1. Down but not out: Youth depression and suicide The promotion of positive mental and emotional wellbeing among young people 3 rd October 2013 Madeline Heaney Public Health Agency

2. Content  Trends & patterns  The approach we are taking

3. Policy 3

4. Strategic Drivers Refreshed Protect Life Strategy Programme for Government Bamford Action Plan 2012 – 2015 Mental Health Service Framework Drugs & Alcohol, Poverty, Education, Inequality, Research findings /recommendations including – Providing Meaningful Care – National Confidential Inquiry

5. Improving Your Health and Wellbeing The “Protect Life” Strategy – suicide prevention in Northern Ireland  Published October 2006  Large number of actions.  Refreshed Protect Life published in June 2012  Evaluation published November 2012  New combined strategy to be developed

6. Mental & Emotional Health of 16 year olds 6 29% 16 year olds indicated potential psychiatric disorder 26% reported had experienced serious mental or emotional problem in last 12 months Nearly 40% stressed often or very often ( The Mental & Emotional Wellbeing of 16 years olds in NI. PCC,2010)

7. Mental & Emotional Health of Adults 39% under ‘quite a lot’ or ‘a great deal’ of stress (2010/11) Nearly one in five adults in NI with a potential psychiatric disorder (2010/11). More than 1 in 10 on medication from their GP for mood or anxiety disorders (2008). In North or West Belfast this rises to nearly one in seven.(NIHIMS) N.I 25% higher rate mental health problems than in England 7

8. Number of registered suicides in Northern Ireland, 1991-2011

9. NI rate of suicide (3 yr average) by gender and age, 2009-2011

10. Inequalities within NI Registered Suicide rates per 100,000 population, 2006-2010 Source NI Health & Social Care Inequality Monitoring System (HSCIMS) (p) - Rates are provisional until the publication of the HSCIMS fourth update bulletin

11. Inequalities within NI GHQ12 Scores 11

12. PHA Intervention Model Appropriate & accessible services Building Capacity & Resilience Awareness & Education Early recognition of signs & symptoms Crisis Response and Postvention Using & Building the Evidence & Test new ways if evidence doesn’t exist Coordination Sharing good practice

13. Building Capacity & Resilience Awareness & Education Key Actions Early years interventions Social skills / resilience building Public Information Campaigns Regional & Local Training programmes Regional and local resources -A&E Leaflet -Steps to Deal with Stress -Local directories (Z-Cards) Local community grants programmes

14. Early recognition of signs & symptoms Key Actions Public Information Campaign & Minding Your Head website (www.mindingyourhead.info)www.mindingyourhead.info Mentoring programmes for young people Join work with ELB Youth workers Training targeting gate keepers

15. Appropriate & accessible services Key Actions Commission a range of C&V & statutory services & ensure all areas are covered Beating the Blues CCBT Support for vulnerable individuals and families eg LGB&T Support for those who self harm & their families Pilot Weekend Suicide Intervention Service

16. Crisis Response and Postvention Key Actions 24/7 Lifeline & wraparound services SD1 process with PSNI Community Response Plans to suspected suicide clusters or community concerns Support for individuals and families who have been bereaved, including young people

17. Key Actions Roll out Self Harm Registry to all areas Action plans based on good practice guidelines from NICE & others Commission research to evaluate what works here – Providing Meaning full Care’ Test new approaches if evidence doesn’t exist Monitor progress Pilot programmes to regional programmes Using & Building the Evidence & Test new ways if evidence doesn’t exist

18. Contact Details Madeline Heaney Head of Health & Social Wellbeing Improvement & Strategic Lead for Suicide Prevention & promoting mental & emotional wellbeing Public Health Agency 182 Galgorm Road, Ballymena BT42 1QB Madeline.heaney@hscni.net +44 25311178 18