PURPOSE OF THIS RESOURCE KIT
This resource kit was created with community organizations in mind. At times, you will have people come into your organization that have a mental health concern. You may sense this by something they say or by how they are acting. This kit is to help equip you with resources that you can use to connect them to the help they need. The last document in this kit is a guide for learning more about mental health and how to help people with mental health struggles. We encourage you to take one of these courses.
TALKING ABOUT:
Wanting to die
Great guilt or shame
Being a burden to others
FEELING:
Empty, hopeless, trapped, or having no reason to live
Extremely sad, more anxious, agitated, or full of rage
Unbearable emotional or physical pain
CHANGING BEHAVIOR, SUCH AS:
Making a plan or researching ways to die
Withdrawing from friends, saying goodbye, giving away important items, or making a will
Taking dangerous risks such as driving extremely fast
Displaying extreme mood swings
Eating or sleeping more or less
Using drugs or alcohol more often
If these warning signs apply to you or someone you know, get help as soon as possible, particularly if the behavior is new or has increased recently.
988 Suicide & Crisis Lifeline Call or text 988 Chat at 988lifeline.org
Crisis Text Line Text “HELLO” to 741741
www.nimh.nih.gov/suicideprevention
5 Facts About 988
The 988 Suicide & Crisis LifelineWORKS. The majority of callers’ needs are resolved over the phone.
separate from the emergency will connect you to a trained crisis counselor.
Lifeline call services are available in Spanish, along with interpretation services in over 150 languages.
Veterans and their families can call 988 and press 1 to access theVeterans Crisis Line.
If you or a loved one is experiencing a mental health crisis: Call, text or chat 988 today for 24/7 free, confidential support.
The original 10-digit n number for the Lifeline (1-800-273-8255) remains available. Calling 988 is simply easier to remember in a crisis.
402-362-2621, 877-337-3573
info@fourcorners.ne.gov
Suicide Prevention
988 Suicide & Crisis Lifeline
English or Spanish
Call or text 988
https://988lifeline.org/
Resources for Mental Wellness
Disaster Hotlines
SAMHSA's National Helpline
English or Spanish (800) 662-4357
https://www.samhsa.gov/findhelp/national-helpline
Four Corners
Local Outreach to Suicide Survivors (LOSS) Team (402) 710-2161
https://nebraskaloss.org/
Veterans Crisis Line
Text 838255, dial 988 then press 1, or chat online at https://www.veteranscrisisline.net/
The Nebraska Family Helpline (888) 866-8660
https://dhhs.ne.gov/Pages/ Nebraska-Family-Helpline.aspx
Answers 4 Families
(8 a.m. – 4 p.m.) (800) 746-8420
https://answers4families.org/
The Nebraska Rural Response Hotline
(8 a.m. – 5 p.m.) (800) 464-0258
https://farmhotline.com/
Mental and Substance Use
Treatment Locator (8 a.m. – 5 p.m.) (800) 662-4357
https://findtreatment.gov/
SAMHSA's Disaster Technical Assistance Center
(8:30 a.m. – 5 p.m.) (800) 308-3515
https://www.samhsa.gov/ dtac
SAMHSA's Disaster Distress Helpline
English or Spanish (800) 985-5990
Text TalkWithUs to 66746 (Text "Hablanos" al 66746)
DisasterDistress.samhsa.gov
Nebraska Youth Suicide Prevention
https://youthsuicideprevention.nebraska. edu/
Boys Town Parent Hotline
(800) 448-3000
https://www.boystown.org/hotlin e/Pages/hotline-parentform.aspx
Your Life Your Voice
(800) 448-3000
Text VOICE to 20121
https://www.yourlifeyourvoice.or g/Pages/home.aspx
Mental Health America Tools for Mental Wellness
https://www.mhanational.org
CDC's Coping with a Disaster or Traumatic Event
https://www.cdc.gov/ mentalhealth/toolsresources/disaster/index. htm
Talk Heart2Heart
https://talkheart2heart.org/
Bryan Mental Health Online Screenings
https://www.bryanhealth.com/s ervices/counseling-mentalhealth/mental-health-onlinescreenings/
Nebraska Network of Care for Behavioral Health
https://portal.networkofcare. org/NebraskaBehavioralHealth
Know before you need it –Check with your employer to learn about any Employee Assistance Programs!
