No More - Zero Suicide strategy for Cheshire & Merseyside

The vision

Cheshire and Merseyside is a region where suicides are eliminated, where people do not consider suicide as a solution to the difficulties they face. A region that supports people at a time of personal crisis and builds individual and community resilience for improved lives.

Countdown to zero
9

The 9 Local Authority Directors of Public Health in Cheshire and Merseyside, alongside Public Health England and NHS England, have chosen Suicide Prevention as a key priority for collective action across the region.

The NO MORE Zero Suicide Strategy aims to connect people, to raise awareness of suicide and create the momentum for change across:

  • Public Health
  • Health & Wellbeing Boards
  • Primary Care
  • Secondary Care
  • Wider Community

Need help now?

If you need help or if you are worried about someone else you can find immediate assistance via the following support services.

CALM
0800 58 58 58
5pm - Midnight
Samaritans
116 123
24hr (free)
Papyrus
0800 068 41 41
Free & Confidential

Feeling alone?

If you have been bereaved by suicide contact the following support services:

SOBS
0300 111 5065
9am - 9pm
AMPARO
0330 088 9255
9am - 5pm
Help is at Hand

Key drivers for action

8 out of 10

Locally, men account for eight out of every ten suicides, therefore our actions must particularly engage with and positively influence men.

Financial difficulty - Unemployment - Relationship problems - Untreated depression

Increase in pressures and negative circumstances on local populations including deprivation, vulnerability, debt, unemployment – therefore our actions must consider and influence the wider determinants and socioeconomic factors in people’s lives, we must think and act holistically.

Suicide stats

Local audit data suggests a) over a third of people who complete suicide in our region had been in contact with their GP in the month before their death and b) half had been in contact with mental health services, therefore our actions must change and positively influence the culture, attitude and practice within Secondary and Primary healthcare towards suicide prevention.

Out of the blue

We also know many suicides occur out of the blue – with the individual not having a diagnosed mental health problem and many close to them with no idea that they were considering suicide – therefore our actions must change and positively influence the culture, attitude and practice within our communities, the voluntary sector and local authorities.

Local and National Suicide Picture

Suicide is a major social and public health issue. It is a cause of early death and increased mortality rates, and is seen as an indicator of underlying rates of mental ill-health. The impact on family and friends can be devastating and it carries a huge financial burden for the local economy and contributes to worsening inequalities.

Warning triangle

The highest numbers of suicides are recorded in men aged 35-54 years and among women 40-59 years. Men account for eight out of every ten suicides.

3 times more at risk

Family and friends are up to 3 times more at risk of taking their own lives and they experience severe effects on their health, quality of life, ability to function well at work and in their personal lives.

Negative circumstances

Increase in pressures and negative circumstances on local populations including deprivation, vulnerability, debt, unemployment contribute to the issue.

GP conversation

1/3 of people who complete suicide in our region had been in contact with their GP in the month before their death and 1/2 had been in contact with mental health services.

Number of deaths by suicide and undetermined injury, Cheshire and Merseyside

Cheshire and Merseyside statistics

Locally, between 2011 and 2013:

657 suicides and deaths of undetermined injury across Cheshire and Merseyside.

An average of 219 per year.

Costs to the economy of £372.3 million p.a.

By local authority, the rates in the sub-region vary between Cheshire East's rate of 7.9 per 100,000 up to St Helens' suicide rate of 11.9 per 100,000.

The number of people experiencing suicidal thoughts or attempting suicide across Cheshire and Merseyside has been calculated at 85,288 and 13,884 respectively.

Nationally, between 2011 and 2013:

4,727 deaths due to suicide and undetermined injury in England in 2013 with a three-year rate of 8.8 per 100,000 for 2011-13.

Suicide in males is more than three times more likely than females (13.8 for males in 2011-13, compared to 4.0 for females).

There has been a rise in overall patient suicide, matching rise in general population, prison suicides are at the rate of 0.7 per 1,000 and a considerable rise in apparent suicides within two days of release from police custody. Furthermore, in 2014 there were 84 self-inflicted deaths in prisons in England and Wales compared to 75 in 2013.

Total cost to society of suicide has been estimated as being £1,700,000 per case.

The lowest number of deaths by suicide and undetermined injury in England was in 2007, (3,993). Following the 2008/09 recession, numbers have increased, with the 4,727 deaths in 2013 similar to levels in 2002, (4,726).

In Cheshire and Merseyside, the recent lowest three-year number of deaths for men was in 2008-10, with an average of 134 deaths per year. This increased to an average of 175 per year from 2011-13.

How can we reach zero?

Suicides are not inevitable. There are many effective ways in which services, communities, individuals and society as a whole can help to improve mental health and prevent suicides. The aims of the NO MORE Zero Suicide strategy are underpinned by key objectives:

A

Cheshire and Merseyside becomes a Suicide Safer Community

B

The Health Care System transforms care to eliminate suicide for patients

C

Support is accessible for those who are exposed to suicide

D

A strong, integrated Suicide Reduction Network provides oversight and governance

Preventing Suicide

building individual and community resilience

Reshaping Services

transforming the health care system to eliminate suicide for patients

Post Suicide Support

bereavement support and assistance for those affected by a suicide

Reducing suicides to Zero