A Manager’s Guide to Suicide Postvention in the Workplace

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TABLE OF CONTENTS
WHAT IS POSTVENTION?. ....................................................................................................... 3- 10 Action Steps for Dealing with the Aftermath of a Suicide...................................................... 4

IMMEDIATE: ACUTE PHASE- Coordinate: Contain the Crisis................................................................................................... 5- Notify: Protect the Privacy of the Deceased............................................................................... 5- Communicate: Dispel Rumors and Reduce Potential Contagion................................................. 6- Support: Offer Organized and Practical Assistance..................................................................... 7

SHORT-TERM: RECOVERY PHASE- Link: Identify and link affected employees.................................................................................. 7- Comfort: Support and Promote Healthy Grieving....................................................................... 9- Restore: Re-establish Workplace Equilibrium and Optimal Functioning.................................... 10- Lead: Reinforce and Build Trust in Organizational Leadership................................................... 11

LONGER-TERM: RECONSTRUCTING PHASE- Honor: Prepare for Reactions to Anniversaries, Events, and Milestones.................................... 11- Sustain: Transition from Postvention to Prevention................................................................... 12

SAMPLE INTERNAL NOTIFICATION MEMO

- When Cause Of Death Revealed ............................................................................................. 13- When Cause Of Death Withheld By Family............................................................................... 14

SAMPLE EXTERNAL ANNOUNCEMENT- When High Profile Suicide Affects Workplace........................................................................... 15

RESOURCES FOR WORKPLACES.......................................................................................... 16
DECISION MAKING FLOWCHART- Suicide Postvention................................................................................................................... 17

GLOSSARY................................................................................................................................... 18
ABOUT THE PARTNERS. .......................................................................................................... 19
A MANAGER’S GUIDE TO SUICIDE POSTVENTION IN THE WORKPLACE:
10 Action Steps for Dealing with the Aftermath of Suicide
Cover photo: Joe Houghton | Layout & design: Jerry Brownell
Copyright © 2013 Carson J Spencer Foundation, All Rights Reserved.
For more information about this resource contact Sally Spencer-Thomas at: Sally@CarsonJSpencer.org
This document may be reproduced without permission for non-commercial use. Acknowledgment is appreciated.
Carson J Spencer Foundation, Crisis Care Network, National Action Alliance for Suicide Prevention and American
Association of Suicidology (2013). A Manager’s Guide to Suicide Postvention in the Workplace: 10 Action Steps for
Dealing with the Aftermath of Suicide. Denver, CO: Carson J Spencer Foundation.

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A Manager’s Guide to Suicide Postvention in the Workplace

A MANAGER’S GUIDE TO SUICIDEPOSTVENTION IN THE WORKPLACE
10 ACTION STEPS FOR DEALING WITH THE AFTERMATH OF A SUICIDE

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WHAT IS POSTVENTION?
Postvention is psychological first aid, crisis intervention, and other support offered after a suicide toaffected individuals or the workplace as a whole to alleviate possible negative effects of the event. 2
A suicide death of an employee is only one type of suicide that could affect the workplace. The suicide
death of clients, vendors, or a family member of an employee can also have a profound impact.
Managers play the following critical roles in setting the tone for how the rest of the workplace will
respond to a suicide:
1 First, managers need to approach the situation with compassion for the bereaved. Public
and private communications need to reflect a respectful tone of empathy and support and offer
permission for people to take care of themselves.
2 Second, managers need to listen carefully to the needs of various employees, as these may
differ from employee to employee. Some workers who are more distant acquaintances of the
decedent might be able to return to work very quickly, while others may need more time to adjust
to the loss. Workers might need to vent anger, guilt, sadness, and/or other emotions, and thus,
a structured group session might be helpful in increasing coping and support. Having counselingstaff with coping resources on hand during such group sessions might be useful if future referrals
need to be made to support groups and professional mental health services.
Further, some workers may express their psychological reactions to the death verbally, while others
might express their reactions behaviorally, as in showing excessive absenteeism or “presenteeism”.
Managers need to be attentive to all forms of communication and document when problematic for
the workplace. Some accommodations may be warranted given the undue stress to members of
the workplace, but usually standards of workplace behavior and accountability can be maintained
while providing this level of support.
3 Third, managers should take the lead in applying corporate Human Resource (HR) policies
designed to help surviving family members with practical matters. This behavior will model forothers that it is alright to reach out beyond the confines of the work environment to help.
(con't.)1 These guidelines are not meant to represent standards of care, nor are they intended to be considered as advice,consultation or to replace appropriate medical or mental health care.

