UK Government calls for overhaul of how NHS deals with suicide

Deputy Prime Minister says many suicides are preventable and asks hospitals to try and end all such deaths.

Nick Clegg wants the NHS to use an approach pioneered in Detroit, US, where a scheme has reduced suicide rate among its patients by 75% within four years.

In England a staggering 4,700 people killed themselves in 2013, a rise of over 6% on 2012. Clegg says suicide is preventable, not inevitable.

“We have to break this hidden assumption that nothing can be done to stop people killing themselves.

“Suicide is one of the biggest killers of men under the age of 50 and if this was a physical health problem, there would be a national outcry.”

The call is for hospitals in the UK to adopt an approach that has worked well at the Henry Ford Medical Group in Detroit. Starting in 2001, the programme involved better staff training, more contact with patients and improved education for families of those at risk of suicide.

Within four years, the suicide rate among the group’s patients fell by 75% and by 2008 they had managed to stop all suicides among patients.

The Merseycare NHS Trust in Liverpool was inspired and is embarking on a similar strategy, aiming to:

Initiate a 24/7 ‘Safe from Suicide Team’ consisting of experts who can quickly and efficiently assess patients at risk of suicide.

Improve the care of those who arrive at accident and emergency with signs of self-harm, offering them therapies and following up once they are discharged.

Improve data collection to gain a better understanding of how and where patients are most at risk, enabling the hospital to target their resources.

Medical director at the trust, Dr David Fearnley, believes that within 18 months they will see a noticeable decrease in the number of patients who commit suicide.

Do you think we will ever improve depression recovery in the UK ? Can the government do anymore, and if they invest what is best for them to invest money into ?

Yeah I saw all this on the news and its about time too. I think depression recovery can be improved as there is not really enough help for us. It just seems to me that all we get is a precription and CBT and that's it we are just left to to get on with it. I have been to A+E before and was sent home with 2 diazipam pills not really very helpful for someone that wants to take there life is it. When I was there I said to the doctor that I wanted to be put in a phyciatric hostpital but was told that as I didn't actually try to commit suicide then they wouldn't be able to admit me. Bloody ridiculous and dangerous, I could of easily walked out if there and jumped in front of a train. I spoke to the Samaritans that same day and they told me I must go to A+E if I'm feeling suicidle bits what's the point if they just give you 2 stupid bloody pills and send you home it makes me so angry

I think like cancer and other illness it can be a postcode lottery for depression too. Also I think they way depression presents its self in people to the GP and the professional they have a tough job handing out the core service in a fair order based. How can they say someone is more suicidal than the next person ?

I agree better care and after care because you arrive at hospital assesed you tell them what they want to hear go home then nothing after that not even a phone call .they tell you go see your GP and on arrival he informs you he only has 10 mins so not to be a burden on the NHS you tell him you feel fine. you go home people are concerned for a day or two then they forget but your feelings hve just been pushed down just like a volcanoe waiting to Erupt,next time you wont survive suicide is enevatable and end of life that is how it  goes because there is no aftercare 

I totally agree with you. It feels like we are the forgotten people

I feel like l'm just a statistic. I feel like they don't even understand what I'm feeling or what I'm going through. They just tell you to keep taking the medication & the CBT doesn't do much to help. I can't even tell anyone how I feel because they don't understand and then they get angry when I say that they don't understand.

CBT is just one method surely counselling is what is needed. CBT is for helping you change, counselling is the listening and break down the walls that are making you low

I know it's so bloody hard only us people that are feeling like this fully understand

Yes unfortunatley only us who have the condition fully understand but i will keep hope that one of us will make it to get us heard and help we so desperatley need smile

Maybe we will finally get some luck, as being an annoying statitics to a slect few does do much for people

I think it is a step in the right direction but am pessimistic about the will and the funding which would be available.   I would never go to a hospital if I felt suicidal.  I took an overdose around 5/6 years and ended up in A and E by ambulance.   I was left slumped in a chair in full view of anyone passing for around 4 hours.   They kept me in overnight then next morning after a few minutes chat with a psychiatrist was discharged with a casual 'Someone will call you from the out of hours team over the weekend' That was it.   Apart from that no follow up,  nothing.   

I wouldn't ask for help again I would just go ahead.   This site and another one have been far more help to me and thank goodness for them.  x

hypercat that is exactly what happened to me in hospital and i really didnt feel well enough to come out but had no choice and no follow up after leaving if i had of done it would have been a lot different 

I also wonder wher this funding will come from and how long it will last 

I totally agree with you I would never go to A+E again after my experience

Some of the problem is thou that the Crisis team work out of A & E departments, other crisis teams for safety , those that do send someone out to the home aare more likely to  come accompanied with a police officer  as some many run risk of stabbing.

I know the number for the Local Crisis team where I am but sometime if you arent in the system you may not know what the contact details for your crisis team are. Samritans dont know so you cant ask them and they suggest you go to A & E who should know the duty crisis nurse.

I had the number when i came out of hospital to the ward and i rang it 2 weeks later but since then ive lost the number so i wouldnt know who to ring except the samaritans

you can usually get it from you local trust. PM me and I can show you how to find it using the nhs website. then you can spread the word

 

its ok you can tell me here and everyone can read it maybe someone needs it smile

I can explain I guess with out web links but pm was more to expain the links and step thru. I try to type some steps up