1. Mauao Caught by the Light IRENE – STILL TO CRITIQUE
I have the pleasure to share this purakau or story of our rangatira maunga – Mauao. It is so fitting that “Mauao” opens our presentation today and is our reminder to us all to his journey of Suicide and some of the indicators (risk factors) that led him to suicide BUT MORESO, this is a story of HOPE.
There are key indicators in this purakau that helps us to understand some of those feelings of depression that leads to suicide and a reminder to us all that we all can and do contribute to the “light” in SUICIDE PREVENTION.
Caught by the Light

2. He mahi Aroha ki te Tangata
IRENE – STILL TO CRITIQUE
Mauao - Our story of HOPE – Is “act of love – He mahi Aroha” - “Tama-nui-te-ra” being that light.....the aroha for the nameless one – not to forget the “patupairehe” his support, his friends
Emotions are huge contributors to preventing suicide but there is so much more that we are individuals, parents, grandparents, devlopers, planners, leaders, educators contribute to the state of health and wellbing
He mahi aroha ki te tangata is about the work or love of the work we do for and with others.
He mahi Aroha ki te Tangata

3. Love Touches Everyone Get In Front of Suicide Peta
Love / Aroha: defined by Williams (1971: 16) a ‘yearning for an absent friend’, ‘pity’, ‘compassion’, ‘affectionate regard’, to ‘show approval’. An act of genuine intent to nurture individuals and to support those who are caring for their own when in need of help.
The five languages of love reminds us that it is (the act of gifting, love, time and affection and more importantly its about family, its about whanau(Chapman, 1992). In most cases what we see when individuals / whanau present to services, it is ultimately driven by the love they have for their whanau members, it unfortunately in most cases is also a protective factor that tends to tire and burnout their loved ones.
Love touches everyone – and so suicide affects us all…
There are many hands that nurture the heart beat and so it takes many hands to support that beat of life.
We acknowledge the footprints left by those beats that are no longer with us today
We acknowledge those of you who have lossed loved ones to suicide
We are hear to ask for your help
The solutions lie within each and everyone of us, we all have a role to play in getting in front of suicide
It is not about the professionals being the experts
It is about acknowledging the many hands that are needed in supporting our loved ones
Todays presentation will therefore be presented by the following supports.
Raewyn Lucas (coordinator child youth mortality review and injury prevention: BOPDHB)
Kia Piki Te Ora kaimahi Irene Walker and Emma Kutia
Get In Front of Suicide
Mayoral Prayer Breakfast
November
Peta Ruha, Raewyn Lucas, Irene Walker, Emma Kutia

4. WHY Lifting the Silence Suicide
The act of deliberately taking ones own life.
WHY
Peta
Notes
There is no one cause, there are many factors why someone may choose to take there life.
Key Themes
Community Factors
Medical factors
Cultural factors
Interpersonal factors
Pounamu Model
Presenting issues: mental illness, homocidality, social stressors, physical complication, education
Coping strategies: substance use and abuse, criminal offences, violence, alternative lifestyles
Family dynamics: sibling rivalry, parenting issues, isolation from family, burnout
Relationships issues: social isolation, sexual orientation issues, relationship issues
Underlying issues: grief and loss, abuse, childhood issues, spiritual distress, identity issues
What does this mean!
A multi-sectorial approach is needed
Those affected by suicide need to be driving the solutions and initiatives for change
Community initiatives to make the change

