Annual Members Meeting 2018

Regent's Canal from our meeting room, interior shot of 'cabaret' layout and view of NCVO from other side of Regent's Canal    

Our Annual Members Meeting took place on 2nd May at NCVO, London.  NSPA members and supporters came together to hear about the work of the NSPA over the last year, to discuss issues such as the impact of Brexit on suicide prevention and what our priorities should be for the next few years, to learn more about each other’s’ work, and to network.  A wide range of members attended with representatives from the private, voluntary and public sectors, as well as individual supporters.

We have received overwhelmingly positive feedback from the event, with participants valuing the opportunity to share ideas, challenges and hopes in such a diverse group who all care so much about suicide prevention and bereavement support. Thank you to those members and supporters who came along and made it such a great day.

   

 

Below is information on each of the presentations from the day, please click on the title to view the slide sets.

Update from the NSPA

Penny Fosten, NSPA Executive Lead, updated members on some of our work in 2017-18, including new resources for local suicide prevention work, our national conference, World Suicide Prevention Day activities, and government engagement and influencing. She also welcomed the 37% increase in membership in the last year, and how much it strengthens our collective voice. Penny outlined plans for the coming year, including significant improvements to the resources available on our website, enhancing connections and communication with and between members, and continuing to represent and advocate for our members nationally.

Farming Community Network – The potential impact of Brexit on the farming community

Glyn Evans talked about the potential impact of Brexit in the farming community. Farming is an inherently risky and volatile industry to work in and Brexit means more uncertainty.  The FCN are encouraging farmers to build resilience to change and to prepare for the effects of change on business and personal lives, and continuing to provide them with support and advice.

Highways England’s Suicide Prevention Strategy (available soon)

Nicola Tweedie from Highways England (who are responsible for operating, maintaining and improving England’s motorways and major A roads) shared their suicide prevention strategy, which includes prioritising high-risk locations and training and supporting their staff to have the skills and confidence to identify and talk to a suicidal person.

PAPYRUS Prevention of Young Suicide – The class of 2018 

Ged Flynn presented PAPYRUS’ current campaign ‘The class of 2018’ (you can view the campaign films in the slide sets). Over 200 children are lost to suicide every year in the UK, and suicide is the leading cause of death in young people. Papyrus are committed to building safer schools and colleges, and have developed resources for schools, you can download these here.

Suicide Bereavement UK: National Bereavement Survey

Dr Sharon McDonnell talked about this survey, which is supported by the Support After Suicide Partnership and the University of Manchester.  It aims to help our understanding of the impact a death by suicide may have on the lives of those who are bereaved or affected by the death, to establish the support people bereaved or affected by suicide received, how the support was helpful, and identify where support is lacking.

Over 4000 people have already completed the survey.  If you would like to take part you can do so here.

NW Counselling Hub – Domestic Abuse and Suicide

Naomi Watkins presented their work in domestic abuse. One incident of domestic abuse is reported to the police every 30 seconds and every day almost 30 women attempt suicide as a result of experiencing domestic abuse. NW Counselling hub works with survivors of domestic abuse, they provide counselling, encourage help seeking and assist survivors with vital safety plans.

Recent Research

Dr Alexandra Pitman, Senior Clinical Lecturer, UCL Division of Psychiatry, provided an overview of some recent research in suicide prevention and high-risk groups, including construction workers, LGBT youth, people with access to lethal means and people bereaved by suicide.

NSPA Conference Local Action, National Impact

NSPA conference rallies suicide prevention campaigners to make every action count

The annual National Suicide Prevention Alliance (NSPA) conference brought together more than 230 delegates from suicide prevention organisations from all over the UK.

“We believe in engaging the whole range of society in talking about suicide,” said NSPA co-chair Brian Dow, of Rethink Mental Illness, opening the conference.

Delegates heard presentations from and took part in workshops with a wide range of experts in the field, focusing on how action locally can impact on suicide prevention nationally.

Suicide statistics for England in 2017 look likely to show a fall, according to the University of Manchester’s Professor Louis Appleby, who also recommended paying attention to long-term trends rather than focusing too much on figures for a single year.

Suicide numbers vary across England and there are variations within regions, with the North and South West currently having the highest rates, with Southern coastal areas and Norfolk having high rates too.

There has also been a small rise in suicides among young people. Their risk factors include bereavement, losing someone to suicide themselves, exam pressures and isolation. Internet use by young people is also a concern, with it being used in a variety of negative ways, but some positive ones too.

The conference also heard calls from Professor Appleby for self- harm to be monitored and tackled as it is also a predictor for suicide risk.

New research from Scotland looking at young people aged 18-34 has shown that childhood trauma has a major role in responses to stress, which can drive suicide attempts, according to Professor Rory O’Connor from the University of Glasgow.

He said this information can be used to put the right interventions in place to help prevent suicide in those who are affected.

Health Secretary Jeremy Hunt highlighted plans for zero suicide in NHS settings among people receiving specialist mental health care at the conference. Paying tribute to the commitment of members of the NSPA, who are working to prevent suicide across all sectors, he described suicide as ‘the litmus test of the extent of the improvement of care in every part of mental health’.

In response, Ruth Sutherland, Samaritans CEO and co-chair of the NSPA said, “Every suicide is a tragedy. Three times more people die by suicide than by road accidents and, of those, two thirds have had no contact with mental health services in the year before their death.

Suicide is complex and it’s everybody’s business. It is only by working together that we can prevent the families, friends and communities of more than 6,000 people a year in the UK being devastated by the loss of a loved one to suicide.”

