You're previewing a DRAFT of this episode! Edit Episode

Enlighten Me

Warning: This episode contains references to self-harm, suicide, and suicidal ideation.  

How can you tell if a person is experiencing suicidal thoughts? What are the appropriate actions to take when someone is at risk for self-harm? In this episode of Enlighten Me, Megan Rogers, Ph.D., discusses her award-winning research involving the signs of suicidal ideation, intervention methods, and available resources.  

Creators and Guests

JT
Host
Jeremy Thomas
GK
Producer
Giselle Kowalski
JM
Producer
Joshua David Matthews

What is Enlighten Me?

Education is more than the accumulation of knowledge. It’s the growth we experience when digging deep into the topics, systems, and ways of thinking that give flavor to life. Enlighten Me is dedicated to bringing listeners into the world of the unknown and providing meaningful insights into issues that affect us all. In each episode, we bring in researchers and experts from a wide range of fields to discuss a topic and how it relates to their industry.

Part of the TXST Podcast Network: https://www.txst.edu/podcast-network.html

00:00:00:02 - 00:00:01:05
- Hi, everyone.

00:00:01:05 - 00:00:04:20
This episode mentions suicide
and themes related to suicide.

00:00:04:20 - 00:00:06:08
View at your own discretion.

00:00:06:08 - 00:00:09:00
(curious music)

00:00:12:18 - 00:00:14:08
Hi, I'm Jeremy Thomas,

00:00:14:08 - 00:00:16:22
and this is another
episode of "Enlighten Me."

00:00:16:22 - 00:00:19:00
Joining me today is Dr. Megan Rogers.

00:00:19:00 - 00:00:20:21
Megan, thank you so much
for joining us today.

00:00:20:21 - 00:00:22:20
Would you start off with
just a brief introduction?

00:00:22:20 - 00:00:24:17
Tell us a little bit about your backstory

00:00:24:17 - 00:00:26:17
and what brought you here to Texas State.

00:00:26:17 - 00:00:28:03
- Yeah, absolutely, and thank you so much

00:00:28:03 - 00:00:29:16
for having me here today.

00:00:29:16 - 00:00:31:05
So again, my name is Megan Rogers.

00:00:31:05 - 00:00:33:07
I am a clinical psychologist by training.

00:00:33:07 - 00:00:35:04
I am currently an assistant professor

00:00:35:04 - 00:00:38:00
in the Department of
Psychology here at Texas State.

00:00:38:00 - 00:00:39:23
To give a little bit of
information about my background,

00:00:39:23 - 00:00:42:23
I completed my bachelor's
at NC State University

00:00:42:23 - 00:00:44:13
up in Raleigh, North Carolina.

00:00:44:13 - 00:00:46:14
I then went down to Florida State

00:00:46:14 - 00:00:49:05
to complete my Ph.D.
in clinical psychology.

00:00:49:05 - 00:00:50:17
I went up to Rhode Island

00:00:50:17 - 00:00:52:14
to complete my clinical internship year,

00:00:52:14 - 00:00:55:07
which is essentially that
last, very applied component

00:00:55:07 - 00:00:57:06
of the clinical psychology Ph.D.

00:00:57:06 - 00:00:59:08
And then I did a postdoctoral fellowship

00:00:59:08 - 00:01:01:05
at Mount Sinai Hospital in New York City

00:01:01:05 - 00:01:02:09
before moving down here

00:01:02:09 - 00:01:04:20
to start my faculty
position at Texas State.

00:01:04:20 - 00:01:06:13
- Now, is there something
specific that brought you

00:01:06:13 - 00:01:07:20
to Texas or to Texas State University,

00:01:07:20 - 00:01:10:05
and how long have you
been at the university?

00:01:10:05 - 00:01:13:04
- Yeah, so I've been here at
Texas State for four years.

00:01:13:04 - 00:01:14:03
I'm in my fourth year.

00:01:14:03 - 00:01:17:05
I started in the fall of 2022
as an assistant professor

00:01:17:05 - 00:01:19:00
in the Department of Psychology.

00:01:19:00 - 00:01:20:05
And there were a few things

00:01:20:05 - 00:01:21:22
that brought me here specifically.

00:01:21:22 - 00:01:25:02
One is just the department environment

00:01:25:02 - 00:01:26:19
in the Department of
Psychology at Texas State.

00:01:26:19 - 00:01:30:14
It's a very supportive,
collegial, hardworking department,

00:01:30:14 - 00:01:32:13
and that environment just can't be beat

00:01:32:13 - 00:01:34:03
when you're trying to launch your program,

00:01:34:03 - 00:01:36:04
starting as a new faculty member,

00:01:36:04 - 00:01:37:13
and just trying to learn all the ropes

00:01:37:13 - 00:01:39:10
of all of the new hats
that you have to wear.

