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The public health approach to suicide prevention in Ireland

Published online by Cambridge University Press:  01 December 2021

S. Rochford*
Affiliation:
HSE National Office for Suicide Prevention, Dublin, Ireland
P. Dodd
Affiliation:
HSE National Office for Suicide Prevention, Dublin, Ireland
C. Austin
Affiliation:
HSE National Office for Suicide Prevention, Dublin, Ireland
*
Address for correspondence: S. Rochford, HSE National Office for Suicide Prevention, Dublin, Ireland. (Email: sarah.rochford@hse.ie)

Abstract

This article provides an overview of the public health approach to suicide in Ireland. The authors provide detail on the current suicide prevention strategy in Ireland, Connecting for Life, which is a whole-of-government, systemic, multicomponent national strategy. As the strategy enters its final extended phase of implementation over the period 2020–2024, the public health elements of Connecting for Life are presented, including the population level and more targeted approaches. The findings of an interim review of the strategy are discussed, in addition to the local and national implementation structures which are in place to assist implementation and monitoring of the strategy.

Type
Perspective Piece
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of The College of Psychiatrists of Ireland

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References

Appleby, L, Turnbull, P, Kapur, N, Gunnell, D, Hawton, K (2019). New standard of proof for suicide at inquests in England and Wales. BMJ 366, l4745.CrossRefGoogle ScholarPubMed
Arensman, E (2017). Suicide prevention in an international context: progress and challenges. Crisis-the Journal of Crisis Intervention and Suicide Prevention 38, 16.CrossRefGoogle Scholar
Central Statistics Office (2021). National Mortality Statistics: Suicide Data. Available at: http://www.data.cso.ie.Google Scholar
Centre for Effective Services (2021). Scalability Assessment of the North Dublin Psychology Suicide Assessment and Treatment Service (SATS). HSE National Office for Suicide Prevention, Dublin.Google Scholar
Chan, MK, Bhatti, H, Meader, N, Stockton, S, Evans, J, O’Connor, RC, Kapur, N, Kendall, T (2016). Predicting suicide following self-harm: systematic review of risk factors and risk scales. The British Journal of Psychiatry 209, 277283.CrossRefGoogle ScholarPubMed
Colgan, A., Kennedy, L.A.K. & Doherty, (2014). A Primer on Implementing Whole of Government Approaches. Centre for Effective Services, Dublin.Google Scholar
Collins, K (2021). Review and Evaluation of the Implementation of a Range of Delivery Models of Suicide Prevention Gatekeeper Training. HSE National Office for Suicide Prevention: Dublin.Google Scholar
Connecting for Life Research Advisory Group (2014). Report of the Research Advisory Group for the National Framework for Suicide Prevention. HSE National Office for Suicide Prevention: Dublin.Google Scholar
Criminal Law Suicide Act (1993). No. 11 of 1993. Dublin, Stationary Office (http://www.irishstatutebook.ie/eli/1993/act/11/enacted/en/html). Accessed 11 May 2020.Google Scholar
Department of Health (2015). Connecting for Life: Ireland’s National Strategy to Reduce Suicide 2015-2020. Department of Health: Dublin.Google Scholar
Department of Health (2020). Sharing the Vision: A Mental Health Policy for Everyone. Department of Health: Dublin.Google Scholar
Department of Health and Children (1998). Report of the National Taskforce on Suicide. Stationary Office: Dublin.Google Scholar
Departments of Public Health (2001). Suicide in Ireland: A National Study. On behalf of the Chief Executive Officers of the Health Boards (https://www.drugsandalcohol.ie/5723/1/Suicide_in_Ireland.pdf). Accessed 11 May 2020.Google Scholar
Eurostat (2021). Causes of death – Crude death rate by NUTS 2 region of residence (https://appsso.eurostat.ec.europa.eu/nui/setupDownloads.do). Accessed 17 February 2021.Google Scholar
Government of Ireland (2005). A Vision for Change: Report of the Expert Group on Mental Health Policy. Stationary Office: Dublin.Google Scholar
