Hawaii Crime & Trauma Scene Cleanup 877-246-2532

6 reasons why people commit suicide

2010-06-03T10:22:00.000-07:00

by Alex Lickerman, MD

Though I’ve never lost a friend or family member to suicide, I have lost a patient.

I have known a number of people left behind by the suicide of people close to them, however. Given how much losing my patient affected me, I’ve only been able to guess at the devastation these people have experienced. Pain mixed with guilt, anger, and regret makes for a bitter drink, the taste of which I’ve seen take many months or even years to wash out of some mouths.

The one question everyone has asked without exception, that they ache to have answered more than any other, is simply, why?

Why did their friend, child, parent, spouse, or sibling take their own life? Even when a note explaining the reasons is found, lingering questions usually remain: yes, they felt enough despair to want to die, but why did they feel that? A person’s suicide often takes the people it leaves behind by surprise (only accentuating survivor’s guilt for failing to see it coming).

People who’ve survived suicide attempts have reported wanting not so much to die as to stop living, a strange dichotomy but a valid one nevertheless. If some in-between state existed, some other alternative to death, I suspect many suicidal people would take it. For the sake of all those reading this who might have been left behind by someone’s suicide, I wanted to describe how I was trained to think about the reasons people kill themselves. They’re not as intuitive as most think.

In general, people try to kill themselves for six reasons:

1. They’re depressed. This is without question the most common reason people commit suicide. Severe depression is always accompanied by a pervasive sense of suffering as well as the belief that escape from it is hopeless. The pain of existence often becomes too much for severely depressed people to bear. The state of depression warps their thinking, allowing ideas like “Everyone would all be better off without me” to make rational sense. They shouldn’t be blamed for falling prey to such distorted thoughts any more than a heart patient should be blamed for experiencing chest pain: it’s simply the nature of their disease.

Because depression, as we all know, is almost always treatable, we should all seek to recognize its presence in our close friends and loved ones. Often people suffer with it silently, planning suicide without anyone ever knowing. Despite making both parties uncomfortable, inquiring directly about suicidal thoughts in my experience almost always yields an honest response. If you suspect someone might be depressed, don’t allow your tendency to deny the possibility of suicidal ideation prevent you from asking about it.

2. They’re psychotic. Malevolent inner voices often command self-destruction for unintelligible reasons. Psychosis is much harder to mask than depression — and arguably even more tragic. The worldwide incidence of schizophrenia is 1% and often strikes otherwise healthy, high-performing individuals, whose lives, though manageable with medication, never fulfill their original promise.

Schizophrenics are just as likely to talk freely about the voices commanding them to kill themselves as not, and also, in my experience, give honest answers about thoughts of suicide when asked directly. Psychosis, too, is treatable, and usually must be for a schizophrenic to be able to function at all. Untreated or poorly treated psychosis almost always requires hospital admission to a locked ward until the voices lose their commanding power.

3. They’re impulsive. Often related to drugs and alcohol, some people become maudlin and impulsively attempt to end their own lives. Once sobered and calmed, these people usually feel emphatically ashamed. The remorse is usually genuine, and whether or not they’ll ever attempt suicide again is unpredictable. They may try it again the very next time they become drunk or high, or never again in their lifetime. Hospital admission is therefore not usually indicated. Substance abuse and the underlying reasons for it are generally a greater concern in these people and should be addressed as aggressively as possible.

4. They’re crying out for help, and don’t know how else to get it. These people don’t usually want to die but do want to alert those around them that something is seriously wrong. They often don’t believe they will die, frequently choosing methods they don’t think can kill them in order to strike out at someone who’s hurt them—but are sometimes tragically misinformed. The prototypical example of this is a young teenage girl suffering genuine angst because of a relationship, either with a friend, boyfriend, or parent who swallows a bottle of Tylenol—not realizing that in high enough doses Tylenol causes irreversible liver damage.

I’ve watched more than one teenager die a horrible death in an ICU days after such an ingestion when remorse has already cured them of their desire to die and their true goal of alerting those close to them of their distress has been achieved.

5. They have a philosophical desire to die. The decision to commit suicide for some is based on a reasoned decision often motivated by the presence of a painful terminal illness from which little to no hope of reprieve exists. These people aren’t depressed, psychotic, maudlin, or crying out for help. They’re trying to take control of their destiny and alleviate their own suffering, which usually can only be done in death. They often look at their choice to commit suicide as a way to shorten a dying that will happen regardless. In my personal view, if such people are evaluated by a qualified professional who can reliably exclude the other possibilities for why suicide is desired, these people should be allowed to die at their own hands.

6. They’ve made a mistake. This is a recent, tragic phenomenon in which typically young people flirt with oxygen deprivation for the high it brings and simply go too far. The only defense against this, it seems to me, is education.

The wounds suicide leaves in the lives of those left behind by it are often deep and long lasting. The apparent senselessness of suicide often fuels the most significant pain survivors feel. Thinking we all deal better with tragedy when we understand its underpinnings, I’ve offered the preceding paragraphs in hopes that anyone reading this who’s been left behind by a suicide might be able to more easily find a way to move on, to relinquish their guilt and anger, and find closure. Despite the abrupt way you may have been left, those don’t have to be the only two emotions you’re doomed to feel about the one who left you.

Alex Lickerman is an internal medicine physician at the University of Chicago who blogs at Happiness in this World.

An insight into crime scenes clean up services

2010-03-16T09:14:00.001-07:00

Crime scene cleanup companies also clean unattended deaths, damaged environments due to tear gas, and other crime and distress scenes. The larger crime scenes that involve mass murder scenes, terrorist attacks and anthrax and other biochemical damage is also taken care by these companies. Crime Scene Cleanup services may also include bird and rodent infested areas. The cleaners in this case require special experience and equipment than a typical cleaning company’s experience and equipment.

Typically, crime scene cleanups start taking place only after the coroner’s office and other government bodies releases the “scene” back to the owner or some other responsible person concerned with it. The cleaning task can not begin till the police investigation is completely finished on the contaminated scene.

In most cases crime scene cleanup is a small business activity. Mostly, small cleaning services like carpet cleaning or water damage companies add services for Crime Scene Cleanup for diversifying their activities. The prominent and recognized organizations in this field of cleaning consist of the Institute of Inspection, Cleaning, and Restoration Certification (IICRC) and the American Bio-recovery Association (ABRA).

