Following a review of the Suicide Prevention workstream which culminated in a stakeholder meeting we have agreed not to progress any further work under the PSC. This report outlines the work to date and future direction. Please see our EMAHSN mental health programmes where this work will continue.
Why this priority?
Suicide is not only a tragic loss, but it can also touch many people’s lives.
The National Suicide Prevention Strategy provides guidance as to approaches and interventions. There is a need to promote awareness and it is believed that there are approaches that can help. The benefit for communities and care providers regarding learning from events is also acknowledged.
Each county of the region has either a suicide strategy group or an approach geared at influencing local approaches in promoting the guidance from the national strategy. Many deaths by suicide are not audited or reviewed in depth by primary care compared with all suicides in secondary mental health care. It is recognised that healthcare professionals are also affected by the harm event yet there is little evidence to support interventions for primary care healthcare professionals.
How big is the problem?
Of those people who die by suicide 70% are not in receipt of mental health services and of those 30% will have visited their GP within a month of the act.
The East Midlands PSC will develop and support a robust and compassionate approach to learning the lessons and approaches from the losses from suicide for those not in contact with secondary mental health services.
How will we achieve it?
We will develop a facilitated post suicide review process for use in primary care that includes multi-agency input from those that have had contact and a caring role with the individual in the time period related to a suicide. This will be piloted in Derbyshire.
We will evaluate and share how primary care education packages across Northamptonshire are enabling staff within GP practices to identify and support those at potentially heightened risk of suicide. We will explore how individual staff affected by a suicide may best be supported. This work builds on the principle of the supporting “the second victim” of such an event. We will build a repository of best practice, regionally and nationally.
How will we know if we’re making an impact?
Our evaluation of the training in Northamptonshire will provide a robust source of data on which to build a future programme of work. We are working with leading experts in the field to develop evidence based interventions to support healthcare staff who are affected by the harm event.
We will evaluate the pilot work for establishing facilitated peer reviews post suicide events with a view to further development and roll out.
As part of our work on suicide prevention in primary care EM PSC commissioned a review of the evidence for what is referred to in academic literature as 'second victim'. The full report and presentation below refer to 'second victim' as those health care staff involved in harm, which is our preferred terminology.
This work will inform how we will support clinicians in primary care.
Presentation relating to Suicide Prevention Evidence Review - supporting General Practitioners involved in adverse events
Suicide prevention event - January 2016
The full event presentation can be downloaded here.
Suicide prevention event - October 2016
Dr Cheryl Crocker PSC presentation
Keith Waters How the programme developed
Suicide prevention workshop Prof. Murray Anderson-Wallace
Suicide prevention evidence review
Suicide prevention evidence review report
Please also find our report following this event.
Suicide Prevention Programme Report Oct 2016