Suicide Prevention

Diane Abbott Excerpts

Wednesday 6th February 2013 Commons Chamber

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

I congratulate the hon. Member for South Antrim (Dr McCrea) on opening the debate so ably. As we have heard, suicide is a particular problem in Northern Ireland, but the problem exists throughout the British Isles. I also congratulate my hon. Friend the Member for Bridgend (Mrs Moon), the hon. Member for Pudsey (Stuart Andrew) and the right hon. Member for Belfast North (Mr Dodds) on their extremely thoughtful contributions.

It is easy to blanket a debate on suicide in sociology jargon, but the truth is that, while any death in a family is tragic, there is something about suicide that is uniquely tragic. I say that as a mother. It must always leave family members asking themselves, “Is there something that I could have done? Were there signs that I could have noticed?” If suicide is a cry for help, family members must be left asking themselves until the end of their lives, “Why did I not hear that cry in the first place?” There is certainly something peculiarly tragic about suicide.

Of course, the individual causes of any particular suicide are never straightforward, and they are certainly not amenable to any top-down, one-size-fits-all, command-and-control solution, but I think it is agreed across the House that positive changes in society can make a difference to individual lives, and that we can offer even better support to bereaved families.

We know that suicide is not just a matter of mental health; however, it is related to mental health issues. I stress that Labour is committed to tackling the stigma attached to mental illness. One in four of us will suffer a mental illness at some point in our lives, and, as has been said by my right hon. Friend the Member for Doncaster North (Edward Miliband), the leader of my party, mental illness

“is the biggest unaddressed health challenge of our age.”

I should be grateful if Ministers could give me some assurances about mental health spending. According to some indicators, it has been cut in real terms. It is difficult to develop an effective suicide prevention strategy unless the basic spending is there.

I think that, once we have cut through the sociological jargon, it is clear that the recently rising levels of suicide must be related to the fragmentation of families and societies. Once upon a time, a generation ago, young people could reasonably expect to live in the same street as their mothers and other relatives, or around the corner from them. Young men growing up could reasonably expect a secure job, probably the same as that done by their fathers, and perhaps, in some parts of the country, in the place where many members of their community worked. That increasing fragmentation of families and societies—which is not the fault of any political party or any Government, but is partly due to the nature of the society we live in and to globalisation—must lead to less resilience in families and communities, and must make the issue of suicide more pressing.

As Members will have heard, the latest suicide figures issued by the Office for National Statistics for England and Wales show an increase in the number of people who have taken their own lives. In particular, there appears to have been a significant increase between 2010 and 2011. As we heard in a number of contributions, historically more men complete suicide attempts. We have also heard interesting contributions about the rise of cyber-bullying triggering suicide. There was a very sad case here in London a few weeks ago. A girl committed suicide because she was very upset about the pictures of herself in a compromising position that were going around via mobile phones and on the internet. We have also heard about the particular problems of suicide in prisons and young offenders institutions.

Some Members tentatively tried to explore why men are three times more likely than women to take their own lives. In England, for men under 35 suicide is the second most common cause of death, and that is clearly a particular issue in Northern Ireland. In the 1990s, suicide rates for young men aged 15 to 24 reached an all-time high. They were at the highest levels since the 1920s. Research by both the British Medical Journal and Mind found that during times of recession the mental health of men is put at particular risk. Mind’s YouGov survey found that almost 40% of men are worried or low at present, and the top three issues playing on their minds are job security, work and money. The report identifies unemployment as increasing the risk of suicide among men under 35; young men who took their own lives often did so in their period of worklessness. The chief executive of Mind, Paul Farmer, has said:

“The recession is clearly having a detrimental impact on the nation’s mental health but men in particular are struggling with the emotional impact. Being a breadwinner is something that is still crucial to the male psyche so if a man loses his job he loses a large part of his identity putting his mental wellbeing in jeopardy. The problem is that too many men wrongly believe that admitting mental distress makes them weak and this kind of self stigma can cost lives.”

The reasons for committing suicide are complex and often very individual, but the tough economic climate and social factors such as insecurities around work and housing, social isolation and substance misuse are felt particularly strongly by young and middle-aged men. For many middle-aged men, financial problems or redundancy can cause feelings of shame and hopelessness, and can feel impossible to overcome.

Young men and women of the lesbian, gay, bisexual and transgender community have not yet been mentioned in our debate. The Stonewall survey found that 50% of LGBT young men and women had attempted self-harm. We need to look at the particular needs of that group, both in relation to mental health and suicide and self-harm.

The Government have published a strategy called “Preventing suicide in England—a cross-government outcomes strategy to save lives”. It has two key aims: to reduce the suicide rate in England, and to support people better who have been bereaved or affected by suicide. However, the strategy does not make specific recommendations, so in the reorganised system it will be up to clinical commissioning groups and local directors of public health to take action in local areas. I hope this debate will serve to flag up the widespread concern that is felt about this. There is also an issue to do with spending.

Let me say a few words about Labour’s record on mental health. We made important progress on mental health, with the national service framework early on and then the improving access to psychological therapies programme towards the end of our time in office. Along with cancer and coronary heart disease, we made mental health one of our top three clinical priorities, and by 2007 we were spending more than £1 billion more on mental health services than in 2001, which is a real-terms increase of 25%. However, we believe there was more we could have done, which is why my right hon. Friend the Member for Leigh (Andy Burnham) has taken up this issue strongly. There is no question but that if we have an impact on mental health issues, we also have an impact on the problem of suicide.

Labour would like to see more work done on internet safety, to bear down both on internet bullying and on sites that, tragically, help young people to find out about suicide and may well encourage copycat suicides. We want to rewrite the NHS constitution to give patients the same legal rights to therapies for treating mental illnesses as they already have for drug treatment and treatments for physical illness. We want to ensure that training for all professional staff in the NHS includes dealing with mental health issues. If we are to meet the mental health challenge, and so meet the challenge of dealing with increasing levels of suicide, we have to realise that it is not just an issue for the NHS; we have to bring together public services, such as education and the police, to work with business and employers. That is why my right hon. Friend the Leader of the Opposition has announced the formation of a taskforce to draw up a strategic plan for mental health, which will be chaired by Stephen O’Brien, a good friend of mine and the chairman of Barts and the London NHS Trust.

We have heard about the particular problem in Northern Ireland, and it is sad to think that a generation are living almost with a traumatic disorder in the aftermath of the troubles. Again, I congratulate my friends from the Democratic Unionist party on bringing this issue to the Floor of the House in the British Parliament so that we can put it in the wider context and understand the tragedy.

Every suicide is an individual tragedy. Every person who commits suicide is not amenable to anything that government might do; we will always find that two people—two men or two young women—may be almost exactly the same but when faced with precisely the same circumstances they will choose a different path. There is nothing government can do about that, but we can do something about the therapies and mental health services available. We can do something to support and sustain families. When I say “families”, I do not just mean a man and a woman with a certificate and 2.2 children; I mean the many varied patterns of family we find in our society. We can do more to support families and communities. In particular, we can do more to support grieving families, and we can do our best as a House to ensure that, day by day, year by year, fewer people in the British isles feel that they have nothing worth living for.