5. Suicide Prevention in NZ
Late 1990s - NZ Youth Suicide Prevention Strategy
*Kia Piki te Ora o te Taitamariki / In Our Hands
2001 – KPTOOTT national roll out to 6 sites
2006 – 2016 All Aged NZ Suicide Prevention Strategy
* KPTOOTT rebirthed : Kia Piki te Ora
2008 – 2012 / / 2017 – to be developed
NZ Suicide Prevention Action Plans
Emma
Late 90s – Research was commissioned at concern of youth suicides exceeding motor vehicle deaths resulting in the development of :
Kia Piki te Ora o Te Taitamariki: NZ Maori Youth Suicide Prevention Strategy
In our hands: NZ Youth Suicide Prevention Strategy.
2006 – 2016 All age NZ Suicide Prevention Strategy:
7 Key goals
Promote mental health and wellbeing, prevent mental health problems
Improve care of people who are experiencing mental disorder
Improve care of people who make non-fatal suicide attempts
Reduce access to means of suicide
Promote safe reporting and portrayal of suicidal behaviour by the media
Support families/whanau, friends affected by suicide and suicide attempts
Expand evidence about rates, causes and effective interventions
/ NZSPAP:
5 Key objectives
Support Families, whanau, hapu, iwi and communities to prevent suicide
Support families, whanau, hapu, iwi and communities after suicide
Improve services and support for people at high risk of suicide who are receiving
government services
Use social media to prevent suicide
Strengthen the infrastructure for suicide prevention
Over the past 18 years NZ has seen a significant shift in the landscape of Suicide Prevention:
We have seen high level strategies now being developed by communities and those bereaved to suicide.
We are lifting the silence on suicide and are encouraging our loved ones to talk about these feelings.
We are seeing government funding; support community and family / whanau based initiatives.
We are now in a space where suicide prevention resources are being designed by communities and families / whanau.
We are addressing the silo interventions and collaborating across the sector (MOE, Police, Health, Justice, MSD)
And we are now supporting communities and families to design and develop suicide prevention strategies.
However despite all these developments we continue to have high numbers of suicide rates in our country, which is reflected in the most recent statistics released

6. Statistics 2014/2015 Data National: 564 deaths 428: Males 136: Females
15 – 29yrs: 169 deaths
BOP: 32 total deaths
Raewyn Lucas
We want to acknowledge today the lives of loved ones and others that have been lost to suicide - they are not just numbers and statistics, they are our sons and daughters, mothers, fathers, brothers, sisters, uncles, aunts cousins and our dear friends. The impact of their deaths in our communities is like dropping a pebble in a pond as we see the ripple effect extend across the water. These are people we know, and we mourn their loss.
Statistics do have a role in helping us to understand the burden of suicide within various contexts and that enables us to plan and implement specific targeted interventions. Then for the purpose of evaluation, statistics are a measurable way for us to track our progress and help us focus on action with accountability.
Death is only officially classified as suicide by the coroner on completion of a coroners inquiry – according to the Coroners Act, it is an offence to call a death ‘suicide’ if the coroner has ruled otherwise.
Annual suicide data recordings started in NZ from the 2007.
What you see here is an overview of provisional suicide data released recently by coronial services for the 2014/2015 year.
Since 2007, the annual suicide toll has ranged between 529 deaths to 564 deaths – this year the statistics are the highest recorded, and certainly the highest recorded for males since
National data shows that the greatest number of deaths were among younger people aged from 15 to 29 years, particularly among 20 to 24 year olds
Coroner data released October 2015
2007 /
2008 /
2009 /
2010 /
2011 /
2012 /
2013 /

7. This graph shows a breakdown of age bans for suicide deaths in the BOP – apart from the 10 to 14 years age band and the over 75s, each band has a span of 15 years. The national and local data can be broken down further, but the graphs become more complex to read!
Again, this shows that suicide is more prevalent in our young people through to middle age – the ‘bell curve’ effect (demonstrated well by the 2013/2014 data)

8. This graph shows a breakdown by gender for suicide deaths in the BOP – it is easy to see that the ratio of male to female deaths is consistently, significantly higher for males than it is for females.
This aligns with national data for 2015, with male to female deaths more than 3: 1

9. This graph shows national ethnicity data for suicide deaths from 2007 to 2015.
Maori are consistently and significantly over-represented in the national suicide statistics
In the BOP from 2007 to 2015 the data shows that overall, NZ European suicide statistics are greater than those for Maori when averaged across all of the age bands, though the stats are high among young Maori males

10. Here we have a national overview of the methods used to complete suicide in the 2014/2015 year.
62% (equates to 350 of the 564 suicide deaths) were the result of hanging, strangulation or suffocation.
By comparison, 326 people died on NZ roads in the last 12 months, that’s 238 fewer than those who took their own lives.
NZ has the highest rate of youth suicide in all the OECD countries.
Here in the BOP the number suicides this year is higher by 5 than it was in 2014.
The statistics show us that we have more work to do if we are to ‘get in front of suicide.’

