Building Capacity LocallyNorth West Reducing SuicideSummit 2013ManchesterBarry McGaleSuicide Liaison OfficerWestern Health & Social Care Trust
“Postvention is prevention for thenext generation” (Shneidman, 1993)
Why implement a Community ResponsePlan• One of the major concerns around suicides isthe “cluster” effect, a process whereby onesuicide can trigger a number of similar suicides.• This can relate to geography, gender, agegrouping, ethnic groups, methodology etc.–• It is important that potential clusters areidentified at the earliest opportunity and anearly intervention response put in place.
Purpose of CRP• To prevent the development of clusters ofsuicide occurring in the local area.• To facilitate early detection of such clustersand to provide a timely response by allsectors of the community to address theproblem and prevent further deathsoccurring.
Community Response Plan“Every effort should be made to promote andimplement the proposed plan as acommunity endeavour……No single agency has the resources orexpertise to adequately respond to anevolving suicide cluster”(Centre for Disease Control, USA, 1988)
SD1 Forms• Police District• Date Life was declared extinct• Gender• Age• Suspected Cause of Death• Name & Address• Nationality• GP, if known• Location• Methodology• If the individual was known mental health services• If next of kin had been informed• If next of kin were aware that it was suspected suicide• If next of kin wanted to be contacted by Health & Social Care staff
Criteria to activate full CRP• How individual is perceived within thecommunity• Potential for media interest• Unusual circumstances surrounding death• Perception by the community that there has beena rise in suicide over relatively short time period• Statistics identify that a cluster may be emerging.Can be identified through –1.the SD1 process; and2.community awareness• Members have a duty of care
Trust/PHA Monitor Suicides(SD1/Family/Community etc)HSC Test the Criteria(If not deemed a suspected Cluster – record Decision)Debrief and support of CommitteeLearning from plan implementedAction 2:Agree a process to work withmediaAction 3:Identify and support those atriskStand down CommitteeReview actions and level of risk, further actions, andinterventions until situation settlesAction 1:Provide support forfamily/friends/CommunityIf Concerns - Convene Local Co-ordinating Committee todecide if plan should be implementedFlowchart of SD1
CRP Response LevelsLevel 1:Concerns raised: Telephone/round tablediscussion to review evidence: Decision recorded:Continued monitoringLevel 2:Increased surveillance: Promotion of support:Decision recorded: Continued monitoringLevel 3:Full implementation including targetedinterventions: Stand-down & evaluation: Decisionrecorded
What isCLEAR?Partnership led, capacitybuilding project forcommunity & voluntarysector organisationsproviding mental health andemotional well beingservices
CLEAR Vision“Increased access to appropriate servicesfor people when they need it, where theyneed it, by forging strong and sustainablelinks between community and statutorysector service providers”
Who are CLEAR?• Funded by the Public Health Agency as an IntegratedCommunity Delivery Programme (ICDP)• Facilitated by Derry Healthy Cities• Managed by a steering group encompassingrepresentatives from a wide range of community,voluntary and statutory sector organisations
Role of CLEAR inCommunity Response Plan• Ensure community groups have skills to assist them shoulda suicide occur through development opportunities• Provide networking opportunities to raise awareness ofrelevant services to ensure individuals are clear where toaccess support• Common Organisational Standards to ensure confidencewhen accessing services.• Improvement of referral procedures
Benefits of the Standards• Better quality for service users.• Improved service user involvement• Greater confidence when sign-posting / makingreferrals to other organisations• Greater credibility with funders• Continuous professional development (CPD)for the organisations, staff & volunteers.• Enhanced working practices
“Only by us allrecognising our part ofthe jigsaw can weensure that not only doall the pieces fit butalso we can all seewhat the picture is”.President MaryMcAleese, 2005