Earlier crime scene cleanup was a loathsome job but today it has become a lucrative business. Crime scene cleanup companies can charge anywhere between $100 to $600 per hour depending on the “level of trauma” and the quantity of hazardous material that the cleaners have to deal with and dispose of.

While a crime clean up service is ultimately a business like any other, advertising and marketing your services can be tricky. In a job that involves tragic death; most companies avoid mainstream methods of advertisement. Some choose the standard phone-book route while many others advertise on the side of their vans. Most of these companies largely depend on discreet options like passing out their business cards at service-industry gatherings, police stations and funeral homes.

An important requirement for success in this industry involves being considerate towards the sensitive nature of the work. There are certain crime scene clean-up companies that provide a grief counselor to the families at no cost while others offer discount to needy people. There are many countries where this type of service is funded by government or by religious organizations.

While some people call this emerging field a social trend of commercializing death, others call it plain capitalism. But for many others it still remains an essential service, a godsend. The fact is that whether you like it or loathe it but if you ever end up with blood and brains splashed all over your bedroom walls, you will definitely be relieved that there is someone you can call to clean it up.

National Study Finds Highest Rate Of Suicide On Wednesdays

2009-07-12T08:42:00.000-07:00

By ARIELLE LEVIN BECKER

The Hartford Courant

July 11, 2009

Nearly a quarter of suicides in the U.S. occur on Wednesdays, about twice as many as almost every other day of the week, a new study has found.

The study, published in the journal Social Psychiatry & Psychiatric Epidemiology, contradicts earlier findings that suicides are more common on Mondays and left experts puzzling over what may be behind Wednesday's grim distinction.

Is it something about the middle of the week? Job stresses piling up, potentially overwhelming people who already see their problems as insurmountable?

"It may be just that it feels like there's no way out on Wednesday, [it's] too long to wait for the weekend," said Theodore Mucha, medical director at the Institute of Living at Hartford Hospital. Like other experts, he cautioned that his explanation was just a guess.

Researchers Augustine J. Kposowa and Stephanie D'Auria at the University of California, Riverside, examined data from U.S. death records from 2000 to 2004, focusing on adult suicides.

They found that 24.6 percent of suicides occurred on Wednesdays. The next-highest rates were 14.4 percent on Saturdays and 14.3 percent on Mondays. The fewest suicides occurred on Thursdays — 11.1 percent.

Kposowa and D'Auria also found that more suicides occurred in summer and spring than in fall or winter, contrasting with traditional thinking that winter months bring more risk of suicide.

Other parts of the study were consistent with previous research, showing that men are more likely to take their lives than women, and people who are divorced, white, educated or living in non-metropolitan areas have a higher risk of suicide.

The day of the week findings represent something new.

"This really does tell us something different," said Nina Heller, a social work professor at the University of Connecticut. "What it doesn't yet tell us is the why of that."

Heller said she had been "scratching my brain" since learning of the study, trying to think of a reason for the Wednesday peak in suicides. Maybe, she said, people who are already suffering from a mental illness and struggling to get through the week see Wednesday as a halfway point. "Perhaps they can't push any further," she said.

People who take their own lives often have lost perspective, becoming so despondent they lose track of things that might help them get through the day, said Charles Atkins, attending psychiatrist at Waterbury Hospital.

"One of the obvious speculations about Wednesday is that it's work-related, that people have become so caught up in the stress of the work week that whatever it is that's going on or is on their plate seems unsurmountable and suicide seems like a way out," he said.

Other national studies have indicated that working Americans typically list their jobs as their top source of stress, which Atkins said may lend weight to the idea that the Wednesday suicide peak could be related to the work week.

Kposowa also pointed to workplace stress as a potential explanation and believes changes in Americans' work and family life may be behind the shift in suicide's concentration from Mondays to Wednesdays.

Increased economic competition worldwide has threatened job security for many workers, heightening stress, frustration and even feelings of betrayal, said Kposowa, a sociology professor. "Individuals work harder and harder, but seem to be losing ground; they have little or nothing to show for their labor — especially among those who depend on others for wages," he wrote in an e-mail. "It is highly likely that the middle of the week (represented by Wednesday) is when these stressors and feelings of hopelessness are at their highest."

People may have once viewed Wednesday as the day you got over in order to look forward to a relaxed weekend, he said. But perhaps many Americans now see the next weekend as too far away.

Kposowa suggested that suicide prevention hot lines examine which days of the week call volumes are highest and consider placing more staff on Wednesdays, Saturdays and Mondays. Mental health workers might also consider scheduling more patient appointments on Wednesdays, he said.

Several mental health workers said they had not noticed a link between Wednesdays and an increased risk of suicide. More than 25,000 people kill themselves in the U.S. each year, an average of slightly more than one per day in each state, so trends that might be apparent from thousands of cases would not likely be noticed by individual mental health workers or programs.

A Courant analysis of Connecticut figures showed a different day distribution: from 2001 to 2004, no day stood out as sharply as Wednesday did in the national study. Most suicides — 16.7 percent — occurred on Tuesday, while 16.4 percent occurred on Monday and 14.5 percent on Wednesday. Thursday had the lowest occurrence, 12.1 percent. The data showed 966 adult suicides, a small fraction of the 131,636 in the national sample.

Seasonal suicide variations in Connecticut did reflect the national findings, with most occurring in summer and spring and fewer in winter and fall.

The seasonal figures contradict previous findings, but they didn't surprise Michael Levinson, director of clinical services at the Capitol Region Mental Health Center. He works nights in an emergency room and has gotten used to seeing more psychiatric emergencies in the spring.

"We always sort of look forward to spring gritting our teeth," he said.

While traditional thinking has focused on winter, with its cold weather and lack of sunlight, as a more common season for suicide, Levinson has a theory about why it may not be so: People think it's normal to be depressed in the winter. "Spring is the time of year when people are supposed to be rejuvenated and outside and enjoying themselves, and if you're not, it makes you feel comparatively worse than everybody else, which may make you feel more hopeless," he said.

Hawaii's Dirtiest Job?

2009-07-03T09:27:00.000-07:00

Written by Lisa Kubota - lkubota@kgmb9.com

It's one of those horrible jobs somebody has to do.

Cleaning up bloody crime scenes is stomach-turning work.

But the owners of a unique Hawaii business tackle the task on top of their regular jobs.

Theresa Nishite is comfortable in the classroom.