00:01:39:10 - 00:01:41:04
I'm wearing a lot of hats now.

00:01:42:05 - 00:01:44:12
So that was something that
was really important to me.

00:01:44:12 - 00:01:46:23
Another thing that was
really notable to me

00:01:46:23 - 00:01:49:02
about Texas State was the opportunity

00:01:49:02 - 00:01:52:19
to engage in partnerships
across the university.

00:01:52:19 - 00:01:54:17
So I have been a faculty fellow

00:01:54:17 - 00:01:56:09
with the Translational
Health Research Center

00:01:56:09 - 00:01:58:03
for the past two years.

00:01:58:03 - 00:01:59:12
I actually reached out

00:01:59:12 - 00:02:02:22
when I was interviewing for
the job here and asked to speak

00:02:02:22 - 00:02:05:12
with the director,
Melinda, of the program,

00:02:05:12 - 00:02:08:11
and she just really sold me
on the different opportunities

00:02:08:11 - 00:02:10:15
and networking, community partnerships.

00:02:10:15 - 00:02:12:12
And it's been a real pleasure
to work with them as well.

00:02:12:12 - 00:02:14:04
- I know you've done a lot of research

00:02:14:04 - 00:02:15:10
over your years so far,

00:02:15:10 - 00:02:18:09
but what is your research
primarily focused on nowadays,

00:02:18:09 - 00:02:20:03
your most recent research efforts?

00:02:20:03 - 00:02:22:21
- Yeah, I would say my
research is broadly focused

00:02:22:21 - 00:02:25:16
on the topic of suicidal
thoughts and behaviors,

00:02:25:16 - 00:02:28:07
with, you know, a focus on
just better understanding,

00:02:28:07 - 00:02:31:04
assessing, and preventing
death by suicide.

00:02:31:04 - 00:02:33:19
So my work is really
guided by two questions.

00:02:33:19 - 00:02:36:03
So first, what contributes
to the development

00:02:36:03 - 00:02:38:10
and maintenance of suicidal thoughts?

00:02:38:10 - 00:02:40:09
Who is most at risk for suicide?

00:02:40:09 - 00:02:42:10
And then lastly, a key question

00:02:42:10 - 00:02:44:08
that I've been really
focusing in on lately is,

00:02:44:08 - 00:02:46:04
when and under what circumstances

00:02:46:04 - 00:02:48:15
does a person transition
from suicidal thoughts

00:02:48:15 - 00:02:50:05
to actually acting on those thoughts

00:02:50:05 - 00:02:52:17
and making a suicide attempt?

00:02:52:17 - 00:02:54:14
Most recently, I would say that my work

00:02:54:14 - 00:02:56:20
has focused on just really understanding

00:02:56:20 - 00:02:58:10
the acute suicidal crisis state,

00:02:58:10 - 00:03:00:14
so what is going on in the short term,

00:03:00:14 - 00:03:04:05
in those hours to days leading
up to a suicide attempt.

00:03:04:05 - 00:03:06:09
We've made a lot of
progress in understanding

00:03:06:09 - 00:03:09:11
some of those key kind of symptom domains,

00:03:09:11 - 00:03:11:19
understanding kind of
the temporal processes

00:03:11:19 - 00:03:13:07
in which they're operating.

00:03:13:07 - 00:03:14:20
And I'm hoping that this research

00:03:14:20 - 00:03:17:23
is really going to spur
further developments,

00:03:17:23 - 00:03:21:03
and just developing clinically
actionable interventions

00:03:21:03 - 00:03:22:12
as well as assessments so that we can

00:03:22:12 - 00:03:24:04
better help those in need.

00:03:24:04 - 00:03:25:12
- Where did this interest come from?

00:03:25:12 - 00:03:26:22
How did you first become interested

00:03:26:22 - 00:03:28:06
in understanding suicide?

00:03:28:06 - 00:03:29:16
- Yeah, excellent question.

00:03:29:16 - 00:03:32:15
I would say my experience is twofold.

00:03:32:15 - 00:03:35:07
So first, on the personal side of things,

00:03:35:07 - 00:03:37:13
I have been impacted
by suicide in my life,

00:03:37:13 - 00:03:40:00
as I would say that
probably most of us have

00:03:40:00 - 00:03:41:20
in some capacity.

00:03:41:20 - 00:03:44:07
So that was something that
was really important to me,

00:03:44:07 - 00:03:47:00
just growing up, seeing just
all of the struggles around me

00:03:47:00 - 00:03:49:09
regarding mental health, my peers,

00:03:49:09 - 00:03:51:15
and my family and my friends.

00:03:51:15 - 00:03:53:03
So mental health has always been something

00:03:53:03 - 00:03:55:12
that's been near and dear to my heart.

