Pae Ora/Toi Ora – Optimum Health and Wellbeing
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Pae Ora/Toi Ora – Optimum Health and Wellbeing 1
Taranaki Taranaki Taranaki Taranaki Suicide Suicide Suicide
Suicide Prevention and Postvention Prevention and Postvention Prevention and Postvention Prevention and Postvention Action Action
Action Action Plan Plan Plan
Plan 2015 2015
2015 2015----2017 2017 2017
2017
Action Plan Contributors
Taranaki DHB NZ Police MOE Special Education Youth Justice Corrections Justice Ministry of Social Development
Tui Ora Limited Ngati Ruanui Health Services Suicide Prevention Taranaki New Plymouth Injury Safe
Supporting families/wh Supporting families/wh Supporting families/wh Supporting families/whānau, hap nau, hap nau, hap
nau, hapū, iwi, communities and , iwi, communities and , iwi, communities and , iwi, communities and individual individual individual individuals to prevent suicide, and reduce the impact of s to prevent suicide, and reduce the impact of s to prevent suicide, and reduce the impact of s to prevent suicide, and reduce the impact of suicide.
suicide. suicide.
suicide. Pae Ora/Toi Ora – Optimum Health and Wellbeing 2
Message Message
Message Messagessss from the Advisory Group from the Advisory Group from the Advisory Group from the Advisory Group
“Let’s not be scared to talk about suicide.”
“What you do not know does not affect you until you feel it.” “A ground-swell in the community is a key part of the solution.” “Let’s talk about wellness, community, whānau and building resiliance.”
“We are striving for a system and structures that are integrated and ensure that we as a community do everything we can to help, prevent and support.”
“We have a responsibility to hold the hope of the community.” “There is always something you can do to help.”
predictor for the future – we need to better make use of what we already know.”
“Recovering families hope their stories can make a difference to others.” “We want to make sure everyone in Taranaki knows about the impact of suicide and the means to prevent it.” “Everyone affected by suicide deserves the services and supports they need when they need it and for as long as they need it.” “We must konohi ki te kanohi with the whole whānau and not just the service user”. “We need a tikanga Māori whānau ora approach to building wellbeing.” “We need to listen to people’s stories – they are an invaluable part of the healing process.”
Pae Ora/Toi Ora – Optimum Health and Wellbeing 3
Introduction Introduction Introduction Introduction
Suicide is a public health issue in New Zealand, and whilst it is difficult to compare figures across countries without understanding the specific societal circumstances, the data does reveal than suicides in New Zealand are higher. At a total level, New Zealand sits in the middle of the range, however for youth suicides in 2011; New Zealand was the second highest in the world. A person’s decision to self-harm or attempt suicide can be influenced and impacted by many factors. The prevention of self-harm, suicide and support after a suicide completion requires a whole of community response. Many factors influence a person’s decision to attempt suicide. Research does however reveal that the presence of some factors can act as a catalyst to someone attempting suicide. These factors include mental health issues, exposure to trauma, a lack of social support and connectedness, and experiencing stressful life events (e.g., chronic pain, discrimination, bullying, relationship conflict, job or financial loss, work related stress and rural communities). Suicide prevention initiatives seek to promote protective factors and reduce risk factors for suicide, and improve the services available for people in distress. Suicide postvention initiatives seek to provide support for persons affected by suicide that can help the healing process. The intent of this Plan is to offer those protective factors for those at risk of, or who have been affected by suicide or a suicide attempt, but more so to develop and implement solutions that can support wellbeing, improve social connectedness and build both personal, whānau and community resilience to challenging and difficult life events.
During the development of the Plan it became evident of the importance of having robust Governance Structures in place which are supported by Clinical Leadership. It was also clearly identified that having a suicide prevention coordination role is pivotal to the implementation of the Plan. Suicide prevention and postvention is everyone’s business and we could not have developed such a comprehensive plan without the commitment of other agencies, organisations and community interest groups. This holds the Plan in a place that will ensure cross sector buy-in with the Taranaki DHB acting as the lead agency. The content of this Plan has been developed with input from the Advisory Group and results of a services stocktake and questionnaire sent out to the agencies, organisations and the community. New Zealand Suicide Prevention Strategy New Zealand Suicide Prevention Strategy New Zealand Suicide Prevention Strategy New Zealand Suicide Prevention Strategy 2006
2006 2006
2006----2016 2016
2016 2016
The aim of the Taranaki Suicide Prevention and Postvention Plan is to reduce the rate of suicidal behaviour and its effects on the lives of people in Taranaki. The Plan is aligned to the seven goals of the New Zealand Suicide Prevention Strategy 2006-16. 1.
problems. 2.
