the prevention of suicide and self harm task group l.
Skip this Video
Download Presentation
The Prevention of Suicide and Self Harm Task Group

Loading in 2 Seconds...

play fullscreen
1 / 57

The Prevention of Suicide and Self Harm Task Group - PowerPoint PPT Presentation

  • Uploaded on

The Prevention of Suicide and Self Harm Task Group. Reference Group Meeting. Thursday 8 th December 2005. Bernie McNally Director of Children’s Services and Mental Health, North & West Belfast Health & Social Services Trust; Chairperson, Prevention of Suicide and Self Harm Task Group,.

I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
Download Presentation

PowerPoint Slideshow about 'The Prevention of Suicide and Self Harm Task Group' - meli

Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.

- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
the prevention of suicide and self harm task group

The Prevention of Suicide and Self Harm Task Group

Reference Group Meeting

Thursday 8th December 2005

Bernie McNally

Director of Children’s Services and Mental Health,

North & West Belfast Health & Social Services Trust;

Chairperson, Prevention of Suicide and Self Harm Task Group,

Growing public/community concern

Evidence of high prevalence in N&W Belfast

The need to work together to

Raise awareness

Lobby for resources

Achieve “joined up thinking”

Suicide and Self Harm gets on DHSSPS agenda

The Regional Suicide Strategy Group is set up

Minister Shaun Woodward holds conference

Local Initiatives through the 5 Working Groups of the Task Group

Sharing Best Practice across Community / Voluntary / Statutory Sectors


Ongoing ActionMargaret WoodsMental Health Promotion ManagerNorth & West Belfast Health & Social Services Trust


New Initiatives

  • Continuation of programmes/groups already started
  • Projects which work across organisations/agencies and promote joined up working

ASIST (Applied Suicide Intervention Skills Training)

  • emergency services, community groups, statutory staff
  • Change of Mind- Mental Health Promotion Group
  • Primary school art competition
  • Attendance at health fairs etc
  • Turn it around – All schools in N&W – evaluation
  • Young persons health conference- West Belfast
  • Suicide Awareness Support Group
      • “Reaching Out” booklet

S.A.F.E. (Safe Alternatives For Self harm)

  • Service Improvement Project (N&W and Mater Trusts)
  • The North & West Belfast Trauma centre
  • Support and services for those adversely affected by the troubles
  • Heads Away campaign - positive evaluation
  • Home treatment – emergency response
  • moving towards extending hours
  • Celebration of Life
  • (World Suicide Prevention day)

Forthcoming events

  • Memory Tree of Lights
  • Carlisle Circus 18th December 2005
  • Self harm conference
  • March 2005

House in Duncairn Gardens

  • family groups benefiting from Art therapy
  • Employment of a senior admin worker to help co-ordinate work of PIPS and ASIST
  • Family support groups continue to develop across North & West locality
  • IFH monies
  • To establish neighbourhood response teams - North
  • To train more people as trainers in ASIST in West and Shankill areas, to enable neighbourhood response teams to be set up in these areas.
Developing an Integrated Approach

Mary Black, HAZ Leader

process of developing a co ordinated and integrated approach
Process of Developing a co-ordinated and integrated approach

HAZ Council

Task Group

Working Group


Working Group


Working Group


Working Group


Working Group


Reference Group

Timeframe: April 05 - March 06

terms of reference task group
Primary aim of the Task Group is to develop a co-ordinated and integrated approach to the prevention of suicide and self-harm in North and West Belfast (against an agreed timeframe) through:

A Review of the evidence of effective intervention on an international, regional and local basis.

An analysis of information in order to assess levels of need in North and West Belfast.

Mapping existing practice and local initiatives currently underway/planned within North and West Belfast.

Terms of Reference Task Group
terms of reference task group14
Providing an opportunity to share information across agenciesand sectors, including the views of communities, families and young people in pursuit of a shared strategy and to drive forward change within those same sectors.

The development of a local co-ordinated and integrated plan with reference to known effective interventions within an agreed timeframe to address key areas of need.