00:03:55:12 - 00:03:57:15
Interestingly, I didn't
even start in psychology.

00:03:57:15 - 00:04:00:08
I actually started planning
to go into computer science,

00:04:00:08 - 00:04:02:07
go into video game design.

00:04:02:07 - 00:04:03:08
But when I got to college

00:04:03:08 - 00:04:05:04
and just really kind of noticed my passion

00:04:05:04 - 00:04:07:15
for mental health and suicide
prevention blossoming,

00:04:07:15 - 00:04:11:04
I switched over to psychology,
discovered what research was.

00:04:11:04 - 00:04:12:23
I had never, you know, heard of, like,

00:04:12:23 - 00:04:15:23
scientific research before
in that sort of sense,

00:04:15:23 - 00:04:17:05
fell in love with research.

00:04:17:05 - 00:04:19:21
Found out that I was able to
combine my coding background

00:04:19:21 - 00:04:23:06
with actually doing
scientific inquiry on suicide.

00:04:23:06 - 00:04:24:15
So that really sparked my interest

00:04:24:15 - 00:04:26:06
in going forward and getting a doctorate

00:04:26:06 - 00:04:28:03
and kind of really just
making this my career,

00:04:28:03 - 00:04:30:03
making this my life.

00:04:30:03 - 00:04:33:03
With suicide specifically,
though, I didn't actually know

00:04:33:03 - 00:04:36:13
that suicide was its own
specific subfield of study.

00:04:36:13 - 00:04:39:11
It's really only been
the past 20 years or so,

00:04:39:11 - 00:04:41:08
maybe a little bit longer,
in which, you know,

00:04:41:08 - 00:04:44:04
that suicide as a subfield
has started to blossom.

00:04:44:04 - 00:04:47:15
I thought that we could only
really study, like, diagnoses,

00:04:47:15 - 00:04:50:22
like depression or borderline
personality disorder.

00:04:50:22 - 00:04:53:10
But what I knew I wanted
to do, I wanted to...

00:04:53:10 - 00:04:55:08
I always used to say I wanted to research

00:04:55:08 - 00:04:57:19
and treat the most severe of the severe.

00:04:57:19 - 00:04:59:05
So that led me to applying

00:04:59:05 - 00:05:01:02
to a number of different
doctoral programs.

00:05:01:02 - 00:05:03:00
I ended up working with
my graduate mentor,

00:05:03:00 - 00:05:05:07
Dr. Thomas Joiner, who's
one of the leading experts

00:05:05:07 - 00:05:07:01
in the field of suicidology.

00:05:07:01 - 00:05:09:10
Absolutely fell in love
with the topic area.

00:05:09:10 - 00:05:12:06
So it has been a very, you know,
perfect blend, I would say,

00:05:12:06 - 00:05:14:15
of personal and professional passions.

00:05:14:15 - 00:05:16:01
- You mentioned something very interesting

00:05:16:01 - 00:05:18:22
about being able to combine
your computer science background

00:05:18:22 - 00:05:20:11
with the work you're doing now.

00:05:20:11 - 00:05:23:02
Can you talk a little bit more
about how that overlap works?

00:05:23:02 - 00:05:24:09
- From a very young age, actually,

00:05:24:09 - 00:05:26:18
my dad is a computer
engineer, so I used to sit...

00:05:26:18 - 00:05:29:12
He worked from home back
before it was cool to do so.

00:05:29:12 - 00:05:31:11
I used to sit on kind of
the back of the guest bed,

00:05:31:11 - 00:05:33:03
and I would just watch him code,
and eventually, I was like,

00:05:33:03 - 00:05:35:19
"Hey, can you teach me how to
do this? I wanna build games."

00:05:35:19 - 00:05:38:11
So I wanted to be a video game developer,

00:05:38:11 - 00:05:40:20
which, you know, at surface level,

00:05:40:20 - 00:05:43:11
probably doesn't look
like it really coalesces

00:05:43:11 - 00:05:45:17
with psychological research very well.

00:05:45:17 - 00:05:47:12
But a lot of what we do in the lab

00:05:47:12 - 00:05:49:04
actually relates pretty strongly

00:05:49:04 - 00:05:52:10
to having those quantitative
and those coding skills.

00:05:52:10 - 00:05:55:02
So for instance, we code behavioral tasks

00:05:55:02 - 00:05:59:12
that we will do and conduct
with participants in the lab.

00:05:59:12 - 00:06:02:00
And then when we are done
with any sort of study,

00:06:02:00 - 00:06:04:07
we are ending up essentially
with a massive data set

00:06:04:07 - 00:06:05:18
or a set of data sets.