2 Adapted from Smith, Rivero, & Cimini. (2010, June 8). Postvention as a Prevention Tool: Developing aComprehensive Postvention Response for Your Campus. A webinar of the Suicide Prevention Resource Center.
http://www.sprc.org/news-events/events/postvention-prevention-tool-developing-comprehensive-postvention-response-your-ca

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4 Fourth, managers should recognize their unique role. On one hand, they may be impacted by
the tragic loss and in need of support, while on the other hand they may be the targets of anger
and blame by other employees.
5 Finally, managers should be sensitive to anniversaries, notable events (e.g. holiday parties,
traditions the deceased always enjoyed, achieving a milestone of a project to which the deceased
contributed), and other major dates that might trigger reactions from staff and during which it
might be appropriate to acknowledge again the lossof that person’s presence.

The box below highlights the 10 Action Steps that will assist
with the above-mentioned roles and goals of the manager.

10 Action Steps for Dealing with
the Aftermath of a Suicide
IMMEDIATE: Acute Phase
1. Coordinate: Contain the crisis.
2. Notify: Protect and respect the privacy rights of the deceased employee and their loved
ones during death notification.
3. Communicate: Reduce the potential for contagion.
4. Support: Offer practical assistance to family.

SHORT-TERM: Recovery Phase
5. Link: Identify and link impacted employees to additional support resources and refer thosemost affected to professional mental health services.
6. Comfort: Support, comfort, and promote healthy grieving of the employees who havebeen impacted by the loss.
7. Restore: Restore equilibrium and optimal functioning in the workplace.
8. Lead: Build and sustain trust and confidence in organizational leadership.
Demonstrating leadership in times of crisis is always an opportunity to build trust, confidence,
and workplace cohesiveness.

LONGER-TERM: Reconstructing Phase
9. Honor: Prepare for anniversary reactions and other milestone dates.
10. Sustain: Transition postvention to suicide prevention.

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A Manager’s Guide to Suicide Postvention in the Workplace

IMMEDIATE: ACUTE PHASE
Coordinate: Contain the Crisis
One of the highest priorities for managers in a suicide postvention response, like any critical incident,
is to contain the crisis. The initial response of any organization often sets the tone for what is to follow.
Upon discovery of the body of a suspected suicide on worksite property, law enforcement should becontacted immediately. As happens in all cases of non-natural deaths, the scene is first treated bypolice as a crime scene, thus all unauthorized people should be kept away from the body and site.
Do not disturb the scene until you have received permission from the appropriate law enforcement
authorities. Comply with all requests from law enforcement as they conduct their investigation. In
many cases, law enforcement personnel work with victim advocates to notify next of kin in the eventof a suicide. Depending on the circumstances, a representative from the workplace might consider
accompanying the victim advocate when contacting the family. When notifying the next of kin, dignity
and professionalism are essential, but this does not mean you need torestrain yourself from expressing appropriate emotions. Use the person’sname and work with the victim advocate to answer questions for the family
while avoiding unnecessary traumatizing details if possible.
If the death by suicide of an employee occurs outside of the workplacesetting, management may be notified by a relative, friend, or public safety
officer. The relative or friend may not have all the facts about the death,
may not know for sure the cause of death, or may ask that it not be revealed
that it was a death by suicide. Leadership is advised to carefully coordinate
employee communication in consultation with their HR management
and policies and procedures, and not make any official statements until
the death has been confirmed by law enforcement, medical examiner, or
immediate family member.

CHECKLIST:
Identify main point person to coordinate all postvention efforts and related communication.
Contract for professional clean up (after the investigation is completed) if required by asuicide in the workplace.
Contact victims assistance.
Review flow chart progression of postvention phases (see pg. 17).

Notify: Protect the Privacy of the Deceased
When the deceased employee’s loved ones ask that the death not be disclosed as a suicide, leadershipmay not be able to assure complete secrecy for a couple of reasons. If information has already spreadthough informal communications, leadership runs the risk of appearing disingenuous, out-of-touch, anduntrustworthy if there is no acknowledgement of the manner3 of death. Also, in many states the mannerof death, even when it is worded as “cause of death is being withheld by family” is public information,
as it may appear on the death certificate as such. Therefore, leaders can promise they will do what they

3 Suicide is actually a manner of death, but the cause (e.g. by blunt force trauma) is often confused with manner (e.g. by suicide by fall).

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can to maintain confidentially, understanding that some elements are not in their control. Additional
guidance from HR, if available, will help managers handle this sensitive topic with the family.

CHECKLIST:
Distribute death notification memo to staff (see samples on pg. 13-15).