Other speakers included Dr Paul Litchfield of BT Group, who talked about the policies the company has put in place to prevent suicide linked to restructuring, and Bronwen Edwards of the Australian organisation Roses in the Ocean, who has built up an influential suicide prevention network of people with lived experience that reaches from the grassroots to the centre of Government.

 Picture caption: (left to right) Bronwen Edwards, Joscelyne Shaw, Brian Dow, Dr Paul Litchfield

Annual Members Meeting 2017

NSPA members and supporters gathered at NCVO in central London last month for the Annual Members Meeting. Attendees heard what the NSPA has been doing over the last year, and some showcased their own recent projects and findings in a series of presentations. The meeting – open to all members and supporters – happens every year and is a great opportunity for people working in all areas of suicide prevention to network and share challenges, experiences and ideas with each other.

There were also morning and afternoon table discussions sessions. The first allowed people to think and share about how the last year has been for them and how NSPA can help them further. In the afternoon the table discussions were on: men and suicide, working in a small organisation, successful campaigns, and how to better enable and empower people with lived experience.

We are very grateful for everyone who attended, contributing valuable insight into suicide prevention.

Here is a summary of the presentations throughout the day. Click the headings to download PDF versions of presentations slides

NSPA Review 2016/17

Over the last year the NSPA has delivered events such as our conference, local suicide prevention planning masterclasses, and mental health champion training; and we have produced resources including the Local Suicide Prevention Planning guidance, a suite of resources on postvention support, and resources for World Suicide Prevention Day a few weeks ago that reached far beyond our alliance members. All of these activities have contributed to a 32% increase in membership to 92 organisations and nearly 100 individual supporters. Over the next year we intend to: continue to grow and support our membership, with more special interest groups and regional events; enhance the website with more resources and information; and continue to be a strong voice that represents our members.

David Mosse, from the Haringey Suicide Prevention Group, then talked about how the loss of his son to suicide lead him to set up this multi-agency group to lead on suicide prevention planning and delivery across the borough.

The Bridge Pilot

Nicole Klynman, from the City of London, and Will Skinner, a Samaritans volunteer, talked about the challenges of suicide prevention in the City and how they have worked together with the police and health services on the ‘Bridge pilot’, which involved putting signs up on London Bridge, giving out leaflets to pedestrians to raise confidence in helping someone they think might be at risk, and delivering suicide awareness training to front-line staff and people who work near the bridge. They are now working on similar work for Southwark, Tower and Blackfriars Bridges.

Lived Expertise of Suicide: Inclusion, Engagement and Strategic Partnerships

Gill Green, from STORM Skills Training, and Jacqui Morrissey, from Samaritans, talked about an Australian initiative – Roses in the Ocean – which works to “engage and empower people with a lived experience of suicide in order to change the way suicide is spoken about, understood and prevented.” Their definition of lived experience includes having had suicidal thoughts, having been bereaved by suicide, and caring for someone who has suicidal thoughts, and they work to include a diverse range of people and ensure they are supported and trained, and their voices valued. It felt that there was support for the idea of this or a similar model existing in the UK, and the NSPA will continue to work on this.

Suicide and Autism

Jon Spiers, from Autistica, shared their research data on autism and suicide. Findings include higher levels of depression, anxiety, suicidal ideation and higher rates of suicide in people living with autism. The research also highlights how challenging it is to find appropriate support when one finds it very difficult to identify or discuss emotions, work in groups, or call helplines.

Building Collaboration, Investing in Communities

Bianca Hegde, from STORM Skills Training, talked about how they invest money back in to communities through free training and education for front-line staff, running their social change campaign #HeyAreYouOK?, and working pro-bono for organisations including State of Mind and the Greater Manchester Fire Brigade.

Emerging Themes – contact us for more info

Victoria Sinclair, from the Nightline Association shared their data on the challenges faced by students, the themes coming up regularly (including sexual violence, loneliness, self-harm, suicide and the transition to and from university) and their focus on how to support specific groups of callers better, particularly post graduates, international students and male students.

Suicide Prevention Masterclasses

Helen Garnham, from Public Health England talked about the 2017 Suicide Prevention Planning Masterclasses, particularly what was learned from them, which included how extra funding might be better invested, the desire for more examples of good practice, the benefits of wider collaboration, and the need for more workforce development.

 

Taking Action on World Suicide Prevention Day

Most people have no idea about the numbers of people who die by suicide every year in the UK, a survey for World Suicide Prevention Day has revealed today.

91 per cent of those who took part in the YouGov survey for the National Suicide Prevention Alliance (NSPA) either under or overestimated how many people take their own lives each year in the UK, or simply didn’t know. Between 6,000 and 7,000 people die by suicide every year, that’s someone dying by suicide every 90 minutes, so it’s vital that we raise awareness and save lives.

The NSPA is asking everyone to Take a Minute to Change A Life for World Suicide Prevention Day, and the organisation’s 160 members and supporters (including Samaritans, MIND, Rethink Mental Illness, CALM, STORM and Network Rail) will be working together to galvanise action across the country to make suicide prevention a priority in the run up to the day on Sunday 10 September.

The YouGov survey also found that over a quarter of people who responded (26%) said that not knowing what to do and/or feeling worried that talking about suicide would increase the risk of it happening, would prevent them reaching out to someone.

The NSPA wants to change this by getting people to take simple actions to connect with others* on World Suicide Prevention Day, and by showing how easy it can be to make a difference.

Former Rugby League player Danny Sculthorpe said: “I felt suicidal after my back injury brought my playing career to an end. I lost my job, I felt I couldn’t support my family, and we lost our house. I felt as if I wanted to take my own life.