00:06:05:18 - 00:06:09:00
So there's a lot of coding
that also goes into cleaning

00:06:09:00 - 00:06:11:21
and managing and putting all
of those data sets together,

00:06:11:21 - 00:06:13:11
to running the analyses,

00:06:13:11 - 00:06:16:07
to creating presentable tables and figures

00:06:16:07 - 00:06:19:16
in a way that's gonna be
digestible to lay audiences.

00:06:19:16 - 00:06:20:18
- Gotcha.
- So it's been kind of,

00:06:20:18 - 00:06:23:23
it has been fun to be able
to still do what I loved

00:06:23:23 - 00:06:25:20
and apply it to something
else that I love.

00:06:25:20 - 00:06:27:00
What are some of the latest things

00:06:27:00 - 00:06:28:13
that you've discovered in your research?

00:06:28:13 - 00:06:30:21
Is there anything new or
interesting that you wanna share

00:06:30:21 - 00:06:33:06
about some of the latest
research that you've done?

00:06:33:06 - 00:06:35:19
- Most of my recent work has spanned

00:06:35:19 - 00:06:38:19
three kind of distinct
yet complementary areas.

00:06:38:19 - 00:06:40:17
So one is just really understanding

00:06:40:17 - 00:06:42:04
short-term risk for suicide.

00:06:42:04 - 00:06:44:13
So what is happening
in those hours to days

00:06:44:13 - 00:06:46:08
preceding a suicide attempt.

00:06:46:08 - 00:06:49:19
What are the core symptoms
of an acute suicidal crisis?

00:06:49:19 - 00:06:53:10
So some of my recent work has
really helped to elucidate,

00:06:53:10 - 00:06:54:21
what are those key warning signs,

00:06:54:21 - 00:06:56:10
and how are they working together

00:06:56:10 - 00:06:58:08
over short periods of time?

00:06:58:08 - 00:07:00:11
So one of the methodologies
that I've used recently

00:07:00:11 - 00:07:03:01
is called ecological momentary assessment,

00:07:03:01 - 00:07:05:03
which sounds like a mouthful,
but it's essentially,

00:07:05:03 - 00:07:08:16
we are delivering surveys to
our participants' smartphones

00:07:08:16 - 00:07:10:11
several times a day over the course

00:07:10:11 - 00:07:12:19
of a week or two weeks or more,

00:07:12:19 - 00:07:14:23
which is really giving us a granular look

00:07:14:23 - 00:07:18:10
at how some of these symptoms
are unfolding over hours.

00:07:18:10 - 00:07:20:06
So with one of our recent studies,

00:07:20:06 - 00:07:24:04
we were fortunate to have about
165 severely suicidal adults

00:07:24:04 - 00:07:26:06
recruited across the United States

00:07:26:06 - 00:07:27:21
who provided four weeks

00:07:27:21 - 00:07:30:02
of this type of study survey responses.

00:07:30:02 - 00:07:31:10
So they provided up to, I think,

00:07:31:10 - 00:07:35:08
about 150 responses over
that four-week period.

00:07:35:08 - 00:07:37:23
And from there, we've been
able to run some analyses

00:07:37:23 - 00:07:41:08
and really just identify
four key symptom dimensions,

00:07:41:08 - 00:07:45:07
one being this intense distress-
and arousal-based state,

00:07:45:07 - 00:07:47:08
which is really characterized
by hopelessness,

00:07:47:08 - 00:07:49:01
unbearable psychological pain,

00:07:49:01 - 00:07:51:14
kind os that perception
that it's unescapable,

00:07:51:14 - 00:07:54:07
accompanied with things like
kind of sleep disturbances,

00:07:54:07 - 00:07:57:00
agitation, marked irritability,

00:07:57:00 - 00:07:59:13
kind of providing that
energy alongside distress

00:07:59:13 - 00:08:01:15
that's gonna put somebody
at risk for suicide.

00:08:01:15 - 00:08:04:03
The second of these
dimensions is self-alienation,

00:08:04:03 - 00:08:06:21
so this kind of feeling of
self disgust or self-hatred,

00:08:06:21 - 00:08:09:01
or a perception that
one's just a total burden

00:08:09:01 - 00:08:12:13
on themselves or society or the world.

00:08:12:13 - 00:08:14:16
The third being a more
cognitive dimension,

00:08:14:16 - 00:08:17:00
so really thinking about
the uncontrollability

00:08:17:00 - 00:08:18:00
of one's thoughts.

00:08:18:00 - 00:08:20:09
So we find that individuals
who are at risk for suicide

00:08:20:09 - 00:08:23:17
are often experiencing
this narrowing of attention

00:08:23:17 - 00:08:25:20
towards one's distress,
just really kind of having

00:08:25:20 - 00:08:29:03
that ruminative, cyclical,
perseverative thinking

00:08:30:00 - 00:08:32:03
that is perceived as difficult to control.

