1. Communicating with Men: suicide prevention and bowel screening Chrissie Fairclough, Head of Corporate Communications Natalie Smart, Communications Manager NHS Health Scotland March 2009

2. What are we trying to do? Let all men and women 50-74 know about

3. What is the background? Pilot from 2000-2007 in NHS Tayside, Grampian, Fife National programme roll-out began in June 2007 April 2009 – NHS Greater Glasgow and Clyde becomes the 10 th Health Board to join the Programme Complete roll-out by the end of the year

4. Who are we talking to? MEN – key target audience Twice as likely to develop bowel cancer than women Initial uptake rates lower for men – only 50% of men compared with 60% of women Demographics matter - Men aged 50-54 and in the lowest socio-economic groups are least likely to take part in programme BUT: men who complete or are aware of the programme are more likely to continue than women

5. So what did we learn about behaviour? Age has a major impact on how we view our health Early 50sLate 50s-60s70s

6. Stage 1: Laying the Foundations 2007-2008 Invitation and Information Pack Posters Helpline Website Specific Health Board activities: –Messages on staff payslips –Local Radio –Weekly press partnerships –DVD

7. So what did we learn about how men are feeling? Why me? I don’t know anything about bowel cancer I don’t want to visit my GP Screening ? There is nothing wrong with me – why bother?

8. Stage 2: National Campaign 2009-2010 Under development: Updated posters and leaflets DVD for use by Healthcare Professionals Also in the pipeline: National Radio Roadshows Press Advertisements Online Convenience Advertising

11. This is Jamie

12. What are we trying to do? Encourage those with suicidal feelings to talk about it Tell people at risk about what help there is in Scotland Raise awareness and understanding of suicide and its prevention among the general public

13. What’s the background? 10 year Choose Life strategy launched 2002 Scottish Government target to cut suicide rates by 20% by 2013 Choose Life moved to NHS Health Scotland in 2008 Scotland’s suicide rate is higher than any other part of the UK, with two people taking their own lives every day Toll falling for several years but increased in 2007 with 838 suicides in Scotland

14. Who are we talking to? Men: the suicide rate for men is three times higher than for women Aged 18-44: suicide is the biggest killer of young people under 35 in Scotland C2DE: suicide rates in the most deprived areas are double the Scottish average Urban and rural: suicide rates in Greater Glasgow and the Highlands are higher than for Scotland as a whole We are also talking to friends, family and colleagues close to those at risk.

15. What are we saying? If you are feeling suicidal, don't hide it. Talk to someone. Most people do not want to die; they just want to end the pain they are suffering. If you are worried about someone, ask them. It could save their life.

16. What did we do? Scotland’s first national integrated campaign: Booklets for public and professionals Media relations and partnership Political relations Poster and radio advertising Community engagement

17. Booklets

18. Media Relations National photocall STV and BBC TV news and websites National and local radio chat shows National and local press features The Scottish Sun media partnership Local news release template Media training for 32 local co-ordinators

19. Political Relations Event in Garden Lobby of Scottish Parliament Exhibition stand in Scottish Parliament MSP briefing paper Motion lodged by Dr Ian McKee PQs raised by Gavin Brown MSP and Dr Richard Simpson MSP

20. Advertising A3 poster 48 sheet / billboard advertising Washroom panels Pocket-sized cards Online advertising Radio advertising on local stations

22. Community engagement 240 trainers Local networking events for practitioners Pocket cards on taxi receipts Motherwell and Celtic branded football strips Breathing Space and Samaritans websites and newsletters

23. Evaluation 58% remembered some form of communication 89% agreed strongly suicide an important issue Radio most successful means of reaching 18-44 year olds ‘Sofa’ advertising received highest awareness of all the images 66% described advertising as attention-grabbing 98% of readers regarded press coverage as interesting 73% agreed advertising was easy to understand 70% claimed clear message to go to helpline for support 77% claimed they knew more about how suicide can be prevented following press coverage

24. And the future… A recent study by the Scottish Association for Mental Health (SAMH) shows that the current economic recession is fuelling increase in depression and anxiety among Scots, so the need for urgent action continues.