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.

Unseemly stoush over youth suicide

Of all things youth suicide is one of the worst issues to become a victim of unseemly political niggling, but that is what has happened between the new Minister of Health David Clark and the previous Minister, Jonathan Coleman.

Coleman had problems with diplomacy and public relations, but Clark seems to have not graduated fully from being in opposition yet.

NZH:  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”.

Past practices of shutting down debate on suicide did not deal with an issue that was persistent, Clark said.

“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.”

But he also challenged media to tell stories of survival and recovery, and not to dwell only of those who had taken their lives.

Not talking about it has failed so talking about it makes sense – as long as it is sensible talk. However continuing a political slanging match is not a good place to start.

New Health Minister Dr David Clark has leveled a stinging accusation at the previous government and his predecessor Dr Jonathan Coleman, saying funding and priority shortfalls led to more victims of suicide. Clark made the comments during an interview with the Herald as part of its Break The Silence campaign on youth suicide.

The interview charted the new Government’s hopes for greater suicide preventions and a pledge that more would be done to save the lives of those contemplating taking their own.

Our teen suicide statistics are the worst in the developed world and we have the second greatest number of self-inflicted deaths among those aged 25 and under.

The latest suicide statistics had the highest number of suicides ever – 606 people took their lives. And the figures were little better measured against an increasing population showing little movement in the last decade.

It is a problem that has proven difficult to deal with.

Clark was critical of Coleman and the previous government during the interview, saying officials were “frustrated” over the failure to develop a new Suicide Prevention Strategy after the previous one expired a year ago.

He also criticised Coleman for failing to match an increase in people seeking mental health support with funding.

Political bickering is not a good start to trying better ways of dealing with it.

Asked if that cost lives, Clark initially said it was “very hard on an individual level to say that somebody died because of a lack of funding”.

He then said: “The proposition you’ve put is one that seems reasonable to me, that if you don’t support people, more people are going to take their own lives. I don’t think we can deny that.”

Asked how he felt about there being no current suicide prevention policy, Clark said: “I have expressed publicly frustration with the previous minister. I don’t think there’s much point dwelling on that now. I feel the burden of office that I have picked up. I want to make sure we are in a position as government to find solutions.”

A response: Jonathan Coleman says he’ll hold new health minister to account over suicide target

National’s former health minister Dr Jonathan Coleman says he will be holding the new health minister to account if New Zealand’s suicide rate does not drop.

Coleman declined to be interviewed by the Herald for the story but spoke to Newstalk ZB’s Larry Williams this afternoon.

He told Williams he was surprised Clark was personalising the issue.

“Dr Clark is now signalling he is going to take personal responsibility for the suicide rate from this point on with a zero suicide target … I think he’s making a real rod for his own back,” he said.

“Of course we want to get the suicide rate down … it’s an extremely tragic and difficult area and I’m just very surprised that he’s prepared to talk like this – he’s not doing himself any favours.”

Coleman defended his record on mental health, saying the National government had put an extra $300 million of funding for mental health in the 2017 budget, with $100 million going into spending on portfolios like social welfare, housing and education that impact on mental health.

It’s too soon to know if that extra funding will make any significant difference, and it can easily be argued that it is too little, too late (that can always be argued in politics).

Asked by Williams if any government was accountable for New Zealand’s suicide rate, Coleman said it was “foolish” for the new health minister to say so.

“I genuinely wish Dr Clark well in improving that suicide rate because he’s now set the target, he’s said he will taking personal responsibility and I will be holding him to account over that,” he said.

“I hope he does succeed because this is people’s lives – but clearly if he doesn’t he will be failing to deliver on one of biggest things he campaigned on.”

It’s disappointing to see both Clark and Coleman making this issue political and personal. It is far too serious and important to be overshadowed by bickering.

Health is a very difficult portfolio to manage, because there will always be deaths, and there will always be demands and pressures on funding.

Youth suicide – and don’t forget middle aged suicide which is as big a problem – deserves better from both the Minister and the ex Minister.

Another National embarrassment

When things swing against political parties it can be hard to turn it around – especially when they keeping doing or saying silly things.

Steven Joyce dragged National down last week when they were already flagging behind Labour in the polls.

Today 38th ranked MP Simon O’Connor has National in the negative news column after a Facebook comment on Sunday night:

image-dynimg-full-q75

With opponents and journalists looking for something to kick of the week with this got a good airing.

Newshub:  No apology from National MP Simon O’Connor over suicide comments

Hundreds gathered outside Parliament on Sunday to urge the Government to do more on mental health. New Zealand has one of the highest suicide rates in the world, with more than 600 victims in the past year.

O’Connor’s tweet was in response to Jacinda Ardern’s involvment in that.

“It’s strange that Jacinda is so concerned about youth suicide but is happy to encourage the suicide of the elderly, disabled, and sick. Perhaps she just values one group more than the others? Just saying.”

Not surprisingly:

Hundreds expressed outrage on social media, including a number of MPs.

Ardern responded:

Ms Ardern told Newstalk ZB on Monday morning euthanasia and suicide were “completely different issues”.