Find more resources here: https://fourcorners.ne.gov/resource-directory/
Families Turn to You for Help
You Can Turn to Us for Resources
If you’re a professional working with children and families, then you’re the person they turn to when they need help. But sometimes you won’t have all the answers or another professional may be better suited to help.
The Nebraska Family Helpline is here for you.
Whether you want to refer someone to the Helpline, find resources you can pass on, or include us in a discussion with someone in crisis, the Nebraska Family Helpline’s trained crisis counselors are available 24/7 to provide support and advice at no cost. You may call anonymously, and your call will be confidential.
Learn more and order free wallet cards, brochures and magnets at NebraskaFamilyHelpline.ne.gov.
Any Problem. Any Time.
What is 988?
988 is the new, easy to remember three-digit dialing code connecting people to the 988 Suicide & Crisis Lifeline (formerly known as the National Suicide Prevention Lifeline), where support from trained crisis counselors is available 24/7 nationwide for anyone experiencing a mental health or substance use crisis or any other emotional distress. The 988 Suicide & Crisis Lifeline, administered by Vibrant Emotional Health and the Substance Abuse and Mental Health Services Administration (SAMHSA), is active across the United States as of July 16, 2022.
THREE WAYS TO ACCESS SUPPORT:
What do I need to know about 988?
• When you call 988, your call gets routed to a local Lifeline network crisis center based on your area code. If the local crisis center is unable to take the call, you’ll be automatically routed to a national backup crisis center.
• Trained crisis counselors help you through the crisis, and if appropriate, connect you with resources in their community.
• Veterans, active military and their families can call 988 and press option 1. This process is the same as it has been in the past for Veterans; however, it’s now simpler with the shortened 988 number.
The pre-existing Lifeline number, 800-273-8255 (TALK), will continue to function indefinitely. If a life-threatening crisis is underway (such as a suicide attempt in progress), call 911.
Numerous studies have shown that most 988 SUICIDE & CRISIS LIFELINE callers feel significantly less depressed, less suicidal, less overwhelmed and more hopeful after speaking to a Lifeline crisis counselor.
More than 98% of Lifeline interactions are resolved without involving 911.
• When you reach out to 988, the Lifeline crisis counselor who responds to you will know your phone number if you call/text, or your IP address if you use chat. Beyond that, they will not know who you are or where you are located. You are not required to provide any personal information to receive support from the 988 Suicide & Crisis Lifeline.
• Currently, text and chat functionality are only available in English. Phone service is available in English and Spanish, with translation services available in 250 additional languages.
• The long-term vision of 988 is to expand access to comprehensive crisis care services, offering people someone to talk to, someone to come to them and somewhere to go, as needed.
• Similar to how the 911 infrastructure developed over many years, the capacity of 988 to deploy mobile mental health crisis teams in the near term will be based on each community’s current crisis care infrastructure.
• Establishment of the 988 number was an important first step, and although much work remains, 988 is already expanding access to services. The Suicide & Crisis Lifeline saw a 45% increase in overall Lifeline volume (calls, texts, chats) in August 2022 compared to August 2021.
How does 988 compare to 911?
• 988 was established to improve access to crisis services in a way that specifically meets our country’s growing needs related suicide and mental health crises.
• 988 provides easy access to the Lifeline, a network of over 200 local, independent and state-funded crisis centers and related resources equipped to help people in emotional distress. This objective is distinct from the public safety purposes of 911, where the focus is on dispatching emergency medical services, fire and police as needed.
network to route calls
de-escalating emotional support via phone, text or chat
, calls to 911 only go to the single public safety answering point in any specified area. There is no backup network or other routing to ensure calls are answered.
Yes, calls to 988 are routed through a central administrator to regional crisis centers and, if needed, a national backup network to ensure calls are answered quickly.
