{"id":62,"date":"2021-04-12T12:46:33","date_gmt":"2021-04-12T16:46:33","guid":{"rendered":"https:\/\/opentextbc.ca\/capacitytoconnect\/chapter\/the-first-r-recognizing-signs-of-distress\/"},"modified":"2022-03-17T16:58:32","modified_gmt":"2022-03-17T20:58:32","slug":"the-first-r-recognizing-signs-of-distress","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/capacitytoconnect\/chapter\/the-first-r-recognizing-signs-of-distress\/","title":{"raw":"The First R: Recognizing Signs of Distress","rendered":"The First R: Recognizing Signs of Distress"},"content":{"raw":"<div class=\"textbox\">This section introduces the Three Rs Framework \u2013 recognize, respond, refer \u2013 as a way to support students who may be in distress. This section focuses on how to recognize signs of distress, including signs that a student may be considering suicide.<\/div>\r\n<div class=\"h5p\">\r\n\r\n[h5p id=\"8\"]\r\n\r\n<em>These slides are available for use with this section of the presentation. For information about downloading presentation slides, see <a class=\"internal\" href=\"\/capacitytoconnect\/front-matter\/introduction\/\">Introduction.<\/a><\/em>\r\n\r\n<\/div>\r\n<div class=\"pdf\">\r\n\r\n<img class=\"aligncenter wp-image-170\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23.jpg\" alt=\"\" width=\"500\" height=\"281\" \/>\r\n\r\n<img class=\"aligncenter wp-image-171\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24.jpg\" alt=\"\" width=\"500\" height=\"281\" \/>\r\n\r\n<\/div>\r\n<h1>Recognize<\/h1>\r\nThe Three Rs Framework \u2013 recognize, respond, refer \u2013 is an important way that we can support students. The first R is recognize. How do we recognize when someone is distressed and struggling? Thinking about your students and any times you might have been concerned about them, what are some signs you have noticed that they may be experiencing distress, which we define as more than predictable day-to-day stress? What did you notice? (Make the key point: the main sign is a change in a student\u2019s presentation.)\r\n\r\nStudents often give us clues about the state of their wellness through either their words, body language, or actions. What are some signs of distress that you\u2019ve noticed in students?\r\n<div class=\"pdf\"><img class=\"aligncenter wp-image-172\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25.jpg\" alt=\"\" width=\"500\" height=\"281\" \/><\/div>\r\nEither share the slide \"Recognizing Signs of Distress\" or write \"Academic, Behavioural, Physical, Emotional\" on the board and invite participants to share signs of distress that they\u2019ve noticed in students. (For online sessions, ask participants to write their responses in chat.) You could also refer back to the exercise done earlier, where participants identified different behaviour changes they might see when there is an imbalance in the wheel.\r\n\r\nSome possible signs that a student is not doing well include:\r\n\r\n<strong>Academic signs<\/strong>\r\n<ul>\r\n \t<li>Significant decline in the quality or quantity of classroom\/research work<\/li>\r\n \t<li>Change in attendance<\/li>\r\n \t<li>Repeated lateness, missed appointments or deadlines<\/li>\r\n \t<li>Missed assignments or exams<\/li>\r\n<\/ul>\r\n<strong>Emotional signs<\/strong>\r\n<ul>\r\n \t<li>Exaggerated emotional response (e.g., intense anger, sobbing, persistent worry)<\/li>\r\n \t<li>Overly confident and enthusiastic<\/li>\r\n \t<li>Absence of emotion \u2013 appearing flat, disengaged<\/li>\r\n \t<li>Lack of motivation or interest<\/li>\r\n<\/ul>\r\n<strong>Physical signs<\/strong>\r\n<ul>\r\n \t<li>Falling asleep in class<\/li>\r\n \t<li>Noticeable decline in hygiene or looking unkempt<\/li>\r\n \t<li>Significant change in energy level<\/li>\r\n \t<li>Appearing drunk or high<\/li>\r\n \t<li>Visible bruises, cuts, or injuries<\/li>\r\n<\/ul>\r\n<strong>Behavioural signs<\/strong>\r\n<ul>\r\n \t<li>Describing difficult circumstances or experiences (e.g., loss, conflict, trauma, assault)<\/li>\r\n \t<li>Ranting emails<\/li>\r\n \t<li>Disregard of rules or authority<\/li>\r\n \t<li>Peer reports of concerns about, or discomfort with, a student<\/li>\r\n<\/ul>\r\n<h1>Signs that a Student Might Be Thinking About Suicide<\/h1>\r\n<div class=\"pdf\"><img class=\"aligncenter wp-image-173\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26.jpg\" alt=\"\" width=\"500\" height=\"281\" \/><\/div>\r\nNow let\u2019s shift to talk a little more about suicide, which may be a concern for anyone trying to support students who are in crisis. A student could give warning signs such as:\r\n<ul>\r\n \t<li>Talking or writing about death, dying, or ending their life.<\/li>\r\n \t<li>Misusing substances, like drugs, alcohol, and inhalants, or showing signs of other harmful behaviours like excessive gambling or self-harming.<\/li>\r\n \t<li>Saying things like, \u201cI don\u2019t see any point,\u201d or \u201cThey\u2019d be better off without me.\u201d<\/li>\r\n \t<li>Withdrawing from friends, family, and activities.<\/li>\r\n \t<li>Missing classes and avoiding help.<\/li>\r\n \t<li>Showing changes in feelings, appearance, or behaviour that are outside their norm.