“The 600 people in New Zealand who have taken their own lives will shock and appal all New Zealanders. The fact our mental health services aren’t doing enough for those people, that’s something we should be talking about this election.

“To draw then a comparison to the issue of the people having the ability to make choices about their own end of life if they’re facing terminal illness, is absolutely a completely different issue again.

“I’ve said openly that I believe people should be able to make their own choices in those circumstances. Mr O’Connor disagrees, he chaired a select committee on this issue and disagreed there too. That’s a conscience vote for us all.”

O’Connor said that no apology was necessary.

But rather than withdraw the comments Mr O’Connor is doubling-down, telling Newshub on Monday he had nothing to apologise for.

Mr O’Connor said he didn’t doubt Ms Ardern’s sincerity, but said she should “also be sad about those who are old or depressed or disabled who are also looking to suicide”, and called her views “inconsistent”.

“The intention of taking one’s life is called suicide. There are some who say that there are legitimate opportunities where it should be allowed, and we call that euthanasia or physician-assisted dying. So no, it’s just an inconsistent approach.”

“At one level saying youth suicide is bad, but saying other forms of suicide are acceptable, that’s an inconsistency. That’s always been the approach I’ve had,” he said.

“You cannot allow suicide for some and prevent it for others”.

Predictably Bill English was asked about it and all he could do was lamely slap O’Connor’s hand:

NZH: Bill English tells Simon O’Connor he’s wrong over euthanasia comments

National leader Bill English says he has texted his colleague Simon O’Connor to tell him it was wrong to link suicide and euthanasia.

Speaking at a press conference this afternoon, English said he didn’t agree with O’Connor.

“We don’t link euthanasia and suicide,” he said.

“In both cases, what’s important here is compassion for people who are vulnerable.

“For suicide, we’re trying to find better and wider solutions as a practical expression of that support for people who are at risk.”

But the damage had been done. This makes National look out of control and out of touch.

O’Connor completed training as a Catholic priest but didn’t seek ordination. He has previously expressed strong views against euthanasia.

But he isn’t totally devout in catholic practices.

Stuff in February last year: National MP Simon O’Connor to marry Minister Simon Bridges’ sister

National MP Simon O’Connor kicked off the new year proposing to Transport Minister Simon Bridges’ sister.

O’Connor’s fiance, Rachel Trimble, who still uses her ex-husband’s name, says politics really runs in the family and she’s joked to O’Connor that he should take her maiden name for fun.

“It’s quite confusing, I’ve had people think that I’m dating Simon Bridges, and I have to explain that he’s my brother,” Trimble said.

“I’m quite surprised he even likes me, considering I have five children…he’s a really kind and caring guy,” she said.

The kids are “great” and “fundamentally they still have a Dad, and it’s not me,” O’Connor said.

O’Connor admits when he was studying to be a priest in the seminary a decade ago he didn’t expect he’d end up marrying an older woman with five children.

Between 1995 and the end of 2004 O’Connor was studying for the priesthood with the Society of Mary.

He completed his studies but when it came to being ordained he decided it wasn’t for him.

“I’m still a man who has beliefs but it’s not a big part of who I am.”

“I don’t regret a day of being in the seminary but you can’t be a politico and a cleric.”

Trimble and O’Connor married in December last year. Unless rules have changed they would not have been able to get married in a Catholic Church.

This latest controversy is a relatively minor embarrassment for National but it could be another nail in their campaign coffin.

Modern living impacts on mental health and suicide

Peter Gluckman, from the Office of the Prime Minister’s Chief Science Advisor, has released a discussion document on youth suicide.

It says that complex issues are involved but the pressures of modern living are a major stress factor.

An edited version of the report:


Youth Suicide in New Zealand: a Discussion Paper

Not all suicide is the same and youth suicide often has different drivers to suicide at later ages. Further while much is spoken and argued about its prevention, it remains a complex and contentious area with much advocacy for unproven interventions.

In particular this paper makes the point that youth suicide is more than simply a mental health issue and that, with what we know at present, the focus must also include an emphasis on primary prevention starting from very early in life. This means promoting resilience to the inevitable exposure to emotional stresses and building self-control skills in early childhood and primary school years, by using approaches that we already know about.

It means promoting mental health awareness and ensuring that there are competent and adequate adult and peer support systems in secondary schools. This must be backed up by a capacity to find and rapidly support those children and young adults who are in mental distress and ensuring that the needed interventions and therapy are early and effective.

The changing context of a young person

The way that young people live their lives has changed greatly over recent decades and this has created a range of poorly understood but probably critical pressures that affect their psyche and behaviour.

Family structure has changed; childrearing practices have changed; for many, the level of parental engagement has changed. Technology has changed the nature of their social networks and communication; media, celebrities and other social factors can create unrealistic expectations and pressures on young people.

Compared to previous generations, youth face many more choices at an earlier age, but at the same time may have less clarity as to their path ahead. The role of traditional community supports such as sports, church and other youth groups has declined. Youth now have more access to credit cards and money that gives them greater freedoms.