“It is hard for men to speak about how they feel. My mum and dad and my wife had? noticed a change in my behaviour and got me to talk about how I was feeling. Their calling me out saved my life. It was the best thing I ever did. Speaking out is a strength, not a weakness.”

For five years Danny has been a trainer for NSPA member State of Mind, helping players, fans and businesses develop coping mechanisms and mental fitness. “I love it, helping other people makes me feel good,” he said.

Tracy, 28, was in the process of taking her own life when her friend Jade held on to her and talked to her. She was able to help her to change her mind. “Jade saved my life,” said Tracey. “It was a pivotal moment in our relationship.”

Jade said: “Suicide does not end the pain, it just passes it on to someone else.”

Neil Laybourn, who was able to talk to Jonny Benjamin when he was about to make a suicide attempt, and convince him to get help, said: “Jonny was clearly in a lot of pain but I was able to talk to him and get his attention. Once I had done that – it only took a minute – I was able to keep talking to him and persuade him to move out of danger.

“Johnny and I are determined to campaign to let people know there is action you can take that is easy, simple and makes all the difference.”

Co-Chair of the NSPA Ruth Sutherland said: “The results of the survey underline the fact that many people don’t realise the numbers of suicides in the UK, and aren’t confident in talking about it. Suicide is everybody’s business and this is why the NSPA hopes to raise awareness of simple actions we can take in order to reach out to others, while campaigning for effective suicide prevention”.

For further information about National Suicide Prevention Alliance please contact info@nspa.org.uk For press enquiries please contact Sue Royal at Samaritans press office 0208 394 8348.

For out of hours enquiries, please call 07943 809162.

Ends

Notes to editors:

*Make a mate a cup of tea; Invite a mate to join you for a walk or a run; Take action as part of a campaign; Ask someone if they are doing okay; Connect with someone from a different generation and ask them for advice; Like a friend’s cooking? Ask them to share a recipe; Find out more about what you could say to someone who is struggling; Give a friend you are thinking about a call/drop them a text; Watch a video about someone else’s experience on the NSPA website.  All found on the NSPA website: www.nspa.org.uk/home/our-work/world-suicide-prevention-day-2017

  • The National Suicide Prevention Alliance (NSPA) is a cross-sector, England-wide coalition committed to reducing the number of suicides in England, and improving support for those bereaved or affected by suicide.
  • The NSPA is working with more than 160 members and supporters from the public, private and voluntary sectors, who are committed to working towards reducing suicide and providing support for people bereaved by suicide.
  • Rethink Mental Illness and Samaritans jointly co-chair the NSPA. For more details go to www.nspa.org.uk
  • All figures, unless otherwise stated, are from YouGov Plc.  Total sample size was 2041 adults, of which 1845 opted in to the survey. Fieldwork was undertaken between 24th – 25th August 2017.  The survey was carried out online. The figures have been weighted and are representative of all GB adults (aged 18+).

 

Recruiting: new Executive Lead for the NSPA

**Recruitment for this post has now closed**

Are you a dynamic leader looking to take on the next exciting challenge in your career?

We are looking for a new Executive Lead to run the NSPA, working with our Chairs and Steering Group to continue to grow the alliance, build on its growing reputation and influence and consolidate its position for the future. With over 140 members and supporters from across the public, private and voluntary sector, the NSPA needs a dynamic, resourceful self-starter, with excellent communication skills and an ability to get things done. Running a small secretariat as well as being the ambassador for the alliance provides the successful candidate with an interesting and challenging role, suited to someone passionate about suicide prevention with excellent management skills.

About the NSPA

We are the leading coalition of public, private and voluntary organisations in England whose mission is to get all parts of society working together to take action to reduce suicide and improve the support for those affected by suicide.  Our Secretariat is hosted by Samaritans, and this post is based within Samaritans’ Central office.

Our location

Samaritans’ Central Office is located in a converted mill in Ewell, Surrey which is just over 30-minutes by train from Waterloo and 15 minutes from Wimbledon.  As an employer Samaritans offer a good range of benefits, including 25 days’ holiday, free parking, Health Cash Plan, Pension and interest-free season ticket loans.

To apply

For more details please review the Job Description of the role and Post Benefits below. Samaritans is managing the recruitment process for NSPA, so to apply, please download and complete the application form below and email to recruitment@samaritans.org

Deadline for completed application forms is 09:00am on 22 May 2017.

NO AGENCIES PLEASE

National Suicide Prevention Alliance’s response to the House of Commons Health Select Committee Suicide Prevention Report

The NSPA welcomes the Health Select Committee’s report into suicide prevention, published today. The compelling written and oral evidence provided by many of our members has directly impacted on the Committee’s recommendations and we’re pleased that these reflect what we’ve been calling for. We are incredibly heartened by the increasing priority and focus on the issue of suicide, particularly since January and hope this will translate into greater action and the investment of resources into this life saving work. We support the call for effective implementation plans being in place across the country – they are vital to delivering on the Government’s Suicide Prevention Strategy. Our work producing a range of guidance including for local authorities in suicide prevention planning and supporting ‘masterclass’ events, on delivering services for support after a suicide and for online community moderators in responding to suicidal content are essential to facilitating this. The report’s wide-ranging recommendations too, demonstrate the need for all sectors of society to work together and take coordinated, concerted action to save lives. Collaboration is at the heart of our alliance, suicide prevention is everybody’s business and with our 100 plus members and supporters, we’re proud to be working with so many people to make a difference. We hope the Committee’s report provides more impetus and drive to stop people dying.