<\/li>\r\n<\/ul>\r\nFor more information on signs that a person is considering suicide, see the IS PATH WARM tool, which is based on research from the American Association of Suicidology and used worldwide. It\u2019s available on the <a href=\"https:\/\/www.suicideprevention.ca\/resources\/Documents\/CASP-Know-the-Warning-Signs-.pdf\">Canadian Association for Suicide Prevention<\/a> website. This tool helps you think about some of the signs that a student could show if they are thinking about suicide and need help. It is important to remember that faculty and staff are not in a position to diagnose and are not expected to act as a counsellor, but if they are aware of the signs, they can help refer the student so they get the help they need.\r\n\r\nYou now have a sense of some signs of distress that you may see in students, and you have all seen and experienced some of these before. This is the first step: Recognizing.\r\n<h3>Text Attributions<\/h3>\r\n<ul>\r\n \t<li>This chapter was adapted from <em>Capacity to Connect: Supporting Students from Distress to Suicide. <\/em>\u00a9 Vancouver Island University. Added new paragraph to introduce the Three Rs Framework and \u201cSigns that a Student Might Be Thinking About Suicide.\u201d Adapted by Barbara Johnston. <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY 4.0<\/a>\u00a0license.<\/li>\r\n<\/ul>","rendered":"<div class=\"textbox\">This section introduces the Three Rs Framework \u2013 recognize, respond, refer \u2013 as a way to support students who may be in distress. This section focuses on how to recognize signs of distress, including signs that a student may be considering suicide.<\/div>\n<div class=\"h5p\">\n<div id=\"h5p-8\">\n<div class=\"h5p-iframe-wrapper\"><iframe id=\"h5p-iframe-8\" class=\"h5p-iframe\" data-content-id=\"8\" style=\"height:1px\" src=\"about:blank\" frameBorder=\"0\" scrolling=\"no\" title=\"BCcampus, Capacity to Connect: Supporting Students\u2019 Mental Health and Wellness (The First R)\"><\/iframe><\/div>\n<\/div>\n<p><em>These slides are available for use with this section of the presentation. For information about downloading presentation slides, see <a class=\"internal\" href=\"\/capacitytoconnect\/front-matter\/introduction\/\">Introduction.<\/a><\/em><\/p>\n<\/div>\n<div class=\"pdf\">\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-170\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23.jpg\" alt=\"\" width=\"500\" height=\"281\" srcset=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23.jpg 1280w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-300x169.jpg 300w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-1024x576.jpg 1024w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-768x432.jpg 768w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-65x37.jpg 65w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-225x127.jpg 225w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide23-350x197.jpg 350w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-171\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24.jpg\" alt=\"\" width=\"500\" height=\"281\" srcset=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24.jpg 1280w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-300x169.jpg 300w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-1024x576.jpg 1024w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-768x432.jpg 768w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-65x37.jpg 65w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-225x127.jpg 225w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide24-350x197.jpg 350w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<\/div>\n<h1>Recognize<\/h1>\n<p>The Three Rs Framework \u2013 recognize, respond, refer \u2013 is an important way that we can support students. The first R is recognize. How do we recognize when someone is distressed and struggling? Thinking about your students and any times you might have been concerned about them, what are some signs you have noticed that they may be experiencing distress, which we define as more than predictable day-to-day stress? What did you notice? (Make the key point: the main sign is a change in a student\u2019s presentation.)<\/p>\n<p>Students often give us clues about the state of their wellness through either their words, body language, or actions. What are some signs of distress that you\u2019ve noticed in students?<\/p>\n<div class=\"pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-172\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25.jpg\" alt=\"\" width=\"500\" height=\"281\" srcset=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25.jpg 1280w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-300x169.jpg 300w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-1024x576.jpg 1024w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-768x432.jpg 768w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-65x37.jpg 65w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-225x127.jpg 225w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide25-350x197.jpg 350w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/div>\n<p>Either share the slide &#8220;Recognizing Signs of Distress&#8221; or write &#8220;Academic, Behavioural, Physical, Emotional&#8221; on the board and invite participants to share signs of distress that they\u2019ve noticed in students. (For online sessions, ask participants to write their responses in chat.) You could also refer back to the exercise done earlier, where participants identified different behaviour changes they might see when there is an imbalance in the wheel.