Communicate: Dispel Rumors and Reduce Potential Contagion
In the aftermath of a suicide, some vulnerable individuals in the workplace may be at risk for responding
to the suicide by attempting their own suicide. This is also known as a contagion effect. In otherwords, the death by suicide of a co-worker may trigger suicidal thoughts and feelings in some alreadyvulnerable individuals, and may increase their risk for copy-cat behavior. The reasons for contagion are
many. For example, the death, particularly of an executive or perceived leader, may instill a loss of hope(e.g. “If he could not deal with his problems, given all he had going for him, what chance do I have?”);or, corporate and media attention to the death may offer just what the vulnerable person lacks anddesires (e.g. a sense of importance and value, even though that attention could not be appreciated by adeceased person).
Given how prevalent suicidal thoughts are at any given time, a larger workplace might find that at thetime of a suicide death several other people might simultaneously experience suicidal distress andmay be at risk for an attempt. This domino effect of suicide can be very disruptive to a workplace.
Management can minimize the potential for contagion by setting an appropriately respectful tone
when acknowledging and communicating about the employee death. Alternatively, when a culture
acknowledges or memorializes a suicide death in a dramatic or sensational manner or focuses too muchon the detailed means of death, there is an increased risk that some vulnerable individuals will imitate
the behavior. For some suggestions on how to honor a person who died by suicide and minimize
contagion, please refer to: http://www.sprc.org/sites/sprc.org/files/library/aftersuicide.pdf
One of the most challenging elements in an effective suicide postvention response in the workplace isfor leadership to accurately, respectfully, and carefully communicate the information regarding the deathof an employee. Occasionally, the death by suicide in the workplace setting involves other employees
as witnesses. In these cases, information about the suicide death may spread quickly, especially in an
era of rapid information exchange that occurs via texting, social media, and the like. Leaders should
be aware that even before any official company announcement, there may already be a great deal of
inaccurate information circulating within the workplace. Timely and accurate information briefs canhelp dispel rumors.

CHECKLIST:
Review safe messaging guidelines for external and internal communication strategies andmedia recommendations for reporting on suicide for help developing public communications
plans: http://reportingonsuicide.org/Recommendations2012.pdf or
http://www.sprc.org/sites/sprc.org/files/library/SafeMessagingrevised.pdf
Develop an internal communication plan to document what is and is not known and what
to say if the family does not want the cause of death revealed (see template at end of theseguidelines on pg. 14).
Develop an external communication plan that identifies a spokesperson and draft astatement for the media (see template at end of these guidelines on pg. 15).

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A Manager’s Guide to Suicide Postvention in the Workplace

Support: Offer Organized and Practical Assistance
Usually, in the immediate aftermath of a suicide, people affected by the suicide often do not needcounseling, but rather practical assistance to help them get through their day. While family members
and co-workers who were closest to the deceased are usually profoundly
affected, the impact of suicide often spreads to many other areas of anorganization and may include clients, vendors, previous co-workers, mentors,
and so on. Additionally, colleagues wishing to support the
bereaved are often looking for ways to help.
The main coordinator of the postvention effort can ask the
bereaved family if the following support would be useful andassign volunteers to assist:

CHECKLIST:
Bring easy-to-heat and nutritious frozen meals to grieving family.
Offer the family of the deceased assistance by packing up the personal belongings at theworkplace and bringing them by the home. Always call ahead to be sure the family will be
there when you deliver the items.
Ask the bereaved person or family what can be done to help and, when possible, makearrangements to provide the support. Some common supports that help are:• Keep a list of phone calls, visitors, and people who bring food and gifts• Organize the mail (e.g. bills, cards, newspaper notices)• Offer to make calls to people they wish to notify• Help with errands (e.g. childcare, house-sitting, lawn care, laundry)

SHORT-TERM: Recovery Phase
Link: Identify and link affected employees to additional support resources
including mental health services.
As they plan their postvention response, managers need to be aware that for a smaller
subset of people, a more profound emotional reaction might result in response to
the suicide: complicated grief, trauma reaction, and even suicidal ideation. As such,managers will need to make crisis counseling and Employee Assistance Program (EAP)
services readily available and easy to access, while they also create a culture that
promotes and supports help-seeking behavior and allows employees to disclose theirneeds and seek services confidentially. Be mindful that there may be certain individual
employees the managers will want to connect with intentionally and encourage toparticipate in the available support resources. Participation in these support services in the workplacemust always be voluntary; yet, it is reasonable to believe that most employees will respond positively
when managers express their care and offer tangible and meaningful support. Many organizations haveas an operating policy that leadership consults with their EAP in the immediate aftermath of a suicide
or another critical incident, to determine the most appropriate response. There is no “one–size-fits-all”
approach, and every response needs to be tailored to the specifics of that work group situation andculture, as well as to each individual affected.
If your organization does not have an EAP, you should contact your local mental health center to see if they have mental health service
providers that can assist you in the aftermath of a crisis.
• To find a mental health treatment facility near to you visit: http://findtreatment.samhsa.gov/MHTreatmentLocator/faces/quickSearch.jspx• To find a therapist in your area visit: http://www.helppro.com/

7When designing a customized response, many factors should be considered. For example, managers
should consider: circles of impact (e.g., work teammates, close work friends, direct reports), nature of thework (e.g., school setting or healthcare setting), demographics of impacted employees (e.g., younger
and/or new employees versus senior and/or tenured employees; differences in faith perspectives/spiritual
practices), workplace schedules, productivity demands, and proximity to other critical incidents.