She's been at Moanalua High School for nearly a decade.

A year and a half ago, this biology teacher started a new chapter in her life with a second career.

This is her other job.

Cleaning up gruesome crime and trauma scenes.

"If I come by myself, the first thing they say when they look at me is, 'Are you the one that's gonna clean this up?,'" said Nishite.

She's seen it all from blood splatter to the mess left behind by decaying bodies.

"It definitely wasn't something that I got used to right away cause sometimes the things that we see in our jobs are a little bit stomach queasy," Nishite said. "You see the maggots flying around and the flies and everything."

To protect themselves, Nishite and her partner, Tom Tomimbang, wear splashproof biosuits.

They seal their gloves shut with duct tape.

And they wear masks with special filters to help with the worst part of the job, the overwhelming odor.

"People are under the impression that sometimes the police or firefighters or even the ambulance will clean up a lot of the mess," said Tomimbang.

Tomimbang knows because he's a Honolulu police officer, a veteran of 17 years.

He came up with the idea for Island Decon, after spotting an ad online for a biohazard recovery certification course.

The couple invested $50,000 in equipment and powerful cleaning supplies.

"It kills HIV, hepatitis, also the avian flu," Tomimbang said.

The company charges $250 an hour for cleaning up and decontaminating death scenes.

Island Decon also does other jobs, tackling everything from bird droppings to sewage backups.

"Yeah, I talk about it like it's no big deal but maybe two years ago, I would have been, 'Whoa! Really?' I would have been amazed at what I'm doing right now. I don't think I would have ever seen myself doing this kind of work," Nishite said.

"The best part is the thank yous from the families -- to see that they don't have to go through more emotional trauma," Tomimbang said.

Right now, the company is based out of the couple's home in Waikele.

One day, they hope to expand and get a separate space for their business.

Why you need crime scene cleanup services

2009-05-16T13:44:00.000-07:00

By Alex Thomson

Crime scene cleanup or trauma scene cleanup after the death of someone either violently or naturally is by and large the responsibility of the victim’s family. Even till few years ago, there were a handful of cleaning companies that specialized in trauma cleaning service. But today this niche service has emerged as a lucrative business and there are many companies who provide this service.

Trauma cleaning service requires special experience, skills, equipment and expertise to deal with different types of bio-hazardous waste and dispose them efficiently with the minimum possible emotional stress to the victim’s family.

The most traumatic form of death is violent death and leaves the victim’s family feeling both victimized and traumatized. Coming to terms with the unnatural death of a loved one is in itself an uphill task for the bereaved family, and to top it they have to deal with other practical matters like making funeral arrangements, dealing with insurance issues, contacting surviving family and friends and locating wills. Furthermore, in case of violent crimes the police and the media are also involved. This can really overwhelm any family. Here is where trauma cleaning service comes to your rescue. They lighten one of the heaviest burdens, that is of dealing with the horrid murder cleanup. They will take care of the crime scene cleanup, ensuring that the scene is restored to its pre-incidental state as far as possible and in the most quick and efficient manner thus allowing you to deal with other important matters. Most service providers work discreetly and protect the confidentiality of the sufferer and family.

Most of the times, the crime scenes are so ghastly that they can induce additional emotional trauma in victim’s friends and family. By hiring professionals for cleanup, you can reduce this emotional stress. Immediately after death the nature begins its process of breaking down the body. Unattended death scene and dead bodies can be dangerous as it gives rise to blood borne pathogens, mold spores and bacteria. You may try to clean the area by yourself but the exposure may result in flu-like diseases or direct attack on the respiratory system. So it is advisable to leave this job to professionals who specialize in bio fluid and blood remediation.

The total cost involving a trauma scene cleanup will depend on a number of factors. One of the most major factors is that how many technicians will be needed for the job, how long will the job take and the quantity of hazardous material that needs to be treated and disposed of. It can range anywhere in the range of $100 to $1000 per hour. Some people might call this business as capitalizing on death but it is still essential and indispensable in case of a death.

Crime Scene Cleanup: What It Involves

2009-05-13T20:28:00.000-07:00

A crime scene cleanup service is not without its complications. Crime scene cleaning encompasses restoring the crime scene to its original state. When a crime is usually discovered, crime scene cleaners are not called until after officers of the law, like the crime scene investigators, have done their jobs first and have given the go ahead for the cleaners to come in. If you intend to hire a crime scene cleanup company, you must make sure that they are well equipped and fit right to get the job done. A crime scene presents challenging conditions.

The Use Of Protective Gears:
Crime scenes can very well involve the use of hazardous or deadly substances. For safety reasons then, it has become imperative that crime scene cleaners use protective clothing, in addition to protective tools and gadgets. You must see to it that they have all the necessary protective gears and gadgets. The protective clothing can consist of disposable gloves and suits. A disposable gear is preferred nowadays since it offers the best protection against contamination. You use it one time and get rid of it. That way, the dangers of contamination is virtually brought down to zero percent. Protective clothing extends to respirators and the use of heavy-duty industrial or chemical-spill protective boots.

Among the gadgets that a crime scene cleaning company must have are special brushes, special sprayers, and wet vacuum. These special tools ensure added protection against getting into contact with the hazard could very well be present in the crime scene. There is large, special equipment such as a mounted steam injection tool that is designed to sanitize dried up biohazard materials such as scattered flesh and brain. You would also need to check if they have the specialized tank for chemical treatments and industrial strength waste containers to collect biohazard waste.

Of course, any crime scene clean up must have the usual cleaning supplies common to all cleaning service companies. There are the buckets, mops, brushes and spray bottles. For cleaning products, you should check if they use industrial cleaning products. A crime scene cleaning company must have these on their lists:

1 - Disinfectants including hydrogen peroxide and bleaches - The kinds that the hospitals used are commonly acceptable.

2 - Enzyme solvers for cleaning blood stains. It also kills viruses and bacteria.

3 - Odor removers such as foggers, ozone machines, and deodorizers

4 - Handy tools for breaking and extending such as saws, sledgehammers, and ladders

Established crime scene operators also equip themselves with cameras and take pictures of the crime scene before commencing work which. The pictures taken may prove useful for legal matters and insurance purposes. You never know which.

