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Dáil
‹ Leaders’ Questions.

Suicide prevention and national strategy

Summary

Ó Caoláin highlights suicide rates, particularly among young people and people with schizophrenia, and asks for the Government’s commitment to implementing the national prevention strategy. The Taoiseach cites research on risk factors and describes the Reach Out strategy, task-force resources, school programmes and guidance counsellors, while disputing aspects of Ó Caoláin’s argument about identifying groups at risk.

There has been much concern and a debate in this House recently about the terrible toll arising from road traffic accidents. Is the Taoiseach aware the number of deaths on our roads is exceeded by the number of deaths from suicide and that we have one of the highest rates of suicide in the world? It is the most common cause of death among young people and in particular among young males between the ages of 15 and 24, our statistics within that age group being the highest in the EU. Will the Taoiseach agree that what is needed is a much greater awareness of this serious problem and an understanding of it? In that context, does he share my concerns at the comments attributed to Deputy McDaid at the weekend where he has accused people of glorifying suicide victims at their funerals? He has described suicide acts where he stated mental illness was not a factor, as being selfish acts.

My purpose is not to personalise this issue but to highlight the need for greater awareness. We need to avoid statements such as that of Deputy McDaid, which only stigmatise people and create even greater distress for families which are already suffering the bereavement of the loss of a loved one.

Are there suicides where the mental health of the person who took their own life and particularly at the time of their death, is not in question? I do not know the answer but I wonder if Deputy McDaid is making that point. When Deputy McDaid criticises the bearing of the remains of someone who has died by suicide up the centre aisle of their respective chapel or church, is he suggesting they should be condemned from the pulpit or interred outside the consecrated grounds of their local cemetery, a terrible practice that was maintained for generations? Will the Taoiseach agree there are social factors such as unemployment, alcoholism, physical and sexual abuse and relationship breakdown, which can often be the backdrop to many of these tragedies? Will the Taoiseach not recognise that given the enormity of the problem across this State, and across this island as statistics North of the Border have demonstrated recently, that what is needed is to fully resource and implement the National Strategy for Action on Suicide Prevention 2005-2014? Will the Taoiseach seek the co-operation of all who have a role to play and a contribution to make under the All-Ireland Ministerial Council, to give this issue the strategic consideration it needs and the strategic address it deserves, given the great hurt that exists?

Comment on this

The Deputy raised a number of points. He has asked me to account for somebody else's views which I will not do. People are entitled to their views, be they medical practitioners or teachers and I am not going to examine people's views.

The national statistics for suicide show a figure of approximately 400 a year. Recent research shows that the most vulnerable category is single adult males. I am not a medical expert but even those experts differ on this issue. Mental illness, alcohol or other substance abuse, loneliness or loss of societal esteem and dignity, the weather and the time of year, are all put forward as factors. I do not know the answer.

What we can do, and what we have endeavoured to do and what has been pressed for in the House over the past number of years, is to give all the respect, care and help we can to families and relatives, and to try to do something for society in future. This is achieved by means of the Department of Social and Family Affairs and by means of the relevant national, regional and local organisations which receive financial support through the Family Support Agency to support grieving families which deserve all our support and respect.

Social, personal and health education programmes are now compulsory in all schools. They aim to build self-esteem and confidence as a means of suicide prevention among young people. These are constructive initiatives. There has been an increase in the numbers of guidance counsellors in all schools. I commend the attitude of trying to be helpful and caring and the efforts to try to resolve the fears and concerns of people.

I know from the small number of people — too many — whom I have known who committed suicide, in some cases the reason was understandable but in most cases there was no iota of a reason for their actions as there was no obvious reason, motivation or level of stress that should have pushed them to do it. The fact that life is more complicated is part of the reason.

The other issue is that it is no longer a crime and people are not ostracised in their religious communities, or at least not in one of them. People now come forward and families state their reasons. The numbers may always have been high but they may not have been classified as suicides for reasons such as referred to by the Deputy and by me.

