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Categories Insights, Mental Health, Suicide Prevention Tags American Association of Suicidology, Behavioral Health, Health, Mental Health, National Alliance on Mental Illness (NAMI), Special Populations, Thought Leadership, Youth

Black Youth and Suicide

Suicide rates among black youth have never been higher than they are now. A 2016 CNN report indicates that the suicide rate among young black boys, ages 5 to 11, has nearly doubled within the past two decades. The increase was large enough to raise the “deaths due to suicide” rate among all black children from 1.36 to 2.54 per million. Hanging and suffocation are the most common suicide methods in black boys, accounting for 78% of all suicide deaths. Shooting is the second most common method of suicide and accounts for more than 17% of the cases.

Causes of the increase remain unknown, but the National Alliance on Mental Illness (NAMI) reports that black youth are more likely to be exposed to violence and trauma than other children, and those stressors have been linked to suicidal behavior. Black youth are also less likely to receive services for mental health issues, such as depression and suicidal tendencies, than other youth. NAMI also reports that the shame and stigma associated with mental health issues within the black community may be a reason for the lack of treatment.

Undoing the stigmatization of mental health care is an ongoing challenge in the black community. Addressing mental health stigma and ensuring appropriate, proper care for black boys who are suicidal or exhibiting warning signs is crucial in the reduction of suicide rates. Some health care professionals have begun to reframe conversations about mental health to remove clinical labels and contour conversations to reflect positive themes within communities of color. Jessmina Archbold, a social worker and mental health advocate in New York, suggests that it is imperative to educate white mental health care professionals about how to engage communities of color. She has coined her reframed approach as a “strength-building process” as opposed to treating an “illness.”

Adults who deal with children, including parents and teachers, must be trained to recognize the warning signs of suicide and know how to intervene properly. All threats and talk of suicide by children and youth should be taken seriously.

According to the American Association of Suicidology, the following behaviors or symptoms may signal a suicidal crisis in a young person:

  • Feelings of hopelessness
  • Anxiety, agitation, trouble sleeping or sleeping all of the time
  • Expressions of having no reason for living or no sense of purpose in life
  • Feelings of being trapped, like there’s no way out
  • Increased alcohol and/or drug use
  • Withdrawal from friends, family and community
  • Rage, uncontrolled anger, expressions of wanting or seeking revenge
  • Reckless behavior or more risky activities, seemingly without thinking
  • Dramatic mood changes
  • Giving away prized possessions

More research is needed to explain the factors involved in the increased rates of suicide among young black boys. Adults are encouraged to talk to young children about mental health, emotions, and suicide. Research has dispelled the idea that asking children directly about suicide will trigger suicidal thinking or behavior.

Categories Mental Health, News Tags Administration for Community Living (ACL), Behavioral Health, Conference Services, Contracts, Justice, Special Populations, U.S. Department of Health and Human Services (HHS)

Elder Justice Act of 2009 : Bizzell Supporting HHS Initiative

The Bizzell Group (Bizzell) is proud of its continued success with the U.S. Department of Health and Human
Services (HHS) on Administration for Community Living (ACL).

ACL was created in 2012 with the goal of maximizing the independence, well-being and health of older
adults, elders with disabilities and their families and/or caregivers by increasing access to community
supports, while focusing attention and recourses on the unique needs of older Americans and people
with disabilities.

As part of the Affordable Care Act, the Elder Justice Act of 2009 was established to preserve the rights of
older individuals and those who may not be able to protect themselves. It aims to assist in the
protection of these individuals from elder abuse, neglect and exploitation. The Administration on Aging
(AoA) has been leading efforts in protecting elders from financial exploitation (which is the leading form
of elder abuse), physical abuse, neglect, psychological abuse and sexual abuse.
Bizzell is assisting in these efforts by providing logistical support to Elder Justice Coordinating Council
Meetings. The firm provides support on pre-planning and executing all logistical requirements and
functions that are required to make this initiative a success.

“Bizzell excels in achieving and submitting their deliverables. The quality of the work has been accurate
and flawless. They are reliable, consistent and timely. Task are always submitted according to schedule.”
– Aisha Gurley, Aging Specialist for ACA.

Elders who have fallen victim to abuse have a much higher mortality rate within the next three years of
life than those who have not been victims of mistreatment. With more-than 1 in 10 people, roughly 5
million per year, ages 60 and up being a victim of elder abuse, Bizzell is proud to be a part of
an initiative to battle this exploitation. The firm looks forward to the continued success of helping our
elders and assisting HHS on Elder Justice.