, by providing referrals to local treatment providers, although the capacity of that local system may be limited.
References
• Substance Abuse and Mental Health Services Administration (SAMHSA). (n.d.). 988 Suicide & Crisis Lifeline. https:// www.samhsa.gov/sites/default/files/988factsheet.pdf
• Substance Abuse and Mental Health Services Administration (SAMHSA). (2022, Sept. 2). 988 Frequently Asked Questions. https://www.samhsa.gov/find-help/988/ faqs#about-988
• The National Council for Mental Wellbeing. (2022, July 13). 988 Implementation and Future Priorities. https://www. thenationalcouncilorg/resources/988implementation-and-future-priorities
Mental Health Education Guide
The following trainings/workshops have been reviewed by experts and are recommended for those who want to grow in their abilities to provide mental health support, especially to young people. The following is a suggested sequence for taking the courses. To learn about available classes, email: info@fourcorners.ne.gov
Question
Persuade Refer (QPR)
Conversations on Access to Lethal Means (CALM)
1-1 1/2 hours
Anyone QPR is approved through in-person or online trainings. The education program is designed to teach the warning signs of a suicide crisis and how to respond.
https://qprinstitute.com/
1 - 2 hours
Mental Health First Aid (MHFA), Youth and Adult
Wellness Recovery Action Plan (WRAP)
Applied Suicide Intervention Skills Training (ASIST)
8 hours
Anyone CALM is a practical intervention to increase the time and distance between individuals at risk of suicide and the most common and lethal methods of suicide, particularly firearms. CALM teaches why means matter and equips individuals with tools to intervene effectively with those at risk for suicide before a crisis hits, as well as in times of crisis. https://www.calmamerica.org/
Anyone who works with youth
8 hours
2 full days
One day training through in-person or blended model. Focus on understanding and responding to mental health challenges including suicidal ideation among children and adolescents ages 12-18. (For the Youth Course)
https://www.mentalhealthfirstaid.org/
Anyone Guides participants through the process of identifying and understanding their personal wellness resources (“wellness tools”) and then helps them develop an individualized plan to use these resources on a daily basis to manage their mental wellbeing. https://www.wellnessrecoveryactionplan.com/
Anyone who works with people at risk
Intensive 2 day, in-person interactive, and practicedominated course. Designed to help recognize and review risk, and intervene to prevent the immediate risk of suicide. https://livingworks.net/training/livingworksasist/
Evidencebased suicide prevention training. No cost to participants.
EvidenceInformed No cost to participants.
Four Corners Health Department, Region 5 Systems, Education Service Unit Certificate provided.
Veterans Association, AgriSafe Certificate provided.
Evidencebased suicide prevention training. May be a training fee.
EvidenceBased suicide prevention training
Possibly a fee for materials
Four Corners Health Department, Region 5 Systems Certificate provided. Good for 3 years.
Four Corners Health Department, Region 5 Systems Certificate provided.
EvidenceBased suicide prevention training A fee may be charged for trainers and materials.
Individual trainers throughout the state Certificate provided.
Provided by the Four Corners Youth Mental Health Steering Committee and key partners. Learn more here:
https://fourcorners.ne.gov/resources-for-mental-wellness/
Additional sites for mental health education:
• Suicide Prevention Resource Center Best Practices Registry: https://bpr.sprc.org/advanced-search/
• American Foundation for Suicide Prevention Community Programs: https://afsp.org/community-programs/
• Nebraska Department of Education – Suicide Awareness/Prevention Approved Training for School Personnel: https://www.education.ne.gov/wp-content/uploads/2024/02/nde-suicide-pre_61781356-1.pdf
Four Corners Youth Mental Health Steering Committee and key partners, such as:
Mission Statement: The Four Corners Youth Mental Health Coalition Steering Committee, representing our community and invested in the mental health of youth, strives to prevent suicide and promote mental health of our youth through advocacy for increased services and resources, connections with the health care, education, religious, and mental health fields, and accountability for meeting the youth mental health needs of our community
Learn more here: https://fourcorners.ne.gov/resources-for-mental-wellness/
