suicide prevention in Greater Glasgow & Clyde

Michael Smith, Lead AMD, MH servicesPollockshields Burgh Halls, 19.6.12

• The challenge (but not the answers)• Models: some ways of thinking about the

problem• Data: some examples of where it went right• Feelings: some of the non-rational aspects to

this work• Group rules

models- servicesServices Role

Public health & health promotion Population risk reduction

Third sector Non-clinical

Local authorities Statutory and non-statutory responsibilities

Primary care GPs

Secondary care A&E, mental health

models – life stagesAge group issues

teens Abuse, neglect, bullyingTransitions (sexuality, education, relationships)Alcohol and drug misuse

20s and 30s Relationships, parentingTransitions (sexuality, parenthood)Employment and unemploymentAlcohol & drug misuse and dependence

40s and 50s Unemployment , chronic illnessTransitions Alcohol & drug misuse and dependence

60s and above Chronic illness, bereavementTransitions (retirement, grief, mourning)Alcohol & drug misuse and dependence

models – life stagesAge group issues

teens Abuse, neglect, bullyingTransitions (sexuality, education, relationships)Alcohol and drug misuse

20s and 30s Relationships, parentingTransitions (sexuality, parenthood)Employment and unemploymentAlcohol & drug misuse and dependence

40s and 50s Unemployment , chronic illnessTransitions Alcohol & drug misuse and dependence

60s and above Chronic illness, bereavementTransitions (retirement, grief, mourning)Alcohol & drug misuse and dependence

Key service recommendations

Ligature points removal of potential ligature points on inpatient wards, including all non-collapsible curtain rails

24 h crisis team community services include a single point of access for people in crisis available 24 h a day and providing short-term input until other services are available

7 day follow-up written policy on follow-up of patients within 7 days of psychiatric inpatient discharge

Assertive outreach community services include an assertive outreach team for people with severe mental illness who are difficult to engage

Non-compliance written policy on response to patients who are non-compliant with treatment

Dual diagnosis written policy on the management of patients with dual diagnosis

Criminal justice sharing

written policy on sharing information about risk with criminal justice agencies

Review written policy on multidisciplinary review and information sharing with families after a suicide

Training front-line clinical staff receive training in the management of suicide risk at least every 3 years

Some rules

• Creative

• Collaborative

• Constructive

no

splitting

Some rules

• Creative

• Collaborative

• Constructive

Remember- at the end we want you to identify one thing that you are going to do