Agenda

10:00-10:10 - Welcome

1. Establish overarching message of training: safety, not anti-gun, nor anti-medication
2. Purpose of community training
3. Importance of language

10:10-10:40 - Why Means Matters

1. Examples of strategies that have decreased suicide rates
2. Research related to ‘thought to action’ time frame
3. Statistics of frequency and lethality of suicide methods
4. State to state data
5. Suicide risk and gun ownership
6. Special population risks: include overview of agricultural risk factors
7. Video: PSA gun friendly messaging

10:40-11:05 - Applying the 1,2,3,4 Method to Suicide and Lethal Means Conversations

1. Step 1: Recognizing warning signs
   1. Behavioral clues
   2. Verbal clues
   3. Situational clues/risks
   4. Case study with Mike/Barbara-Agriculture scenario/ clues and protective factors, learner participation
2. Step 2: Building a connection
   1.Asking the questions
   2.Responding to yes or no
   3.Engaging in the lethal means conversation with a focus on safety
3. Step 3: Connecting to support
   1. Crafting conversation that bridges to help seeking
   2. Community referrals and resources
   3. Case study continuation: applying options for help
4. Step 4: Increasing safety
   1. Hierarchy of best strategies: Time and distance with firearms
   2. Video by certified firearm instructor showing storage options

11:05-11:15 - Audience participation with additional suggestions

1. Strategies: Time and distance with medications and other methods
2. Summary of steps
3. Video that concludes the Case study story with Mike’s dad

11:15-11:25 - Resources

1. Organizations: SPRC, Harvard “Why Means Matters”, AFSP
2. Suicide crisis lines available and what they offer
3. Handouts provided

11:25-11:35 - Break

11:35-12:15 - Clinical scenario role-play video presentation

1. Clinician interacting with an adult
2. Clinician interacting with minor and guardian
3. Discussion

12:15-12:25 - Break

12:25-12:50 - Role-play in pairs

12:50-1:40 - Case Studies (4 scenarios that range from lethal means discussions and safety regarding firearms, medications, culture, adult and youth)

1:40-1:50 - Q&A