00:08:32:03 - 00:08:33:11
And the fourth dimension here

00:08:33:11 - 00:08:35:23
is actually a disconnectedness
and withdrawal state.

00:08:35:23 - 00:08:38:09
So it's kind of withdrawal
from other people,

00:08:38:09 - 00:08:39:15
withdrawal from activities,

00:08:39:15 - 00:08:42:18
withdrawal from even
food or drink or alcohol

00:08:42:18 - 00:08:46:03
or substances that maybe they'd
been using for a long time.

00:08:46:03 - 00:08:47:18
We see that in the kind of the days

00:08:47:18 - 00:08:50:01
leading up to suicide as well.

00:08:50:01 - 00:08:51:14
So I'm really hoping that

00:08:51:14 - 00:08:54:20
with kind of these combined
symptom dimensions,

00:08:54:20 - 00:08:56:21
it's gonna have two
pretty big implications.

00:08:56:21 - 00:08:59:14
So one, again, is just
really thinking about,

00:08:59:14 - 00:09:01:19
how can we leverage this information

00:09:03:00 - 00:09:06:04
to develop clinically
actionable assessments

00:09:06:04 - 00:09:07:08
as well as interventions?

00:09:07:08 - 00:09:10:13
We know that most of those
symptoms can be intervened upon,

00:09:10:13 - 00:09:12:10
so just figuring out the timing.

00:09:12:10 - 00:09:14:03
Can we identify when somebody is going

00:09:14:03 - 00:09:16:11
from a lower risk state
to a higher risk state

00:09:16:11 - 00:09:18:22
using some of this information?

00:09:18:22 - 00:09:22:07
And then secondly, we also
know that the majority

00:09:22:07 - 00:09:24:04
of individuals who die by suicide

00:09:24:04 - 00:09:26:07
or who are experiencing suicidal thoughts

00:09:26:07 - 00:09:29:04
actually deny having
those thoughts to anybody,

00:09:29:04 - 00:09:31:17
even in the days leading
up to their deaths.

00:09:31:17 - 00:09:34:16
So you'll notice those symptom
dimensions that I mentioned

00:09:34:16 - 00:09:37:07
didn't mention suicidal thoughts at all.

00:09:37:07 - 00:09:38:19
And that's because we want to be able

00:09:38:19 - 00:09:40:20
to overcome this issue of non-disclosure.

00:09:40:20 - 00:09:43:01
We know people don't always
want to talk about it,

00:09:43:01 - 00:09:44:13
especially in the United States.

00:09:44:13 - 00:09:46:14
They're scared they're
gonna be hospitalized,

00:09:46:14 - 00:09:49:14
with the accompanying medical
bills, financial consequences,

00:09:49:14 - 00:09:52:01
possibly losing their job,
and just all of the stigma

00:09:52:01 - 00:09:54:07
and shame that goes along with that.

00:09:54:07 - 00:09:56:07
So we wanna make sure that
we're able to help people

00:09:56:07 - 00:09:59:02
without necessarily
relying on them telling us

00:09:59:02 - 00:10:00:17
about their suicidal thoughts.

00:10:00:19 - 00:10:02:07
- So what are some of those signs

00:10:02:07 - 00:10:04:00
or things that other
people can look out for

00:10:04:00 - 00:10:08:08
that someone is showing some
potential suicidal ideation?

00:10:08:08 - 00:10:11:02
- Yeah, so I would say
anybody can recognize

00:10:11:02 - 00:10:14:01
some of the signs, so
we know, for instance,

00:10:14:01 - 00:10:17:06
if somebody is becoming
more withdrawn, more quiet,

00:10:17:06 - 00:10:20:08
maybe evasive, not really
spending time with people

00:10:20:08 - 00:10:23:07
or doing the same activities
that they used to,

00:10:23:07 - 00:10:26:05
that would be a key
warning sign to look for.

00:10:26:05 - 00:10:29:20
Simultaneously, however, we
also have a lot of evidence

00:10:29:20 - 00:10:32:15
showing that kind of
intense amounts of energy

00:10:32:15 - 00:10:34:04
or arousal are actually needed

00:10:34:04 - 00:10:36:06
to overcome our survival instincts

00:10:36:06 - 00:10:38:10
and actually make a suicide attempt,

00:10:38:10 - 00:10:41:09
so looking for things like
just kind of agitated arousal,

00:10:41:09 - 00:10:44:16
like not being able to
sit still, extra fidgety,

00:10:44:16 - 00:10:48:17
as well as just acute insomnia
or sleep disturbances.

00:10:48:17 - 00:10:51:09
So somebody who has more recently started

00:10:51:09 - 00:10:52:16
having a lot of sleep problems

00:10:52:16 - 00:10:54:23
is actually likely to be at higher risk

00:10:54:23 - 00:10:56:22
than somebody who's just
had chronic insomnia

00:10:56:22 - 00:10:58:05
and has never been able to sleep well,

00:10:58:05 - 00:11:01:02
so really looking at some of
those changes in patterns.