Improve the care of people who are experiencing mental disorders associated with suicidal behaviour. 3.
Pae Ora/Toi Ora – Optimum Health and Wellbeing 4
4.
Reduce access to the means of suicide. 5.
Promote the safe reporting and portrayal of suicidal behaviour by the media. 6.
Support families/whānau, friends and others affected by a suicide or suicide attempt. 7.
interventions. Structure of Plan Structure of Plan Structure of Plan Structure of Plan The organisation of the Taranaki Suicide Prevention and Postvention Plan is shown in the diagram opposite:
Pae Ora/Toi Ora – Optimum Health and Wellbeing 5
Purpose of the Purpose of the Purpose of the Purpose of the Taranaki Suicide Taranaki Suicide Taranaki Suicide Taranaki Suicide Prevention Prevention Prevention Prevention and and
and and Postvention Postvention Postvention Postvention Plan Plan
Plan Plan
Suicide Prevention and Postvention is a challenging and complex issue that requires a coordinated and sustained commitment across many agencies and at all levels of the community. The purpose of this this Plan is to demonstrate the commitment of Taranaki to work together to make a difference to lessen the attempts of suicide and to improve the support and services to those affected by a suicide or suicide attempt.
The Plan •
Establishes a suicide intervention model across the Taranaki area that enables communities to plan and respond to their needs. •
Builds on existing suicide prevention and postvention planning and activity. •
between agencies, services and communities to enable effective and efficient responses to suicide. •
sharing and monitoring to ensure that resources are available and deployed to ensure that the Plan commitments are achieved. Who Who
Who Who is
is is
is the Plan for the Plan for the Plan for the Plan for???? This Plan is for Taranaki and applies to all people across all ages, their families/whānau, geographical community and community of interest. The Plan is built from a strengths based approach, and recognises the inherent strength within individuals, families and whānau and community.
This is a Plan for professionals, a guide that can support them in their work to recognise the signs of suicide, and to work across disciplines and agencies to support those in need. The Plan calls for a whole of community response to suicide prevention and postvention and asks families/whānau, communities and agencies to take responsibility for the issue of suicide. Guiding
Guiding Guiding
Guiding Principles Principles Principles Principles The Plan has been developed in partnership with health, social service, education, community health providers and interest groups and is guided by the following principles. It is: 1.
Informed by evidence and good practice. 2.
Culturally appropriate and safe. 3.
Respectful of diversity and difference. 4.
Reflecting a coordinated and multi-sectoral approach. 5.
Demonstrating sustainability and long-term commitment. 6.
Promoting a community led response. 7.
Action and outcome focused. 8.
Committed to reducing inequalities.
Pae Ora/Toi Ora – Optimum Health and Wellbeing 6 Overarching Vision Overarching Vision Overarching Vision Overarching Vision The Taranaki Suicide Prevention and Postvention Advisory Group developed a Vision for the Action Plan as follows:
The vision is supported by four outcomes which align to the NZ Suicide Prevention Strategy.
1. Infrastructure Outcome: Agencies collaborate and are resourced to embed sustainable coordinated responses to support community wellness. 2.
Prevention Outcome: Everyone in Taranaki is aware of the impact of suicide and knows how to access and navigate appropriate effective pathways for help.
3.
Postvention Outcome: Everyone affected by suicide has access to the right help and support at the right time. 4.
consistently, cohesively and appropriately recognise and respond to a suicide risk.
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Demographics and Population Profile Demographics and Population Profile Demographics and Population Profile Demographics and Population Profile
Our Geography and P Our Geography and P Our Geography and P Our Geography and Population opulation opulation opulation Taranaki DHB serves a population of 118,560 (2015/16 Projection – Statistics NZ) and covers a geographic area of 723,610 hectares. It stretches from Mokau River in the north to Waitotara River in the south.
Source: Ministry of Health.
Taranaki’s population has been growing steadily over the past 20 years, and is projected to increase steadily into the future. New Plymouth remains the dominant population centre within the region. South Taranaki has the youngest population in the region and the largest number of Māori resident.
Taranaki’s population is ageing, but at a slower rate than at the previous Census. The region currently has the sixth oldest age structure in New Zealand.
