Seanad debates

Tuesday, 7 June 2011

Mental Health Services

 

5:00 am

Photo of John GilroyJohn Gilroy (Labour)

I welcome the Minister for Children and Youth Affairs who is finding it very difficult to leave us today. Perhaps it is because of the previous position she held.

I wish to draw the Minister's attention to the situation in Cork city and county which has huge implications for public policy at national level. The reason I am bringing it to the attention of the House is not only that I am from Cork but that the project about which I intend to speak has been piloted there. I intend to devote a significant portion of my time in the House to raising awareness of this issue in the next five years or however long we have here.

The Minister and the Leas-Chathaoirleach might agree the issue of suicide probably presents the single greatest challenge facing our community. The figures are truly appalling, with the latest figures for 2009 showing that 527 people died by suicide. Many of those who work in this area consider the actual figure to be much higher than that reported. Analysis of the figures shows the incidence of suicide is higher in some counties than in others, particularly among young men. For example, the incidence of suicide in Cork is of great concern, with the rate standing more than 50% higher than the national average. The figures for counties Tipperary, Cavan, Wexford and Carlow are also high.

In 2009 there was an increase of approximately 27% on the suicide figures for the previous year. The HSE stated the figures reflected an international trend whereby the number of people who took their own lives during times of economic recession increased. Tragically, this means we can expect to see an increase in the suicide rate for 2010 and 2011 when figures for these years are reported. When we speak about suicide, we must keep in mind that behind each of the figures is a personal tragedy for individuals, families and entire communities. Perhaps on another day we can find time for a full debate on this matter because it is merited.

One of the agencies recognised by the Department as an official research unit is the National Suicide Research Foundation which is also recognised as a centre of excellence by the World Health Organization. As well as providing support for those bereaved by suicide, an important element of its work involves the collection of up-to-date information. Normally, we rely on the CSO to provide this information, but the publication of CSO information runs two years behind; therefore, figures for this year will not be available until the middle or end of 2013.

The National Suicide Research Foundation has developed a suicide support and information system which works with the Coroner's Court and bereaved families to identify the incidence and patterns of suicide. Since the beginning of the programme in 2008, 183 cases of suicide and death of undetermined intent have been included. From looking at patterns of suicide which the system has been devised to do we know that in certain circumstances the occurrence of suicide among a particular cohort may give rise to the emergence of a suicide cluster. The suicide support and information system can detect such patterns at an early stage, which is particularly important when dealing with cases involving young men. If emerging clusters can be identified at an early stage, intervention strategies can be put in place. These include counselling and other supports for those closely affected by suicide. This can reduce and has been shown to reduce the likelihood of a suicide cluster developing. The system has been validated by an international association of suicidology and is a proven lifesaver. The annual cost of maintaining the programme in Cork on a pilot basis is €75,000. It is funded by the HSE. Remarkably, at a time when there has been an increase in the incidence of suicide, the HSE which acknowledges the rate of increase is likely to accelerate has cut funding for the programme.

If we are resolved, as I hope we are, to tackling in a serious manner this problem which some commentators refer to as an epidemic, we need to find and identify working strategies. Having done so, we need to provide resources for them. The suicide support and information system is working and has saved lives. However, the funding for it has been cut and it is no longer able to function. In the Minister's opinion, what is the likelihood of funding being restored to this initiative?

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