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
3
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
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
Improving Your Health and Wellbeing
Mental & Emotional Health of 16 year olds
•
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)
6
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
7
2011p
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
Number of registered suicides
Number of registered suicides in
Northern Ireland, 1991-2011
350
300
250
200
150
100
50
0
NI rate of suicide (3 yr average) by gender and
age, 2009-2011
NI registered suicide crude rate by gender and age 2009-2011
50
44.0
45
43.1
44.9
Rate per 100,000
40
36.9
34.9
34.6
35
29.2
30
26.5
25
21.4
18.4
20
15.0
15
11.0
10
5
0
25.5
8.2
9.5
8.4
9.1
20.1
13.7
9.9
8.2
5.8
2.0
Age Group
Females
12.3
8.4
4.8
0.70.2
Males
16.8
14.3
2.9
0.0
Inequalities within NI
Registered Suicide rates per 100,000 population,
2006-2010
Rate per 100,000 population
30
28.3
25
20
15.7
15
8.3
10
5
0
Most deprived 20%
NI average
Least deprived 20%
Source NI Health & Social Care Inequality Monitoring System (HSCIMS)
(p) - Rates are provisional until the publication of the HSCIMS fourth update bulletin
Inequalities within NI
GHQ12 Scores
11
PHA Intervention Model
Building
Capacity &
Resilience
Awareness
&
Education
Early
recognition
of
signs &
symptoms
Appropriate
& accessible
services
Crisis
Response
and
Postvention
Using &
Building the
Evidence
&
Test new
ways if
evidence
doesn’t exist
Coordination
Sharing
good
practice
Key Actions
• Early years interventions
• Social skills / resilience building
Building
Capacity &
Resilience
Awareness &
Education
• 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
Key Actions
Public Information Campaign &
Minding Your Head website
(www.mindingyourhead.info)
Early
recognition of
signs &
symptoms
• Mentoring programmes for young
people
• Join work with ELB Youth workers
• Training targeting gate keepers
Key Actions
Commission a range of C&V &
statutory services & ensure all areas
are covered
Appropriate &
accessible
services
• 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
Key Actions
24/7 Lifeline & wraparound services
SD1 process with PSNI
Crisis Response
and
Postvention
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
Using & Building
the Evidence
&
Test new ways if
evidence
doesn’t exist
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
Contact Details
Madeline Heaney
Head of Health & Social Wellbeing Improvement &
Strategic Lead for Suicide Prevention & promoting mental & emotional wellbeing
Public Health Agency
182 Galgorm Road,
Ballymena
BT42 1QB
Madeline.heaney@hscni.net
+44 25311178
18
