Suicide Prevention
Debate between Lord McCrea of Magherafelt and Cookstown and Madeleine Moon(11 years, 10 months ago)
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Mrs Madeleine Moon (Bridgend) (Lab)
Is the hon. Gentleman aware of research carried out by Louis Appleby, the suicide tsar, showing that 75% of those who commit suicide have had no connection with mental health services, and that it is dangerous to focus suicide help and support only on mental health teams? If we do that, we risk failing to protect many of those who need our help.
Dr McCrea
I thank my right hon. Friend for that intervention. In fact, the motion
“calls upon the Government to adequately resource and promote child and adolescent digital safety.”
The motion goes wider than that, but resources are certainly a problem that such organisations need help with.
The internet and new media are prominent features in youth culture nowadays. Young people see the use of technology as a vital part of their social lives, and the online environment has created unique opportunities for learning, connection and communication. Almost 99% of children aged between eight and 17 access the internet, and 90% of children aged five to 16 have a computer at home. Although the risks created by the internet and new media have yet to be properly assessed, there is growing concern over the use of the internet for cyber-bullying and for normalising and encouraging suicide and suicidal behaviour.
The Byron review, conducted in 2008, entitled “Safer Children in a Digital World”, found that
“there is a range of material on the Internet that may present particular issues for specific groups of children and young people. This includes content or sites that promote or give information about harmful behaviour such as suicide and self harm”.
The report found that, although some children might be deterred from harmful behaviours by witnessing such content, or might find emotional and social support from others experiencing the same feelings, it was clear that for some children there were major risks. Sites providing information about suicide techniques, for example, could increase the chance of a suicide attempt being successful and decrease the chances of a young person receiving help.
Mrs Moon
The hon. Gentleman will be aware that the hosting of such sites is illegal in the United Kingdom, thanks to the Coroners and Justice Act 2009. The problem is that many of those sites are hosted outside the UK, where they are not illegal. Internet providers need to block access to the sites. They move them down the access chain when people google them, but they do not block access to them altogether. How can we ensure that access to those sites is blocked?
Investigation of Suicides
Debate between Lord McCrea of Magherafelt and Cookstown and Madeleine Moon(12 years, 9 months ago)
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Mrs Madeleine Moon (Bridgend) (Lab)
It is with delight that I appear before you, Mr Crausby, as I know that you take a particular interest in this matter. This debate has been prompted by my role as chair of the all-party parliamentary group on suicide and self-harm prevention, and is based on the testimonies that I have heard from families bereaved by suicide. I will raise two key issues in the short time that I have. The first involves how police officers interact with bereaved families, and the second involves how suicides are investigated, most notably where the internet may be a factor. I will make eight clear requests for change, which I ask the Minister to consider.
Suicide is a tragedy for the individual who takes their own life, and it brings long-term distress for the family and friends left behind. For every suicide, six people close to the person who died—in England and Wales, that means 30,000 people each year—will experience a deep sense of grief. Families bereaved by suicide inevitably find themselves in direct contact with the authorities. In many cases, a knock at the door by a police officer informs them of what has happened.
Families touched by suicide can suffer a greater stigma than is attached to other forms of death, and they may avoid reaching out for support. They are vulnerable. As the Government’s draft suicide prevention strategy notes, family members are approximately two and a half times more likely to take their own life after the suicide of a close relative.
At a recent meeting of the all-party group, we considered bereavement. Many spoke about their initial contact with the authorities. I will share one statement:
“The police who dealt with my son immediately following his death were, as I would have expected, matter-of-fact but kind and sympathetic to the family. I can’t imagine how difficult it must be for them to have to deal with a family like ours who are expressing a mixture of utter shock, bewilderment, hysteria, and sheer terror when a family member takes their own life. It happened late in the evening, and by the time the police had left around midnight, it was dark and cold and trying to get children to sleep, let alone ourselves, was impossible.
The following day, another policeman arrived to take statements. He again did his job well and with sympathy. However, I found the whole event very distressing, and it would have been very helpful if someone had been there—a trained counsellor—to help us through this process, to offer some comfort and attempt to give us some level of understanding as to what had just happened. As it was there was no one. No one gave us the ‘Help is at Hand’ booklet, no one gave us any numbers to call. Nothing.”
I recommend that the Minister read the work of Dr Sharon McDonnell, or at least that one of his team read it. She is at the university of Manchester and has researched how health professionals and police officers interact with bereaved families. For her PhD, she interviewed bereaved families, finding that eight out of nine participants informed by the police reported feeling distressed, traumatised and angry at how they had been informed. Dr McDonnell is seeking funding for further research in the area. I urge the Minister to discuss not only the changes that she has identified as necessary but how we can move forward and ensure that we change families’ experience.
None of the families with whom I have had contact ever received a copy of “Help is at Hand”. I would be interested to know whether the Minister is aware of the booklet to which I refer. It is a Department of Health document offering advice for those bereaved by suicide or other traumatic deaths. It includes contacts for support groups and covers practical matters such as the inquest procedure and methods for dealing with grief. Sadly, that invaluable resource is being wasted through patchy distribution and a lack of awareness.
Last year, when I took part in the police service parliamentary scheme with South Wales police, I was already aware of the expertise of officers across my constituency on the issue, and I take this opportunity to commend them. However, away from Bridgend, I was concerned by the lack of guidance that individual officers appeared to receive on how to deal with families and media inquiries. It left me wondering whether standard guidance and training for police officers exist or whether it is left to chance.