If we act now we can make a real and lasting difference to suicide prevention

Audience_0089
Tuesday 7th February 2017.

Practical steps to reduce deaths combined with effective national and local suicide prevention plans will save lives, Ruth Sutherland, National Suicide Prevention Alliance co-chair and Samaritans CEO, told more than 200 delegates at the NSPA annual conference today.

“Suicide prevention needs to be properly funded and prioritised across the board. We need to know what good looks like and it needs to be implemented everywhere,” said Ruth. “We have a chance to put effective measures in place if we act now, when the Government and policy makers have shown they are receptive to our suggestions.”

Health Secretary Jeremy Hunt, who sent a supportive speech via a short video, said: “Suicide is the biggest killer of men under 50 and a leading cause of death in young people and new mothers, so it is vital that we make every contact with the NHS and care services count.

“There is some brilliant work already taking place in mental health but more needs to be done to make care more consistent across the country. I am committed to transforming suicide prevention services and our updated suicide prevention strategy sets out to do more to help those groups at greatest risk.”

It was a tribute to the energy and commitment of NSPA members that suicide prevention was so uppermost in people’s minds, Ruth said. NSPA members also gave evidence to the recent Health Select Committee’s Inquiry on Suicide Prevention, due to report soon.

The NSPA and Public Health England guidance for local suicide prevention planning is raising standards across England. Around 95 per cent of local authorities have suicide prevention plans in place or in development, but plans must be active and effective, Ruth said.

Brian Dow, co-Chair of the NSPA and Director of External Affairs at Rethink Mental Illness said: “We are currently seeing unprecedented intent to improve mental health and prevent suicide from all levels of Government, what we need to do now is channel this energy into projects and services that make a difference on the ground. The NSPA conference has shown some brilliant of examples of what can be done to prevent suicide and we must continue to be ambitious in how we tackle it.

“Suicide rates are still unacceptably high. We are still losing too many brothers, sisters, parents and friends. We now have a unique opportunity to come together to enact practical, proven solutions and save lives,” Brian said.

The conference brought together a number of speakers involved in suicide prevention including Rt Hon Norman Lamb, chair of the West Midlands Mental Health Commission and Professor Louis Appleby, chair of the National Suicide Prevention Strategy Advisory Group.

Gerry Cadogan and Tom Chapman of the Torbay Public Health and the Lion Barbers Collective group talked about their ongoing work to engage with men about their mental health. Malcolm Rae, Trustee chair of State of Mind, showed how sport can reach people who wouldn’t normally ask for emotional support.

Ruth called on everyone to campaign, nationally and locally, to keep suicide prevention at the top of the agenda.

For further information about National Suicide Prevention Alliance please contact info@nspa.org.uk For press enquiries please contact Sue Royal at Samaritans press office 0208 394 8348.

For out of hours enquiries, please call 07943 809162.

NOTES TO EDITORS:

  • The National Suicide Prevention Alliance (NSPA) is a cross-sector, England-wide coalition committed to reducing the number of suicides in England, and improving support for those bereaved or affected by suicide. The NSPA has developed from the Call to Action for Suicide Prevention and will continue to build on this national collaboration.
  • The NSPA is working with more than 140 members and supporters from the public, private and voluntary sectors, who are committed to working towards reducing suicide and providing support for people bereaved by suicide
  • Rethink Mental Illness and Samaritans jointly co-chair the NSPA. Members and supporters include The Matthew Elvidge Trust, PAPYRUS Prevention of Young Suicide, NSPCC, Royal College of Psychiatrists, the police, the ambulance service and MIND. The NSPA is funded by the Department of Health and the conference is supported by Public Health England.

Suicide Alliance welcomes PM’s call to reduce stigma around mental health

The National Suicide Prevention Alliance (NSPA) today welcomes the Prime Minister’s ‘new approach’ to mental health as a step towards reducing the stigma that surrounds mental illness and suicidal feelings.

The alliance of more than 70 members, including Samaritans, Rethink Mental Illness, Mind, PAPYRUS Prevention of Young Suicide and Network Rail, working together to prevent suicide, says that today’s speech is a statement of intent from which to hold the government to account.

Brian Dow, co-chair of the NSPA said: “2016 was an acknowledgement of the scale of the suicide crisis in the UK and now we are seeing how the government is going to respond. If this approach is going to save lives and make a real tangible difference then it is a very welcome start to 2017.

Our membership has been working in all aspects of suicide prevention and our It’s Okay to Talk’ campaign last year was about reducing stigma and encouraging middle aged men to seek help before feeling overwhelmed. It’s good to see some of this being echoed and championed by the government in today’s speech on mental health.”

While the Prime Minister addressed journalists and third sector chiefs, Jeremy Hunt and the Department of health released the strengthened national strategy for suicide prevention, including a government pledge to improve support for those bereaved by suicide, a move that has been informed by the work of the NSPA and its members.

“Our 140 members and supporters are at the frontline dealing with suicide. We were pleased to work in collaboration with Public Health England and the Support After Suicide Partnership to develop a set of new bereavement support resources, launched today and hope that local authorities and commissioners use them to ensure everyone gets the support they need.

“People bereaved by suicide have told us that this time is crucial for support and can make a big difference to those affected. Research shows that those bereaved by suicide are at high risk of suicide and we need to do everything possible for this group of vulnerable people.”