Griffin, E, McTernan, N, Wrigley, C, Nicholson, S, Arensman, E, Williamson, E, Corcoran, P (2019). National Self-Harm Registry Ireland Annual Report 2018. National Suicide Research Foundation: Cork.Google Scholar
Gunnell, D., Appleby, L., Arensman, E., Hawton, K., John, A., Kapur, N., Khan, M, O'Connor, R., Pirkis, J. & the Covid-19 Suicide Prevention Research Collaboration (2020). Suicide risk and prevention during the COVID-19 pandemic. The Lancet Psychiatry, 7(6), 468471.CrossRefGoogle ScholarPubMed
Health Service Executive, National Suicide Review Group and Department of Health and Children (2005). Reach Out - Irish National Strategy for Action on Suicide Prevention. Department of Health and Children: Ireland.Google Scholar
HSE National Office for Suicide Prevention (2014). Report of the Research Advisory Group for the National Framework for Suicide Prevention Strategy. Health Service Executive: Dublin.Google Scholar
HSE National Office for Suicide Prevention (2019a). Interim strategy review: an independent review of implementation progress by strategy leads (https://www.hse.ie/eng/services/list/4/mental-health-services/connecting-for-life/publications/cfl-interim-strategy-review.pdf). Accessed 11 May 2020.Google Scholar
HSE National Office for Suicide Prevention (2019b). National education and training plan 2019-2020 (https://www.hse.ie/eng/services/list/4/mental-health-services/connecting-for-life/publications/national-education-and-training-plan-updated.pdf). Accessed 12 May 2020.Google Scholar
Isaac, M, Elias, B, Katz, LY, Belik, SL, Deane, FP, Enns, MW, Sareen, J, Swampy Cree Suicide Prevention Team (12 members) 8 (2009). Gatekeeper training as a preventative intervention for suicide: a systematic review. The Canadian Journal of Psychiatry 54, 260268.CrossRefGoogle ScholarPubMed
John, A, Pirkis, J, Gunnell, D, Appleby, L, Morrissey, J (2020). Trends in suicide during the covid-19 pandemic. BMJ 371, 4352.CrossRefGoogle ScholarPubMed
Mental Health Act (2001). No. 25 of 2001. Dublin, Stationary Office (http://www.irishstatutebook.ie/eli/2001/act/25/enacted/en/html?q=mental+health+act). Accessed 11 May 2020.Google Scholar
National DBT Project Ireland (2018). Planning, Implementation and Evaluation Outcomes for Dialectical Behaviour Therapy in the Irish Community Mental Health Service. HSE National DBT Project Office, Dublin.Google Scholar
National Suicide Research Foundation (2020). National Self-Harm Registry Ireland (https://www.nsrf.ie/our-research/our-systems/national-self-harm-registry-ireland/). Accessed 12 May 2020.Google Scholar
Oyesanya, M, Lopez-Morinigo, J, Dutta, R (2015). Systematic review of suicide in economic recession. World Journal of Psychiatry 5, 243.CrossRefGoogle ScholarPubMed
Platt, S, Arensman, E, Rezaeian, M (2017). Editorial: suicide prevention in an international context: progress and challenges. Crisis-the Journal of Crisis Intervention and Suicide Prevention 38, 16.Google Scholar
Quality Matters (2016). Responding to Self-Harm: An Evaluation of the Self-Harm Intervention Programme (SHIP). HSE National Office for Suicide Prevention: DublinGoogle Scholar
Tollefsen, IM, Hem, E, Ekeberg, O (2012). The reliability of suicide statistics: a systematic review. BMC Psychiatry 12, 9.CrossRefGoogle ScholarPubMed
World Health Organisation (2013). Mental Health Action Plan 2013-2020. World Health Organisation: Geneva.Google Scholar
World Health Organisation (2014). Preventing Suicide: A Global Imperative. World Health Organisation: Geneva.Google Scholar
World Health Organisation (2016). Practice Manual for Establishing and Maintaining Surveillance Systems for Suicide Attempts and Self-Harm. World Health Organisation: Geneva.Google Scholar
World Health Organisation (2019). Suicide: key facts (https://www.who.int/news-room/fact-sheets/detail/suicide). Accessed 08 May 2020.Google Scholar
Zalsman, G, Hawton, K, Wasserman, D, van Heeringen, K, Arensman, E, Sarchiapone, M, Carli, V, Höschl, C, Barzilay, R, Balazs, J, Purebl, G (2016). Suicide prevention strategies revisited: 10-year systematic review. The Lancet Psychiatry 3, 646659.CrossRefGoogle ScholarPubMed