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Recent Apparent Suicides Highlight Need for Post-Violence Recovery Plans

Three apparent suicides that occurred in late March reaffirmed the need for post-incident plans that address long-term trauma in the aftermath of workplace violence and mass shootings.

All three decedents had either survived a school shooting or had been related to a victim. Two youths who survived the Marjory Stoneman Douglas High School shooting in Parkland, Florida died by apparent suicide just 13 months after a former student killed 17 and injured several more. Shortly after, it was reported that the father of a child killed in the 2012 Sandy Hook Massacre–in which a gunman killed 26 children and adults in a Connecticut elementary school–allegedly died by suicide.

As of March 31, 2019, the Gun Violence Archive confirmed 68 mass shootings for the year, and with statistics sure to rise, companies and institutions should be mindful of the delayed effects of workplace violence. Risk Management Monitor previously reported the number of suicides in the United States has risen in nearly every state between 1999 and 2016. Employers may use these tragedies to reconsider their own prevention and awareness efforts, and ways they can productively contribute to the dialogue and keep their workers safe.

Paul Marshall, managing director of Active Shooter and Workplace Violence at McGowan Program Administrators said post-incident trauma counseling is critical when it comes to preventing or reducing long-term effects.

“The trauma counseling for the mental anguish needs to be aggressively pushed, almost like the way post-traumatic stress disorder is for first responders,” Marshall said.

Counseling for physical and non-physical injury survivors and witnesses is something that could be missed when drafting a premises or employer liability policies, he said. In fact, Risk Management magazine reported that companies may not be aware of potential gaps in their coverage or that the limits of their coverage, when considering active shooter incidents, are insufficient.

Marshall said that instead of a duty to defend when it comes to a commercial general liability policy, insurers can address long-term trauma with a duty of care clause. This, he said, demonstrates an employer’s willingness to help victims from the outset.

“There’s a typically a year limit on these policies – in the insurance industry you need to apply some sort of time limit,” Marshall said. “But it’s still a year longer than you’d otherwise get. And there has been a huge uptick in these policies from a year ago.”

#BeThe1To is the National Suicide Prevention Lifeline’s campaign to empower people to help those in crisis.

How Employers Can Help

Addressing post-incident trauma in an insurance policy is important, but equally paramount is the need to ensure that employers make training available for affected employees – regardless of where the incident occurred. Regina Phelps, president of Emergency Management & Safety Solutions, said that post-incident crisis management protocols should be added to workplace violence preparedness plans. Therapy and grief counseling are critical details of those protocols.

“Always give co-workers the option of attending any funeral or memorial service for the victims,” Phelps said. “Be aware of employees’ feelings of guilt – some might feel that they could have done something to stop the suicide or perhaps the victim told them of their plans, and they dismissed the comments. Incidents like that will make co-workers feel like it is their fault. Engage your employee assistance program [EAP] to provide education and training about the suicide threat and the complexities of the situation. If appropriate, support employees who start a tribute or fund to support the worker’s family.”

Phelps said that regular post-incident training can be just as crucial as prevention.

“It is essential to conduct regular exercises with the individuals responsible for the plan and its implementation. This could include the organization’s crisis management team as well as key departments such as human resources, security, facilities and communications,” Phelps said. “Plans are written in a vacuum. During most incidents, plans are not pulled out and people instead operate on muscle memory.  Exercises are the best way to ensure that the muscle memory will be helpful.”

Finally, Phelps stressed that employers communicate that their EAPs are typically available to employees’ families as well.

“Providing mental health services to employees and their families is essential,” she said. “The incident will affect not only the employee but their families. Ensure that counseling services are very convenient – offering an option at work, off-site as well as virtually is essential to make sure that employees get the help that they need. It is also critical to provide these same services to their immediate family.”

For more about active shooter preparedness, RIMS members can access a new professional report, “Active Shooter Preparedness and Your Organization.” To download the report, visit RIMS Risk Knowledge library at www.RIMS.org/RiskKnowledge.

If you or someone you know might be at risk of suicide, here’s how to get help: In the United States, call the National Suicide Prevention Lifeline at 1-800-273-8255. The International Association for Suicide Prevention and Befrienders Worldwide also can provide contact information for crisis centers around the world.

High Suicide Risk for British Veterinarians

Of all the high-stress careers you could think of, being a veterinarian usually doesn’t spring to mind. But a new paper has revealed that veterinarians in Britain are four times as likely as the general public to commit suicide. According to the paper’s author Dr. David Bartram of the University of Southampton’s School of Medicine this means that veterinarians have the highest suicide rate of any other occupational group.

While the reasons for the increased suicide rate remain unclear, Dr. Bartram put forth a number of explanations.

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• The stress begins while they’re still in training. Typically, entrance to veterinary schools is limited to high achievers, whose personality traits may include neurosis, conscientiousness and perfectionism, all risk factors for suicidal behaviors.

• Their working environment can be stressful, marked by long hours, high psychological demands, low levels of support from managers and high expectations from clients. Many work in solo practices, which can leave them professionally and socially isolated and therefore more vulnerable to depression and suicide.

• Ready access to lethal means and knowledge of how to apply them can also put them at risk. Veterinary clinics typically store lethal drugs, such as barbiturates, on premises. Thoughts of suicide, which are often impulsive, can be acted on immediately. At least half of the male veterinarians who committed suicide between 1982 and 1996 in England and Wales used barbiturates, the report said, with deliberate poisoning accounting for 80 to 90 percent of veterinarians’ suicides.

• Veterinarians may consider euthanasia to be a way of alleviating suffering and may therefore come to look upon it as a positive solution to their own difficulties.

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• “Suicide contagion” caused by direct or indirect exposure to suicides among colleagues may leave veterinarians more vulnerable to killing themselves.

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Although research on suicide rates by profession in the United States has been termed confusing and inconclusive (for instance, some say the highest rates can be found among physicians while others say dentists), similar results among veterinarians have been found in other countries. Bartram says the findings indicate a need for more studies into the actual risk factors at play and the development of programs to mitigate the problem. This information would likely be useful for other occupational groups with high suicide risk.