ENDS

Notes to editors:

  • The National Suicide Prevention Alliance (NSPA) is a cross-sector, England-wide coalition committed to reducing the number of suicides in England, and improving support for those bereaved or affected by suicide.
  • Co-Chairs of the Alliance are Ruth Sutherland, Chief Executive Officer of Samaritans and Brian Dow, Director of External Affairs, Rethink Mental Illness
  • The NSPA is working with more than 140 organisations and individuals from the public, private and voluntary sectors and including those with lived experience of suicide, who are committed to working towards reducing suicide and providing support for people affected by suicide.
  • Members include Rethink Mental Illness, Samaritans, PAPYRUS Prevention of Young Suicide, The Matthew Elvidge Trust, Network Rail, Grassroots Suicide Prevention, the Royal College of Psychiatrists, and Mind. The NSPA is funded by the Department of Health. Our full list of members can be found at www.nspa.org.uk/members.

For press enquiries please contact the Press team at Samaritans press office 0208 394 8348.

For out of hours enquiries please call 07943 809162.

Grassroots Suicide Prevention seeks a new Chief Executive

grassroots-logo-2

£50,314 pro rata
18.5 hours per week, working pattern to be agreed
The closing date for applications is 12 December 2016.
Interviews will take place on 10 January 2017.

Grassroots was formed as a Community Interest Company 10 years ago. We became a charity in 2012. We have one simple yet powerful goal: that no one should have to contemplate suicide alone. We work locally and nationally with communities, organisations and individuals, helping them to support others at risk of suicide. Our training and consultancy helps save lives by enabling conversations that make a real difference.

The Trustees of Grassroots are seeking a leader with the drive, insights and experience to help our small charity to continue to grow and flourish. We are already in a strong position; we have robust contracts, a healthy balance sheet, and an excellent reputation for training and consultancy. And we have a highly effective and committed internal staff team and an exceptional group of trainers. We are now looking ahead to prepare ourselves for opportunities we create ourselves and which arise unexpectedly.

The person we are looking for to lead the charity will have proven leadership experience as chief officer of a small charity or as a director in a larger organisation. They will combine integrity, vision and business acumen with the ability to develop and maintain strategic relationships as well as lead and motivate staff and trainers. They will be highly personable, respectful of diversity, strong on good governance, able to work effectively with a Board of Trustees, and demonstrate exceptional presentation skills and a clear commitment to the aims of Grassroots.

If you are interested in this position, you can download a job pack through the link below, where all details about the application process can be found:
www.prevent-suicide.org.uk/recruitment_chief_executive.html

Learning points from Churchill Fellowship Research for National Suicide Prevention Alliance

camper-and-tree

Last year I was privileged to be awarded a Winston Churchill Travelling Fellowship to visit Australia, New Zealand and Ireland to meet with organizations and individuals who support families after they have been bereaved by suicide. As a child bereavement practitioner, and until recently a manager of services for bereaved children, especially those bereaved by suicide, I have long been aware that children are often overlooked in the quest to provided better services for those bereaved by suicide.

Children are affected by the death of a family member, especially when the person has died by suicide, with all the added complications that brings. Adults, both parents and professionals, often feel at a loss as to how to talk to children about suicide. Children need to be involved in the processing of what has happened in order to develop into resilient adults. Children bereaved by suicide are more vulnerable as they grow up, so it makes sense to put in place services for children that may prevent mental health issues in adulthood.

There are many developments in relation to support after suicide in the countries I visited that are cited as good practice. My Fellowship looked at how children are supported within these different models and services, and how specialist child bereavement services relate to these. I hope it will increase the understanding of what will most benefit suicide bereaved children in the growing partnership of organizations that are seeking to develop a national response for support after suicide in the UK.

Funding

Funding is obviously vital to the development of every service and across the range of my visits I saw how proper funding can enable services to become well grounded and grow. In Australia there is substantial government funding for services related to suicide prevention and bereavement, and I wanted to know why. Jaelea Skehan, Director of the Hunter Institute of Mental Health in Newcastle, Australia, doesn’t think funding is necessarily obtained through the logical way of running a pilot, evaluating it, showing its worth and applying for funding. It’s as much to do with developing relationships with the right people in government or other positions of influence and convincing them of the need for services, so they can apply pressure or influence where policies are made and funding decided.

Those who have been most influential in driving the agenda forward have had a personal interest in, or experience of, suicide. In the most recent Australian elections the Prime Minister Malcolm Turnbull said that ‘addressing suicide and mental illness would be a “vital national priority” for a re-elected coalition government.’ This statement was in response to a challenge by an alliance of leading mental health advocates to all political parties to announce what they would do to address the rising toll of suicide and self harm.

In NZ the Travellers programme for the prevention of suicide was funded by the New Zealand government and the Mental Health Foundation. At the time the minister was Jim Anderton, whose daughter had died by suicide, making him sympathetic to funding.

Headspace’ is a youth mental health initiative which was established by the Australian government in 2006 and is fully funded by the Federal Government. It emphasised evidence based intervention and was founded by Patrick McGorry, who as Australian of the year gave a big push to youth mental health.

Australia, New Zealand and Ireland have all run successful campaigns to highlight that deaths by suicide are often greater than road deaths. In New Zealand road deaths have been greatly reduced by a big campaign of posters along roads, proving that funding can be effective. Organizations related to suicide prevention are now using this as an argument for funding. Estimates of the total cost of road deaths to New Zealand society were put at around $3.6 billion each year. The national road safety campaign is based on a high level of research.