<\/p>\n<p>Some possible signs that a student is not doing well include:<\/p>\n<p><strong>Academic signs<\/strong><\/p>\n<ul>\n<li>Significant decline in the quality or quantity of classroom\/research work<\/li>\n<li>Change in attendance<\/li>\n<li>Repeated lateness, missed appointments or deadlines<\/li>\n<li>Missed assignments or exams<\/li>\n<\/ul>\n<p><strong>Emotional signs<\/strong><\/p>\n<ul>\n<li>Exaggerated emotional response (e.g., intense anger, sobbing, persistent worry)<\/li>\n<li>Overly confident and enthusiastic<\/li>\n<li>Absence of emotion \u2013 appearing flat, disengaged<\/li>\n<li>Lack of motivation or interest<\/li>\n<\/ul>\n<p><strong>Physical signs<\/strong><\/p>\n<ul>\n<li>Falling asleep in class<\/li>\n<li>Noticeable decline in hygiene or looking unkempt<\/li>\n<li>Significant change in energy level<\/li>\n<li>Appearing drunk or high<\/li>\n<li>Visible bruises, cuts, or injuries<\/li>\n<\/ul>\n<p><strong>Behavioural signs<\/strong><\/p>\n<ul>\n<li>Describing difficult circumstances or experiences (e.g., loss, conflict, trauma, assault)<\/li>\n<li>Ranting emails<\/li>\n<li>Disregard of rules or authority<\/li>\n<li>Peer reports of concerns about, or discomfort with, a student<\/li>\n<\/ul>\n<h1>Signs that a Student Might Be Thinking About Suicide<\/h1>\n<div class=\"pdf\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-173\" src=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26.jpg\" alt=\"\" width=\"500\" height=\"281\" srcset=\"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26.jpg 1280w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-300x169.jpg 300w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-1024x576.jpg 1024w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-768x432.jpg 768w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-65x37.jpg 65w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-225x127.jpg 225w, https:\/\/opentextbc.ca\/capacitytoconnect\/wp-content\/uploads\/sites\/343\/2021\/04\/Slide26-350x197.jpg 350w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/div>\n<p>Now let\u2019s shift to talk a little more about suicide, which may be a concern for anyone trying to support students who are in crisis. A student could give warning signs such as:<\/p>\n<ul>\n<li>Talking or writing about death, dying, or ending their life.<\/li>\n<li>Misusing substances, like drugs, alcohol, and inhalants, or showing signs of other harmful behaviours like excessive gambling or self-harming.<\/li>\n<li>Saying things like, \u201cI don\u2019t see any point,\u201d or \u201cThey\u2019d be better off without me.\u201d<\/li>\n<li>Withdrawing from friends, family, and activities.<\/li>\n<li>Missing classes and avoiding help.<\/li>\n<li>Showing changes in feelings, appearance, or behaviour that are outside their norm.<\/li>\n<\/ul>\n<p>For more information on signs that a person is considering suicide, see the IS PATH WARM tool, which is based on research from the American Association of Suicidology and used worldwide. It\u2019s available on the <a href=\"https:\/\/www.suicideprevention.ca\/resources\/Documents\/CASP-Know-the-Warning-Signs-.pdf\">Canadian Association for Suicide Prevention<\/a> website. This tool helps you think about some of the signs that a student could show if they are thinking about suicide and need help. It is important to remember that faculty and staff are not in a position to diagnose and are not expected to act as a counsellor, but if they are aware of the signs, they can help refer the student so they get the help they need.<\/p>\n<p>You now have a sense of some signs of distress that you may see in students, and you have all seen and experienced some of these before. This is the first step: Recognizing.<\/p>\n<h3>Text Attributions<\/h3>\n<ul>\n<li>This chapter was adapted from <em>Capacity to Connect: Supporting Students from Distress to Suicide. <\/em>\u00a9 Vancouver Island University. Added new paragraph to introduce the Three Rs Framework and \u201cSigns that a Student Might Be Thinking About Suicide.\u201d Adapted by Barbara Johnston. <a href=\"https:\/\/creativecommons.org\/licenses\/by\/4.0\/\">CC BY 4.0<\/a>\u00a0license.<\/li>\n<\/ul>\n","protected":false},"author":123,"menu_order":1,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-62","chapter","type-chapter","status-publish","hentry"],"part":57,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapters\/62","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/wp\/v2\/users\/123"}],"version-history":[{"count":3,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapters\/62\/revisions"}],"predecessor-version":[{"id":175,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapters\/62\/revisions\/175"}],"part":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/parts\/57"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapters\/62\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/wp\/v2\/media?parent=62"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/pressbooks\/v2\/chapter-type?post=62"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/wp\/v2\/contributor?post=62"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/capacitytoconnect\/wp-json\/wp\/v2\/license?post=62"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}