National and Regional context of Suicide Prevention
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Presentation from Elaine Woodward, PHE/NHSE at the Suicide Prevention Stakeholder Workshop on 14th May 2019.
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National and Regional context of Suicide Prevention
- 1. www.nhs.uk Welcome to : BIRMINGHAM SUICIDE PREVENTION CONFERENCE 14th May 2019 1
- 3. www.nhs.uk SUICIDE PREVENTION Elaine Woodward NHSE/I/PHE Suicide Prevention Transformation Programme Manager,(Midlands & East), 14th May 2019 3
- 4. www.nhs.uk Words to avoid Why Preferred term Committed suicide Associated with crime or sign- - this was decriminalised in 1961 ‘died by suicide’ ‘took their own life’ Successful suicide Completed suicide Inadvertently presenting as a ‘desired outcome’ ‘died by suicide’ ‘took their own life’ Deliberate self harm Use of ‘deliberate’ implies conscious choice ‘self harm’ Suicide epidemic Sensationalising suicide ‘increasing rates’ 4 Talking Smart
- 5. www.nhs.uk • 5821 suicides occurred in the UK in 2017. • Suicide is the leading cause of death among young people aged 20-34 years in the UK • Those at highest risk are men aged between 40 and 44 years who have a rate of 24.1 deaths per 100,000 population. • Each suicide affects over 100 people and costs on average £1.7M (DH 2011) 5 Office for National Statistics data (09/2018)
- 8. www.nhs.uk Value per 100,000 population UK 10.1 North East 10.8 North West 10.1 South West 10.5 Yorkshire 9.9 West Midlands 9.9 South East 9.1 East of England 8.7 East Midlands 8.1 London 7.7 8 Suicide rates by region, 2017 Source: Public Health England (based on ONS source data)
- 9. www.nhs.uk Contact with NHS in year before suicide • Around 1/3 have contact with mental health services • Additional 1/3 have contact with primary care only • Around 1/3 have no contact, mainly young & male
- 11. www.nhs.uk Government Policy 11 2012: Preventing suicide in England. A cross government outcomes strategy intended to reduce the suicide rate and improve support for those affected by suicide. • Reducing the risk of suicide in high risk groups • Tailoring approaches to improve mental health in specific groups • Reducing access to means of suicide • Providing better information and support to those bereaved or affected by suicide • Supporting the media in delivering sensitive approaches to suicide and suicidal behaviour • Supporting research, data collection and monitoring
- 12. www.nhs.uk 2017: Preventing suicide in England: Third progress report. • Local suicide prevention plans • Middle aged men, mental health patients, prisoners • Better data • Bereavement support • Self- harm Government Policy 12
- 13. www.nhs.uk • Reducing risk in men, especially middle age • Preventing and responding to self harm • Treatment of depression in primary care • Acute MH care- inc inpatients • Bereavement support 13 Priorities for SP action plans Short term)
- 14. www.nhs.uk14 | 4.8 Delivery Plan – Suicide Prevention and Reduction, and Bereavement Support KPI Ask for STPs/ICSs (regions to support and enable) Resources Deliver against multi-agency suicide prevention plans, working towards a national 10% reduction in suicides by 2020/21. This includes working closely with mental health providers to ensure plans are in place for a zero-suicide ambition for mental health inpatients …we will put in place suicide bereavement support for families and staff working in mental health crisis services in every area of the country… NHS Long Term Plan 1. Refresh STP-wide multi-agency suicide prevention plans bringing together local authority-based action plans and wider MH transformation ensuring robust links across, at a minimum, the core defined partners in public health, primary care and secondary care (and wider agencies). 2. Work to progress against these plans including where possible locally set trajectories for reduction of STP suicide rate and reduction of mental health inpatient suicides to zero. If receiving additional funds in 2019/20, use in line with allocation plans. 3. As part of the Long Term Plan, undertake preparation work to mobilise new or expanded bereavement support services. This means working closely with partners to ensure: • Local real time surveillance in place or under development, with alternatives in place, such as “real time referral” that allows a proactive response and contact with a family within 72 hours; • Undertaking work to ensure strong multi-agency working and plans are in plan (as per actions above); • Local mapping of existing, proactive Suicide Bereavement Services; and of the existing range of local health and voluntary sector partners for referral of practical and emotional support; and • Identifying key contacts who can provide strong, experienced leadership. • National Guidance: Suicide Prevention - developing a local action plan • Quality pointers for zero suicide ambition plans available on request • Suicide Prevention National Transformation Programme website Bereavement Support: • Support After a Suicide: A Guide to Providing Local Services • Developing and Delivering Local Bereavement Support Services • Evaluating Local Bereavement Services • Help is at Hand: Support After Someone May Have Died by Suicide – Booklet and z-card Mental Health Delivery Plan 2019-2020
- 15. www.nhs.uk Suicide reduction • Suicide reduction will remain a NHS priority • Full coverage across the country of the existing suicide reduction programme • This will be further supported by the design and roll out of a Mental Health Safety Improvement Programme with a focus on suicide prevention and reduction for mental health inpatients • Use of decision support tools to increase our ability to deliver personalised care and predict future behaviour, such as risk of self harm or suicide Bereavement support • For families and staff bereaved by suicide , who are likely to have experienced extreme trauma and are at heightened risk of crisis themselves, which will be rolled out to all areas of the country Self harm • There will be a new approach to the longer term management of self harm 15 NHS Long Term Plan- suicide prevention & reduction ambitions ( by 2023/4)
- 20. www.nhs.uk Break
- 23. www.nhs.uk Lunch
- 24. www.nhs.uk Strategy into Action – developing a shared action plan Workshops Workshop Room 1 The Zero Suicide Ambition Connect Room level 2 2 Engaging with and supporting high risk groups- learning from a wave 1 Suicide Prevention sites 495 3 The role of primary care in suicide prevention 496 4 Suicide bereavement support Main room 5 High Risk Environments Main Room
- 25. www.nhs.uk Break
- 26. www.nhs.uk Strategy into Action – developing a shared action plan Feedback
- 27. www.nhs.uk Closing remarks & next steps