The response plan will often include arranging for a specifically trained, behavioral
health professional to be available in the workplace for some period of time to:
1 Consult with and support management in what is often a fluid/unfolding situation
2 Play a role in formal communication to the employees on issues such as the availability of
support services, normalizing reactions, and psycho-education on self-care and recovery
3 Meet with affected employees individually and in small groups depending on the workplacesituation and employee preferences, to help facilitate resiliency and recovery
4 Encourage those experiencing complicated grief or trauma reactions to follow through withadditional support resources as available, especially the EAP and other professional community
mental health resources
5 Be available for triage of safety needs of acutely affected employees
Experience and research4 show that most people who experience tremendous loss and hardship show
remarkable resiliency and either return to previous levels of functioning after a period of adjustment oreven grow from the experience. Thus, managers can expect that the great majority of employees will
recover from the suicide death and other similar critical incidents rather quickly, especially when they
stay connected to support systems, reach out to trusted others, take care of their bodies with goodnutrition, proper rest, moderate exercise, and hydration, and mentally coach themselves to be patientand compassionate with themselves while they recover and heal.
There are, however, some individuals who may be especially vulnerable to complications in their
healing and recovery process. This could be because they are already going through major stressors
in their lives, their support system is dysfunctional, they have ongoing emotional or behavioral healthvulnerabilities, or they have some suicide history. These issues
may be largely unknown or invisible to those in the workplace,or may have been only rumored, but these individuals especiallycould benefit from connecting with a behavioral healthprofessional to help guide their recovery.
Another important consideration in a death by suicide is theever-present but unanswerable “Why (did this happen)?”question that may linger on in some minds. Managers and evencrisis support counselors are unlikely to be able to to answer
this question satisfactorily, nor should they try. This question isquite often linked to one’s spiritual beliefs, worldview or faithtradition, and it is usually better to acknowledge that this is anormal question and encourage the person to talk it throughwith their religious mentor, supportive family/friends or a mental
health professional.
4 Mancini, A. & Bonanno, G. (2009). Predictors and Parameters of Resilience to Loss: Toward an Individual Differences Model. Journal of

Personality, 77 (6) 1805–1832.

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A Manager’s Guide to Suicide Postvention in the Workplace

Typically, a behavioral health professional who is part of the crisis response team in the workplace
will be watchful for more affected or vulnerable employees and will then encourage them to follow
through with their EAP services. In some cases, the behavioral health professional can even support theemployee in making that initial call for help, which for some individuals can be very difficult, possibly
even an obstacle.

CHECKLIST:
Contact EAP to develop customized response (e.g., grief counseling, education, andcommunity counseling resources).
Compile and promote a list of suicide bereavement-specific support resources:• Suicide bereavement support groups for adults and children• Support group directory:
http://www.suicidology.org/suicide-survivors/suicide-loss-survivors• Reference guide of resources:
https://sites.google.com/a/personalgriefcoach.com/suicidegriefsupport/• Website by survivors for survivors: http://www.allianceofhope.org/• Stories from the front lines: http://www.suicidefindinghope.com/• On-line message board for families and friends:
http://health.groups.yahoo.com/group/ffofsuicides/• National Suicide Prevention Lifeline: 1-800-273-8255 (TALK)

Comfort: Support and Promote Healthy Grieving
Grief is a highly complex but normal and natural human response to the death of a loved one. Whenthe death is sudden, unexpected, and potentially traumatic, as in a death by suicide, the grief process
can become complicated by blame, guilt, shame, and anger. Sometimes managers may feel uncertain
about how best to support their team in the aftermath of suicide, and either over- or underreact.
The best strategy is to consider what are the common practices and policies for dealing with otherforms of bereavement, trauma, or health issues and start there in figuring out how best to proceed.
Any deviation from these practices could be seen as
stigmatizing by staff (e.g. “Why is this death being treatedDuring the initial acutedifferently than any other?”).
phase, it may be very

difficult for some people
to maintain focus and be
productive.

Managers do not need to be experts on grief, but it is
helpful to know that grieving is a process that varies fromindividual to individual. During the initial acute phase, it
may be very difficult for some people to maintain focus
and be productive. However, after the first couple of days, most people will long for things to get“back to normal” and will find a way to continue grieving while simultaneously taking care of their other
responsibilities. This process may be different if the deceased was an immediate family member, as
moving through the initial acute phase may be more painful and complicated, and may require somelifestyle changes as well.
9If the family chooses to have a private mourning activity or if the service is held out of state, co-workers
are often left to grieve without the closure that a funeral or memorial can often provide. Under thesecircumstances, it might benefit the workplace to gather to honor the deceased on or off-site to let coworkers express their grief, share memories to celebrate the life that was lived, and gain closure (refer
to http://www.sprc.org/sites/sprc.org/files/library/aftersuicide.pdf). When the death is by suicide, often
the emotional responses are amplified and the remembrance service can become very instrumental inpromoting healing.