The pace of these sociological and technological changes is unprecedented and it is not surprising that for many young people, particularly those with less psychological resilience, it can leave them with a growing sense of dislocation.

The many factors that impinge on the risk of youth suicide

Youth suicide cannot be considered as just a mental disorder. A number of factors interplay. Studies in the US5 and elsewhere4,6 show that the likelihood of a suicide attempt is associated with a number of factors including:

  • socio-demographic factors and restricted educational achievement;
  • family discord and poor family relationships;
  • the tendency to being impulsive;
  • what is termed externalising behaviour (anti-social behaviours, and alcohol
    problems);
  • what is termed internalising behaviour (e.g., depression);
  • low self-esteem, hopelessness, loneliness;
  • drug and alcohol misuse;
  • a history of suicidal behaviour among family and friends; and
  • partner- or family-violence exposure in adolescence.

Impulsive-aggressive behaviours are commonly associated with suicide in young
people and decline as a factor with age. Youth who demonstrate antisocial or
delinquent behaviours are 10 times more likely to have attempted suicide.

The key conclusion from these studies is that youth suicide needs to be regarded as much more complex than simply outward evidence of mental disorder. Rather, it needs to be seen as the result of a state of stressed, impaired or underdeveloped self-control in which mental health, emotional and brain development, alcohol, sociological, economic, and other factors interact to put some young people at greater risk.

Adolescence as a vulnerable period – brain, biology, and behaviour

There is now compelling evidence that children who enter puberty at a younger age
are at far greater risk of behavioural, psychological, and emotional disorder. There
are probably multiple reasons for this but most relate to:

  • a longer period before those counterbalancing inhibitory brain pathways
    fully mature;
  • greater sociological and sexual pressures related to the mismatch between
    the earlier onset of physical signs of maturity and psychosexual ideation and
    chronological age: and
  • socialising with older peers who may be engaged in or express anti-social
    behaviours.

There is unequivocal evidence that children who enter puberty relatively early:

  • are more likely to indulge in alcohol and drug abuse;
  • often demonstrate more impulsive behaviours; and
  • boys show greater impairment in the quality of their relationships.

Variation in suicide rates across population groups

Many factors appear to contribute to explaining the different prevalence of youth
suicide across different population groups. They include:

  • living in environments where low self-esteem within the peer group is
    common;
  • poverty, inequality, and social fragmentation;
  • having a high rate of engagement with the justice sector and a greater
    presence of gangs;
  • higher use of drugs and alcohol2; and
  • suicidal behaviour becoming a means of demonstrating worth to the peer
    group

Deficits in self-control

Adolescence is a period of relatively poorly developed self-control and heightened impulsive behaviour. This is why some stressors that do not lead to troubled emotional responses in more mature individuals can do so in some in this age group.

So, rather than resilience, which might be expected – and needed – we see severe and harmful (including self-harm) responses. These stressors can include aspects of engagement with peers (e.g., bullying, including cyber-bullying) and emotional situations (e.g., break up of relationships).

A further possible factor is a substantial change in the way we raise children: they now tend to be under tight control in the pre-pubertal period but less control postpuberty (as reflected in: school subject choice; parental controls on time, place and behaviour; access to credit cards; access to internet, etc.).

In contrast, 50 years ago, western child rearing practice followed a loose–tight pattern in which pre-pubertal children had more freedoms, especially to undertake risky play, but adolescence was much more constrained. This reversal may have resulted in a reduction in the capacity to self-assess risk in adolescence.

Alcohol and drugs

Alcohol intoxication or a history of alcohol abuse are often associated with youth suicide30. Alcohol misuse is often associated with triggering events (conflicts in peer and intimate relationships) and, in relation to suicidal behaviours, is probably underestimated and under-reported. Furthermore, alcohol reduces self-control, can increase despair and depression and, among those with mental disorders, exacerbates symptoms.

New Zealand data show that considerably more than half of youth suicides involve alcohol or illicit drug exposure.

Peer influences, bullying and cyber-bullying

Adolescence is a stage of life when there is a “trading of dependency on parents for dependency on peers”: it is therefore not surprising that peer relationships affect mood and behaviour, including possible suicidal behaviour.

Peer influences may be particularly evident in the growing evidence for online bullying leading to self-harm. Bullying in schools occurs in many countries to varying degrees but the reported rates are high in New Zealand.

Implications for reducing the incidence of youth suicide

Suicide prevention is complicated because we do not understand the causes well enough at the individual level. Completed suicide is a rare event so it is difficult to study in the way we can study influenza or diabetes. It is really hard to predict at an individual level, with perhaps the best indicator being a previous suicide attempt/self-harm even though most who commit self-harm (which may or may not be an attempted suicide) do not go on to commit suicide.

Nevertheless, the 8–9% of all youth who are suicide attempters – with their high subsequent life-course costs (as they often have long-term psychological morbidity) to themselves, family, whānau, and society – are an important risk-group to target.

There is no definitive solution but there is a growing consensus on the following.

Primary prevention: This must start in the pre-pubertal period and is aimed at  developing resilience to the inevitable stressors of growing up, and promoting development of impulse control. The broader benefits of this approach49 include major spillover benefits to educational achievement and, later, in employment, family stability, and quality-of-life measures.