Needless to say, a specially fitted form of transportation and proper waste disposal is also needed. These requirements are specific. As you can imagine, crime scene cleaning is in a different category on its own. A home cleaning or janitorial service company may not be able to cope up with the demands of a crime scene. A crime scene cleanup service requires many special gears and tools that a home cleaning or a janitorial service company does not usually have or does not require. Crime scene cleaning if not done correctly can expose the public to untold hazards.

What Else To Look For In A Crime Scene Cleanup Company
You may also want to hire a company that has established itself. An experienced company with a strong reputation is always a plus but it could be expensive too. You will do well to balance your needs with what is your budget. There are several companies that offer specific prices such as for death scene clean up categories and suicide clean up categories. Most companies own a website and have round the clock customer service as receptionists.

When looking for a suitable crime scene cleaning service, among the first things you need to do is to scout for price quotes. Crime scene cleanup services usually provide quote after they have examined the crime scene and then they give you a definite quote. Factors that are usually considered include the number of personnel that will be needed to get the job done. It also includes the amount of time that might be needed. The nature and amount of the waste materials that need to be disposed will also be factored in. You can be sure that the more sophisticated equipments needed the more expensive it will get.

Crime Scene Cleanup And Your Insurance
For homeowners, the best approach is always to make sure that crime scene cleanup services clauses and provisions are written down on the contracts or policies. The inclusion of crime cleanup services clauses is very common and has become standard clause in most homeowner’s policy. Make sure that you are covered for this unforeseen event. Make sure that your policy directs the crime scene cleaning company to transact directly with the homeowner insurance company. A crime scene cleaning service is usually a standard clause in many homeowners’ insurance clause. These companies often do the paperwork in behalf of clients.

If for some reason you do not have such coverage by any policies relating to crime scene cleanup on your home, there are ways to keep your expenses controlled.

Finding the right company can be very taxing, especially that you have to deal with the emotional stress stemming from the crime itself, especially with a crime scene involving death.

There are many crime scene cleanup companies in operation nowadays. There are reliable professionals that you can hire and prices are relatively competitive. As of recently, crime-scene cleanup services can cost up to $600 for an hour of their service. A homicide case alone involving a single room and a huge amount of blood can cost about $1,000 to $3,000.

In recent years, crime scene cleaning has come to be known as, "Crime and Trauma Scene Decontamination or CTS. Basically, CTS is a special form of crime scene cleaning focusing on decontamination of the crime scene from hazardous substances such as those resulting from violent crimes or those involving chemical contaminations such as methamphetamine labs or anthrax production. This type of service is particularly common when violent crimes are committed in a home. It is rare that the residents move out of the home after it has become a scene of a crime. Most often, the residents just opt to have it cleaned up. That is why, it is very important to hire the best crime scene cleaning company out there. The place needs to be totally free from contamination of any kind. You have to make sure that the company is able to remove all traces of the violent crime that took place. This includes cleaning biohazards that are sometimes invisible to the untrained eye.

Legally speaking, federal laws state that all bodily fluids are deemed biohazards and you should make sure that the cleanup service company you hire understands this and includes it in the cleanup. These things appear as blood or tissue splattered on a crime scene. You must be able to hire a company that is equipped with special knowledge to safely handle biohazard materials. The company must have the knowledge what to search for in any give biohazard crime scene. For instance, the company should be able to tell clues such that if there is a bloodstain the size of a thumbnail on a carpet, you can bet that there is about a huge bloodstain underneath. Federal and State laws have their own laws in terms of transport and disposal of biohazard waste. Make sure that the company you hire has all the permits necessary.

It will also be a huge plus if you could hire people who not only has the special trainings but also who have the nature to be sympathetic. If you are close to the victim and have the cleaning done at the behest of the victim’s relatives, it would matter that the cleaners tread the site with some level of respect. It is a common site that family members and loved ones are often there at scene. In general, when looking for a suitable crime scene cleaners, you would take into considerations the kind of situation that the crimes scene presents and the demands that it require. Crime scene cleaning companies handle a wide variety of crime scenes and prices may vary from one to the other crime scene and one to the other company.

Each type of scene requires its own particular demands not only to make the crime scene look clean and neat on the surface but to make it germ free, and clean inside and to make it free from all deadly and infectious substances. The cleanup cost for biohazards may vary depending on degree of the bio hazard(s) on the scene. There may even be a category that changes the cleanup pricing which usually involves decomposing bodies and carcasses. Likewise, a cleanup of chemical hazards vary, depending on the amount of chemical hazards as well as the grades i.e. how hazardous the substance is in terms of human contact. Prices are also determined by the number of hours and personnel that it would to get the crime scene cleaned. In addition, the "gross factor" from crime scene involving death and gore needs to be taken under consideration regarding the chemicals that will be used as opposed to those crimes' that do not have gore involved.

Traumatic Grief

2009-05-06T07:42:00.000-07:00

By Nancy Crump

Since the late 1980’s, we have seen an increase in interest and research on the effects of trauma on the grief process. We have learned that the grief process from the sudden, unexpected, and often violent deaths of suicide, homicide, auto accidents, natural disasters, and other types of deaths, is very different from the grief process of those who have died from natural causes, old age, or long-termed illness. Many, if not all, of the deaths faced by Bio Technicians fall into the category of traumatic. Those family members who hire you have usually been touched by the trauma of the death. Understanding the traumatic grief process and its differences from other types of grief may be of some help to you as you deal with these family members.

There are several key elements that make the responses by family members to a traumatic death difficult. First is the suddenness of the death. Family members usually did not have time to prepare themselves for the death and to make the psychological adjustments to cope with the news of the death. Also, the suddenness of the death does not give the family an opportunity to say goodbye to the victim before their death. Second, the violence of the death may leave the family with horrific memories and nightmares that often interfere with the grief process. Third, many of these types of deaths require police intervention and the family is often not given the support, information, and compassion they need at the time. Another element can be the presence of the media at the time of the death, as well as weeks and months later if legal issues follow the death. Most traumatic deaths involve young people who’s parents, grandparents, and siblings may still live. Certainly, the death of a child or young person is very difficult to cope with.

