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Welcome to Members

and Representatives of

the Setagaya City

Council, Japan

October 2012

Matthew Tukaki

Director of the Board of Suicide Prevention Australia CEO and Executive Chairman of the Sustain Group

Presentation Contents… プレゼンテーションの内容

About Suicide Prevention Australia What do we do?

Who do we represent?

Who do we work with?

Suicide in Australia Thematic areas and groups

Data and information sharing

Government Policies

The challenges of suicide prevention in a large country Remote versus city

The role of social media and traditional media

Examples of work at the national and local level The City of Casey in Melbourne (Local Government / City Council)

Summary and vote of thanks

Who we are… 誰が私たちですか？

Established twenty years ago

Australia’s peak mental health body for suicide prevention

Member based organisations representing both and small and large

organisations

Working with the Australian Federal, State and Territory Governments when

it comes to policy development and advocacy

Developing position statements around some of the key issues and

challenges when it comes to suicide prevention such as GLBTI, Regional

and Remote Areas, Indigenous Australians, Young Men and the Aged

We work with the nations largest service and frontline providers, clinicians,

government policy makers and individuals alike

Who we are… 誰が私たちですか？

We have established a variety of sector and community engagement

initiatives as part of our knowledge sharing and collaboration activities: The National Committee for Standardised Reporting

The Coalition for Suicide Prevention

The Lived Experience Policy Advisory Committee

We better inform Government @ the State level through our representation

on various State Mental Health Commissions (New South Wales, Victoria

and Western Australia)

We represent more than 150 of the nations service providers, sector and

individuals

Who we are… 誰が私たちですか？

Suicide Prevention Australia is Governed by a Board with some members

who are elected and others who are appointed – our Board has a mix of

skills from frontline and policy development, to service delivery and clinical,

business and executive / professional

We have a small team that includes people from research and

communications backgrounds, event management and policy development,

fundraising and general administration

Position Statements… 位置の文

Providing thought leadership

that assists the community and

sector develop their own

strategies and positions when it

comes to key areas of focus and

concern

Enabling knowledge transfer

and collaboration

Suicide in Australia: Talking

Points…

We are a large and vast country…but… While we have a relatively small population

by comparison (Japan 2011: 127 817 277 & Australia 2011:

22,620,600) we have a relatively high rate of

suicide in the world

Although compared with Australia Japan

per 100,000 head of population has on

average 23.8 per year (Male: 33.5 &

Female: 14.6) while the Australia figure is

9.7 deaths per 100,000 (Male: 4.5 and

Female: 4.5).

Approximately 2000 Australians die from

suicide every year. Men are 4 times more

likely to die by suicide than women

The land mass of Japan

could easily fit into the

central desert of Australia

Figures provided by the World Health Organisation: Unless otherwise stated all statistics are from WHO: "Suicide rates per 100,000 by country, year and sex (Table)". World Health Organization. 2011. Retrieved 2012-01-26.

Figures… Over the past decade, about 2100 people

have died by suicide each year.

There were 2132 deaths from suicide

registered in 2009

Deaths from suicide represented 1.4% of

all deaths registered in 2009

In Australia 48% of all suicides in 2000

were by 35-64 year olds; an additional

13% were by 65% and over.

The suicide rates for children younger

than 15 years is estimated to have

increased by 92% between the 1960s to

1990s

Suicide rates are generally higher

amongst males, rural and regional

dwellers, Aboriginal and Torres Strait

Islander people. Lesbian, gay, bisexual

and transgender (GLBT) people may be

at increased risk.

Data collection… データ コレクション

We have no single collection point for data (NCSRS) and have been

working on a common form for front line responders

Data is sometimes out of date and skewed / there are many reasons for this

ranging from the time the data is collected through to the length of time it

may take for a coroner to make a formal decision

SPA has been instrumental in bringing all of the key stakeholders to the

table to find a way of establishing a much more structured and timely

process for the collection of information

In the USA CDC has funded 18 states and established the National Violent Death Reporting System (NVDRS) to gather, share, and link state-level data on violent deaths. NVDRS provides CDC and states with a more accurate understanding of violent deaths. This enables policy makers and community leaders to make informed decisions about violence prevention programs, including those that address suicide.

The City of Casey…

• The City of Casey has been at the heart of media attention in recent months as the community grapples with an increasing youth suicide

• Known as the Berwick cluster, the community came together in public to try and identify what some of the root causes could be and what could be done to better support young people and their families

• The challenges were highlighted by a national television program known as “Four Corners”

• “1 school lost 4 kids in 12 months” • Many deaths have been death by train • It is a silent killer

“Until now the accepted wisdom has been to publicly downplay suicide but in speaking to families who've lost children, reporter Liz Jackson found that young people are in fact talking about

suicide all the time on facebook. Social media has the potential to influence behaviour, for better or worse, and it's now accepted that suicide prevention strategies need to deal with this. As one parent explains, it was only after the death of her child that she realised her daughter had been

discussing her depression and suicidal thoughts on facebook. When calls and messages kept coming addressed to her deceased daughter the mother was forced to write:

"Can everyone please stop calling and messaging (my daughter). She doesn't have her phone. I do. And by the way there is no 3G in heaven.“

Four Corners tells the story of one community in a major Australian city where the threat of

repeated suicides amongst young people became so overwhelming that families and community leaders, backed by mental health experts, held an old fashioned public meeting to allow the

families and friends of the victims to tell their stories. It was a bold and controversial step but it was the only way they felt they could deal with the situation. In doing so the community hoped

they could break the terrible silence and find a way to confront this silent enemy. You will be shocked by what you see.”

http://www.abc.net.au/4corners/stories/2012/09/06/3584646.htm ABC Four Corners

There is no 3G in Heaven

“As a member of the Board of Suicide Prevention Australia I want every life to count, but I want to see better coordination in the sector, greater investment on prevention and more talk about the issues. In particular I want to ensure that whether your first language is English or not, young or old, your sexual orientation is different to mine or you live in a regional and remote community – you have the same access to the very services needed to keep you with us and not lost from us.” Matthew Tukaki, Australian Representative to the United Nations Global Compact Addressing the Sydney Peace Foundation / September 2012, Director of the Board, Suicide Prevention Australia

The need to do more… 我々 はより多くを行うことができます

Reference Points…参照点 City of Casey Profile of young people:

http://www.casey.vic.gov.au/doclib/document30Jun2011-144119.pdf?saveAs=Profile_of_Young_People_Living_in_the_City_of_Casey_v30Jun11.pdf

Australian Institute for Suicide Research and Prevention, Australian Institute for Suicide Research and Prevention, 2011

Facts and Statistics, Mindframe National Media Initiative, 2011 Facts and Statistics, Mindframe National Media Initiative, 2011 Australian Institute for Suicide Research and Prevention, Australian Institute for Suicide

Research and Prevention, 2011 Trends and predictors of suicide in Australian children, Australian Institute for Suicide Research

and Prevention, 2011 Facts and Statistics, Mindframe National Media Initiative, 2011 Figures provided by the World Health Organisation: Unless otherwise stated all statistics are

from WHO: "Suicide rates per 100,000 by country, year and sex (Table)". World Health Organization. 2011.

http://www.cdc.gov/violenceprevention/suicide/datasources.html There is no 3G in Heaven / ABC Four Corners:

http://www.abc.net.au/4corners/stories/2012/09/06/3584646.htm

www.suicidepreventionaust.org.au

ありがとう

Thank you