00:11:01:02 - 00:11:03:19
And then the third thing that
I would typically look for

00:11:03:19 - 00:11:06:20
would be kind of, again,
that cognitive fixation.

00:11:06:20 - 00:11:08:13
Are they really just kind of getting stuck

00:11:08:13 - 00:11:09:23
on their problems or their thoughts?

00:11:09:23 - 00:11:11:19
Does it seem like it's
just kind of been tough

00:11:11:19 - 00:11:13:02
for them to disengage

00:11:13:02 - 00:11:16:11
or maybe engage with some
other activity or conversation?

00:11:16:11 - 00:11:18:21
So if somebody's really
getting stuck perseverating

00:11:18:21 - 00:11:20:23
on their distress, and they're perceiving

00:11:20:23 - 00:11:23:09
that they can't stop thinking about it,

00:11:23:09 - 00:11:24:18
that's a sign that maybe they need

00:11:24:18 - 00:11:26:10
a little bit of extra support.

00:11:26:10 - 00:11:29:18
- So you mentioned certain
signs of suicidal ideation.

00:11:29:18 - 00:11:32:16
What can we do if we see a
family member or a friend

00:11:32:16 - 00:11:34:09
or a loved one that's
showing some of these signs?

00:11:34:09 - 00:11:35:14
What actions can we take?

00:11:35:14 - 00:11:37:09
- Mm-hmm, absolutely,
and I think there are,

00:11:37:09 - 00:11:39:22
you know, things that all of us can do.

00:11:39:22 - 00:11:41:18
So the first one is that there are

00:11:41:18 - 00:11:45:02
a number of kind of gatekeeper
or peer support trainings

00:11:45:02 - 00:11:49:04
that are out there, one
of which is called QPR.

00:11:49:04 - 00:11:51:09
So Q stands for question.

00:11:51:09 - 00:11:54:05
So really, just directly
asking that question

00:11:54:05 - 00:11:55:18
when you notice that
somebody's struggling,

00:11:55:18 - 00:11:57:11
so, hey, you know, I've noticed

00:11:57:11 - 00:11:59:17
that you've been going
through a tough time lately,

00:11:59:17 - 00:12:01:16
so I just really wanted
to check in with you.

00:12:01:16 - 00:12:02:14
Have you been having thoughts

00:12:02:14 - 00:12:04:10
of hurting yourself or killing yourself,

00:12:04:10 - 00:12:06:21
or have you been having
thoughts of suicide?

00:12:06:21 - 00:12:10:10
And I think that's oftentimes
a tough question to ask.

00:12:10:10 - 00:12:13:01
So suicide has been pretty
traditionally stigmatized

00:12:13:01 - 00:12:15:12
in our society, so people
are often worried like,

00:12:15:12 - 00:12:18:02
hey, if I talk about
it, if I ask about it,

00:12:18:02 - 00:12:20:06
am I gonna be potentially
putting that thought

00:12:20:06 - 00:12:21:17
into somebody's head?

00:12:21:17 - 00:12:23:04
Am I gonna make it more likely

00:12:23:04 - 00:12:25:20
that they're actually going
to make a suicide attempt?

00:12:25:20 - 00:12:28:19
And the research evidence
is overwhelmingly no.

00:12:28:19 - 00:12:30:17
So what we know is actually

00:12:30:17 - 00:12:34:23
not only does asking the
question not increase one's risk,

00:12:34:23 - 00:12:36:15
it's not harmful to them,

00:12:36:15 - 00:12:39:05
but we also see, even if you were asking,

00:12:39:05 - 00:12:42:13
as I do in my research
studies, sometimes repeatedly,

00:12:42:13 - 00:12:44:04
we also see sometimes that there is

00:12:44:04 - 00:12:46:05
a slight decrease in their risk,

00:12:46:05 - 00:12:48:00
just some relief that it's, you know,

00:12:48:00 - 00:12:49:06
finally out in the open

00:12:49:06 - 00:12:51:04
and that they're actually
receiving that help

00:12:51:04 - 00:12:53:06
and that support that they need.

00:12:53:06 - 00:12:56:12
The P in that QPR stands for persuade.

00:12:56:12 - 00:12:58:23
And then the R stands for refer.

00:12:58:23 - 00:13:00:14
So I'm not gonna go into all the nuances,

00:13:00:14 - 00:13:03:05
but essentially what
this stage is about is,

00:13:03:05 - 00:13:06:02
hey, you know, there are
professionals out there

00:13:06:02 - 00:13:09:06
that have been trained
and know how to, you know,

00:13:09:06 - 00:13:10:23
manage and, you know, work with somebody

00:13:10:23 - 00:13:13:02
who's feeling these feelings.