Managers can help support this natural grieving and healing process by:
1 Being aware of what types of workplace productivity concessions may be made the first coupleof days (time off, lightened duties, funeral attendance, etc.)
2 Managing by walking around. In other words, being visible and checking in with employees.
3 Helping find the right balance between commemorating the deceased, but not memorializing
the death in a dramatic or glorified fashion
4 Being a role model for healthy grieving as well. It’s okay for managers to acknowledge their own
feelings regarding the loss of a colleague, and possibly even speak to their own coping strategies.

CHECKLIST:
Participate in mourning activities (e.g., funerals, memorial services, etc.).
Instead of enshrining the desk or other workspace, suggest to co-workers that they help
create a memory album or quilt for the bereaved family or make a donation to a charity theappreciated by the deceased (or the deceased's family).

Restore: Re-establish Workplace Equilibrium and Optimal Functioning
As managers and leaders in the workplace, it’s important never to lose sight of the fact that it is part ofa manager’s responsibility to stabilize the workplace and restore functioning. Ultimately, things need toget back to normal, even if that means a new normal.
Managers have the very challenging task of balancing the need to care for and support affected
employees, making sure that important work gets done and customers are served. Furthermore
managers need to hold to a critical balance of feeling the impact of the trauma themselves and taking
care of their own healing and recovery needs – a challenging, if not daunting, task.
Managers should not isolate or be the “lone ranger” at these times. Rather, they would be wise to
consult with HR and their own supervisor to clarify the policies and boundaries of flexibility regarding
accommodating employee needs and any changes in workloads or deadlines.

CHECKLIST:
Develop a return-to-work schedule for those most profoundly impacted.
Conduct peer supervision with other managers to evaluate postvention process.

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A Manager’s Guide to Suicide Postvention in the Workplace

Lead: Reinforce and Build Trust in Organizational Leadership
Leadership in times of crisis isalways an opportunity to reinforce
and build trust, confidence, andworkplace cohesiveness. Whendone well, employees will feel caredabout, supported, and secure in theknowledge that leadership is bothcompassionate and competent.
Feeling cared about and supported
in the immediate aftermath of a
traumatic event is hugely importantin the healing and recovery process.
The positive outcomes of this
response can contribute to an overallstronger, more cohesive, engaged
and productive workplace culture.

The ACT MODEL5 is a structured process for leaders to
help facilitate individual and organizational recovery:

Acknowledge the trauma, positioning leaders as
also affected by the tragedy

Communicate compassion and competence
Transition workforce by setting an expectationof recovery and resiliency and helping workforce
achieve “new normal” and prevention mindset

As we know, the converse is also true. If leadership fails to respond wisely and sensitively to a suicide
death impacting the workplace, there will inevitably be at least some loss of trust and confidence.
Ensuring fear from employees might result – either management did not care or did not know what
to do, so they did nothing – and the overall impact of the traumatic event is magnified. One way toestablish trust is for leaders to acknowledge how they have been personally affected by the loss.

CHECKLIST:
Leadership provides personalized, reassuring communication helping team transition fromcrisis to healing.

LONGER-TERM: Reconstructing Phase
Honor: Prepare for Reactions to Anniversaries, Events, and Milestones
For those most deeply affected by the suicide, anniversary or milestone reactions might emerge.
Because of the complicated nature of suicide, a small subset of the workforce may be still struggling
with the experience months after most others have moved on. For example, for many people, thedeath anniversary might bring up sad or traumatic memories or milestone events like the completionof a big work project; or the annual work picnic or holiday event might remind
people of the “empty chair”. In preparation for this, managers might consider
pulling together those who are directly impacted to decide if there is way
to honor the loss and celebrate the life that was lived while following safe
memorialization practices (e.g., not glamourizing or romanticizing the death,
not erecting a permanent structure, giving people safe space to remember
but not re-live). This may be done privately for those who wish toparticipate and should only be considered for the full workforce if thiswould be a common practice for other forms of loss.
5 VandePol, B. (2003). The High Cost of Workplace Trauma: Leading Employees Through Crisis. Retrieved from:http://corp.crisiscare.com/system/images/2010-06/2003_The_High_Cost_of_Workplace_Trauma.pdf

11CHECKLIST:
Convene group most affected to see if honoring the loss around the anniversary or
milestone event would be appreciated and follow safe memorialization practices supported
by research (see http://www.sprc.org/sites/sprc.org/files/library/aftersuicide.pdf).

