CONCORD, N.H. - In a nation that increasingly turns to the medicine cabinet for solutions, experts warn that unused medicines can be a source of trouble - and even suicide. Today is New Hampshire Suicide Prevention Day, and New Hampshire Chief Medical Examiner Dr. Tom Andrew says one step everyone can take to prevent suicides is simply to be aware of what is in their medicine cabinet.

Because there's a pill for just about everything these days, Andrew warns, having too many leftovers readily available can be a source of trouble.

"Unused pills often sit there in the medicine cabinet. They provide an avenue not only for recreational abuse, but also for suicide attempts - particularly for those who are troubled enough to go that far to do it."

Andrew says suicide is one of the factors contributing to a 475-percent increase in drug deaths in New Hampshire since 1977. He says Carroll County currently has the state's highest suicide rate, followed by Coos and Belknap counties.

Women are more likely to attempt suicide, Andrew says, but men are more likely to carry out the act - with younger and older New Hampshire men currently most at risk.

"Suicide overall continues to be a 3-to-1 ratio, male to female, but you see higher numbers in youth, particularly our boys and in senior men. The numbers are particularly stark in those age groups."

Keeping a close watch on the medicine cabinet is particularly important in preventing adult suicides in New Hampshire, he says.

"You'll see almost double the rate in adult versus youth suicides when you talk about prescription drug deaths. It makes sense if you think about it: Adults are going to have more access to prescription drugs."

Unused drugs don't have to go to waste, he adds, because many can be donated to drug give-back programs.

The State Suicide Prevention Council holds a press briefing at 9 a.m. at the Legislative Office Building, Concord. The next national drug take-back initiative will be Sept. 29.

More information is available at www.deadiversion.usdoj.gov.




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Boulder and Broomfield County residents can now access mental health services the same way they can access urgent medical care.

Dr. Nadia Haddad, medical director of mental health services with Mental Health Partners, said all too often, people can't get help unless they are already connected with an outpatient provider, and many have months-long waiting lists. She said if people have to wait for care, their situation can get worse, and what might have been a manageable issue can turn into a crisis.

"They are going to the emergency room or going to a psychiatric hospital. And so what we're trying to do is fill that gap so that people can get connected with services when they need it, on a walk-in basis," she said.

Mental Health Partners, a community mental health center serving Boulder and Broomfield counties for 60 years, recently launched UrgentPsych Mental Health and Substance Use Urgent Care. The walk-in program provides immediate, in-person support for urgent mental health and substance use needs for anyone, regardless of their ability to pay, whether or not they are an existing client, or speak English. For more information about the 24-hour facility in northeast Boulder, call 303-443-8500.

Mental Health Partners' new Intensive Family Services program provides in-home therapy for K through 12 youth with disruptive behaviors who are at risk of being placed in foster care or the juvenile justice system. The urgent care facility is also available to people of all ages.

"That's another really challenging part of seeking out services. Care for children and adolescents is often even more challenging to find. There are fewer child psychiatrists out there," she said.

Both new programs were created in part to get people the services they need to avoid hospitalization. But Haddad said when people do reach a point where they need 24/7 monitoring and daily visits from a medical provider, it is essential that people can access hospital-level care.

"The vast majority of people who are dealing with mental health-related issues do not require hospitalization. If we can change people's trajectories earlier, we can prevent mental suffering, and they may not have to go through the hospital," she explained.


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This is National Library Week, honoring the many roles that libraries play in their communities.

In central Texas, a pilot program is using the public library system to expand mental health services in rural areas.

Residents in four counties can get assistance at their local public library through the Libraries for Health program.

Trained mental health peer specialists evaluate clients and refer them to clinics for additional help if it's needed.

The program is funded through the St. David's Foundation, working to advance health equity in Central Texas.

The foundation's Senior Program Officer Abena Asante said the initiative works in tandem with the mental health community.

"It's in no way taking the place of clinical-directed psychologists," said Asante. "It's just one community response in addressing the lack of mental wellness resources in rural communities."

Asante said libraries are trusted and accessible gathering places for people living in rural areas. The libraries tailor programs to meet specific local needs based on feedback from the residents.

Data collected during the 3.5-year pilot program will be used to evaluate its success. The nonprofit Via Hope trains the peer specialists who work in the libraries.

Dr. Sandra Smith, vice president of Via Hope, said the staffers use their own life experiences to help them relate to the clients.

"They have to have had a mental health challenge at some point in their life," said Smith. "We don't ask them any specifics about that, we don't ask diagnoses - it's a self-disclosure."

The Libraries for Health program operates in eight libraries in Bastrop, Caldwell, Hays and Williamson counties. If successful, it could be implemented in other parts of the state.





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The Centers for Disease Control and Prevention reported one in 36 children around the U.S. has autism spectrum disorder. Rates are much higher than a decade ago and support organizations hope Wisconsin communities do more to make individuals feel welcome, including adults on the spectrum.

April is Autism Acceptance Month. Not only do advocates want to empower those with a diagnosis to live their fullest possible lives but they also ask those around them to learn more about it.

Katie Hess, executive director of the Autism Society of Greater Wisconsin, said there are some key practices to keep in mind.

"Really, what we're looking for is for people just to be open-minded and patient, and understanding," Hess explained.

Acceptance does not happen only at home or school. Workplaces also are encouraged to foster more inclusiveness, with nearly 60% of people with autism now employed after receiving vocational services. Their advocates said they have many strengths and asking them about their needs creates a better environment for them.

Symptoms of autism can vary widely for each person on the spectrum, including how they interact with others. Hess noted whether individuals are considered "high need" or "low need," having the public pay more attention to the evolution of this disorder is vital.

"We're learning new information all the time, so certainly reach out to your local chapter, your Autism Society," Hess urged. "Ask questions."

Her chapter will soon begin offering a training program to organizations about how to become more autism friendly, including being able to identify a person on the autism spectrum and how to best offer ways to help if they disclose their diagnosis.


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