Mike King predicts a rise in suicide rate

Mike King, who is closely involved in addressing the high rate of suicide in New Zealand, predicts the numbers will go up.

NZH: Mental health advocate Mike King is predicting a rise in our suicide rate

“We have to understand there are so many suicides that aren’t recorded.

“Coroners have to be 100 percent sure. So if there’s alcohol in the system, there are drugs in the system, if there’s any doubt at all that it may not have been [suicide], they are not recorded,” Mr King said on RadioLIVE on Saturday.

“The reason that those statistics are going to climb over the next few years is because as people have an understanding that this is a real thing, the threshold comes down.

“So please New Zealand, don’t be surprised when these numbers come up.”

That may be a warning based on what King sees happening (and not happening), it may be a shock tactic to make more happen in suicide prevention, or it may be a bit of both.

New mental health figures reveal 11.8 percent of 15- 24-year-olds are affected by psychological stress, defined in the Ministry of Health survey as having “high or very high probability of anxiety or depressive disorder”.

It’s an increase on last year’s 8.8 percent figure in the same age bracket, moving from 58,000 to 79,000 people.

That’s a lot of young people at risk.

Around one in ten young New Zealanders seeking mental health is having to wait more than two months to see a specialist.

New Zealand also has the highest suicide rate in the OECD for 15- to 19-year-olds.

Whatever it is we have a major problem with suicide in New Zealand.

Mr King says experts who blame poverty, housing and colonisation for the suicide rate are sending a dangerous – and incorrect – message.

This may in part be aimed at new Minister of Health David Clark who this week referred to poverty and colonisation – New Health Minister David Clark on youth suicide: We have a problem and we need to talk about it:

Labour campaigned on mental health and pledged the return of the mental health commissioner and an inquiry into mental health.

Terms of reference and other details around the inquiry were yet to be settled, Clark said, but forecast it as wide ranging, considering issues of colonisation and poverty.

He spoke of “hardship, or the after-effects of colonisation, or trauma in their own lives or personal histories”.

King’s view:

“Of the thousands of kids that I’ve spoken to that have been suicidal not one of them has come up to me and said, ‘Mike I want to kill myself because of housing’. Not one of them has said ‘I want to do it because of poverty’.

“What we are being told are the reasons and what I am hearing on a daily basis are completely different.”

“For most young people, their suicidal behaviour is driven by a little thing that everyone owns called the inner critic. That little voice constantly undermines their logical thinking.

“Self-esteem comes from having your thoughts and opinions validated by the significant adults in your life.”

Mr King says the solution will be found with communities supporting one another and not with the Government.

That’s a biggie – in our modern satellite society community interactions and support have shrunk. ‘Community’ is more often than not electronic based, especially for young people.

Rural suicides are a problem – modern farmers often work alone, rural communities are much smaller with a much smaller rural workforce, and despite their faults rural pubs are disappearing – perhaps in part the reduced road toll has become an increased suicide toll.

Clark:

“I think we need a public conversation about this. We can’t avoid it as a country. We have a problem and we need to talk about it.”

Perhaps a good place for him to start is with a private conversation with Mike King.

Minister of Health on colonisation and youth suicide

In an interview with NZ Herald new Minister of Health David Clark linked youth suicide with colonisation – New Health Minister David Clark on youth suicide: We have a problem and we need to talk about it

Labour campaigned on mental health and pledged the return of the mental health commissioner and an inquiry into mental health.

Terms of reference and other details around the inquiry were yet to be settled, Clark said, but forecast it as wide ranging, considering issues of colonisation and poverty.

He spoke of “hardship, or the after-effects of colonisation, or trauma in their own lives or personal histories”.

He was questioned about this in Parliament yesterday.

Hansard transcript (slightly edited):

7. Hon Dr JONATHAN COLEMAN (National—Northcote) to the Minister of Health: What quantifiable health service improvements, if any, will his policies deliver?

Hon Dr DAVID CLARK (Minister of Health): This Government is committed to providing affordable access to quality healthcare for all New Zealanders. This will happen in many ways; there are too many examples to list. However, to pick just one, I can tell the member that more people will be able to access affordable primary healthcare.

Hon Dr Jonathan Coleman: By exactly how much will he lift the number of elective surgeries above the 174,000 delivered in the past year, given his commitment to increase access to elective surgery?

Hon Dr DAVID CLARK: I will not be rushed into committing to specific targets. I want a health system that is honest and transparent with targets not like the previous Government’s one, which was pumping statistics by performing Avastin injections and skin legion removals that could have been done in primary care.

Hon Dr Jonathan Coleman: I raise a point of order, Mr Speaker. It was a very direct question. If he doesn’t have an answer, he should just say so.

Mr SPEAKER: No. I probably was a bit slack letting him go on after he answered the question in the first sentence.

Matt Doocey: By how much will he reduce the suicide rate over the next three years now that his Government has taken responsibility for the rate, as reported in the New Zealand Herald yesterday in the article entitled “… New Health Minister pledges change on youth suicide”?

Hon Dr DAVID CLARK: One suicide is one suicide too many. I do not believe it will be possible to eliminate suicide in the first term of this Government, but we are committed to lowering the rate of suicide in New Zealand, and I am looking forward to beginning the mental health inquiry.

Dr Shane Reti: What did he mean exactly by his statement to the New Zealand Herald yesterday that addressing colonisation will be an important part of his mental health inquiry?

Hon Dr DAVID CLARK: That is one factor that I said to the New Zealand Herald I expect will come up in the inquiry.

Hon Dr Jonathan Coleman: Can he explain the improvements his policies will have on the link that he believes exists between colonisation and youth suicide?

Hon Dr DAVID CLARK: This Government will commit to a mental health review—an inquiry, a ministerial inquiry—and that inquiry I have asked to be broad. It will cover a variety of topics, including the one the former Minister has raised, and I expect it to provide answers that will help us to provide mental health services that New Zealanders need.

It was a topic that the Minister raised in his interview with the Herald.

New Zealand has an alarmingly high level of youth suicide, and of all types of suicide. The annual suicide toll is now over 600, far higher than the road toll that has had huge funding to try to reduce it.

It is an urgent problem that needs action faster than a general mental health review, and the causes of suicide are much wider than just mental health. Many of those who commit suicide are never in the mental health system.

“I do not believe it will be possible to eliminate suicide in the first term of this Government” – it won’t be possible to eliminate suicide in any time frame.

“…we are committed to lowering the rate of suicide in New Zealand…” – as was the last Government, without success.

“…and I am looking forward to beginning the mental health inquiry” – I’d like to see more urgency and action than that.