11. BOPDHB Suicide Prevention and Postvention Plan 2015 - 2017
The Foundations
NZSPS (2006 – 2016)
Whanau a Kaupapa: Community of interest
Toi Ora: Optimum Health and Wellbeing
The BOP region
Partnership, Whakawhanaungatanga, achieving equity, NZ triple aim, Look!!!!!! for bright spots.
Dillion
Acknowledgements
The many hands that contributed, “he mihi tenei kia koutou”.
Purpose
In line with the growing concern of increasing suicide rates and in response to the NZSPS (2006 – 2016).
Who is it for?
Whanau being a collective of individuals connected through a common purpose: A community of people who share a common interest or passion.
Vision
Toi Ora - Optimum Health and Wellbeing
Region
BOPDHB services Waihi inland to the Urewera, Kaimai and Mamaku ranges north west to Whangaparaoa on the East Cape.
Principles
Partnership, Whanaungatanga, Achieving equity, NZ triple aim, Look for bright spots!!!that us..we are the bright spots.
An action plan to support suicide prevention activity across the BOPDHB.
Where are we at?
Governance group to be developed: Feedback about how this should look.
BOPDHB SPAP to be launched at the appointment of the governance group
“We are getting in front of suicide and in front of ourselves”

12. Suicide Prevention Activity & Partners
National
Regional
Local
National Suicide Prevention Strategy
National Suicide Prevention Action Plan
Kia Piki te Ora
Te Rau Matatini : Waka Hourua
Le Va
CASA
Whanau Ora
ASIST / QPR / MH101 training
Kia Piki te Ora
Whanau Ora
District Health Board Response plans
Community / Youth /
Maori Mental Health Services
Anamata Training
Kia Piki te Ora
Whanau Ora
The Kawerau Journey
Core Clinical
Hapu, Iwi Management / Spatial Plans
Iwi
Whanau, Hapu, Iwi Community initiatives / trainings / workshops
Emma
EVERYONE has a responsibility in Suicide Prevention – but the challenge is HOW WE CAN MAHITAHI

13. EVERYONE has a Responsibility
Identity
Access to Te Ao Maori
Social Engagement
Production
Consumption
Transfer of wealth
Education
Health
Housing
Employment
Protecting the conditions of our environment
Enviro
Social
Cultural
Econ
Irene
EVERYONE has a responsibility in Suicide Prevention and I want to acknowledge everyone’s work here today.
The Hapū Management Plans funded by the local councils have provided their engagements PROTOCOLS in regards to the development of this city. For Māori, ensuring their engagement with the ENVIRONMENT was about the interconnectedness to the four quadrants or pou in the above model – this was about their health and wellbeing.
There is a Maori saying “whakatauaki” Ka puea ake tona tuakiri ana pahekoheko me te whenua, te rangi, te moana”
One’s identity springs from one’s initimate relationships with the earth, the sky and the sea.
The challenge is HOW WE CAN MAHITAHI – WORK TOGETHER, for the health and wellbeing of our people.
How we provide a community that provides and protects striving people.

14. The Solutions
It Starts With Us: Have that korero …find out who your loved ones go to..!
Every Solution Counts: The “Go To” tool, MH101, Anamata, TRM, Whanau based training, access to training and supports.
The Many Hands
Every intervention is better than no-vention.
Peta
The Solutions Lie with Us!!!! They are situated here and now.
Key areas for consideration should be:
Whanau
Bereaved whanau support groups
Whanau Champion development
Engaged in all suicide initiatives wherever possible
Whanau are key in all high level development
Whanau / community designing suicide prevention resources
Policy
A better link and comprehensive focus on the links between suicide, deprivation and family violence/childhood abuse is called for.
Support more Maori Kaupapa Maori research into the sector to rewrite the story.
Operations
More family advisors in the DHB health sector.
Supporting community initiatives and designs for suicide prevention
DHB suicide co-ordinator roles to be sit alongside kia piki te ora team
Ministry support in driving and supporting community suicide prevention initiatives in support of integrated servicing and collaboration
Designing and support suicide prevention teleconference network forum, open to all in suicide development.
Education / Training
Access to MH101
Anamata training
ASSIST training
Whanau based Training
Whanau Champion Training