Table: Taranaki DHB population by age and ethnicity – 2015/16 Projection Statistics NZ Age Group Ethnicity Māori Other
Total 00 – 24
11,060 27,485
38,545 25 – 44
5,110 23,905
29,015 45 – 64
3,930 27,175
31,104 65 – 74
860 10,213
11,073 75+
475 8,348
8,823 Total
21,435 97,126
118,560
The population of the Taranaki region is somewhat less multi-ethnic than that of total New Zealand, with greater proportions of European and Māori (European, 75.8% compared with 64.9% nationally; Māori, 15.0% compared with 12.8% nationally, and smaller proportions of Pacific Island, Asian, Middle Eastern/Latin American/African (MELAA) and ‘Not Elsewhere Included’. The region’s Māori and Pasifika populations are markedly younger than the European demographic.
Pae Ora/Toi Ora – Optimum Health and Wellbeing 8 Table: Ethnic group (grouped total responses)Taranaki Region usually resident population count- 2013 Census i
Ethnicity Total
% of total European 89,802 86.2%
Māori 18,150
17.4% Pacific Peoples 1,701 1.6%
Asian 3,594
3.5% Middle Eastern/Latin American/African 2
0.4% Other Ethnicity 3
2.0%
Hea
Hea Hea
Health Profile lth Profile lth Profile lth Profile Having an understanding of the Taranaki health profile is an important part of decision making processes. Having this knowledge enables the region to understand where the focus should be to support making health gains, and can provide a context for the allocation of resources, as well as for planning and prioritisation of programmes at an operational level. Māori are adversely disadvantaged in health terms in the region.
•
Around 43% of the Taranaki population live in NZDEP2013 Decile 6, 7 and 8 compared to 30% nationally. Non-Māori are over- represented in the wealthiest socio-economic decile and Māori are over-represented in the lowest socio-economic decile. •
areas compared to 14% of non-Māori. In contrast, 7% of Māori live in 20% of the most affluent areas compared to 16.3% of non- Māori. •
Māori in Taranaki experience a shorter life expectancy than non- Māori. Based on the 2011/12 HEALTH NEEDS ASSESSMENT 1 ,
1 Taranaki DHB’s Whānau Ora Health Needs Assessment† (RaLma and Jenkins, 2012)
Māori females have a life expectancy of 75.5 years compared to 82.5 years for non-Māori, a difference of 6.9 years. •
Based on the 2011/12 HEALTH NEEDS ASSESSMENT Māori males have a life expectancy of 72.4 years compared to 79.0 years for non-Māori, a difference of 6.6 years. This difference is less than that for the general New Zealand population at 7.7 years for females and 7.9 years for males.
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Suicide Statistics and At Suicide Statistics and At Suicide Statistics and At Suicide Statistics and At----risk risk risk
risk P P P Populations opulations opulations opulations
What the What the What the What the S S S Stat tat
tat tatistic
istic istic
istics s s s S S S Show how
how how
Suicide and suicidal behaviours are a major public health issue across New Zealand, with on average 500 people taking their lives, and 2,500 people being admitted to hospital because of intentional self-harm. The numbers of people completing a suicide averages at 12.2 deaths per 100,000 population. At a national level the highest levels of suicidal deaths occur amongst males, those aged 40-44 years and Māori. There is also a correlation between completed suicides and intentional self-harm within lower levels of deprivation. Completed Suicides Completed Suicides Completed Suicides Completed Suicides The suicide trends in Taranaki in part mirror the national picture; however they deviate in other areas. The Ministry of Health’s Suicide Facts Report (2012) revealed that between 2008 and 2012 Taranaki had an average of 13.4 suicides per 100,000 population compared to a national average of 11.6 per 100,00 population. However, youth suicides were lower than the national average with 15.5 completed suicides compared to a national figure of 19.8 per 100,000 people ii .
from July 2007 to May 2015, almost eight full years. The information received for the 2014/15 year remains provisional, because the cases remain active. Between July 2007 and May 2015 there were 127 suicides in the Taranaki region, an average of 15.8 suicides per annum. The two years with the highest suicides was 2009/10 with 20, followed by the 11 months in the 2014/15 with 19. The years with the lowest numbers of suicides were 2011/12 with 10 and then 2013/14 with 13 suicides.
Of the 127 suicides 13 were female which means 90% of the completed suicides in Taranaki continue to be male. 16 17 20 17 10 15 13 19 0 5 10 15 20 25 2007/08 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 Yüklə 421,43 Kb. Dostları ilə paylaş:
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