Transcript suicide prevention in Greater Glasgow & Clyde

suicide prevention in
Greater Glasgow & Clyde
Michael Smith, Lead AMD, MH services
Pollockshields 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- services
Services
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 stages
Age group
issues
teens
Abuse, neglect, bullying
Transitions (sexuality, education, relationships)
Alcohol and drug misuse
20s and 30s
Relationships, parenting
Transitions (sexuality, parenthood)
Employment and unemployment
Alcohol & drug misuse and dependence
40s and 50s
Unemployment , chronic illness
Transitions
Alcohol & drug misuse and dependence
60s and above
Chronic illness, bereavement
Transitions (retirement, grief, mourning)
Alcohol & drug misuse and dependence
models – life stages
Age group
issues
teens
Abuse, neglect, bullying
Transitions (sexuality, education, relationships)
Alcohol and drug misuse
20s and 30s
Relationships, parenting
Transitions (sexuality, parenthood)
Employment and unemployment
Alcohol & drug misuse and dependence
40s and 50s
Unemployment , chronic illness
Transitions
Alcohol & drug misuse and dependence
60s and above
Chronic illness, bereavement
Transitions (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