Reactions to a traumatic death can be very different, more intense, and longer lasting than other types of death. The emotions following a traumatic death are often conflicting and intense. There is a tendency to relive the death event over and over in an attempt to make it real. Intrusive thoughts and nightmares are very common. Intense physical responses such as inability to eat or sleep, stomach aches and headaches, muscle tension, high blood pressure and a decrease in the autoimmune system are also common. Many times, the survivors must deal with intense feelings of guilt or remorse, feeling that they were somehow responsible or could have prevented the death “if only”. Family members have the need to tell the story of the death over and over again in an attempt to gain a sense of the reality of the death. They often have an overwhelming need to learn all they can about the circumstances of the death - how the person died, whether they were in pain, did they know they were dying, what were their last words, who saw what happened, and in cases of homicide, who committed the murder. All of these reactions are ways the survivors use to grasp the reality of the death and to begin the grief process.

As Bio Technicians, you are often called by family members or meet them upon arrival to the scene. Understanding some of the dynamics of trauma on the grief process may help as you help the family. Understanding the “normalcy” of the reactions you may see can help you feel more competent and assured to speak with family members without wondering whether or not you are saying the “right” thing. Some suggestions are listed below, but the most important thing is to convey sincerity and compassion to the family. They are very vulnerable and sensitive to words, expressions, and body language. Just make sure that what you say and do is congruent with how you feel or you will come across as insincere and uncaring.

Soon after a traumatic death, most survivors simply need to tell the story to anyone who will listen. It is important for their recovery to be able to do this. If you have time to listen, do so. They are not necessarily looking for any input from you; they just need someone to listen.

Remember that there are two basic rules for grieving people – you don’t hurt yourself or someone else. If, during the conversation, you hear comments that indicate the person is thinking of either, you might suggest they go talk to someone else before making a decision to do something like this. Create a list of counselors, therapists, or mental health centers to hand out at times like these. Take comments about thoughts of suicide seriously and offer to call a friend or family member to be with the person and get them help. Suicide rates often increase after a sudden, traumatic death of a loved one. These are very difficult situations for you as a caregiver, but you need to set limits as to what you can and cannot do. Listening and having resources available are all you need. The survivor needs to take some responsibility for them, and others who are better trained to handle these situations need to be contacted.

Although many reactions may look and feel “crazy”, most are normal reactions to the situation. Again, as long as they don’t hurt themselves or someone else, they are probably reacting normally to an abnormal situation. Helping normalize these reactions is very helpful to the survivor. Encouraging the survivor to talk and to express what they are experiencing is also helpful. Making a simple statement such as, “I think I’d feel the same way if this happened to me”, helps the survivor feel less out of control.

There are many support groups available to survivors that would make a good resource for them. Creating a list of those in your community or in nearby communities is a great gift for survivors. They may not want to attend a support group, but usually someone from the group is always willing to talk to them by telephone or offer assistance.

In the work you do, you may find yourself in situations of dealing with survivors who have needs you do not feel comfortable or competent in dealing with. That’s okay as it is not your responsibility to be all things to all people. However, there are these simple steps you can take to help your families in a meaningful way. You can listen. You can refer. You can offer resources. Having some general knowledge of the traumatic grief process may make you feel more competent in dealing with your families and knowing that you are being supportive and helpful in a meaningful way.

Below are some national organizations that offer support groups in almost every locality. They are specific to either the type of death or the relationship to the person who died and are more appropriate to traumatic deaths. They all have web sites or central telephone numbers that can be contacted for local information.

The Compassionate Friends – for parents’ whose child has died of any cause.
MADD – Mothers Against Drunk Drivers offer support for parents who a drunk driver killed child
Widowed Persons Service – sponsored by AARP for spousal death
SOS – Survivors of Suicide support groups
POMC – Parents of Murdered Children and other victims of homicide.

These and many other groups may be listed at your county’s Victim Assistance Office usually located in the office of the District Attorney. Also, check with your local hospices or hospitals. They offer support groups that are open to the public. Some local churches may also host support groups. As you create your list, don’t try to keep up with the dates and times of group meetings as they change frequently. All you need is the name of the group, a telephone number, and possibly a contact person. Leave it to the survivors to take the responsibility to make the calls on their own behalf.

RELEASE: Statement from Town and Gown Players

2009-04-26T15:40:00.000-07:00

ATHENS (MyFOX ATLANTA) - The three people we lost yesterday were a part of the rich 50-year history of this theater and, more than that, were vital members of the Town and Gown family.

Ben Teague, loving husband of UGA's Dr. Fran Teague for more than 40 years, was not only a friend but also a father figure to all at the theater. One would be hard pressed to find a Town and Gowner who had not learned at least one life lesson from this wise and kind hearted man. His wife wishes to say, "Yesterday Ben was murdered, which is hard to comprehend and impossible to accept. It was a beautiful day, however, and he was in his favorite place with the people he loved." Ben was a translator of German, Russian and English.

Marie Bruce was the binding force that held the Town and Gown community together. Having worked with Town and Gown for over 20 years, at one time or another she served in every capacity at the theater, artistically and administratively, from leading lady to president of the board to chief cook and bottle washer. A local attorney, Marie was the mother of two young children.

A gentle presence, Tom Tanner breathed life into every corner of Town and Gown through his quiet diligence and astounding creativity - most would call him genius. Father of an equally amazing daughter, Tom would tell you that while he enjoyed his work as director of the Regional Dynamics Economic Modeling Laboratory at Clemson University, his heart lived and thrived in the theater.

Ben, Marie and Tom were a part of our family, and as painful as their loss is for us, we know it is even more painful for their families. We want to extend our deepest sympathy to their immediate family and close friends outside the theater community. There are no words we can use to adequately express our grief.

We would like to thank the Athens Police department and the media for their respectful treatment of this tragedy. We want to thank the American Bio Recovery Association and A1 BIO-Clean Service for the generous donation of their services in our time of need. We also want to thank the Athens Community for their support. This tragedy effects everyone in the community in some way, and we know you share in our loss. We ask that the media continue to be respectful of our privacy during this difficult time.

Custodian’s stress-disorder suit restored

2009-04-22T06:32:00.000-07:00

Meghann M. Cuniff / Staff writer

A custodian who sued her school district after being forced to clean up the bloody scene of a student’s suicide had her lawsuit reinstated Tuesday by the Washington Court of Appeals.

Debbie Rothwell, who still works at Lakeside High School in Nine Mile Falls, suffers from post-traumatic stress disorder, according to a lawsuit filed in May 2007 by her lawyer, William Powell, of Spokane. The 16-year-old student shot himself in the head inside the school’s main entrance in 2004. The lawsuit was dismissed in January 2008 by Spokane County Superior Court Judge Greg Sypolt, who ruled the incident was covered by the Industrial Insurance Act.

