1. Suicide Prevention National priorities and evidence for action Chris Nield FFPH
Based on a presentation by Professor Louis Appleby Chair of the National Suicide Prevention Advisory Group

2. Children with mental health problems will be given more support, Theresa May announcement 
Laura Hughes, Political Correspondent
6 January 2017 • 4:12pm
Children who are victims of sexting and cyber-bullying will be given more support by schools, Theresa May will announce next as she vows to fight the "burning injustices" in modern Britain. 
In a major domestic policy speech the Prime Minster will vow to do more to tackle inequalities and outline a series of measures improve mental health.

3. Age-standardised suicide rates UK 1981- 2015

5. Percentage of population who report self - harm
Source: NatCen 2016

6. FACTS & FABLES OF SUICIDE
You have to be mentally ill to even think about suicide? •
If a person is serious about killing themselves then there is nothing
you can do?
Talking about suicide is a bad idea as it may give someone the idea to
try it?
People who are suicidal want to die?
FACTS & FABLES OF SUICIDE

7. National study of teenage suicide
Linked to suicide bereavement, isolation
Suicide-related internet use in 23%
No service contact in 43%

8. Contact with Services % of cases saw their GP within a month of 44.6
their death
Many of these visits were for a physical health
problem – % 42
12.20
44.60
60.60
76.60
90.20 10 20 30 40 50 60 70 80 90
100
Within previous week
within 1 month
within 3 months
within a year
More than a year ago
Chart shows cumulative percentages of people attending primary care

9. Leeds Suicide Prevention Strategy - Personal Circumstances
147 59 20 40 60 80
100
120
140
160
Single, Divorced or
Seperated
Married, Cohabitating or
Civil Partnership
Most common marital status
was single – % 50
Majority of cases were single,
divorced or separated
Most common living situation
was ‘living alone’ 53
% experienced relationship/ family
problems 38
% experienced divorce/ separation
Theme of social isolation emerges
Chart showing the number of single, divorced or
seperated
cases versus married, cohabitating or civil partnership

10. Risk Factors

11. National Suicide Prevention Strategy 2012: Six Actions
Reduce risk in high risk groups
Tailor approaches to improve mental health in specific groups
Reduce access to the means of suicide
Support for those bereaved by suicide
Support media in delivering sensitive approaches to suicide
Support research, data collection and monitoring

12. Romanticising suicide suicide
UK_SUICIDE
© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved. Not to be repro
duc
ed in whole or part without the permission of the copyright holder.
Sensationalising and
Romanticising suicide suicide

13. PHE Guidance Suicide Prevention Plan in Every area Multi-agency
Leadership
Interventions
Work with local press

14. Suicide prevention at hotspots•
Barriers
Helplines
Intervention/patrols
Local media
Source: h
ttps:// e -
preventio n
suicide s i
publi c
place

15. Real Time Surveillance
“Real-time suicide surveillance is a system that enables consideration of interventions required after a death has occurred where the circumstances suggest suicide in advance of the coroners conclusion.” (PHE 2016) .

16. Real Time Surveillance
Why ?
1 in 6 adults have had a mental problem in the last week
1 in 5 people have considered suicide at some time in their life
It is estimated that for every suicide, up to 60 people will be affected, 6 of them severely
Coroners reports can be longer than a year after the suicide.

17. Real Time Surveillance Purpose & Process
On December 1st 2016 North Lincolnshire Council and partners launched a Real Time Surveillance (RTS) pilot in order to:
- share information in a timely manner
- implement an early alert system
- be responsive to a potential suicide or contagion
- enable those affected and bereaved by suicide to receive
support in a timely manner
RTS Process
Police triage sudden deaths to determine if the cause is potential suicide and notify Public Health and also the Adult Protection (AP) Team within the Council.

18. Emerging Findings from evaluation of the pilot
No evidence of cluster or contagion
High level multi-agency commitment and effective partnership work including work with Humber Bridge partnership
Universal services have increased understanding about the effects and aftermath of suicide
Early identification and removal of inappropriate reporting of means /method of suicide on social media
Local media coverage has improved and is currently more appropriate
Key agencies Samaritans and Educational Psychology have provided additional support and training including in workplaces.
Proposed changes to the model
Initial support offered to bereaved family and friends to be reviewed & further developed
Mapping of wider current support is required.
Consider revising the initial pathway from Police to Adult Safeguarding and develop an information sharing protocol

19. Support after Suicide: A guide to providing local services - Postvention
Those exposed to or bereaved by suicide are up to 300 % more at risk of completing suicide
Local Suicide Prevention Planning :
Describes importance of timely identification & referral ( real time surveillance) for postvention support
Promotes specific opportunities for this known group to be targeted for follow up
Considers how to develop & evaluate support services
Local postvention programmes rely on strong partnership work
Help is at Hand - provides support for people who may be bereaved by suicide