In the first instance, investigations of a death are steered by the murder investigation manual, which is employed for investigation into unexplained deaths. After criminality has been ruled out, the manual no longer applies. Apparently, it is left to local forces to produce their own guidance on investigating non-suspicious deaths.
Dr William McCrea (South Antrim) (DUP)
I congratulate the hon. Lady on securing this debate on an important issue. On police investigations, is it not important that suicide should never be presumed but that a finding must be based on evidence? For a family, suicide is a traumatic experience. Police must therefore eliminate all other possibilities in their investigations.
Mrs Moon
It is vital that the police conduct a full inquiry, but they must be aware of the sensitivity of the issue and the risks associated if the inquiry presses too much on possible family engagement or involvement in the death. I will address that later in my speech, but I thank the hon. Gentleman for his intervention.
Once a suicide has been determined, it is important that the police reconnect with families to ensure that they are not left feeling that they have caused or been implicated in their relative’s death. Families have expressed a feeling of being on trial, and that feeling can resurface, particularly during the coronial process. They feel that they carry some guilt and responsibility for the death. That is the cause of the risk of trauma.
The House of Commons Library undertook research on my behalf into what guidance is available to police forces, but it drew a significant blank. Although I plan to meet the lead on the issue from the Association of Chief Police Officers, will the Minister examine how advice and guidance can be issued by the Home Office to bring consistency to the investigations carried out by police forces after a death has been recognised as suicide? Will he examine the training provided to police officers on the difficult role that they play in breaking the traumatic news of a death to families, the sensitivity of gathering information to further their inquiries and the need to provide support and information to the bereaved? In particular, will he ensure that all front-line police officers are made aware of “Help is at Hand” and that families access it as a matter of course?
Families have also suggested that, in the event of a suicide, an immediate response plan should be put in place, bringing them into contact with someone with professional training to help them through the first few days and weeks and to give practical advice. As the first responders, the police often seem to be the trigger for generating such support. In addition, families propose that, in the first few days after a suicide, local agencies should work together to share information, agree lines of communication and ensure that lessons are learned. I can tell the Minister that it happens in my constituency, where it works extremely well and is very effective.
Australia leads the world on police and media communications after suicide. The all-party group heard from Professor Jane Pirkis, a leading expert in suicide research from Australia, about a programme called Mindframe designed to equip police officers with the necessary skills for dealing with the media. Officers are issued with a small card to keep in their wallet offering advice about appropriate language to use and how best to deal with media inquiries. It also highlights information to be passed to families, localised to individual police forces, about local and national support services. It is simple, but it ensures a high level of consistency, which we also need to achieve. Will the Minister look at Mindframe, with a view to adapting something similar for use by police forces in England and Wales?
Not only are the police often the first agency to be involved in a suicide, but police officers are more likely to have contact with people who are distressed and may go on to take their own lives. It is estimated that as many people see a police officer in the three months before their death as see a mental health professional in the 12 months before their death. Police officers are often the authority figures with whom the suicidal are in contact before their death; they are in contact with them more often than with any other professional. Will the Minister consider how police training can be used to build awareness of suicidal behaviour, so that officers are better equipped to recognise those at risk?
Social media such as Bebo and Facebook create an additional burden for bereaved families. Photographs posted on personal sites can often be accessed by journalists. I cannot begin to say how many families I have spoken to have been distressed when they saw photographs of their relative—often photographs that they have never seen before—printed without their knowledge or permission, often on the front page of a local newspaper. A few years ago, I worked with the Home Office to provide a simple telephone contact for each social network provider for police media teams to use to close access to individual sites. Will the Minister look at that again to ensure that police forces are aware of the process and that families can be advised of that service?
My second area of concern is about the investigation of suicides, in particular where the internet may have been a factor. In the past year, I have been contacted by several bereaved families, the majority of them parents who have lost a child. The communications follow a similar pattern. In the aftermath of a suicide, it becomes apparent that the individual may have used the internet to access information on the means and methods to take their own life. They may also have been offered encouragement to do so via internet sites. In all the cases brought to me, the police have decided not to investigate the individual’s computer. The reasons are varied, including the Regulation of Investigatory Powers Act 2000, general privacy issues, time and money—the latter becoming a growing issue as police forces face budget constraints.
Without investigation, what may amount to criminal incitement to suicide is going undetected and unchallenged. Papyrus, a suicide prevention charity that works with bereaved families, is aware of 50 cases in which the internet played a significant part in a suicide. If the police do not routinely investigate websites explored by individuals before their suicides, we will never know the real scale of the problem or what the most dangerous websites are. If the police are unwilling to investigate, surely the full facts are not being presented to the coroner. We need national guidelines for such investigations and we need police forces to investigate computers and internet use as a matter of course where there is a suspected or known suicide. Will the Minister examine the 2000 Act to see whether any aspect of the Act is seen by police forces as a prevention to further investigation of computers? Will he issue clear guidance to police forces to ensure that, at the least, the history of internet use before death is examined and notified to the coroner? That is a small task, and for an expert it takes a matter of minutes. However, most families cannot do that for themselves.
I wish to end by thanking the many police officers who have been given the awful task of investigating suicides and who have been given the even worse task of notifying the families of those who have died. In securing this debate, I have aimed to bring greater clarity and consistency for police officers and families alike. We ask a difficult task of our police officers: to be able to go on dangerous streets, to tackle violent crime and drugs, and to be able to deal with people in a high state of distress and trauma. It is important that they are given the guidance and training to do so, and I look forward to hearing from the Minister.