1. Suicide Safe Communities Simon Howes, CALM / LCH

2. 3-pronged approach Suicide Safer Communities Perfect Depression Care Suicide Liaison Service Prevention Intervention Postvention

3. Mental Health Services (2009 data) In relation to the national data available for England and Wales, in the Mersey Care NHS Trust catchment area, only 11% of suicides occur in people who are in contact with services, compared to the national data of 28%* i.e. 89% of those who died by suicide in the Mersey Care catchment area were NOT in touch with secondary MH services within one year prior to death, highlighting the need for a Public Health approach to Suicide Prevention * The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Annual Report July 2014

5. Suicide Safer Communities A concept developed by The Canadian Association for Suicide Prevention & Living Works A “Suicide Safer Community” is one in which people, organizations and stakeholders have come together to: Prevent suicides Promote public education and awareness Provide support to people bereaved by suicide and promote healing and recovery Promote the mental health and well being of all its citizens

6. Suicide Safer Communities 5 Pillars: 1) Leadership A Leadership Committee comprised of community organizations and individuals exists to assume a leadership position focused on suicide prevention, intervention and postvention. 2) Action Plan An action plan based on systemic processes and evidence based methods for promoting suicide prevention and building capacity has been developed. Events are organized in support of World Suicide Prevention Day every September 10 th.

7. Suicide Safer Communities 3) Gatekeeper Training Investments have been made in training community gatekeepers. There is evidence that an appropriate number of suicide prevention gatekeepers have been trained in relationship to the population size or a plan for gatekeeper training has been included in the community suicide prevention action plan. 4) Suicide Bereavement Resources and supports are in place and available to support people bereaved by a suicide death. 5) Mental Health Promotion A thoughtful and comprehensive plan to inform the community about mental health and wellness has been established.

8. Gatekeeper training LA CM LA Population Census 2011 Data Recommended number of trained gatekeepers (2:10k pop) No of sessions (if 30 people per session) Cheshire East370,127743 Cheshire West and Chester329,608663 Halton125,746251 Knowsley145,893291 Liverpool466,415934 St Helens175,308352 Sefton273,790552 Warrington202,228402 Wirral319,783643 Total2,408,89848221

9. The S RAP and its value The Suicide Reduction Action Plan is organised by the 6 objectives outlined within the Preventing Suicide in England strategy. In addition, actions related to wellbeing promotion are also included. The level of intervention (local/regional) and responsible lead are outlined, along with a red, amber or green (RAG) status. The action plan should be reviewed annually by the local authority public health (LA-PH) suicide lead and the Cheshire and Merseyside Regional group. An annual report based upon progress towards meeting these actions should also be produced.

10. Suicide-Safer Community - A checklist Establish a Suicide-Safer Community committee Establish the population size of your community Identify organisations representing your community Create and agree an action plan or strategy with identified priorities Support and commission accessible suicide intervention services Support and commission accessible suicide bereavement support Support and commission promotion of mental health and wellness activities Support and commission proactive suicide prevention activities Establish a pool of formally trained gatekeepers Participate in World Suicide Prevention Day

11. Challenges ① How do we ensure these actions are done in depth, both horizontally across communities and vertically across organisations? ② How do we close gaps and reduce the unequal risks?

12. Suicide Safe Communities Simon Howes, CALM / LCH