In Ireland the 3Ts( turn the tide of suicide) charity lobbies governments, raises awareness of suicide and provides grants and funding for research and support, highlighting that 3 times more people die by suicide in Ireland than die in road traffic accidents. Recognizing the need for research into suicide to help inform national suicide prevention strategies it funded the ‘Suicide in Ireland Survey’.  It states that ‘If adequate state funding for suicide prevention is unavailable, then we need a Suicide Prevention Authority similar to the Road Safety Authority, an independent authority to oversee a dedicated National Suicide Prevention Programme.’

The following example shows how, with commitment from those in government, a real difference can be made to the support available after suicide. Working in partnership in the UK is therefore vital in order bring maximum pressure to bear on those in government who can influence financial decisions.

In Australia an audit of 28 electorates between 2009 and 2012 found suicide rates exceeded the road toll in every seat. Between 2004 and 2014 suicide rates rose almost 20%.

Electorate 2009-2012                        Suicides                                Road toll

Canning WA                                          90                                             54

Longman, Qld                                      162                                             68

Cunningham, NSW                                91                                             37

Boothby, SA                                         64                                             13

Corangamite, Vic                                 111                                             65

The shadow Mental Health minister, Katy Gallagher, stated labour’s commitment to a 50% suicide reduction target over the next 10 years and the establishment of 12 suicide prevention pilot projects.

lifeline-cropped

In July 2010 the Prime Minister Julia Gillard said a labour government would spend $277 million to help Australians at risk of suicide, with a priority on providing services for men.

  • The Lifeline counselling hotline would be expanded
  • The Beyond Blue organization would be given funds to target men with depression Programmes would be made available to students through schools.

Money was given for research and a proposed service model was drawn up and launched in 2012, initially as a recovery programme, which then led on to a recognition for the need for preparedness. There is now a coordinator in every state and territory.

In Dec 2014 Julia Gillard joined the board of ‘Beyond Blue’. She said “as the daughter of a psychiatric nurse, I have always understood the need to talk openly about mental health and respond to those in need”.

Funding and Services

It is not surprising that large well organized agencies attract more funding. Australia has well developed mental health services and a lot of government funding has gone into organizations like Headspace, Beyond Blue and MindMatters, all of which seek to address the mental wellbeing and resilience of young people, either as a preventative to suicide or as a support after suicide. Headspace in particular has grown rapidly with its full government funding, with 100 Headspace centres nationally, 200+ staff in the head office and 2000 schools it has worked with. But these large services are often about facilitation and information and there is a lack of services to refer on to for direct support. One person I met in New Zealand commented that there are ‘leaflets, leaflets, loads of glossy leaflets, but no one actually works with families’. Large national organizations are better funded and often highly manualized. They have less understanding of direct work and less ability to connect with the local community, although they attempt to overcome these by referring on and by embedding the service in local organizations.

Those organizations that do work directly with children and families, such as the Jesuit Social Services Support after Suicide, and the Centre for Childhood Grief in Australia, Barnardos in Ireland and The Grief Centre in New Zealand, have a wealth of knowledge and experience in supporting children, but are small and find it difficult to attract funding.

It was striking that where Government funding has continued, albeit on a year to year basis, in Australia and Ireland, suicide support services have thrived, whereas in New Zealand promising initiatives and projects have floundered through lack of funding, and experienced staff have become demoralized or lost their jobs. The Ministry of Health is presently discussing the next 10 years for the Suicide Prevention Strategy in New Zealand and many professionals are waiting for the outcome of this. It is problematic that in New Zealand there is a political argument between government departments as to whether suicide is social or a mental health issue. I was told that no government department wants to be responsible for suicide prevention. They have done the research, written a document and an action strategy, but leave District Health Boards to put this into practice, which has led to a fragmentation of suicide support services in New Zealand.

What I have learnt from this is that in the UK we need to try and get a balance between large scale facilitation, which can co ordinate services at the national level but will be less responsive to local needs, less personal and more bureaucratic; and small scale direct work, which can provide very good practice,  expert knowledge and a high level of satisfaction for both those who receive and deliver services, but which find it hard to attract funding or offer services over a wide geographical area.

I was informed by a number of people that the Australian government is keen to fund e-programmes. One example of these is eHeadspace, which enables young people equal access to a service where they can email, phone or skype with qualified mental health professionals. Similarly in New Zealand 185 of 300 secondary schools are signed up for the ‘Travellers’ resilience programme developed by the child bereavement organization ‘Skylight’. Schools are trained to run the training and the whole cohort of year 9 pupils complete an online survey. On the basis of this high scoring pupils are offered counselling, medium scoring pupils are offered the Travellers course and low scoring pupils have anything of concern addressed.

Academic Rigour

Governments need convincing with evidence and good collection of data and successful projects are often evaluated by external bodies, such as universities or research institutes and have research evidence to highlight the need and show that costs of preventative services are less than the costs of doing nothing, e.g. hospital admissions, working days lost, and mental health. A good example of this is an influential study in Australia that did exactly this and helped deliver funding to the national organization StandBy. (‘Cost Effectiveness of a Community Based Crisis Intervention Program for People Bereaved by Suicide’. Tracy Comans, Victoria Visser and Paul Scuffham). In Ireland the National Suicide Research Foundation in Cork is an independent research unit which undertakes research into topics relating to suicide to provide the knowledge base for suicide prevention, intervention and postvention strategies.