Sustain: Transition from Postvention to Prevention
After a workplace has
been affected by a suicide,
managers sometimes
think that their work isfinished once the crisis
has past. Instead, oneof the most important
things managers can dois transition the teamfrom suicide postvention
to suicide prevention strategies. Suicide prevention strategies are usually employed before suicidal
behavior emerges and are often offered to all employees (for example, promotion of the National
Suicide Prevention Lifeline 1-800-273-8255) or to a group of employees that might be at higher risk(for example, a group that might be facing relocation or downsizing). Suicide intervention usuallyoccurs when suicidal thoughts or behavior have emerged and someone is linking an individual tocare. A comprehensive approach looks beyond one or two strategies, and uses a multi-pronged, andcoordinated system of strategies that addresses suicide risk from proactive prevention tointervention to postvention.
Comprehensive suicide prevention for workplaces exist (http://www.WorkingMinds.org) andcomprehensive prevention planning that can be tailored for workplaces and other settings is alsoavailable (http://www.sprc.org/basics/about-suicide-prevention).
In addition, several low-cost, high-impact tactics are accessible to managers. For example, training
employees in suicide prevention gatekeeper models that teach employees how to recognize andrespond to signs of suicide risk in their coworkers (for more information on gatekeeper training, see“Choosing and Implementing a Suicide Prevention Gatekeeper Training Program” available at
http://training.sprc.org, which is complimented with “The Gatekeeper Training Implementation
Support System (GTISS)” available at http://gatekeeperaction.org.
In addition, employing an annual depression screening as part of ongoing health and wellness
initiatives (see http://www.mentalhealthscreening.org/programs/workplace). Still, other employees
might be motivated to make meaning out of their loss by volunteering for suicide prevention efforts orparticipating in suicide awareness community events.

CHECKLIST:
Review comprehensive approach to suicide prevention for next steps:
http://workingminds.org/airforce.html
or http://actionallianceforsuicideprevention.org/task-force/workplace/cspp
Investigate state and local suicide prevention efforts for volunteer opportunities (visit
http://www.sprc.org/states).

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A Manager’s Guide to Suicide Postvention in the Workplace

SAMPLE INTERNAL NOTIFICATION MEMO
[WHEN CAUSE OF DEATH REVEALED]
Date:
To:

Staff

From: [Name of CEO]Re:

Death of [name of employee][Our workplace] is saddened to learn of the reported suicide of [employee]. The tragic andsudden circumstances of [employee’s] death may cause a range of reactions among ourworkplace, so with the family’s permission we are sharing the facts as we know them and areoffering support for those who might need it.
[Employee] worked for [workplace] for the last [number] years. On [Saturday night] [s/he] diedaround [11:00PM] [DO NOT MENTION PLACE OR METHOD USED FOR SUICIDE]. We may
never know all the factors leading to this tragedy; however, experts agree that in nearly all
suicides there is no single cause or simple explanation.
[Employee’s] memorial service will be held on [January 7 at 11:00AM], and all employees whowish to attend may be excused. The family would like to welcome all of [his/her] friends andcolleagues who wish to share in the celebration of [his/her] life.
Some of you may be having difficulty coping with the sudden loss of one of our workplacefamily. We have arranged for the Employee Assistance Program (EAP) professionals tofacilitate a debriefing on [January 8th at 5:00PM]. During this group meeting, counselors
will be on hand to support us and answer any questions we may have. Others may preferindividual support at this time. If so, please contact our EAP program by calling[1-800-123-4567].
The family has requested that instead of flowers, those who wish to do so may donate
to [a local suicide prevention center or other charity as shared by the family] in[employee’s] memory.
For those who would like to talk about what has happened, our HR team is available to you.

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SAMPLE INTERNAL NOTIFICATION MEMO
[WHEN CAUSE OF DEATH WITHHELD BY FAMILY]
Date:
To:

Staff

From: [Name of CEO]Re:

Death of [name of employee][Our workplace] is saddened to learn of the death of [employee]; the family has requested thatthe cause of death be withheld. The tragic and sudden circumstances of [employee’s] death
may cause a range of reactions among our colleagues, so with the family’s permission we aresharing the following information and are offering support for those who might need it.
[Employee] worked for [workplace] for the last [number] years. On [Saturday night] [s/he] diedaround [11:00PM] [DO NOT MENTION PLACE OR METHOD USED FOR SUICIDE].
[Employee’s] memorial service will be held on [January 7 at 11:00AM], and all employees whowish to attend may be excused. The family would like to welcome all of [his/her] friends andcolleague who wish to share in the celebration of [his/her] life.
Some of you may be having difficulty coping with the sudden loss of one of our workplacefamily. We have arranged for the Employee Assistance Program (EAP) professionals tofacilitate a crisis counseling session on [January 8 at 5:00PM]. During this group meeting,counselors will be on hand to support us and answer any questions we may have. Others may
prefer individual support at this time. If so, please contact our EAP program by calling[1-800-123-4567].
The family has requested that instead of flowers, those who wish to do so may donate
to [a local suicide prevention center or other charity as shared by the family] in the[employee’s] memory.
For those who would like to talk about what has happened, our HR team is available to you.