Categories Insights, Mental Health, Suicide Prevention Tags Behavioral Health, Communications & Outreach, Department of Defense (DoD), Department of Veteran Affairs (VA), Health, Mental Health, Military, Special Populations, Suicide Prevention, Thought Leadership

Bizzell Group: Addressing Suicide Prevention

The Bizzell Group (Bizzell) continues to demonstrate a strong commitment to advancing and assisting in substantive public discourse around suicide and suicide prevention. Through various contracts, Bizzell works with organizations, Federal clients, non-profits and partners to make an impact with the hope of reducing suicide rates across the country. Some of Bizzell’s work in the area of suicide prevention includes: American Indian and Alaskan Native suicide, military suicide and Arctic region suicide.

The American Indian/Alaskan Native communities have strikingly higher rates of suicides than the overall population in the U.S. The Indian Health Service identifies suicides as the second leading cause of death among AI/AN youth (5 and 24 years old). These AI/AN adolescents are also at greater risk for suicide contagion and suicide clusters, which can be particularly devastating for the often close-knit and rural AI/AN communities. Bizzell examined the research on suicide clusters and contagion in general and within AI/AN communities.

In addition to researching rates of suicide among American Indian/Alaskan Native populations, Bizzell has supported suicide prevention efforts among Veteran and Service member populations. According to a recent study by the Department of Veterans Affairs, roughly 20 veterans a day nationwide commit suicide. Researchers concluded that veterans are at a 21 percent higher risk for suicide than civilian populations. In 2014, the latest year available, more than 7,400 veterans took their own lives, accounting for 18 percent of all suicides in America. Veterans make up less than 9 percent of the U.S. population. Military suicide also has a significant impact on the family members left behind. The University of Southern California found “that military connected adolescents have a higher rate of suicidal thoughts than their civilian counterparts, and other studies indicate that military spouses— particularly those serving as caregivers to support their wounded veterans—are more at risk to suffer mental health problems.” The untold costs of military service on family members is difficult to measure. The National Military Family Association, a nonprofit that serves a quarter of a million military relatives, reported “hearing about an increasing number of stories about family members killing themselves.”

Bizzell recognizes that high suicide rates are not limited to American Indian/Alaskan Native populations or military communities; suicide rates in the Arctic are among the highest in the world. Historically, indigenous people in circumpolar regions had very low rates of death by suicide. However, there is currently no other region that suicide has had such a strong impact and social burden on than in indigenous populations—specifically those in circumpolar regions. The World Health Organization (WHO) estimates that suicide accounts for roughly 800,000 deaths per year worldwide—although rates differ within countries according to geography,gender, ethnicity and cultural variables. Greenland and the arctic regions of the United States, Canada and Russia have considerably higher suicide rates than the non-Arctic Regions, and where data is available by ethnicity (Alaska, Canada and Russia), the increased risk of suicide in indigenous communities is evident. Bizzell is assisting RISING SUN, an initiative under the U.S. chairmanship of the Arctic Council that is designated to identify a toolkit of common outcomes to be used in evaluating suicide prevention efforts to assess the key correlates associated with suicide prevention intervention across Arctic states. The goal is to generate shared knowledge that will aid health workers in better serving circumpolar communities, and help policymakers measure progress, evaluate interventions, and identify regional and cultural challenges to implementation.

Categories Mental Health, News Tags Behavioral Health, Cardiovascular Disease, Communications & Outreach, Diabetes, Health, Health Resources and Services Administration (HRSA), Mental Health, Office of Women's Health (OWH), Thought Leadership, U.S. Department of Health and Human Services (HHS)

Bizzell Develops Medscape Article on the Interactions Between Dementia, Diabetes and Cardiovascular Disease

The Bizzell Group (Bizzell) has recently developed an article, published on Medscape, which explores the interactions between dementia, diabetes, and cardiovascular disease.  The article, Bidirectional Impact of Alzheimer’s Disease and Common Comorbid Conditions, is available as an online CME activity and was developed under a contract with the U.S. Department of Health and Human Services (HHS), Health Resources and Services Administration (HRSA) in collaboration with the HHS, Office of Women’s Health.

It is intended for primary care providers, neurologists, psychiatrists, geriatricians, and other health care team members and addresses the complexities of treating patients with Alzheimer’s disease and common coexisting conditions, specifically cardiovascular disease (CVD) and diabetes (T2D).

These comorbidities can impact the severity and progression of the disease and require individualized, patient-centered approaches and thoughtful medical reasoning. The module discusses common challenges and considerations in the identification, diagnosis, and treatment of patients with Alzheimer’s disease and T2D or CVD.  Useful diagnostic tools, guidelines, and patient resources are provided.

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