The Government's position is to support the important research to identify the problems and identify solutions for the future, to educate young people and to help them by means of guidance counsellors, to support their self-esteem and confidence by means of the compulsory programmes in schools and by means of the Family Support Agency to provide the best possible assistance to grieving families. This is a suitable way for the Government to deal with the issue.

Comment on this

Will the Taoiseach agree that to take one's own life is an act of sheer desperation and not one of selfishness? Is the Taoiseach aware that a recent report has indicated that somewhere between 40% to 60% of people who suffer from schizophrenia will in the course of their lives attempt to take their own life and that some 10% of people with schizophrenia die by suicide? Will the Taoiseach again indicate to the House his intent and the commitment of his Government to fully resource and implement the National Strategy for Action on Suicide Prevention 2005-2014? That is critically important. Will he agree that rather than blaming or stigmatising victims of suicide, what is needed are effective programmes? It is critically important to begin within the education system. Will the Taoiseach agree that what is required is a far greater awareness of and education not only on the issue of suicide but its placement in the context of the overall issue of mental health? We must be bold enough to state exactly where this needs to be addressed.

On the issue of mental health, we must combat the stigmatisation of people suffering from any degree of mental illness. We must recognise and be prepared to acknowledge the likelihood that any one in four of our population, and any one in four of our number, will experience and suffer from some degree of mental illness in the course of our lives. It is important that we address this issue in that way and start at the earliest age possible to empower and strengthen young people to face the difficulties and challenges of life.

Comment on this

The Deputy raised some points, which I have already answered in terms of how we are dealing with this issue in a caring way through the education system. He has asked me to confirm again the position on the national strategy for action on suicide prevention. That strategy was launched in September of last year. It builds on the existing policy and on the recommendations of the report of the national task force on suicide which the Government implemented in its first year in office in 1998. The recommendations proposed four levels of action comprising the strategy, which included the general population approach, the target approach, responding to suicide, and information and research. We have followed all those recommendations for the past eight years since the publication of the report of the national task force on suicide.

Deputy Ó Caoláin mentioned the question of resources. We have invested resources to the value of approximately €25 million in the mental health programme. The Government has done an enormous amount in the area of mental health, one being the establishment of the Mental Health Commission. It has also improved the provision of mental health services to ensure that people's interests are maintained and protected.

On the question of family support services, we give a great deal of assistance to various organisations, including self-help organisations, the families of the bereaved and to young people. Courses in the education programme covering this issue are compulsory in schools. Therefore, we have done a great deal in this respect.

In the all the years I have been in this position, Deputy Neville has continually raised this issue with me. I am sure he would agree that we have moved a long way in this area. He has been raising questions on this issue for as I long as I am in this position. We have also developed a strategy for action for suicide prevention.

Comment on this

I do not see Deputy Neville nodding his head in assent.

Comment on this
Rory O'Hanlon An Ceann Comhairle Fianna Fáil

I ask the Deputy to allow the Taoiseach to continue without interruption.

Comment on this

We have moved forward with the Reach Out strategy which was launched last year. We have invested resources in this area.

I will not answer Deputy Ó Caoláin's point in terms of trying to identify which groups are most likely to commit suicide. The Deputy made great play of arguing with what Deputy McDaid, a medical doctor who has raised this issue many times in his medical career, not to mind his political career, said on this issue in terms of how wrong he was to stigmatise somebody. Deputy Ó Caoláin then moved on to point out the categories of people who are most likely to commit suicide. That is muddled thinking on the Deputy's part.

Comment on this

It is not muddled thinking. I cited what is in the report.

Comment on this
Rory O'Hanlon An Ceann Comhairle Fianna Fáil

I ask the Deputy to allow the Taoiseach to continue.

Comment on this

Whatever reasons or categories of people are involved, we must try to deal with them. The 1998 report of the national task force on suicide set out the position on this issue. The Government launched Reach Out — A National Strategy for Action on Suicide Prevention ten months ago. We have allocated resources to the national task force on suicide and to the education system in terms of the social, personal and health education programme, which is compulsory in our schools. We have also allocated guidance counsellors. Far from not moving forward in this area, I am trying to improve the position. I also support ongoing research on this issue. The Government has been proactive in this area.

Comment on this