Such approaches must start early in life – and early childhood is an important opportunity for enhancing these skills and should be an evaluable focus of all early childhood education. There needs to be intense engagement with the most vulnerable families in the first years of their children’s life.

There is clear and strong evidence that a primary prevention strategy using welldefined
and structured activities (e.g., Good Behaviour Game) focused on behaviour in primary school children as young as 6 and 7 contributes to reducing later adolescent suicidality as well as other unwanted behaviours, and we would strongly suggest the introduction of this into all primary schools.

Secondary prevention: This refers to programmes that focus on the adolescent period and seek to identify those at risk and make referrals when necessary. Such programmes include activities that seek to increase understandings and change attitudes about youth suicide and to enhance the capacity to intervene and prevent.

The role of teachers, trained counselors and peer leaders is seen as key. There is some evidence to support the importance of adults actively engaging with distressed students, but outside those situations where close counseling relationships have been developed, these programmes tend to be distressingly ineffective. Better results are claimed when secondary prevention is combined with primary prevention and engaging peer leaders (that is well-trained youth leaders).

Tertiary prevention: This focuses on those who are identified as being at particular risk, for example having attempted suicide. It generally involves CBT or medication or both; as noted above, the effect on suicidality, as opposed to other aspects of mental health, is relatively small. Although investing in youth mental health is a critical priority for the reduction of adolescent and adult mental health disorders, it cannot be the only strategy for reducing youth suicide.

Summary and conclusions

Youth suicide remains a complex, multifaceted challenge. A focus on adolescent mental health, although important, is not sufficient. Rather, we conclude that the high-priority need is to introduce and reinforce programmes focused on primary prevention starting early in life and developing secondary prevention strategiesinvolving well-trained and engaged mentors including peer mentors. Understanding and co-design with our communities and particularly with Māori perspectives will be crucial at each stage as we develop, test and take to scale approaches shown to make a difference.

The primary prevention approach involves strategies to improve impulse control and executive function from early childhood and this has broad spillover benefits. It involves combining these critical interventions in early childhood and primary education with secondary prevention approaches in adolescents and it requires a social investment approach particularly focusing on those communities with low resilience and self-esteem.

http://www.pmcsa.org.nz/wp-content/uploads/17-07-26-Youth-suicide-in-New-Zealand-a-Discussion-Paper.pdf

Former coroner calls to Break The Silence on suicide

The next article in a series at NZ Herald on suicide:  Let’s Talk: Former chief coroner Neil MacLean joins call to Break The Silence on suicide

Warning: This article is about youth suicide and may be distressing for some readers.

Former chief coroner Neil MacLean says breaking the silence on suicide could curb the “horrifying” number of young New Zealanders killing themselves.

“This is a drum I’ve been beating for a long time. We cannot ignore the sheer numbers and rate – it’s bigger than the road toll,” said MacLean, who retired from the post in 2015.

New Zealand has the worst teen suicide rate (officially those aged 15-19) in the world and the second worst youth suicide rate (25 and under). Our annual number of deaths has shown no signs of abating in the past 20 years.

In a special series called Break the Silence, the New Zealand Herald is aiming to bring youth suicide out of the shadows. MacLean has been one of the country’s biggest crusaders in this area and said suicide was one of the most difficult issues he faced during his almost 40 years as a coroner.

“Any unexpected death is going to produce a different type of grief, but with a suicide, particularly as it gets younger, there’s a new intensity of grief,” he said. The youngest suicide MacLean was aware of in New Zealand was that of an 8-year-old boy.

“There’s a feeling of waste, blame and anger. Everybody struggles to understand why it is when, generally the will to live is so strong, that a significant proportion of people get to the end where there is no option.”

Misunderstanding breeds fear. “It’s almost as if there’s a fear suicide is something you can catch, almost like an infection, and that if you stomp it out or ignore it, it will go away.

Some think it’s best to bury our head in the sand. Not me,” MacLean told the Herald.

During his time as chief coroner, MacLean controversially kickstarted the release of New Zealand’s annual provisional suicide statistics, allowing the public to see the number of suspected suicides for the first time.

Silence on suicide has been orthodox in New Zealand since the mid-1990s, largely because of a school of thought that talking about the issue could lead to suicidal ideation, copycat deaths or suicide contagion.

MacLean received swift criticism for releasing the statistics at the time, but stands by his decision.

“If people know what’s going on there is a better chance to do something about it. Like start talking about what we can do to help these kids.”

“The reality is, that although there are various theories of sociologists, psychologists and other disciplines, we are no closer to understanding why it is when the substantial majority of the population, including youth, do not commit suicide, and life is seen as precious, a small minority do not see life as precious.

“Despite my long experience in this area, neither do I. However, one thing I am very clear on through contact with thousands of New Zealanders, whether at inquests, lectures, talks, seminars or the like, is that our understanding in this area is still plagued with misinformation, and reluctance in some circles to open up the discussion and to face the reality of this puzzling phenomenon.

