Dáil debates

Thursday, 22 June 2006

Adjournment Debate.

Suicide Prevention.

4:00 pm

Photo of Dan NevilleDan Neville (Limerick West, Fine Gael)
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I thank the Ceann Comhairle for allowing me raise the issue of the media guidelines for the portrayal of suicide which were launched yesterday in Dublin and Belfast on behalf of the Irish Association of Suicidology and the Samaritans, which are both Thirty-two County organisations.

Any suicide is a newsworthy event. The fact that an individual has chosen to end his or life deliberately and prematurely attracts public attention. The sad truth is that there are more than 500 suicides each year, but a more frightening statistic is that more than 11,000 people each year present at accident and emergency units having attempted suicide or self harmed. It is estimated that the number of those who self harm is in excess of 60,000. The majority of suicide deaths go unreported, yet the effect of each individual suicide has a profound impact on family, friends, colleagues and community.

For journalists, a suicide presents a difficult dilemma. As an issue of concern to the public, it is clearly the responsibility of the reporter to present the facts as they happen without glamorising the story or imposing on the grief of those affected. Research from the UK, the USA, Australia and other countries overwhelmingly indicates that public presentation, whether factual or fictional, can and does lead to so called copycat suicides, also known as suicide contagion.

Specific concerns in this regard suggests those most affected are under the age of 24, although there is now more evidence that elderly people are also more prone to copycat suicide. The risk is greater when there is a sense of identification with the deceased, such as the case of a celebrity suicide or the suicide of a fictional character with whom the vulnerable person empathises and identifies, for example, because of age or background. Research suggests that romanticising suicide, idealising those who take their own lives or portraying suicide as a heroic act, even inadvertently, may encourage others to identify with the victim and view suicide as an attractive option and an acceptable strategy for dealing with their problems.

Providing specific details of a suicide method gives vulnerable people the knowledge they need to take their own lives. Media portrayal does not just affect choice of method but can increase the numbers of suicides. Written media, newspapers, magazines, books and websites are more likely to provide an incentive for imitation than broadcast media. This seems to be because the affected person can look at, absorb and be influenced by the information on a number of occasions whereas broadcast coverage is more transitory.

The Irish Association of Suicidology's and Samaritan Association's media guidelines for the portrayal of suicide highlight the fact that suicide is a difficult and complex issue, but that it is also a legitimate topic for serious discussion in factual and fictional media. The associations disagree with the view that suicide should not be discussed. Instead the guidelines highlight some of the ways the media can avoid perpetuating myths and misinformation and make a positive difference in people's attitudes.

The organisations' guidelines offer practical and sensible advice regarding the reporting of suicide. They advise reporters not to provide explicit or technical details of suicide methods, to avoid prominent or front page coverage, not to use dramatic photographs, not to romanticise or glorify suicide, not to imply there are positive results to be gained from suicide, to include details of further sources of information and advice and to avoid the use of phrases such as "a successful or unsuccessful suicide attempt", "suicide victim", "just a cry for help", "suicide prone" and "stop the spread or epidemic of suicide". They suggest instead that reporters should use phrases like "a suicide", "a suicide attempt", "take his or her life", "die by suicide", "a completed suicide", "person at risk of suicide" and "help prevent suicide". Regarding the dramatic portrayals of suicide, if the viewer or listener feels they can identify with the character, then the likelihood of imitative behaviour is increased. This is particularly the case if the character concerned is young and sympathetic. Young people and the elderly are at great risk of suicide and research shows that they are the most likely groups to be influenced by media presentation. The time of year is also important. Christmas Day and St. Valentine's Day, for example, are particularly difficult times as they mark major anniversaries without a loved one.

The guidelines on portrayal of suicide in the media were drawn up jointly by the Irish Association of Suicidology and the Samaritans. This was an update of the publication of January 2002. Speaking on my own behalf and not on behalf of any of the organisations involved, I seriously question the decision of the HSE national office of suicide prevention in giving an interview to The Irish Times on the day before the launch of the publication and giving an interview on "Morning Ireland" on the day of the launch which had a serious effect on the success of the event. I can only assume that the office has so little success since its inception that it decided to hijack the work of two NGOs. This sends a very bad message to NGOs working in the area of suicide prevention.

