1. suicide prevention in Greater Glasgow & Clyde Michael Smith, Lead AMD, MH services Pollockshields Burgh Halls, 19.6.12

2. The challenge (but not the answers) Models: some ways of thinking about the problem Data: some examples of where it went right Feelings: some of the non-rational aspects to this work Group rules

3. models- services ServicesRole Public health & health promotionPopulation risk reduction Third sectorNon-clinical Local authoritiesStatutory and non-statutory responsibilities Primary careGPs Secondary careA&E, mental health

4. models – life stages Age groupissues teensAbuse, neglect, bullying Transitions (sexuality, education, relationships) Alcohol and drug misuse 20s and 30sRelationships, parenting Transitions (sexuality, parenthood) Employment and unemployment Alcohol & drug misuse and dependence 40s and 50sUnemployment, chronic illness Transitions Alcohol & drug misuse and dependence 60s and aboveChronic illness, bereavement Transitions (retirement, grief, mourning) Alcohol & drug misuse and dependence

5. models – life stages Age groupissues teensAbuse, neglect, bullying Transitions (sexuality, education, relationships) Alcohol and drug misuse 20s and 30sRelationships, parenting Transitions (sexuality, parenthood) Employment and unemployment Alcohol & drug misuse and dependence 40s and 50sUnemployment, chronic illness Transitions Alcohol & drug misuse and dependence 60s and aboveChronic illness, bereavement Transitions (retirement, grief, mourning) Alcohol & drug misuse and dependence

10. Key service recommendations Ligature pointsremoval of potential ligature points on inpatient wards, including all non-collapsible curtain rails 24 h crisis teamcommunity services include a single point of access for people in crisis available 24 h a day and providing short-term input until other services are available 7 day follow-upwritten policy on follow-up of patients within 7 days of psychiatric inpatient discharge Assertive outreachcommunity services include an assertive outreach team for people with severe mental illness who are difficult to engage Non-compliancewritten policy on response to patients who are non-compliant with treatment Dual diagnosiswritten policy on the management of patients with dual diagnosis Criminal justice sharing written policy on sharing information about risk with criminal justice agencies Reviewwritten policy on multidisciplinary review and information sharing with families after a suicide Trainingfront-line clinical staff receive training in the management of suicide risk at least every 3 years

11. Some rules Creative Collaborative Constructive

12. no splitting

13. Some rules Creative Collaborative Constructive Remember- at the end we want you to identify one thing that you are going to do