Down but not out: Youth depression and suicide

The promotion of positive mental and emotional wellbeing among young

people

3rd October 2013

Madeline Heaney Public Health Agency

Content

Trends & patterns

The approach we are taking

Policy

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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

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

Mental & Emotional Health of 16 year olds

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• 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)

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

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Number of registered suicides in Northern Ireland, 1991-2011

0

50

100

150

200

250

300

35019

91

1992

1993

1994

1995

1996

1997

1998

1999

2000

2001

2002

2003

2004

2005

2006

2007

2008

2009

2010

2011

pNum

ber o

f reg

iste

red

suic

ides

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

0-14 15-19

20-24

25-29

30-34

35-39

40-44

45-49

50-54

55-59

60-64

65-69

70-74

75-79

80-84

85+0

5

10

15

20

25

30

35

40

45

50

0.7

21.4

44.0 43.144.9

34.636.9

34.9

29.226.5

18.420.1

13.712.3

16.8

25.5

0.2

8.211.0

9.5 8.4 9.1

15.0 14.3

9.98.2 8.4

4.82.0

5.82.9

0.0

NI registered suicide crude rate by gender and age 2009-2011

MalesFemales

Age Group

Rate

per

100

,000

Inequalities within NIRegistered Suicide rates per 100,000

population, 2006-2010

28.3

15.7

8.3

0

5

10

15

20

25

30

Most deprived 20% NI average Least deprived 20%

Rate

per

100

,000

pop

ulati

on

Source NI Health & Social Care Inequality Monitoring System (HSCIMS) (p) - Rates are provisional until the publication of the HSCIMS fourth update bulletin

Inequalities within NIGHQ12 Scores

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PHA Intervention Model

Appropriate & accessible

services

BuildingCapacity &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

BuildingCapacity &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

Early recognition of

signs & symptoms

Key Actions

Public Information Campaign &

Minding Your Head website (

www.mindingyourhead.info)

• Mentoring programmes for young

people

• Join work with ELB Youth workers

• Training targeting gate keepers

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

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

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

Contact Details

Madeline HeaneyHead of Health & Social Wellbeing Improvement & Strategic Lead for Suicide Prevention & promoting mental & emotional wellbeing

Public Health Agency182 Galgorm Road, BallymenaBT42 1QBMadeline.heaney@hscni.net+44 25311178

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