But the Court of Appeals, in a 2-1 ruling, disagreed and reinstated the suit.

“There are people who do clean up the mess after one of these horrible murders or suicides happen,” Powell said Tuesday, referring to private professionals. “But the superintendent in this case chose not to do that. He should have known better.”

Along with former Superintendent Michael Green, now superintendent of the Woodland School District in Western Washington, the lawsuit names the Nine Miles Falls School District, Stevens County Sheriff Craig Thayer, two sheriff’s detectives and an unidentified man as defendants.

None was available for comment. Like most civil suits in Washington, the complaint seeks unspecified damages.

Rothwell’s complaints center around her task of cleaning up the suicide scene, then being asked to move a backpack she later learned belonged to the victim and contained a suspicious device that authorities detonated using a robot.

She stayed at work until after 4 a.m., cleaning the mess of blood, brain and bone alone, becoming “emotionally distraught and physically ill” before returning to the school less than four hours later at Green’s orders to serve cookies and coffee to grieving students and keep the media from the school, according to the suit.

At issue in the court decisions was whether Rothwell’s claim of post-traumatic stress disorder fell under the industrial injury act, which prohibits lawsuits based on industry injury or occupational disease.

Judges John A. Schultheis and Dennis J. Sweeney ruled it didn’t because it wasn’t the result of one work order. Her trauma grew over several days, according to their written opinion. Judge Teresa C. Kulik dissented.

Cleanup completed at Civic Association

2009-04-06T08:07:00.000-07:00

April 5, 2009

Cleanup has been completed at the American Civic Association building in Binghamton, where a gunman killed 13 people and injured four before taking his own life Friday.

The American Bio-Recovery Association, a non-profit international association of crime and trauma scene professionals, said Sunday that the bio-recovery cleaning was complete. The Ipswich, Mass.-based group provided the service at no cost.

Two member companies, Disaster Clean Up of Endwell and the Bio-Recovery Corporation of New York City, donated labor and supplies to remediate the scene with a crew of six technicians.

The Top 13 Worst Jobs with the Best Pay

2009-02-28T11:38:00.000-08:00

These are dirty jobs and somebody has to do them. At least they get paid well for their efforts
Think you have a lousy job? You're not alone. So do about half of your fellow workers—and about a quarter of them are only showing up to collect a paycheck, according to a survey conducted by London-based market information company TNS. Grumbling over the size of that check is common, too. About two-thirds of workers believe they don't get paid enough, says TNS—even though many of them may actually be overpaid, compared to average compensation data

Crime-Scene Cleaner
Average pay: $50,400
If crime-scene cleanup was just wiping blood off the floors—well, that would be easy. But CSI fans with get-rich-quick dreams should note the job involves more than handiness with a mop and a tolerance for the smell of decomposing flesh. Getting rid of bodily fluids typically calls for more rough-and-ready methods, such as ripping up carpet, tile, and baseboards. It also sometimes means working in confined spaces (if someone was electrocuted in an attic, for example). And when tearing up old houses, workers face exposure to hazards such as lead paint and asbestos—not to mention the combustible chemicals involved in drug-lab abatement.

Got a gross cleanup? Who you gonna call?

2009-02-24T13:28:00.000-08:00

Pacific Business News (Honolulu) - by Linda Chiem Pacific Business News

Tina Yuen, PBN
Theresa Nishite and Tom Tominbang prepare for cleanup jobs in their van, which is equipped with masks, respirators, gloves and body suits to not only protect themselves from health risks but also to comply with biohazard cleaning standards.
View Larger Tom Tomimbang and Theresa Nishite know the literal meaning of the catchphrase, "It's a dirty job, but someone has to do it."

They are crime and trauma scene cleaners -- the people who come in after the police investigation, medical examiners and forensics team. They have the often gruesome and disturbing task of cleaning and disinfecting venues that could be littered with blood and human remains.

Banking on the pop culture obsession behind popular television series like "CSI: Crime Scene Investigation" and "Law and Order," Tomimbang and Nishite recognized the potential for growth in a stomach-churning industry and decided to launch Island Decon LLC last year.

For one, they figured there will always be accidental, natural or unpreventable deaths, which are often messy by way of the natural processes of the human body, and individuals likely won't know how to take care of such messes themselves. People assume that paramedics, medical examiners or the fire department assist in cleanups, but Tomimbang said it is a burden that falls on the family or the property owner.

However distasteful or haunting the job, Tomimbang and Nishite say they constantly struggle with maintaining safety controls for a job that leaves many people disturbed, creeped out and longing for a shower. They have learned to invest in quality equipment, to effectively train and educate themselves on infectious diseases and occupational health risks, and to diversify their services to make the most of their time and resources.

They say they are most committed to helping people with traumatic events they have no control over. What is more compelling is that both Tomimbang and Nishite have demanding full-time jobs. Tomimbang is a police officer with the Honolulu Police Department and Nishite teaches science at Moanalua High School. However, they insist their Island Decon work doesn't interfere with their day jobs.

"As you can imagine, I've seen quite a [few] death scenes and I've always wondered who would come and help these already traumatized families clean up," Tomimbang said. "They would always ask, who could they call and we wouldn't really know who, other than tell them to look in the phone book."

"It was his master plan and I just rode with it but it made a lot of sense because he sees it all the time," Nishite said. "It is not something you can prepare for and it took some time to adjust at first."

After one year of operation, they have generated approximately $28,000 in revenue and have landed about 15 cleanup jobs. Tomimbang and Nishite have worked natural death scenes, suicides and even animal droppings cleanup. They charge about $250 an hour for the death scenes and about $90 an hour for other biohazard jobs. The brochures describe the company's specialties as "biohazard recovery, odor abatement and gross filth cleanups."

Their clients have included residential property managers who have discovered deceased tenants and business owners who have had problems with pigeon or rat droppings.

For Tomimbang and Nishite, it is more about biohazard recovery and decontamination and maintaining safe living and work environments. They have to comply with both federal Office of Safety and Health Administration and Hawaii Occupational Health and Safety Division rules, as well as biohazard waste management and sterilization standards -- all of which gets very expensive.

The two, who live together in Waikele, pooled their savings and shelled out $50,000 to launch Island Decon in August 2006. They spent about $1,500 on a year's supply of personal protection equipment, which includes biosuits, gloves, face shields, respirators and disposal booties. Another $800 is spent on chemical solutions, anti-microbial sprays and other tools needed for the cleanup jobs.