In Australia there is a strong connection between research and practice, this makes the sector very vibrant and services well grounded in evidence and theory. The Hunter Institute of Mental Health in Newcastle, Australia focuses on research on the development of services that have a practical application in mental health, developing projects in relation to organizations on the ground that can carry them out. Jaelea Skehan, the director, is passionate about translating evidence into practice and finding better connections between research and practice. She believes there should be a middle ground between practitioners and researchers with a constant flow in both directions. The Institute of Suicide Research and Prevention at Griffin University in Brisbane has a taught Masters degree and Diego De Leo, it’s Director from  1998-2015, has been influential for a number of practitioners in their work in suicide pre or postvention. Griffin University in Brisbane Directs the WHO Collaborating Centre on Research and Training in Suicide Prevention.

This has also been true of the Irish National Suicide Research Foundation, which has worked in conjunction with those who are developing services for support after suicide in Ireland, while In New Zealand Chris Bowden, lecturer and researcher at Victoria University of Wellington  worked with Skylight to develop the Waves psycho-education programme, while also completing his own PhD on young men’s experiences of losing a close male friend to suicide, and Annette Beautrais and Prof David Fergusson at Otago University were joint authors of the New Zealand Suicide Prevention Strategy 2006-16 and were involved with the Christchurch Suicide Project.

On the service side in Australia there is a high academic level among practitioners, with many having Masters in Suicidology or a PhD related to their work in suicide. Some are working towards professional doctorates at the same time as working. Several PhD students are being supervised by Dr Myf Maple, associate Professor in the School of Health at the University of New England (UNE). The UNE works with four other universities and a local health district as part of a Collaborative Research Network (CRN) on mental health and well being, which has attracted $4.8 million funding from the Australian government. This means that research is joined up and has a strong profile. As mentioned in the blog of Sharon McDonnell, Honorary Research Fellow at Manchester University and Churchill Fellow, on April 4th 2014, ‘it is possible to suggest that Myf’s postvention department is a virtual one, in that many of her staff are PhD students and study via distance learning. It is commonplace to hold meetings via a video link’. This is a practical response to the vast distances in Australia.

I believe this interrelationship between research and practice, with movement in both directions has greatly helped practice to be grounded in research and research to be based in practice, and has given credibility to both. Governments are more likely to fund joined up working and more likely to be convinced of the importance of funding research that leads into the development of services that are effective, and the efficacy of funding practice that is evidenced by research.

Working in Partnership

I came across many examples of collaborative working which must inevitably aid the development of good joined up services for those who are seeking support after a suicide. Organizations working at a national level, such as StandBy and Headspace, do so by having a Memorandum of Understanding with local partner organizations and arrangements whereby coordinators of services meet together and train together. In the district around Melbourne Headspace do more general work in schools but refer children to the Jesuit Social Services Support after Suicide for direct work with individual children. This not only encourages cooperation but also develops an understanding of each other’s services. In Australia information about The Centre for Grief and Bereavement is given to families by funeral directors.

In all three countries the fact that coroners report deaths by suicide to those organizations providing services makes an enormous different to their ability to offer services, as people are less likely to fall though the net.

  • The Centre for Childhood Grief in Australia works together with the local coroner to run a ‘Support after Suicide Group’ with social workers from the coroner’s office. This group is funded by the coroner, who also provides the venue.
  • StandBy was initiated by the coronial service and the police, which has meant an ongoing positive working relationship between the different agencies.
  • The Department of Forensic Medicine in Newcastle works closely with coroners.
  • As a Regional Suicide Postvention Coordinator in Wellington New Zealand Jennie Jones is informed of every suicide by the coroner, who gives basic information, and by the police who share more details through an encrypted site.
  • Victim Support, who offer a service to those bereaved by suicide in New Zealand, also commented on the enormous advantage of being informed of deaths by the coroner.

This is an area that clearly needs a lot of attention in the UK, where contact with local coroners is patchy and sensitive.

Many different professionals are involved after a suicide, e.g. fire service, police, ambulance service, clergy, GPs and funeral directors. The most successful organizations had worked to get each profession onboard at a high level, in order that cooperation and good working relationships percolated down throughout the organization, and maintained these by good networking, joint training, clear guidelines and protocols. These are often brought together in manuals. Having a facilitator whose task it is to put all these things into practice seems also to be the mark of a successful service.  Prime examples of this are StandBy, the Mayo project in Ireland and the work of the Suicide Postvention Coordinator in Wellington.

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Developing a Model

Those organizations that have been most successful in growing and attracting funding have developed clear models of working based on research and evidence.

Services for the prevention of suicide and support after suicide are gradually being coordinated and strengthened in the UK through the coming together of different working partnerships, some in local areas and some nationally. Decisions need to be made on finding models of working that are most effective in our own circumstances in the UK.

As the provision of support after suicide in the UK is developed it is vital that the partnerships of organizations involved have clarity around the models that evolve from their collaboration, with clear theoretical underpinning, evidence for the efficacy of the model from pilots or other examples, and hold fast to best clinical practice as far as possible.

I saw several different models in the course of my Fellowship.

Direct work with families and children

For example,

  • Jesuit Social Services Support after Suicide in Melbourne.
  • The Centre for Grief and Bereavement, Melbourne
  • The Centre for Childhood Grief, Sydney
  • Skylight in New Zealand
  • Barnados in Ireland
  • The Mayo Project, Ireland

The mark of these organizations is high quality work, long standing experience and a real knowledge around suicide and it’s affect on individuals, families and society. These organizations are small and find it difficult to grow because of precarious funding and are fearful they may lose out to other organizations ‘that are better funded, better marketed and more glossy.’

The use of professionals who have another main job but an interest in suicide

These professionals are paid to offer counselling or run groups. This enables organizations to get input from professionally qualified people, but sometimes means these professionals have less experience in working with those bereaved by suicide.

