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Download suicide prevention in Greater Glasgow & Clyde
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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