“I know from personal experience, most people want more information, particularly when someone they know is involved. What are the signs to look out for and how can they help?

“There are some encouraging signs of a willingness to open up the whole area of self-harming and self-inflicted death in New Zealand. I believe that done properly, such discussion can be beneficial and that to dismiss such discussion as dangerous and unwise is not helpful.”

Full article:

Previous articles:

WHERE TO GET HELP:

If you are worried about your or someone else’s mental health, the best place to get help is your GP or local mental health provider. However, if you or someone else is in danger or endangering others, call police immediately on 111.

OR IF YOU NEED TO TALK TO SOMEONE ELSE:

• LIFELINE: 0800 543 354 (available 24/7)
• SUICIDE CRISIS HELPLINE: 0508 828 865 (0508 TAUTOKO) (available 24/7)
• YOUTHLINE: 0800 376 633
• NEED TO TALK? Free call or text 1737 (available 24/7)
• KIDSLINE: 0800 543 754 (available 24/7)
• WHATSUP: 0800 942 8787 (1pm to 11pm)
• DEPRESSION HELPLINE: 0800 111 757

Opening up on suicide

New Zealand has an appalling suicide rate, especially young people and especially young Maori people.

Every67hours

Our youth suicide rate (25 and under) is the second worst in the developed world.
The teen rate (15-19) is the worst, so high it raises the global average.

People and publications are becoming increasingly willing to talk openly about suicide.

Earlier this year from Jessica McAllen and MANA: THE LAST GOOD-BYE

Māori youth suicide rates are among the highest in the world. Mana talks to those fighting to turn the tide by helping rangatahi find a place to stand.

It is a detailed and sad article.

Today on Morning Report:  Suicide rates for the general population have reduced in a decade; not so for Maori

In the latest instalment of RNZ’s election year series ‘Is this the Brighter Future?’ our Maori issues correspondent Mihingarangi Forbes explores the state of Maori mental health.

And also today NZ Herald have started a series:

2012 was a particularly bad year.
144 youths took their own lives.

An unprecedented 19 were from Northland,
with one as young as 10.

Alarming and very sad.

WHAT BECOMES OF THE

BROKEN-HEARTED

I won’t try to précis the article here. See:

THE UNTOLD STORY OF TEEN SUICIDE IN THE NORTH


Also:

Break The Silence: Education Minister Nikki Kaye says time is right for national conversation about youth suicide

New Education Minister Nikki Kaye says the time is right for a national conversation about youth suicide after successive governments have failed to significantly reduce the number of young people killing themselves.

Only eight weeks into the job, New Zealand’s youngest female Education Minister is tackling the issue with ferocity and urgency.

It’s good to see Kaye driving this very difficult topic which until recently was taboo to talk about.

“Over successive governments youth suicide has been a longstanding issue, but that doesn’t mean we don’t need to take responsibility for that and continue to do more.

“This is about accepting that successive governments haven’t managed to design things in a way that’s made a significant difference, so we’ve just got to keep changing things up.”

“You know I’ve only been the Education Minister for eight weeks, but I do feel a sense of urgency about continuing to make change [in this area],” Kaye said.

She has already met the Government’s chief science advisor and education science adviser to ask “what we could potentially do differently as a country to make sure we are doing everything possible to reduce the number of young people taking their life”.

Suicide needs to be talked about more, especially by anyone contemplating ending their life.

Where to get help:

If you are worried about your or someone else’s mental health, the best place to get help is your GP or local mental health provider. However, if you or someone else is in danger or endangering others, call police immediately on 111.

Or if you need to talk to someone else:

  • LIFELINE: 0800 543 354 (available 24/7)
  • SUICIDE CRISIS HELPLINE: 0508 828 865 (0508 TAUTOKO) (available 24/7)
  • YOUTHLINE: 0800 376 633
  • KIDSLINE: 0800 543 754 (available 24/7)
  • WHATSUP: 0800 942 8787 (1pm to 11pm)
  • DEPRESSION HELPLINE: 0800 111 757 (available 24/7)
  • SAMARITANS: 0800 726 666
  • NEED TO TALK? Free call or text 1737 (available 24/7)

 

 

King slams suicide prevention plan

Mike King has resigned from the suicide prevention panel, slamming their draft plan as ‘saying everything and promising nothing’, and full of PC jargon. What he cited on the news tonight did sound like vague PC claptrap.

Stuff: Suicide prevention strategy ‘the responsibility of all of us’

Comedian and mental health advocate Mike King has resigned from New Zealand’s suicide prevention panel, saying the Government’s draft plan is “deeply flawed”.

But it’s not just the Government’s plan, the Ministry of Health has pointed out. It’s a framework for how New Zealanders can work together to reduce suicide, and Kiwis are encouraged to take part in the public consultation process.

King has been a member of the panel since it was set up in December, 2015.

On Monday, King sent his letter of resignation to Ministry of Health’s director of mental health, Dr John Crawshaw.

In the letter, King said he felt increasingly concerned about aspects of the draft plan, which is open to public consultation.