Even with limited competition, Tomimbang and Nishite struggle to gain recognition in a so-far obscure field. A quick glance under "biohazardous services" in the phone book comes up with just three entries for Oahu.

Tomimbang said they offer other biohazardous cleaning services aside from crime and trauma scene work because he knows that he may not be the first to get the call when there is a death-related cleanup. He sees it as a way to set himself apart from the competition. Even with brochures and a Web site, most of Island Decon's business has resulted from word-of-mouth advertising and referrals from dumping and waste management companies.

As worldwide tension over a possible avian influenza pandemic brings infectious disease control to the forefront, Tomimbang and Nishite stay on top of the latest guidelines for training and hazardous emergency response preparation. Tomimbang is certified through Amdecon, one of the nation's leaders in crime scene cleanup, and both he and Nishite are members of the American Bio-Recovery Association, which sets strict industry practice guidelines.

Tomimbang said their mobility and willingness to take on any job also is a key strategy. He has yet to turn down a job, no matter how daunting, and is available 24 hours a day, seven days a week. He takes on most of the jobs with additional help from Nishite when needed. Nishite handles the bookkeeping.

"Anybody can clean, but how to do it correctly takes proper training and other intangibles where you can't just spray Lysol or Febreze and hope it goes away," he said.

Crime Scene Cleanup: What It Involves

2009-02-20T22:37:00.001-08:00

The Restoration Resource

A crime scene cleanup service is not without its complications. Crime scene cleaning encompasses restoring the crime scene to its original state. When a crime is usually discovered, crime scene cleaners are not called until after officers of the law, like the crime scene investigators, have done their jobs first and have given the go ahead for the cleaners to come in. If you intend to hire a crime scene cleanup company, you must make sure that they are well equipped and fit right to get the job done. A crime scene presents challenging conditions.

The Use Of Protective Gears:
Crime scenes can very well involve the use of hazardous or deadly substances. For safety reasons then, it has become imperative that crime scene cleaners use protective clothing, in addition to protective tools and gadgets. You must see to it that they have all the necessary protective gears and gadgets. The protective clothing can consist of disposable gloves and suits. A disposable gear is preferred nowadays since it offers the best protection against contamination. You use it one time and get rid of it. That way, the dangers of contamination is virtually brought down to zero percent. Protective clothing extends to respirators and the use of heavy-duty industrial or chemical-spill protective boots.

Among the gadgets that a crime scene cleaning company must have are special brushes, special sprayers, and wet vacuum. These special tools ensure added protection against getting into contact with the hazard could very well be present in the crime scene. There is large, special equipment such as a mounted steam injection tool that is designed to sanitize dried up biohazard materials such as scattered flesh and brain. You would also need to check if they have the specialized tank for chemical treatments and industrial strength waste containers to collect biohazard waste.

Of course, any crime scene clean up must have the usual cleaning supplies common to all cleaning service companies. There are the buckets, mops, brushes and spray bottles. For cleaning products, you should check if they use industrial cleaning products. A crime scene cleaning company must have these on their lists:

1 - Disinfectants including hydrogen peroxide and bleaches - The kinds that the hospitals used are commonly acceptable.

2 - Enzyme solvers for cleaning blood stains. It also kills viruses and bacteria.

3 - Odor removers such as foggers, ozone machines, and deodorizers

4 - Handy tools for breaking and extending such as saws, sledgehammers, and ladders

Established crime scene operators also equip themselves with cameras and take pictures of the crime scene before commencing work which. The pictures taken may prove useful for legal matters and insurance purposes. You never know which.

Needless to say, a specially fitted form of transportation and proper waste disposal is also needed. These requirements are specific. As you can imagine, crime scene cleaning is in a different category on its own. A home cleaning or janitorial service company may not be able to cope up with the demands of a crime scene. A crime scene cleanup service requires many special gears and tools that a home cleaning or a janitorial service company does not usually have or does not require. Crime scene cleaning if not done correctly can expose the public to untold hazards.

What Else To Look For In A Crime Scene Cleanup Company
You may also want to hire a company that has established itself. An experienced company with a strong reputation is always a plus but it could be expensive too. You will do well to balance your needs with what is your budget. There are several companies that offer specific prices such as for death scene clean up categories and suicide clean up categories. Most companies own a website and have round the clock customer service as receptionists.

When looking for a suitable crime scene cleaning service, among the first things you need to do is to scout for price quotes. Crime scene cleanup services usually provide quote after they have examined the crime scene and then they give you a definite quote. Factors that are usually considered include the number of personnel that will be needed to get the job done. It also includes the amount of time that might be needed. The nature and amount of the waste materials that need to be disposed will also be factored in. You can be sure that the more sophisticated equipments needed the more expensive it will get.

Crime Scene Cleanup And Your Insurance
For homeowners, the best approach is always to make sure that crime scene cleanup services clauses and provisions are written down on the contracts or policies. The inclusion of crime cleanup services clauses is very common and has become standard clause in most homeowner’s policy. Make sure that you are covered for this unforeseen event. Make sure that your policy directs the crime scene cleaning company to transact directly with the homeowner insurance company. A crime scene cleaning service is usually a standard clause in many homeowners’ insurance clause. These companies often do the paperwork in behalf of clients.

If for some reason you do not have such coverage by any policies relating to crime scene cleanup on your home, there are ways to keep your expenses controlled.

Finding the right company can be very taxing, especially that you have to deal with the emotional stress stemming from the crime itself, especially with a crime scene involving death.

There are many crime scene cleanup companies in operation nowadays. There are reliable professionals that you can hire and prices are relatively competitive. As of recently, crime-scene cleanup services can cost up to $600 for an hour of their service. A homicide case alone involving a single room and a huge amount of blood can cost about $1,000 to $3,000.

In recent years, crime scene cleaning has come to be known as, "Crime and Trauma Scene Decontamination or CTS. Basically, CTS is a special form of crime scene cleaning focusing on decontamination of the crime scene from hazardous substances such as those resulting from violent crimes or those involving chemical contaminations such as methamphetamine labs or anthrax production. This type of service is particularly common when violent crimes are committed in a home. It is rare that the residents move out of the home after it has become a scene of a crime. Most often, the residents just opt to have it cleaned up. That is why, it is very important to hire the best crime scene cleaning company out there. The place needs to be totally free from contamination of any kind. You have to make sure that the company is able to remove all traces of the violent crime that took place. This includes cleaning biohazards that are sometimes invisible to the untrained eye.