When reporting suicide, a fine line must be drawn between sensitive intelligent reporting and excessively sensational portrayal of suicide. The most important guiding principle is to consider the reader, listener or viewer who might be in crisis when they read, hear or see the piece. Will the piece make it more likely that they will attempt suicide or more likely that they will seek help? Will the piece cause more pain to the bereaved of suicide?

Tom Parlon (Laois-Offaly, Progressive Democrats)
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I am responding on behalf of the Tánaiste and Minister for Health and Children, Deputy Harney. I thank the Deputy for raising this matter on today's adjournment.

The media play a very important part in raising awareness about suicide and suicide prevention, and in changing the stigma and our attitudes to suicidal behaviour and to mental illness. Suicides can be newsworthy and dramatic events. That an individual has chosen to end his or her life, deliberately and prematurely, suggests that there is a story to be told. For journalists and editors, suicide presents a dilemma. It can be an issue of public interest, thereby coming within the ambit of news reporting. There can be a positive aspect to reporting suicide, as debate may help to de-stigmatise the subject and provoke a wider discussion about the importance of good emotional health. However, research also shows that inappropriate reporting or photography can lead to copycat suicides.

I welcome the publication of the Media Guidelines for the Portrayal of Suicide, which the Minister of State at the Department of Health and Children, Deputy O'Malley, launched on Tuesday of this week. The publication is a joint collaboration by the Irish Association of Suicidology and the Samaritans and has been produced primarily to help those working in the media. It makes suggestions for journalists, writers, photographers and directors, working in television, radio, theatre, film, print and electronic media.

The guidelines are not meant to be exhaustive and they do not seek to dictate, because each situation is different. They aim to offer support in deciding how to approach what is undoubtedly one of the most difficult matters to cover. These guidelines offer practical suggestions on appropriate reporting of suicide, such as the use of appropriate language, including details of sources of information, the avoidance of simplistic explanations for suicide and the avoidance of detailed descriptions of suicide methods.

As we are all aware, there was in the past a reluctance to even discuss the issue of suicide. Thankfully, this situation has now changed. In Ireland, the level of discussion and openness on mental health issues, including deliberate self-harm and suicide has increased significantly in recent years, which is very welcome. However, we need to ensure that public discussion and media coverage of suicide and deliberate self-harm remains measured, well informed and sensitive to the needs and well-being of psychologically vulnerable and distressed individuals in our society. In particular, we need to continue to work as a society to create a culture and environment where people in psychological distress feel able to seek help from family, friends and health professionals.

Suicide touches the lives of many people and is in every case a tragedy, both for the life that has ended and the family, friends and community left behind. Many of us will know someone who has attempted suicide or died by suicide. The number of deaths by suicide registered by the Central Statistics Office was 431 in 2005. Young males have shown a significant increase in the rate of suicide in the past decade, with 321 such deaths in 1995 rising to 353 in 2005. These findings reinforce the need for sustained and co-ordinated action in response to the ongoing problem of suicidal behaviour.

I recognise the many challenges that lie ahead and I am aware that there are no easy or single interventions that will bring a guarantee of success. International evidence shows that reducing the suicide rate and preventing suicides requires a collective, concerted effort from all groups in society — health, social services and other professionals, communities, voluntary and statutory agencies and organisations, parents, friends, neighbours and individuals.

In this regard, the national strategy for action on suicide prevention was launched on 8 September last by the Tánaiste and Minister for Health and Children, Deputy Harney. A fundamental aim of the new strategy is to prevent suicidal behaviour, including deliberate self-harm, and to increase awareness of the importance of good mental health among the general population. The Health Service Executive is taking a lead role in overseeing the implementation of the strategy, in partnership with those statutory and voluntary organisations that have a key role to play in making the actions happen. Driving the implementation of the strategy is the national office for suicide prevention within the national population health directorate of the HSE. The role of the national office is to co-ordinate suicide prevention activities across the State, consult widely on the planning of future initiatives, and ensure best practice in suicide prevention. This year an additional €1.2 million was allocated to the national office.

The Government is committed to the implementation of suicide prevention initiatives and the further development of our mental health services in order to prevent, and reduce, further tragic loss of life.