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A Manager’s Guide to Suicide Postvention in the Workplace

SAMPLE EXTERNAL ANNOUNCEMENT[WHEN HIGH PROFILE SUICIDE AFFECTS WORKPLACE][Our workplace] is saddened to learn of the reported suicide of [employee, title].
Our hearts and condolences go out the family and friends. With the family’s permission
we are sharing the facts as appropriate and are offering support for those who mightneed it. Suicide is a complex, multifaceted and tragic event, and thus we will not
speculate on the causal factors of this death. Rather our efforts will be focused on pulling
together and helping our workplace find supportive resources as necessary. For thoseoutside of our work family who might be affected by this tragic loss, we suggest you
contact the National Suicide Prevention Lifeline (1-800-273-TALK [8255]) to get referrals
to support groups and other resources in your area.

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RESOURCES FOR WORKPLACESCOMPREHENSIVE APPROACH TO WORKPLACE SUICIDE PREVENTION
Resource Directory (National Action Alliance for Suicide Prevention)
http://actionallianceforsuicideprevention.org/task-force/workplace/cspp

CRISIS RESPONSE SERVICES
Crisis Care Network
http://www.CrisisCare.com
National Suicide Prevention Lifeline – 1-800-273-TALK (8255)
http://www.suicidepreventionlifeline.org/
Lifeline Chat: http://suicidepreventionlifeline.org/GetHelp/LifelineChat.aspx
Veterans’ Crisis Services
Veterans’ Crisis Line and Chat: http://www.veteranscrisisline.net/

MEMORIALIZATION GUIDELINES
After a Suicide (Suicide Prevention Resource Center)
http://www.sprc.org/sites/sprc.org/files/library/aftersuicide.pdf

SUICIDE GRIEF RESOURCES
https://sites.google.com/a/personalgriefcoach.com/suicidegriefsupport/

WORKPLACE SUICIDE PREVENTION TRAINING
Working Minds: Suicide Prevention in the Workplace
Toolkit listing on the SPRC/AFSP Best Practices Registry for Suicide Prevention(train-the-trainer workshops available)
http://www.sprc.org/bpr/section-III/working-minds-suicide-prevention-workplace
Toolkit website: www.WorkingMinds.org
Toolkit contact: 720-244-6535

ADDITIONAL GATEKEEPER TRAINING MODELS
Choosing and Implementing a Suicide Prevention Gatekeeper Training Program
http://training.sprc.org
The Gatekeeper Training Implementation Support System
http://gatekeeperaction.org/

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A Manager’s Guide to Suicide Postvention in the Workplace

DECISION MAKING FLOWCHARTSUICIDE POSTVENTIONABCSUICIDE DEATH OR
NEAR FATAL ATTEMPTEMPLOYEESUICIDEEMPLOYEEBEREAVED BY
SUICIDE

IMMEDIATE

SHORT TERMCALL 911 AND ALERT INTERNALEMERGENCY RESPONSE

WITHIN 24 HOURS

WITHIN ONE WEEK

Convene Crisis Response
Team/Victims AssistanceConnect with family—offer
assistance and ask how family would
like information communicated

RESCUE POSSIBLE?
YES

Perform CPR (orother lifesaving
measures) and assure
appropriate safety
and security measuresNO
Make
situationsafe andsecureConnect with family—offer assistanceand ask how family would like
information communicatedCreate Communication Fact Sheet

Create Communication Fact Sheetfor Staff

SUPPORT AND
ACCOMMODATE

MOURNING ACTIVITYWITHIN ONE HOUR
Notify family
Contact workplace senior
management (if appropriate)

Attend mourning activity if
appropriate/possible
Interfaith
Honor life
Avoid glamorization
Follow safe messaging guidelines

WITHIN 24 HOURS
Documentation and crisis response
if appropriate:

Discourage permanent memorialization

SUPPORT RESOURCES

Complete incident form, sign and dateConvene crisis response teamCreate communication fact sheets

WITHIN ONE WEEK
Schedule crisis counseling session

Ask what would be most helpful at
this time — practical assistance

Debriefing (first and follow-ups
as needed

LONGER TERMFOLLOW UP

Anticipate anniversary/milestone
reactions
LONG TERM: As the people mostaffected by the suicide work towardhealing, offer suggestions on how theymight participate in advocacy work forsuicide prevention

Referrals to suicide survivor
support groups
Recommended books and websites
Consult experts on how to disclose
crisis to children

Set up incident review(root cause analysis)
Proceed to column B

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GLOSSARYACUTE: short-term response
BEREAVED: surviving the loss of a loved one (inthe field of suicidology, some people prefer the term
“bereaved by suicide” while others prefer the term
“survivors of suicide loss”)

COMPLICATED GRIEF: extended grieving process,which includes extreme and unwavering yearning for thelost loved one; anger and isolation that interfere withnormal functioning, and feelings that life is meaninglesswithout the person. Traumatic grieving can often be more
complicated as the person is dealing with both trauma
reactions (e.g., intrusive thoughts, agitation, nightmares,
avoidance) along with the grief.
CONTAGION: the process by which the suicidal

