.gl/onourwatch","spotify":"https://open.spotify.com/show/0OLWoyizopu6tY1XiuX70x","tuneIn":"https://tunein.com/radio/On-Our-Watch-p1436229/","stitcher":"https://www.stitcher.com/show/on-our-watch","rss":"https://feeds.npr.org/510360/podcast.xml"}},"on-the-media":{"id":"on-the-media","title":"On The Media","info":"Our weekly podcast explores how the media 'sausage' is made, casts an incisive eye on fluctuations in the marketplace of ideas, and examines threats to the freedom of information and expression in America and abroad. 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