suicide audit- county durham 2005-2012 data catherine richardson public health
TRANSCRIPT
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Suicide Audit- County Durham2005-2012 data
Catherine Richardson
Public Health
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National context
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Number of suicides year on year in County Durham
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Suicide rate by locality in 2012
AreaPopulatio
n SuicidesRate/
100,000
Durham & CLS 149,371 15 10
Derwentside 88,013 16 18.1
Easington 95,418 13 13.6
Sedgefield 87,336 5 5.72
Durham dales 88,313 8 9.1
NHS County Durham Total
508, 451
57 11.2
National Figure 7.9
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Average suicide rates for the last 8 yearsArea Population No of suicides Rate/100,000/yr
Durham and CLS
149,371 88 7.4
Derwentside 88,013 63 8.9
Easington 95,418 70 9.2
Sedgefield 87,336 31 4.4
Durham Dales 88,313 53 7.5
County Durham 508, 451 305 7.5
National Figure 7.9
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Mapping of suicides by LSOA since 2005
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3 most common places outside of homes where people take their own lives
• Wooded area
• Railway
• Home of friends and family
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Residence of those taking their own lives in relation to railway lines; note proximity to railway lines
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Mosaic- allocation of those taking own life to 7 ‘supergroups’
Mosaic Public Sector Supergroups Your area/file % Comp. % Pen. % Index
A Rural and small town inhabitants 17 8.33 42,946 10.65 0.04 78
BAffluent households 3 1.47 23,094 5.73 0.01 26
CMiddle income families 19 9.31 60,025 14.89 0.03 63
DYoung people starting out 6 2.94 18,017 4.47 0.03 66
ELower income residents 109 53.43 179,062 44.42 0.06 120
FElderly occupants 17 8.33 38,263 9.49 0.04 88
GSocial housing tenants 33 16.18 41,686 10.34 0.08 156
Total 204 100 403,093 100 0.05 100
Based on postcode; those committing suicide are more likely to be lower income residents and social housing tenants (index value >100)
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Mosaic- allocation by ‘group’Mosaic Public Sector Groups Your area/file % Comp. % Pen. % Index
AResidents of isolated rural communities 7 3.43 11,242 2.79 0.06 123
BResidents of small and mid-sized towns with strong local roots
10 4.90 31,704 7.87 0.03 62
CWealthy people living in the most sought after neighbourhoods
0 0.00 4,233 1.05 0.00 0
DSuccessful professionals living in suburban or semi-rural homes
3 1.47 18,861 4.68 0.02 31
EMiddle income families living in moderate suburban semis
10 4.90 38,812 9.63 0.03 51
FCouples with young children in comfortable modern housing
9 4.41 21,213 5.26 0.04 84
GYoung, well-educated city dwellers 2 0.98 6,849 1.70 0.03 58
HCouples and young singles in small modern starter homes
4 1.96 11,168 2.77 0.04 71
ILower income workers in urban terraces in often diverse areas
20 9.80 27,274 6.77 0.07 145
JOwner occupiers in older-style housing in ex-industrial areas
23 11.27 46,853 11.62 0.05 97
KResidents with sufficient incomes in right-to-buy social housing
66 32.35 104,935 26.03 0.06 124
LActive elderly people living in pleasant retirement locations
2 0.98 6,268 1.55 0.03 63
MElderly people reliant on state support 15 7.35 31,995 7.94 0.05 93
NYoung people renting flats in high density social housing 2 0.98 2,714 0.67 0.07 146
OFamilies in low-rise social housing with high levels of benefit need
31 15.20 38,972 9.67 0.08 157
Total 204 100 403,093 100 0.05 100
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Results; 2005-2012 data• 81% male; age distribution shown below
Age
Number of suicides
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Trends over time…
Year
Number of suicides
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Characteristics of those taking their own life• 62.8% were divorced, separated, single, or widowed• 32.2% lived alone• 30% were unemployed• The most common method was
hanging/strangulation
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Characteristics of those who take their own life, continued• 58.9% were recorded as having a
mental health problem
• 39.2% had a history of self-harm
• 20% had significant alcohol intake recorded
• 13% were drug users
• 53% had a history of involvement with Criminal justice system (CJS)
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Contact with services• 44% had contact with their GP in the 3 months before
death• 37.9% had contact with mental health services in the
12 months before their death, of these;• 82% unemployed• 37% lived alone• 68% single• 57% contact with CJS• 37% noted as having alcohol problem• 18% recorded as drug users
• 16.5% had been admitted by the mental health services during this time
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Themes for those where multiple triggers thought to be relevant
Theme Number of cases affected
Mental health problems 33
Family/relationship breakdown
33
Ill health 12
Bereavement 29
Alcohol 15
Financial problems 29
Drug use 7
Problems at work 3
Police involvement 5
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So, overall, most common triggers are;
Theme Number affected Percentage
Mental Health Diagnoses
74 25.9%
Family/relationship breakdown
73 25.6%
Bereavement 47 16.5%
Financial Problems 34 11.9%
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Is the economic crisis going to spell more suicides in County Durham?
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Recommendations in terms of service provision• Mental health services and primary care need
to ensure those at risk of suicide are identified
• Improved communication between services• Commissioning of services need to meet the
requirements of those with key risk factors• Evidence suggests informal support services
and reduction of access to means are highly effective interventions for reducing suicides
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What is already available in County Durham ?
• Bereavement• U Care Share deliver family practical support incl a home
visit• Cruse deliver bereavement support• As part of counselling provision; bereavement counselling
• Financial support is currently delivered through CAB with focussed delivery for people suffering mental distress.
• Welfare Rights service targeted at those with poor mental health
• A county wide relationship support service is available through ‘Relate’. Couples counselling is offered through IAPT and some volunteer organisations also offer support.
• Community support through CREE (sheds project)
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Suicide prevention• Develop plan to make County Durham a Suicide
Safer County
• Implement suicide community response programme including early alert process for individuals at risk of suicide or self-harm
• Build capacity within services and communities through delivery of suicide prevention training
• Evaluate suicide bereavement services
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Suicide prevention action plan• Refreshing the early alert system – County
Durham will be one of only a few areas nationally taking part in a pilot of a new early alert.
• Self-harm subgroup whose initial focus is on data and standardisation of audit tools.
• Media/communications subgroup and action plan to cover the sensitive reporting of suicide, use of the internet, media training, public information campaigns
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Suicide prevention action plan• To enhance the role of the voluntary sector to
support those from high risk groups• To ensure accessible information and timely
support is available to those bereaved by suicide• Audit process: there is a need to review the current
audit tool and the amount and types of reports being requested to ensure the audit is fit for purpose and to reduce duplication of effort.
• County Durham to become a Suicide Safer County. A suicide safer county is one that has demonstrated a commitment to suicide prevention, promoting wellness and mental health, an ability to talk openly and freely about suicide and support to those bereaved by suicide