PSYCHOEDUCATION: providing information andtraining about mental health and mental health services
PSYCHOLOGICAL FIRST AID: similar to crisis

counseling, psychological first aid is applied by mental
health professionals or disaster workers in the aftermathof a traumatic experience with the goal to increase coping
and reduce distress

SUICIDE: “death caused by self-directed injurious
behavior with any intent to die as a result of the
behavior”6
SUICIDE ATTEMPT: “non-fatal self-directed potentiallyinjurious behavior with any intent to die as a result of the
behavior. A suicide attempt may or may not result ininjury”7

behavior or a suicide death of one person influences anincrease in the suicidal behaviors of others who may or
may not be directly connected to the first person

SUICIDAL IDEATION: “thinking about, considering,

CRISIS INTERVENTION/COUNSELING:

SUICIDE PREVENTION: strategies that work toward

immediately applied professional mental health services(individual or group) that focus on the aftermath of criticalor traumatizing situations with the goal of restoring theperson or system to the level of functioning before thecrisisGATEKEEPER: a suicide prevention gatekeeper issomeone who knows basic and accurate information
about suicide, has a positive attitude that suicide can beprevented, possesses the skills to ask direct questions
about suicidal thoughts and knows how to effectively linkpeople at risk for suicide to qualified referral sources forhelp. Gatekeepers are the "safety net" for vulnerable
people. They can be teachers, counselors, ministers,
youth workers, parents, or anyone.

POSTVENTION: psychological first aid, crisis

intervention, and other support offered after a suicide
to affected individuals or the workplace as a whole toalleviate possible affects of a suicide deathor planning for suicide”8

diminishing the risk of and impact of suicide. Suicide is
not just the outcome of a mental health or substanceabuse problem, thus suicide prevention is more thanmental health services and may include environmental(e.g., bridge barriers) and sociological (e.g., promoting
connection and purpose) approaches.

SURVIVORS OF SUICIDE LOSS: someone who has
lost someone they care about to suicide. The relationshipcan be family, friends, co-workers, classmates, therapistclient, and many others. Some people affected by suicide
prefer the term “bereaved by suicide.”
TRAUMA REACTION: often a physical, mental

and emotional reaction affecting individuals who haveexperienced or witnessed profoundly traumatic events.
Sometimes this reaction is characterized by rumination,
agitation, flashbacks, nightmares, irritability, anxiety,insomnia, memory loss or avoidance of things that bring
the traumatic memories back.

PRESENTEEISM: the practice of coming to work,
although one does not feel well due to illness or injury,that often results in reduced productivity

6

Centers for Disease Control and Prevention: Definitions Self-Directed Violence
http://www.cdc.gov/violenceprevention/suicide/definitions.html

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7

ibid, Page 5

8ibid, Page 6

A Manager’s Guide to Suicide Postvention in the Workplace

ABOUT THE PARTNERSAMERICAN ASSOCIATION OF SUICIDOLOGYFounded in 1968, American Association of Suicidology (AAS) (www.suicidology.org) is a membership organization for all
those involved in suicide prevention and intervention, or touched by suicide. AAS leads the advancement of scientific andprogrammatic efforts in suicide prevention through research, education and training, the development of standards andresources, and survivor support services.

CARSON J SPENCER FOUNDATIONFounded in 2005, The Carson J Spencer Foundation (http://www.CarsonJSpencer.org) is a Colorado-based nonprofit thatenvisions a world where leaders and communities are committed to sustaining a passion for living by:• Delivering innovative and effective suicide prevention programs for working-aged people (http://www.WorkingMinds.org)• Coaching young leaders to develop social enterprises for mental health promotion and suicide prevention• Supporting people bereaved by suicide

CRISIS CARE NETWORKFounded in 1997, Crisis Care Network (CCN) (http://www.CrisisCare.com) is the EAP industry’s premier provider of Critical
Incident Response for the workplace. CCN helps individuals and organizations return to work, life and productivity following
critical incidents. We mitigate the human and financial costs of workplace tragedy such as workers' compensation claims, lowmorale, employee attrition, and litigation. CCN has established the nation's largest network of master’s- and doctoral-level
clinicians trained as Critical Incident Response Specialists, responding more than 1000 times per month to workplace incidents
for EAP’s, insurers, and employers in communities though out the US and Canada.

NATIONAL ACTION ALLIANCE FOR SUICIDE PREVENTION
Established in 2010, the National Action Alliance for Suicide Prevention (Action Alliance; www.ActionAllianceforSuicidePrevention.
org) is the public-private partnership advancing the National Strategy for Suicide Prevention (NSSP) by championing suicide
prevention as a national priority, catalyzing efforts to implement high-priority objectives of the NSSP, and cultivating the resources
needed to sustain progress. Its vision is a nation free from the tragic experience of suicide.
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