Informing and influencing the development of a regional strategy for suicide and self-harm prevention.

Terms of Reference Task Group
terms of reference task group15
Ensure communication within the various strands of the strategy's development and ensure linkage with other relevant areas of development, including mental health service development, draft strategy for children and young people in Northern Ireland, Neighbourhood Renewal Strategy, victims and survivors of trauma and so on

Contributing to the creation of a supportive climate for dealing with mental health needs and the issues of suicide prevention and self- harm.

Provide a report to HAZ Council and the wider community on agreed Action Plan.

Members of the Task Group will be committed to providing advice and support to staff working to co-ordinate an effective integrated response.

1st meeting May 24th 2005

Terms of Reference Task Group
step 1 progress report to reference group 8 december
Step 1. Progress Report to Reference Group (8 December)
  • Record of process
  • Research-quantitative and qualitative
  • Emerging recommendations from working groups
  • Action proposed for Local and Regional level
step 2 links to regional development

Step 2. Links to Regional Development

  • Input directly to Task Force and drafting of report
  • Commitment to prioritise families’ views (in particular families in North & West Belfast)
  • Presentation to Regional Task Force on: emerging recommendations (at local and regional level); proposed action from N&W HAZ
  • November
step 3 moving the process forward locally

Step 3. Moving the process forward locally

  • Working Group reports complete by December 2005
  • Briefing for politicians
  • Presentation to HAZ Council December 2005
  • Draft Report for consideration by Task Group January 2006 (including actions required at region and North & West Belfast)
  • Submissions made to planning processes DHSSPS, EH&SSB, DE, BELB, DSD, NRS etc.
step 4 final report march 2006

Step 4. Final Report March 2006

  • Final Report agreed by Task Group and presented to Reference Group
  • 2.00-4.00pm 24 March 2006
  • Next Steps Identified
  • Clear implementation plan - local and regional actions required
  • Agreed implementation process
  • Monitoring and Evaluation framework
in conclusion

In Conclusion:

Significant progress

Concerted effort for next period - timing is important

Final report from working groups by end December 2005

Information flow

Recommendations for action need to be Specific, Realistic and Achievable

What actions are required at region and what actions can be taken locally?

Karl Tooher

Self Harm Working Group

self harm working group

Process of Working

Evidence Reviewed

Proposals for Action

Resource Implications


Self Harm Working Group
Mapping Exercise

Establish Pathways

Leaflet / Literature

Training and information resources

Joe Barnes

Family Support Working Group

family support working group
Working Group activity

Participation in Research

Learning from existing practice elsewhere

Call for a regional strategy

Shift from medical model to social process

Family Support Working Group
Joe McGinnity

Schools Working Group

schools working group

Schools Questionnaire


Staff development and support

Services and Support for Pupils

Schools Working Group
Moira Doherty

Vulnerable Young People

Working group

vulnerable young people
Evidence reviewed

Community programmes

Community/Statutory Partnership

Voice of Vulnerable Young People

Research / Survey

Vulnerable Young People
Margaret Mulholland

Communications Working Group

“The members of the Communications Sub Group of HAZ Suicide

Task Group are aware of the immense responsibility in how we

respond and discuss the issues of suicide in public. This becomes

even more acute when addressing the community through the

media, whether this is local newspapers, radio or television.

We must constantly be aware of the balance between educating

our community, raising the awareness of suicide and carrying this

out in a way that will not influence anyone in taking their own life.