Legally speaking, federal laws state that all bodily fluids are deemed biohazards and you should make sure that the cleanup service company you hire understands this and includes it in the cleanup. These things appear as blood or tissue splattered on a crime scene. You must be able to hire a company that is equipped with special knowledge to safely handle biohazard materials. The company must have the knowledge what to search for in any give biohazard crime scene. For instance, the company should be able to tell clues such that if there is a bloodstain the size of a thumbnail on a carpet, you can bet that there is about a huge bloodstain underneath. Federal and State laws have their own laws in terms of transport and disposal of biohazard waste. Make sure that the company you hire has all the permits necessary.

It will also be a huge plus if you could hire people who not only has the special trainings but also who have the nature to be sympathetic. If you are close to the victim and have the cleaning done at the behest of the victim’s relatives, it would matter that the cleaners tread the site with some level of respect. It is a common site that family members and loved ones are often there at scene. In general, when looking for a suitable crime scene cleaners, you would take into considerations the kind of situation that the crimes scene presents and the demands that it require. Crime scene cleaning companies handle a wide variety of crime scenes and prices may vary from one to the other crime scene and one to the other company.

Each type of scene requires its own particular demands not only to make the crime scene look clean and neat on the surface but to make it germ free, and clean inside and to make it free from all deadly and infectious substances. The cleanup cost for biohazards may vary depending on degree of the bio hazard(s) on the scene. There may even be a category that changes the cleanup pricing which usually involves decomposing bodies and carcasses. Likewise, a cleanup of chemical hazards vary, depending on the amount of chemical hazards as well as the grades i.e. how hazardous the substance is in terms of human contact. Prices are also determined by the number of hours and personnel that it would to get the crime scene cleaned. In addition, the "gross factor" from crime scene involving death and gore needs to be taken under consideration regarding the chemicals that will be used as opposed to those crimes' that do not have gore involved.

Risks of Using In-house Employees for Environmental Cleanups

2009-02-19T13:53:00.000-08:00

By Gerard M. Giordano, Esq.

In an attempt to save money, property owners may be tempted to use their own Employees to clean up contamination at their facilities in order to comply with state or federal environmental laws. However, there may not be any real savings because when property owners (as employers)do commit to such a venture,they must comply with the Occupational Safety and Health Administration’s (OSHA)regulations that may be applicable. These are designed to protect employees from occupational injuries and illnesses,and failure to comply with these regulations could result in fines that may offset any savings.

A property owner who orders his employees to clean up or work with hazardous substances must comply with a number of precautionary regulations. The most comprehensive is 29 CFR 1910.120, which deals with hazardous waste operations and emergency response. An employer is required to develop and put into writing a safety and health program for any employees engaged in hazardous waste cleanup operations.

The elements of an effective program include requiring an employer to identify and evaluate specific hazards and to determine the appropriate safety and health control procedures to protect employees before any work is initiated. Likewise, protective equipment must be utilized by employees during the initial site entry and, if required,during subsequent work at the site. The employer must also periodically monitor employees who may be exposed to hazardous substances in excess of OSHA ’s regulations.

Once the presence and concentration of specific hazardous substances and health hazards have been established, employees involved in the cleanup operations must be informed of any risks associated with their work. Under certain ircumstances,regular ongoing medical surveillance of employees by a licensed physician, and without cost to the employees or lost pay, may be required.

Numerous other safeguards are also required by OSHA. For example, OSHA’s hazardous communications program, 29 CFR 1910.120, requires an employer to establish and implement a hazard communication program if, during the course of the cleanup, employees may be exposed to hazardous chemicals.

The requirements are essentially the same as those in workplaces where employees are routinely exposed to hazardous chemicals. The program must include container labeling, production of material safety data sheets and employee training. The employer must also provide a full description of the OSHA compliance program to employees, contractors and subcontractors involved with the cleanup operations as well as OSHA,and to any other federal,state or local agency with regulatory authority over the cleanup.

Regulation 29 CFR 1910.120 also requires an employer that retains the services of a contractor or subcontractor to inform them of any identified potential hazards of the cleanup operations. Generally, it is the involvement of employees that triggers an employer’s obligations under the Occupational Safety and Health Act. If contractors were retained, it would be the contractors’ responsibility to comply with these OSHA requirements on behalf of their employees, assuming that the employer
retaining the contractor has neither employees involved in the cleanup nor employees potentially exposed to health hazards arising from the cleanup.

In addition to the contractor’s required compliance with OSHA regulations, it is imperative that a property owner include in any agreement with the contractor that the contractor must comply with all pertinent OSHA regulations. If possible,the agreement should also provide for indemnifications from the contractor to the property owner for claims arising from the cleanup. These indemnifications will be important if the employees of the contractor are injured or subsequently become ill because of such work. The indemnifications should survive the completion of the work. These precautions will help insulate the property owner from both governmental actions and potential third-party claims.

Failure to comply with OSHA regulations on the part of the property owner who uses his own employees to perform a cleanup or work with hazardous substances may result in substantial penalties. Under OSHA, fines can be levied for each violation found by an inspector. These violations can result in non-serious, serious or willful violations with penalties as high as $70,000 for each violation. If a subsequent inspection is performed and violations are found which have not been corrected from an original inspection,daily penalties could be levied resulting in substantial fines.

Compliance with OSHA regulations should be a factor when a property owner decides to use in-house employees for cleanups. In the long run, there may not be any savings to the employer. Furthermore, because of the employer’s lack of familiarity with the OSHA regulations governing the cleanup of hazardous sites,the employer could be subject to fines as a result of its failure to comply with the OSHA regulations.

Therefore, it may be prudent in the long run to retain a company whose business is devoted to doing only cleanups. This company will have the expertise and continuing obligations to protect its employees.

Gerard Giordano is special counsel at the law firm of Cole, Schotz, Meisel, Forman & Leonard, P.A., based in Hackensack, NJ. He is a member of the firm’s Environmental Department, and his practice focuses particularly on OSHA matters. Prior to practicing law, Mr. Giordano worked at the U.S. Department of Labor – Occupational Safety and Health Administration (OSHA) as an industrial hygiene compliance officer.