I presume this is what is being referred to:  A Strategy to Prevent Suicide in New Zealand 2017 – Draft for public consultation

 


From About this draft strategy:

We want a New Zealand in which everyone is able to have a healthy future and see their life as worth living. Reducing suicidal behaviour will help us become this kind of country. Suicidal behaviour is a sign of great distress and impacts on the lives of all of us in some way. Other changes that will help people to have a healthy future include increasing employment and education, and decreasing violence.

This draft strategy sets out a framework for how we can work together to reduce suicidal behaviour in New Zealand, by both focusing on prevention and supporting people while they are in distress and after suicidal behaviour.

Suicidal behaviour occurs in many different places and affects the lives of many people. This draft strategy takes a broader view than previous strategies and considers how different sectors and the whole community can contribute. It also focuses more strongly on preventing suicidal behaviour throughout a person’s life, as well as on integrating and coordinating services and support to prevent suicidal behaviour and help people in distress.

This draft strategy has been developed by a cross-government working group. This draft strategy and the work throughout the country to prevent suicidal behaviour sit alongside a range of other government strategies, policies and programmes of work aimed at improving people’s lives and responding more effectively to the needs of the most vulnerable individuals, families and whānau. It also reflects the principles of the Treaty of Waitangi.

This draft strategy is a public consultation document. It offers an opportunity to change how we think and talk about suicidal behaviour, and how we combine our efforts to achieve a shared goal. Government agencies would like your feedback on the draft strategy and your thoughts on how to turn this framework into practical action. After the consultation period, we will consider this feedback as the final strategy is developed. When Cabinet approves the final strategy, it will become the next New Zealand suicide prevention strategy.

Terms used

This draft strategy contains words related to suicide that have different meanings to different people. It uses these terms with the following meanings in mind.

  • Suicide – a death where evidence shows that the person deliberately brought about their own death. In New Zealand a coronial ruling decides whether a death is classified as suicide.
  • Attempted suicide – any action or actions where people intentionally try to bring about their own death but they do not die and may or may not be injured.
  • Deliberate or intentional self-harm – behaviour or behaviours where people try to hurt themselves on purpose but do not intend to die and they may or may not be injured.
  • Suicidal ideation – thoughts of intentionally killing oneself.
  • Suicidal behaviour – suicide, attempted suicide, deliberate or intentional self-harm and suicidal ideation.

Ardern’s Congress speech

Jacinda Ardern has given the key Saturday speech at Labour’s election year Congress, and has announced new policy on mental health.

Labour on Facebook:

And today, Jacinda Ardern has announced that we’ll deliver comprehensive health services to every state secondary school. These services have been shown to reduce the risk of suicide by two thirds.

We’ll make mental health an absolute priority.

It’s great to put more priority on dealing with mental health issues – in the shorter term this may put more pressure ion the Government to take more action.

But I question this claim: “These services have been shown to reduce the risk of suicide by two thirds”.  There’s no way of knowing in advance what degree of success it might have.

Ardern’s speech:

A curious personal intro to her speech by Ardern, trying to appeal to a social media audience.

Stuff reports: Labour promises a nurse in every secondary school

An emotional Jacinda Ardern has spoken about her grief at losing a childhood friend to suicide.

Speaking to Labour’s election year congress, Ardern put youth mental health on the political agenda, with a promise to place a nurse into every public secondary school.  Schools will also get the support of a GP.

“Evidence around existing services shows where students had more time with on-site professionals there was significantly less depression and suicide risk. Depression and suicide risk were up to two thirds lower in schools with comprehensive health services. Early intervention works.”

Ardern revealed that as a 13-year-old in Morrinsville, her best friend’s brother took his own life.

“I had just started high school and was waiting for class to start when I heard the news, I can remember exactly where I was standing, just outside the science block.

“I went straight to my friend’s home and spent the next few days with her as her and her family went through the unimaginable grief of losing their only boy, grief that was felt by everyone that knew him, and was captured in the handwritten notes and messages from his classmates that hung around the walls at his funeral. Every single thing about it seemed unfair and still does to this day.”

Ardern said school based health services were introduced by Labour in 2008  but were currently only funded directly for nurses in decile 1-3 public secondary schools, teen parent units and alternative education facilities.”

Under Saturday’s announcement, the average secondary school would have a full time nurse and also the support of a GP.

The cost would be around $40 million a year, funded out of Labour’s commitment to reverse National’s $1.7 billion of health cuts.

That doesn’t sound a lot in the whole scheme of things. The question to ask is whether it’s the most effective way to deal with a big problem.

Personal experiences can be a powerful driver of change that matters.

Full text: Jacinda Ardern: Labour Congress Speech

Netflix stirs up suicide debate

A show on Netflix has caused controversy over openly depicting and discussing suicide.

New Zealand has long had a code of silence on the substantial problem of suicide – or at times coded messages like reporting on sudden deaths as “no suspicious circumstances”.

Some have believed that talking openly about suicides will encourage more suicides, but despite only very cautious changes to reporting on and discussing suicide New Zealand’s suicide statistics remain alarmingly high.