00:13:13:02 - 00:13:15:01
You know, would you be open to us

00:13:15:01 - 00:13:16:08
kind of making that connection

00:13:16:08 - 00:13:18:15
and setting up an appointment?

00:13:18:15 - 00:13:20:07
So that's something that anybody can do

00:13:20:07 - 00:13:22:11
when they notice that a
friend or a family member

00:13:22:11 - 00:13:24:18
or a loved one is struggling.

00:13:24:18 - 00:13:27:08
The other thing that I would mention

00:13:27:08 - 00:13:30:20
is just really kind of educating
oneself about the signs

00:13:30:20 - 00:13:32:22
and just like, you know,
really kind of making sure

00:13:32:22 - 00:13:34:15
that you're present in somebody's life

00:13:34:15 - 00:13:36:07
if they are kind of experiencing

00:13:36:07 - 00:13:37:19
and kind of showing some of these signs

00:13:37:19 - 00:13:39:14
and some of these changes, especially,

00:13:39:14 - 00:13:41:11
- I kind of wanna talk
about your research today

00:13:41:11 - 00:13:43:21
and how you're applying it to anything

00:13:43:21 - 00:13:45:03
that you're doing here at Texas State.

00:13:45:03 - 00:13:47:20
Are there any organizations or, you know,

00:13:47:20 - 00:13:50:05
collaborative efforts that
you're applying this research

00:13:50:05 - 00:13:52:21
and, like, making efforts
to show this impact

00:13:52:21 - 00:13:55:04
and spread that awareness
to people across campus?

00:13:55:04 - 00:13:57:22
- We have a few different areas
that we've been exploring.

00:13:57:22 - 00:13:59:06
So I am a faculty fellow

00:13:59:06 - 00:14:01:14
working with the Translational
Health Research Center.

00:14:01:14 - 00:14:03:13
As part of that, I've given presentations

00:14:03:13 - 00:14:05:23
to community members and laypeople

00:14:05:23 - 00:14:07:05
who are interested in this area.

00:14:07:05 - 00:14:11:10
So I do give kind of suicide
risk assessment trainings.

00:14:11:10 - 00:14:12:18
This is also something that I do

00:14:12:18 - 00:14:14:22
in the surrounding
community and nationwide.

00:14:14:22 - 00:14:17:04
So I give a variety of different workshops

00:14:17:04 - 00:14:20:08
and seminars that are
focused on various aspects

00:14:20:08 - 00:14:23:05
of suicide risk assessment, management,

00:14:23:05 - 00:14:25:04
intervention, so on and so forth,

00:14:25:04 - 00:14:28:02
so really just trying to
be out there in the public,

00:14:28:02 - 00:14:29:20
kind of spreading that awareness.

00:14:29:20 - 00:14:32:19
On campus specifically, one of the areas

00:14:32:19 - 00:14:37:12
that we've been working with
is I am a co-investigator

00:14:37:12 - 00:14:40:19
and data analyst with the
FESTA Program, which stands for

00:14:40:19 - 00:14:44:03
Fentanyl Education Support
Training and Awareness.

00:14:44:03 - 00:14:46:23
So this is a grant that
was funded by SAMHSA.

00:14:46:23 - 00:14:49:04
We are in year two of five right now.

00:14:49:04 - 00:14:50:07
And as the name suggests,

00:14:50:07 - 00:14:52:16
it's really about spreading
fentanyl education

00:14:52:16 - 00:14:55:07
and awareness in middle
schools and high schools,

00:14:55:07 - 00:14:56:22
at the university setting.

00:14:56:22 - 00:15:00:05
And although we're focused
primarily on fentanyl,

00:15:00:05 - 00:15:03:02
we also do want to incorporate
some of those aspects

00:15:03:02 - 00:15:05:00
of mental health as well
as suicide prevention

00:15:05:00 - 00:15:08:11
in some of our educational and
awareness materials as well.

00:15:08:11 - 00:15:10:11
So that's been another avenue.

00:15:10:11 - 00:15:13:15
I've also been in conversations recently

00:15:13:15 - 00:15:16:21
with the Counseling Center
who has a very robust,

00:15:16:21 - 00:15:18:05
you know, system in place already.

00:15:18:05 - 00:15:20:01
But I think, you know,
we've had conversations

00:15:20:01 - 00:15:23:03
about the possibility
of just kind of building

00:15:23:03 - 00:15:25:05
and deepening that partnership a bit more.

00:15:25:05 - 00:15:26:15
- I think it's great that you're already

00:15:26:15 - 00:15:29:04
forming partnerships and
looking forward to new ones

00:15:29:04 - 00:15:30:10
to help spread this information.