Therefore, we work with all identified target audiences including the

media in relation to suicide, it will be with the express intention of

educating and informing and never to sensationalise or play a role

in increasing the chances that a vulnerable individual may attempt

or commit suicide”. (Developed by the Community Response


Inform all target groups of the work of the HAZ Suicide Task Group

Inform and influence the development of a Regional Strategy for suicide and self harm

Contribute to the creation of a supportive climate for dealing with mental health needs

Develop a Communications Strategy to support the Action Plan

target audience
HAZ Suicide Task Group

Sub Group Members

Staff from all Groups/Organisations on the Suicide Task Group


North; West; Shankill

Young people 12 – 18 year olds

Young people 18 – 30 year olds

The 30+ age group are young gay men and women

Bereaved families

General public – in North and West and beyond


MLA’s/Councillors x area

Health Spokesperson x party

Advisors x party

Minister for Health, Social Services and Public Safety

Permanent Secretary; Department of Health, Social Services and

Public Safety

target audience35



The Needs of Families Bereaved by Suicide

Margery Magee

Research Consultant

research families bereaved by suicide



Bereavement history

Research – families bereaved by suicide
issues raised
Life events

Educational aspirations

Substance misuse

Access to services

Primary care

Secondary care

Adolescent services


Family support

Impact on family




At time of death

Emergency services


Issues raised
issues raised40
Post bereavement

General support

Bereaved children


Need for support and services

Issues raised
Outline Proposal for Further Research

Joanne Jordan

Queen’s University Belfast


Providing meaningful care: learning from the experiences of suicidal men to inform mental health services

research aim
Aim: To obtain a comprehensive theoretical understanding of the experiences of suicidal men, aged 16-34, to underpin the provision of accessible, acceptable and appropriate mental health servicesResearch Aim
research objectives
Elicit the experiences of men, aged 16-34, of being suicidal and their understandings of what would constitute meaningful caring

Uncover a theory-base that identifies the specific caring processes that might make a ‘difference’ to caring for the suicidal person i.e. that will inform what health care professionals can do day by day, hour by hour, minute by minute

Research Objectives
why this research
Between 1999-2003, approximately 30% of all male deaths in the 20-34 age group were due to suicide

Of the 143 deaths recorded as suicide or ‘undetermined intent’ in 2003, almost one-third (43/31%) were of men aged 15-34

A high percentage of people who die by suicide are or have been in contact with mental health services

Why this research?
why this research46
Consequently, need to address the issues relevant to this group of men as soon as possible, including in relation to the professional care they (can expect to) receive

But, very aware of need for research relevant to other groups

Overall aim is to pursue a programme of research focusing on suicide and self-harm

Why this research?
what do we know
Majority of research on suicide has focused on issues such as risk factors and causal links

Use of quantitative methods

Valuable in exploring the epidemiology of suicide but variation in research findings

Much less attention paid to generating knowledge to improve the day-to-day, face-to-face care that vulnerable people receive

What do we know?
what do we need to know
Recent consensus acknowledges the need for qualitativeresearch to generate an understanding of:

(1) The meaning of suicidal behaviour – the ‘whats’, ‘hows’ and ‘whys’

(and how this relates to)

(2) The social processes involved in appropriate care-giving

What do we need to know?
guiding principles of the research
Two core principles:

Shneidman (1997)

“our best route to understanding suicide is not through the study of the structure of the brain, or the study of social statistics, or the study of mental diseases, but directly through the study of human emotions described in plain English, in the words of the suicidal person’

Guiding principles of the research
guiding principles of the research50
(2) There is nothing as useful as good theory… theory encompasses what and why

A substantive theory, based on an underlying understanding of the social reality of suicide and its relief, allows practical knowledge to be generated regarding what may or may not be helpful

Guiding principles of the research
what will the research involve
Talking to men aged 16-34 who have been assessed as having high suicidal intent

Four groups of men will be involved:

Currently engaged with statutory services

Previously engaged with statutory services

Currently engaged with non- statutory services

Never engaged with services

What will the research involve ?
what will the research involve52
At least 40 men interviewed but no limits set; depends on how the research unfolds

Range of experiences will be analysed for emergent themes and eventually development of theory

Commitment to widespread dissemination of research findings

Commitment to use of research findings in the development of services

What will the research involve ?
John McGeown

Assistant Director of Mental Health

North and West Belfast Trust

General views about progress

Are there any gaps?

What are the priority recommendations for regional and local level?


Conclusion and Next Steps

Mary Black, HAZ Leader