RNZ last year: Insight: The Horror of NZ’s Suicide Rates

Suicide rates in New Zealand have remained unacceptably high since declines in the 1990s, despite a decade-long prevention plan and strategy.

The figures are so high that suicide is the third highest cause of death after heart disease and lung cancer.

eight_col_provisional_suicide_stats

The most recent finalised statistics from the Ministry of Health show that in 2012, just over 3000 people were treated in hospital after a suicide attempt, having seriously harmed themselves. In 2011, New Zealand’s youth suicide rate was the second highest in the OECD.

That increased last year.

NZ suicide toll: More discussion needed to bring down ‘unacceptably high’ rate, Chief Coroner says

During the 2016 financial year (July 2015 to June 2016), 579 Kiwis took their own lives – compared to 564 during the previous year.

While the number of people to die by suicide was at an all-time high, the rate of suicide per 100,000 people was slightly below the rate in 2011.

In 2016, the rate of people who took their own lives hit 12.33 for every 100,000 Kiwis, compared to 12.65 in 2011.

The suicide rate is awfully high regardless of minor year to fluctuations.

Chief Coroner Judge Deborah Marshall said the rate of people dying by suicide remained consistent and showed New Zealand had a long way to go in turning this “unacceptably high” total around.

There needed to be more discussion about suicide prevention and how family, friends and colleagues could identify someone at risk and help them get professional support.

“Everyone should recognise the importance of taking suicidal thoughts seriously and knowing where to get help,” Marshall said.

But a show that shows scenes of suicide made available recently on Netflix has been criticised.

Newshub: Teen series under fire for graphic rape, suicide scenes

A new Netflix series that targets teens and features graphic scenes of suicide and rape is being accused of seriously putting youths at risk.

13 Reasons Why centres on the self-inflicted death of 17-year-old Hannah Baker, who leaves behind 13 tapes – one for each of the people she says caused her to end her life.

It premiered a fortnight ago and has become the most widely shared streaming show on social media ever.

Critically, 13 Reasons Why has received generally favourable reviews, with a 76 rating on Metacritic.

But in New Zealand it has been criticised.

New Zealand’s Mental Health Foundation is joining a chorus of experts around the world accusing the show for being potentially harmful.

“It’s actually quite an unethical programme and it’s really exploiting young people and their concerns, and trivialising topics around mental health and suicide,” chief executive Shaun Robinson told Radio NZ.

“I am very concerned about the very graphic and detailed portrayal of how Hannah takes her own life… I’m very concerned that this could seriously put young people’s lives at risk.”

The Spinoff had 17-year-old Kiwi Bree Brown write an article on her concerns about the show.

13 Reasons Why glorifies suicide and mental illness, and that’s a huge risk given what we know about the suicide contagion phenomenon. I hope that parents understand that while [it] is accurate in some respects… there’s a lot about it that is just wrong,” writes Ms Brown.

However it has prompted discussions – RNZ: Netflix show prompts parents to discuss suicide prevention

Parents, teachers and social workers have met to seek advice on how to deal with the topic of suicide following the release of controversial Netflix show 13 Reasons Why.

About 30 people gatherered at Glen Eden library in Auckland last night to hear about suicide prevention and talked about the impact of the series in which a teenage girl kills herself.

The event was organised by Live Talks, a group that meets once a month to discuss issues of the day.

Also from RNZ: Teen suicide series ‘resonating with young people’

13 Reasons Why, which went online two weeks ago worldwide, is about a teenager called Hannah Baker who commits suicide.

The Mental Health Foundation has described the programme as irresponsible, unsafe, and unethical, and said the show should never have been released because it was putting young people at risk.

Counsellors also said the show was putting vulnerable people who were struggling with suicidal thoughts at risk.

But Paul Stevens, a teacher at Albany Senior High School, told RNZ the programme was resonating with young people.

“Young people are already talking about these things. It’s something that’s already a real issue in New Zealand, and when you do have the highest rate of teen suicide in the OECD, and also deals with consent, and rape, and it’s really resonated with young people in New Zealand, I think.”

Mr Stevens said parents should watch the show alongside their children to make sure the young people have emotional support.

Trying to suppress news about suicides and discussions about suicides does not seem to have helped with awful rates of attempted and successful suicides in New Zealand, especially amongst young people.

Talking about suicide more openly may risk some prompting some people to consider or attempt suicide. But surely it being open and honest about the problem and the many issues around it must generally help address it.

‘A problem shared is a problem solved’ may not always work, but suffering in silence must leave people at greater risk.

With the Internet it’s impossible to stop access to items about suicide anyway.  Netflix makes it more easily accessible to more young New Zealanders,

But forcing discussion into the open must be better than sweeping suicide under the carpet and quietly burying over 500 New Zealanders a year, well over one a day on average.

Talking about it to someone you trust is an obvious option that should be encouraged. RNZ lists many other ways to get help.