StandBy refers children who need a level of expertise beyond what they can offer to specialist child counsellors they have an ongoing working relationship with. They provide training around the impact of suicide for these counsellors. They provide similar training to those who provide supervision to staff.

Chris Bowden, lecturer at Victoria University of Wellington, helped Skylight develop their group programmes and supervises students who are doing Masters on the work of groups. He co facilitated the Waves adult grief education programme for many years and now conducts research on the programme and its impact. He is now researching similar programmes for children. He will also work with individual families if needed.

The Grief Centre in Auckland contracts self employed counsellors to work with bereaved adults and young people.

Offering qualified professionals internships

This is a model used by The Centre for Grief and Bereavement in Australia. Professionally qualified interns go through an accredited grief training which is run by the paid counselling team of the organization. It gives interns access to training and 80 hours of supervised individual work, and it gives the organization a stable, qualified workforce, especially as many of those trained stay on with the organization to work as volunteers.

Through the use of volunteers

This seemed to work well where volunteer numbers were small, well trained, well supervised and integrated into the team. e.g. Barnardos in Ireland.

It appeared to provide a poor experience for those receiving a service when there was an unmanageable number of volunteers who were not sufficiently trained, prepared or supported, or given appropriate work, e.g. Victim Support, where volunteers may attend the scene of death and families report poor experiences.

Setting up national Drop In Centres

This is a model used by Headspace designed to offer easy access for young people to local services. It is often run by a local lead agency that is familiar with the local area and resources.

Community Postvention Response Model

These are services specifically set up as a community response to a suicide and is their main aim and function. StandBy in Australia, the Regional Suicide Postvention Coordinators in New Zealand and the Mayo project in Ireland are all examples of this type of model.

Features of this model are:

  • a clear protocol for responding to a suicide
  • the coming together and coordinating of all responders to a suicide
  • the gathering and sharing of information in order to make a coordinated response
  • a coordinator to drive forward and coordinate the response to avoid duplication or confusion.
  • work with the local community to train and support those around the bereaved e.g. families, workplace, neighbours, community, school, local professionals
  • a standardised information pack for the bereaved
  • a clear structure that is replicable

Observations

Each organization that tries to address the needs of those bereaved by suicide has grown from different roots and has a different emphasis, and all are influenced by the level of funding they can attract. Some approach it from the angle of mental health, some are influenced by their geographical location, some have evolved into a specialised service from other more general services and some have developed an area of expertise within a specialization of working with children. The Community Postvention Response Models stand apart in being set up with the sole aim of providing postvention support, and drawing in all the different agencies and professions to provide maximum support at the grass root level. Because it has protocols and a coordinator it can respond immediately with an ever increasing knowledge and experience base. It has the capacity to provide training at different levels and support to those who respond, and because it is embedded in the community knowledge is hopefully disseminated and resilience is built up.

My Fellowship was primarily aimed at researching how children are supported within the models that have been developed in Australia, New Zealand and Ireland. Those who had most knowledge and experience of supporting children after a suicide were small specialist organizations undertaking direct work with children. Large national organizations felt they lacked the expertise to support children, although may have specialist counsellors or therapists who work with children to refer on to. Most interventions were aimed at adults, with the hope that it would percolate down to benefit any children in the family. More organized responses are available for schools after a death.

In New Zealand there is a worrying acknowledgement of lack of skills to support children, and lack of confidence to develop these skills. One centre said they wouldn’t know who to refer children to and that it is difficult to maintain standards as there is no solid base of training. In Ireland it appeared that better support is available for children after a suicide in organizations orientated towards children e.g. Family Centres and Barnados, where there are specialist children’s therapists. Family Centre therapists in Mayo who work in the same venue as the Suicide Liaison Officer (SLO) have agreed to prioritize suicide bereavement referrals, and the SLO is confident in their work.

As a result of my visits to a large number of different organizations I am now convinced that in developing services that support people after a suicide in the UK we need to work towards more interaction between adult and children’s services, so that the learning embedded in children’s bereavement services can be utilized by those supporting adults, to the benefit of the many children who may be part of those families but not receiving a service in their own right.

Liz Koole

Churchill Fellow 2015

Recruiting: Senior Events Officer

**Recruitment for this post has now closed**

NSPA Senior Events Officer
6 month fixed term contract, part time (21 hours per week)
£32,207 per annum pro rata + Competitive Benefits
Deadline – 09:00am on Monday 15thth August 2016

Are you an experienced events officer looking for a new exciting challenge? Do you want to make a difference and create events that help prevent suicide?

The National Suicide Prevention Alliance (NSPA) is looking for an enthusiastic Senior Events Officer who can hit the ground running and take the lead on delivering a series of events across the country aimed at supporting local suicide prevention activity. With experience of planning and delivering events, including content development, you will be an effective project manager who operates well in a pressurised environment and is skilled at delivering assignments. Able to manage complex stakeholder relationships, you will be an effective communicator who is good at working with a wide range of stakeholders, controlling budgets, and comfortable delivering a successful event from planning through to evaluation.

This is a fantastic opportunity to be part of an important initiative aimed at helping transform suicide prevention activity locally. The Events Officer is critical to the success of this initiative.

The NSPA is a coalition of public, private and voluntary organisations in England whose mission is to get all parts of society working together to take action to reduce suicide and improve the support for those affected by suicide. It has a small Secretariat which is hosted by Samaritans, and this post is based within Samaritans’ office in Ewell, Surrey; 30 minutes train journey from Waterloo and 15 minutes from Wimbledon.

Please visit the Samaritans website for further information and to apply.