00:15:30:10 - 00:15:31:17
I think it's gonna be very helpful

00:15:31:17 - 00:15:33:09
and very useful for a lot of people.

00:15:33:09 - 00:15:35:14
- Correct me if I'm wrong,
but you've won several awards

00:15:35:14 - 00:15:37:09
over the past couple years
for your research as well.

00:15:37:09 - 00:15:38:16
Can you talk about that a little bit?

00:15:38:16 - 00:15:41:05
- I've been very honored
over the past couple years.

00:15:41:05 - 00:15:44:10
I was awarded with the Rising Star Award,

00:15:44:10 - 00:15:46:14
I think about two or three years ago,

00:15:46:14 - 00:15:49:11
from the Association of Behavioral
and Cognitive Therapies,

00:15:49:11 - 00:15:52:04
the Suicide and Self-Injury
Special Interest Group.

00:15:52:04 - 00:15:53:23
So I won their Rising Star Award.

00:15:53:23 - 00:15:58:22
I believe in the fall of 2023,
2024, somewhere in there,

00:15:59:11 - 00:16:02:04
was awarded with the Association
of Psychological Sciences

00:16:02:04 - 00:16:04:04
Rising Star Award, so
that was a huge honor.

00:16:04:04 - 00:16:07:04
That was something I'd
always been looking towards,

00:16:07:04 - 00:16:09:01
you know, from my first
time in graduate school

00:16:09:01 - 00:16:11:06
when I, you know, became
aware that these existed,

00:16:11:06 - 00:16:13:14
you know, bright-eyed, bushy-tailed.

00:16:13:14 - 00:16:15:04
You know, it was very aspirational.

00:16:15:04 - 00:16:17:14
So it was an honor to
actually be awarded with that.

00:16:17:14 - 00:16:19:19
I was also awarded this past spring

00:16:19:19 - 00:16:22:00
with the American
Association of Suicidology's

00:16:22:00 - 00:16:23:03
Edwin Shneidman Award,

00:16:23:03 - 00:16:26:02
which is essentially their
early career achievement award

00:16:26:02 - 00:16:28:20
for research contributions in this area.

00:16:28:20 - 00:16:31:01
That was another one that was
near and dear to my heart.

00:16:31:01 - 00:16:34:12
I'd been a member and
been involved with AAS

00:16:34:12 - 00:16:36:00
for about 10 years.

00:16:36:00 - 00:16:38:12
I actually served a stint
on their board of directors

00:16:38:12 - 00:16:43:04
through an elected position
back in 2019 to 2021.

00:16:43:04 - 00:16:46:09
So it was a great honor to
just have my work recognized

00:16:46:09 - 00:16:49:01
and show that I actually am
making a significant impact

00:16:49:01 - 00:16:51:01
and, you know, trying to help save lives.

00:16:51:01 - 00:16:52:09
Are there any other best practices

00:16:52:09 - 00:16:53:21
or tips you'd like to share for people

00:16:53:21 - 00:16:55:18
who might not be familiar with these types

00:16:55:18 - 00:16:58:14
of conversations about suicidal ideation?

00:16:58:14 - 00:17:00:20
- I think the best tip I have

00:17:00:20 - 00:17:04:16
is just trying to familiarize yourself.

00:17:04:16 - 00:17:08:04
Suicide may feel taboo,
it may feel stigmatized,

00:17:08:04 - 00:17:10:10
especially in certain cultures,

00:17:10:10 - 00:17:13:22
but knowing that suicide
is a universal problem

00:17:13:22 - 00:17:16:09
that can impact any and all of us,

00:17:16:09 - 00:17:19:19
and likely will in some capacity
at some point in our lives,

00:17:19:19 - 00:17:22:16
so just being aware of
those signs, being aware of,

00:17:22:16 - 00:17:25:13
hey, what would I do if I
noticed that I was struggling

00:17:25:13 - 00:17:27:23
or that somebody I love is struggling?

00:17:27:23 - 00:17:30:22
I think just trying to
not shy away from it

00:17:30:22 - 00:17:32:09
would be one of my tips.

00:17:32:09 - 00:17:34:02
- Thank you so much for
sharing that information.

00:17:34:02 - 00:17:35:11
You're doing a lot of great work

00:17:35:11 - 00:17:36:23
and a lot of impactful work.

00:17:36:23 - 00:17:39:18
And I can't wait to see how
your partnerships on campus

00:17:39:18 - 00:17:41:11
can help spread this awareness.

00:17:41:11 - 00:17:42:07
- Thank you so much.

00:17:42:07 - 00:17:44:05
- This has been another
episode of "Enlighten Me,"

00:17:44:05 - 00:17:46:03
and we'll see you on the next one.

00:17:46:03 - 00:17:48:07
(bright music)