Day 821

Suicides are grossly under-reported. Here are a few reasons for that:

Criminal standard of proof, “beyond reasonable doubt”, is required when determining the cause of death as suicide. Many suicides are recorded as ‘undetermined deaths’ because of that. The Chief Coroner is supportive of the change which would reduce the standard of proof for suicide to the civil standard and has expressed his view to the Ministry of Justice but the MoJ has steadfastly refused to change the way that coroners reach a suicide verdict despite persistent requests from Suicide Prevention charities such as PAPYRUS. This leads those of us campaigning on this issue to conclude that they deliberately want to suppress the figures around the number of people who take their own lives each year.

MoJ argues that a change to the law would offend certain faith groups. We, at PAPYRUS believe that determining a cause of death should be about establishing facts, not about appeasing any particular sector of the community.

Many families who have lost loved ones to suicide, particularly when the deceased are their children, do not want to hear that they ended their own life. Coroners are understandably sensitive and hence, reluctant to reach a verdict of suicide and conclude that the death occurred because of an accident or misadventure. An open or narrative verdict is often returned even when the evidence clearly shows that the person took his or her own life.

Death is taboo and suicide is a deeper layer of taboo underneath. Mental illness is taboo and suicide is a darker layer of taboo underneath. The stigma attached to it stops everyone from being open about it.

Research by Professor Colin Pritchard at Bournemouth University suggests that if coroners used the civil standard of proof – “on the balance of probabilities” – we would see a 30-50% increase in recorded suicides. His research validates the view held by Papyrus that the current arrangements mask the true number of suicides in the UK.

Unless we can face the enemy, how can we ever hope to vanquish it?

Sources:

https://www.theguardian.com/commentisfree/2017/jan/09/suicide-crisis-law-uk-cause-of-death-young-people

http://www.inquest.org.uk/help/handbook/section-4-3-verdicts

http://www.thetimes.co.uk/article/thousands-of-suicides-hidden-to-comfort-grief-stricken-families-5fhkspfbx

Day 820

Posted by kidsaregifts20

One of the French companies worst affected by suicides has been the telecommunications giant, France Télécom/Orange, where 12 employees took their own life in 2008, nineteen in 2009, 27 in 2010 and 11 in 2011. Despite a new agreement on workplace conditions negotiated with the trade unions, there has been a renewal of suicides in recent years with eleven cases in 2013 and ten suicides in 2014.

Suicides took place at a time when the company was restructuring, including a plan to cut 22,000 jobs in three years. Suicidal individuals shared a similar profile: these were typically skilled male engineers or technicians in their fifties who had been forcibly redeployed into low-skilled roles, often in call-centres.

On 17 January 2014, a 42-year old employee dealing with business customers at a France Télécom/Orange office in Paris, threw himself under a suburban train on his way to work. His sister, who is pursuing a claim against the company, contends that her brother had repeatedly complained to his bosses that he was a victim of bullying by his manager. Occupational doctors had also reported a deterioration of working conditions at the agency where he worked, with a rise of workplace stress as a result of company restructuring. Prior to his suicide, the victim had sent e-mails to family members complaining of an unmanageable workload and of constant surveillance and he referred to “humiliation”, “intimidation” and “bullying”. He held several meetings with senior management where he complained of harassment by his manager. Five days before his suicide, he sent an e-mail to his head of service in which he reiterated his request to change teams. These e-mail exchanges are being used as evidence in the investigation by the public authorities into his suicide.

Whilst in France work place suicides are an urgent public health phenomenon, in the UK, despite severe deterioration in working conditions, workplace suicide is not recognised in legislation and there are no specific official mechanisms for data collection. Even when it takes place in the workplace, suicide is presumed to be an individual and voluntary act and according to Health and Safety Executive (2016) legislation: “All deaths to workers and non-workers, with the exception of suicides, must be reported if they arise from a work-related accident.”

(Source: When work kills : http://www.emeraldinsight.com/doi/abs/10.1108/JPMH-06-2016-0026?mobileUi=0&journalCode=jpmh)

Day 814

Posted by kidsaregifts20

A bereaved mum’s lament: Went out for dinner with friends. What could go wrong? All went well until there was talk of an acquaintance of one of the guests who is suffering from a debilitating mental illness. They had tried to take their life but survived. The guest herself is a breast cancer survivor. She said that she had visited the person and said “did they not realise how hard she had fought to live and there they were throwing away their life”. Its a shame she didn’t appreciate just how hard the other person was fighting to stay alive … my son lost that fight. When will they realise Depression is as dangerous and potentially fatal as cancer. You know when you are stuck in a situation when its just not appropriate to make a fuss but you want to scream “How ignorant are you ???”

From the individual level, right through the media, the regulatory bodies and up to the government, we are all ignorant. Mrs May speaks of parity between physical and mental illnesses, ie. both being given the same importance. Many others have talked about it before her but we are miles away from it.

The Ebola Outbreak in West Africa was a public health emergency of international concern and we heard about it everyday, non-stop on the radio and TV from 2014-2016. 1 person was infected with the virus in the UK and fortunately there were no deaths from it. 1 person dies every 2 hours by suicide but it is not mentioned in the media. Public health England are not particularly concerned. Suicide claims 4 young lives every day but it’s no big deal.

Imagine a middle aged man presenting to his doctor with severe chest pain and being sent home with pills that take 3 weeks to work. I am sure the GMC would have something to say about that. A young man presents to his doctor with debilitating depression together with a strong desire to end his life and he is sent home with pills that can potentially make suicidal ideation worse and the benefit, if any might be seen in 3 weeks. The GMC finds that acceptable practice.

1 in 4 patients present with a mental illness to the NHS and only 10-12 % of the NHS budget is spent on mental health.

Survivors of physical illnesses proudly claim bravery and wear their survival as a badge of honour whereas those surviving mental illness hide in corners feeling ashamed.

The acceptable faces of mental illness are Dementia and Alzheimer’s disease. This is apparent from the t-shirts worn at charity events, walks and runs. I hardly see anyone running in support of Bipolar Disorder research or British Schizophrenia Foundation or Borderline Personality Disorder Charity.

Things most resistant to change are cultures and mindsets.
Parity of esteem?
We have aeons to go!!!