b'Warning Signs of SuicideWhile risk factors are qualities of a person that may increase their likelihood to die by suicide, warning signs are both internal and external changes in a person that indicate a suicide attempt may be imminent.Warning signs that someone may be at immediate risk forBest Practices forattempting suicide include: Fire Service Behavioral Talking about wanting to die or wanting to kill themselves Health Programs Talking about feeling empty or hopeless or having noreason to live To protect and promote the emotional health and wellness of fire service members, Talking about feeling trapped or feeling that there are no solutions behavioral health programming must Feeling unbearable emotional or physical pain be incorporated into the fabric of the Talking about being a burden to others department. A comprehensive behavioral Withdrawing from family and friends health program should include the following components: Giving away important possessionsSaying goodbye to friends and family lBehavioral health educationPutting affairs in order, such as making a will lDepartment-wide resiliency trainingTaking great risks that could lead to death, such as drivinglPeer support program extremely fast lPeriodic behavioral health screeningTalking or thinking about death often lComprehensive health insurance coverage(includes behavioral health coverage)Other serious warning signs that someone may be at risk lPost-traumatic exposure responsefor attempting suicide include:Displaying extreme mood swings, suddenly changing lChaplaincy program from very sad to very calm or happy lPartnerships with (vetted) mental healthMaking a plan or looking for ways to kill themselves, providers such as searching for lethal methods online, stockpiling pills lPhysical fitness programor buying a gun lRetiree outreach and inclusionTalking about feeling great guilt or shame lFamily outreach and inclusionUsing alcohol or drugs more oftenActing anxious or agitatedChanging eating or sleeping habitsShowing rage or talking about seeking revengeThe six components of a safety plan are: dentifying warning signs: thoughts, emotions andSafety Planning for Suicide Prevention ISafety planning is an evidence-based intervention that acts anbehaviors that signal a crisis is startingemergency plan, or standard operating guide (SOG), to avert aIdentifying solo activities: things the person can dosuicidal crisis and prevent a person from acting on their suicidalindependently to distract themselves thoughts or urges. A safety plan helps keep a person physicallyIdentifying social distractions: people and places to safe from their suicidal urges by creating time and spacedistract the person from suicidal thoughtsbetween the individual in distress and their suicidal action. SafetyIdentifying supportive family, friends, peers: people oneplanning is designed as intervention for mental health clinicians, but peer supporters also can be trained to complete a safety plancan ask for help to get through a crisisIdentifying professionals to contact: emergency lines and with another member in distress.A safety plan can be completed with a fire fighter who hasprofessionals one can call for helpmade a suicide attempt, reported thinking about suicide or whoMaking the environment safe: reducing access to otherwise may be at risk of suicide. Through this process, the firelethal meansfighter will learn how to recognize when they are experiencing aIAFF-trained peers can access the online trainingsuicidal crisis and will develop a prioritized set of coping skills toSafety Planning Intervention for Suicide Prevention by visiting keep themselves safe during the suicidal urge. their IAFF profile and clicking on the Advanced Training tab.39'