Suicide

Baroness Royall of Blaisdon Excerpts

Tuesday 23rd April 2013 Grand Committee

[Baroness Royall of Blaisdon]

My Lords, I thank the noble Baroness, Lady Buscombe, for this important and timely debate. I am not a member of the Samaritans board. However, I fully support the calls for a free-to-caller number. I hope that Ofcom and the telephone companies are listening. I wonder whether we should all pen a joint letter to Ofcom and the telephone companies after this debate.

Like other noble Lords, I thank the organisations that have been mentioned, including faith groups, and especially the Samaritans in their important anniversary year. All these organisations, with their thousands of volunteers, work with, care for and support people who are troubled or have a mental illness. For too long, mental illness was shrouded by stigma and deprived of adequate resources. People with a mental illness, including those at risk of suicide, have always depended on what the Government might call the big society. The Samaritans have a shining record on this very tough subject. Thankfully, the stigma in society relating to mental health is increasingly being lifted, and all parties recognise the need for mental health to have parity with physical health. We would all agree on there being no mental health without physical health—and, I would add, without appropriate social care.

As Call to Action informs us, more lives in England are lost to suicide than to road traffic accidents, and every life lost to suicide is a tragedy. I welcome the cross-government strategy on preventing suicide. However, like Sarah Yiannoullou, the manager of the National Survivor User Network, I am concerned that self-help groups, survivor groups and small voluntary and community organisations that have helped with a preventive support have had increased burdens put on them and are having to close because of funding problems. There appears to be a conflict between what is said in the strategy and people believing that this can be delivered in the current climate. The right reverend Prelate made very important points about systemic and short-term funding.

Mental health services are clearly critical in providing the timely help and emotional support that can reduce the risk of people committing suicide. Having spoken to people working in mental health in my county of Gloucestershire, I know that they fear that recent changes in the NHS and the fracturing of services will have a negative impact on the delivery of mental health services in the community, especially in rural areas. There appears to be less co-ordination and less support for joint efforts between health services, charities, churches and other organisations that are working with people who have mental health problems. I would be grateful for the noble Earl’s views on whether there is appropriate integration where necessary. It feels as if the postcode lottery is being extended.

A briefing by the excellent organisation YoungMinds provides disturbing information about cuts by local authorities. Some have slashed 27% of their services, which has had an impact on people with mental health problems. Like the noble Baroness, Lady Buscombe, I am deeply concerned about the lack of local suicide prevention plans. The Government must not only provide requirements for such plans but must ensure that the funding is there in order for local authorities to implement the plans.

Society has changed profoundly in the past 50 years. We now live in a physically safer society, but emotionally people are far less secure. As many noble Lords said, many people live alone, and even when they do not live alone, they feel alone. We are all living longer, we have more stressful and isolated lives and we have to cope with huge and constant change. As the noble Lord, Lord Roberts, said, the increase in young people’s mental health problems is very disturbing. The factors that contribute to mental health problems, and indeed to suicide, such as drug and alcohol misuse, unemployment, social isolation, poverty and poor social conditions, appear at the moment to be increasing, and there are so many stresses and strains in society with little help available. There is a lack of hope, and it is incumbent on us all to give people more hope and vision for the future.

I look forward to the answers from the noble Earl about the support that the Government are providing to the voluntary and statutory sectors. Perhaps one of the greatest supports would be for the Government to change some of their current policies so that factors such as poverty, which increase the risk of suicide, are reduced. The risk of suicide in the whole population increases when we experience times of financial difficulty—this is not only my view but a widely held one—so I urge the Government to maintain their support for suicide prevention over the coming years.