Where to get help:

  • Lifeline: 0800 543 354
  • Suicide Crisis Helpline: 0508 828 865 / 0508 TAUTOKO (24/7). This is a service for people who may be thinking about suicide, or those who are concerned about family or friends.
  • Depression Helpline: 0800 111 757 (24/7)
  • Sparx online e-therapy tool for young people
  • Samaritans: 0800 726 666 (24/7)
  • Youthline: 0800 376 633 (24/7) or free text 234 (8am-12am), or email talk@youthline.co.nz
  • What’s Up: online chat (7pm-10pm) or 0800 WHATSUP / 0800 9428 787 children’s helpline (1pm-10pm weekdays, 3pm-10pm weekends)
  • Kidsline (ages 5-18): 0800 543 754 (24/7)
  • Rural Support Trust Helpline: 0800 787 254
  • Healthline: 0800 611 116
  • Rainbow Youth: (09) 376 4155
  • OUTline 0800 688 5463 (OUTLINE) provides confidential telephone support on sexuality or gender identity
  • If it is an emergency and you feel like you or someone else is at risk, call 111

Falling from the heights of rugby stardom

Last week it was reported that ex-Wallaby Dan Vickerman had died – some reports didn’t state a cause but appended ‘helpline’ links, while others were open about it being suicide.

There was discussion about the difficulty many rugby and other sports stars had in transitioning to more normal and more anonymous lives.

It’s the silence that kills us: The sad case of Dan Vickerman

There was also news that Dan Carter had been arrested for drunk driving.

Dan Carter loses sponsorship deal after drink driving charge

NZ should man up like Dan Carter to face our sport and alcohol problem – Steve Stannard

There are still strong and contentious links between alcohol and sport. But alcohol isn’t the only problem drug.

Blues coach Tana Umaga seeking ‘clarity’ around Patrick Tuipulotu’s situation

Blues coach Tana Umaga is remaining tight-lipped on the situation surrounding his absent lock Patrick Tuipulotu after authorities confirmed being alerted to a positive drugs test from the player on the All Blacks’ northern tour last November.

After Fairfax Media revelations that the 24-year-old Blues and All Blacks lock’s career was in limbo following a failed drugs test, both New Zealand Rugby and NZ’s Players’ Association on Sunday confirmed the key facts in the situation.

In a joint statement, NZR and the NZRPA said Tuipulotu was shocked by the result and “working hard to identify the source of the specified substance”.

Patrick Tuipulotu cleared of doping charge

But performance enhancing drugs hover over sports these days. There can be a fine line between banned drugs and legal ‘enhancers’.

Tributes flow for former All Blacks forward Sione Lauaki, dead at 35

Mark Reason: After the death of Dan Vickerman the cult of silence is killing too many of our young men

This week I was contacted by David Briggs, a former Chief and captain of Tonga. He wants to go into things “too much”. I think we should stand up and applaud him. The telling of Briggs’s story shows the late Lauaki respect. It shows that Briggs wants to make a difference for the kids of the future. It shows a great deal of courage.

Briggs, who is now 46 years of age, said, “I started taking creatine in 1998. We were all on creatine. I got huge on it. I went from 114kg to 125kg in a matter of weeks. We didn’t know what we were really taking. We were just told it worked.

“But it didn’t feel right. Our bodies got big, but lots of people’s stomachs were playing up. I got cramps and was getting sick. I cannot be sure, but creatine’s killing all the boys. Jonah reckoned it was part of the reason he was sick.

“I was Lauaki. I got in trouble with the law and alcohol. I don’t drink anymore. I had to give alcohol away or go to jail. I woke up in a cell and went before a judge. Either I changed or I would lose everything.

“I retired from the Chiefs in 2004, but I am still getting headaches. I had heaps of concussions. I suffered depression big-time from those head knocks. I don’t think I will ever be right. I accept I will have depression for the rest of my life and a lot of memory loss. I go to the fridge and think, ‘Shit, what did I need?’ It’s just cos I played rugby without a mouthguard.

“We didn’t think about the future. I’m here now and I’m going, ‘Damn’. The young ones need to be careful. I believe creatine is killing all the boys. I can’t be 100 per cent certain. But all the Pacific Islanders are having problems now.

Former All Black Byron Kelleher arrested in France for domestic violence

And now news involving an ex All Black and an ex Wallaby:

Former All Black Ali Williams arrested on alleged cocaine charge

Former All Black Ali Williams has been sidelined by his club in Paris, after being arrested on suspicion of trying to buy cocaine.

As our Paris correspondent Catherine Field reports, Williams was picked up outside a nightclub along with former Wallabies star James O’Connor.

“He was taken in by police at around 3 o’clock Saturday morning Paris time, the two men were spotted by plain clothed drug enforcement officers, trying to buy cocaine.

Apparently they were trying to pay around 200 euros in cash for the cocaine.”

As Field reports, his club Racing has already put him on suspension.

“They say that they want to respect the presumption of innocence- he’s only been charged, he hasn’t been been found guilty of this crime yet, however, they go on in the statement to say this would be a major violation of the clubs ethics.”

Presumption of innocence unless proven guilty – but I think France has a difference system of justice.

France has been a very lucrative place to go for retired international rugby players. It also seems to be a risky place to go, where heaps of money and leisure time seems to easily lead to trouble.