Committee
Equalities, Human Rights and Civil Justice Committee 28 May 2024
28 May 2024 · S6 · Equalities, Human Rights and Civil Justice Committee
Item of business
Suicide Prevention
I begin by welcoming the committee’s inquiry. Tragically, suicide continues to impact all parts of society, so we all have a role to play in preventing suicide. That includes us individually as MSPs and collectively as a Parliament. Suicide is, indeed, everyone’s business. I strongly believe that we must all talk more openly about suicide and deepen our understanding of its complexity. By doing that, we can tackle the stigma that surrounds suicide and help to find new ways to support people when they have thoughts of suicide. I am very proud of the work that is happening right across Scotland to reduce suicide and I want to record my personal thanks to everyone who is already playing their part in helping to keep people safe and to support their recovery. I am impressed with the volume and range of evidence that the committee has already considered and I am pleased that our creating hope together suicide prevention strategy, has been described as “innovative” and “ambitious.” The strategy was developed through Scotland-wide collaboration with communities and the many partners who are working to prevent suicide. Listening to people with lived experience of suicide was key, as was learning from the past 20 years of suicide prevention in Scotland and around the world. That helped us to understand how Scotland’s approach could be more progressive. First, the strategy recognises the importance of creating societal shifts, which we describe as outcomes, so that our environment protects against suicide, we are all better equipped to respond to someone who may be suicidal, and that anyone who is or has been affected by suicide in any way gets the right support. Secondly, we must tackle the inequalities and life circumstances that increase suicide risk, which are often called “social determinants”. Those include people living in poverty, experiencing homelessness, or living with addiction; people having care experience; having been in prison; and being LGBT, neurodivergent, or coming from some minority ethnic communities. Much of Government’s policy and investment are already addressing those factors by, for example, tackling child poverty through our progressive Scottish child payment; addressing unemployment through our multimillion-pound investment in employability services; supporting people who are affected by substance use through our national mission; and improving Scotland’s mental health and wellbeing through the delivery of our mental health and wellbeing strategy, including through evidence-based approaches such as our world-leading distress brief intervention programme and action on self-harm. Although those policies are already helping to prevent suicide, we are going further by actively weaving suicide prevention into wider action across Government and society. I will talk about our progress on delivering our strategy. Our first annual report will be published this summer, with an assessment from our national suicide prevention advisory group, whose members represent and advocate for many of the groups that are disproportionately affected by suicide. I will touch on a few highlights. We have improved suicide awareness and the availability of peer support across our communities, used clinical evidence and our “Time Space Compassion” approach to suicidal crisis to drive improvements in statutory services and created new systems to capture data and evidence so that we can seize every opportunity to intervene and support someone who is suicidal. For example, we have introduced a suicide review and learning system. The progress has been achieved thanks to our new collective delivery model, suicide prevention Scotland, which brings together partners and communities across Scotland to collaborate and learn about suicide prevention. It also includes our strategic outcomes lead partners, Samaritans Scotland, Scottish Action on Mental Health, Penumbra, Change Mental Health and Public Health Scotland, which are bringing their valuable leadership and expertise to bear to support delivery. Looking ahead, our delivery plan for 2024-25 will be published shortly. That plan will continue the breadth and pace of work, including our drive to meet the needs of people who are at higher risk of suicide. It is backed by a significant commitment to double our investment in suicide prevention to £2.8 million by 2026, which is well on track. The wider financial context is extremely challenging, and I am sure that we will discuss how Government is continuing to prioritise mental health. I thank our lived and living experience panels, whose unique insights continue to direct all our work. I restate the strategy’s aim, which is for any child, young person or adult who has thoughts of taking their own life or is affected by suicide to get the help that they need and feel a sense of hope. I put on record the correct annual cost of the suicide bereavement support service, which is £309,688 in 2024-25. I look forward to our discussion and the outcome of the inquiry, which is welcome.
In the same item of business
The Convener
SNP
Our next agenda item is an evidence session with the Scottish Government and the Convention of Scottish Local Authorities on suicide prevention in Scotland. ...
The Minister for Social Care, Mental Wellbeing and Sport (Maree Todd)
SNP
I begin by welcoming the committee’s inquiry. Tragically, suicide continues to impact all parts of society, so we all have a role to play in preventing suici...
The Convener
SNP
Thank you, minister. Councillor Kelly, I invite you to make your opening remarks.
Councillor Paul Kelly (Convention of Scottish Local Authorities)
Good morning and thank you for the opportunity to give evidence to the committee. As the voice of local government in Scotland, COSLA has taken a strong po...
The Convener
SNP
I will ask the first question. During our evidence sessions, it has been noted that death by suicide increased over the course of the every life matters stra...
Maree Todd
SNP
I am happy to start, and I think that Morag Williamson will probably want to come in and contribute a little as well. A number of things are significantly d...
Morag Williamson (Scottish Government)
You are asking about the trends that we saw over the course of the every life matters strategy and what that meant for how we developed the creating hope tog...
The Convener
SNP
The focus on inequalities could be quite challenging in the circumstances that we are in. What challenges do you foresee being the hardest to overcome?
Maree Todd
SNP
It is clear that poverty increases suicide risk—the link between the two is clear—and it is very challenging to tackle poverty in this environment. We have h...
The Convener
SNP
I put the same question to Councillor Kelly. What has been learned from the previous strategy, and what challenges might arise in tackling inequalities?
Councillor Kelly
The create hope together strategy has, as Morag Williamson covered, taken many important and successful elements of the previous strategy and embedded them. ...
Marie McNair (Clydebank and Milngavie) (SNP)
SNP
Some of my questions have been touched on, so I will just move on. Over the past few weeks, we have spoken with witnesses who have raised the issue of suicid...
Maree Todd
SNP
As you might imagine, as I represent Caithness, Sutherland and Ross, that issue is very close to my heart. Work is being done in collaboration with Samaritan...
Marie McNair
SNP
Councillor Kelly, is there anything that you or your colleagues from COSLA want to add?
Councillor Kelly
It is vital that we address the socialisation and rural aspects as part of the strategy. The same goes for the many issues that relate to specific groups and...
Eddie Follan (Convention of Scottish Local Authorities)
I echo that. In response to the convener’s first question, one of the differences is that the every life matters strategy is a joint strategy: it is about na...
Haylis Smith (Scottish Government and Convention of Scottish Local Authorities)
We meet local leads regularly on a monthly basis. They are able to help us to shape what we are doing nationally and are embedded in that work, regardless of...
Marie McNair
SNP
We also heard—apologies, go ahead, Morag.
Morag Williamson
We all want to have a go at this one. We were very thoughtful about the rural dimension when we were developing the strategy. One of our guiding principles...
Marie McNair
SNP
We have heard about the increased risk to people who are in prison and about the issues with getting adequate support when they move on from prison. Could yo...
Councillor Kelly
That is part of the work that is done when someone leaves prison. Support for them can be available through local authorities, which should be reflected in a...
Haylis Smith
Public Health Scotland is leading work to look at action plans for high-risk settings, such as prisons. I am working alongside colleagues in the Scottish Pri...
Marie McNair
SNP
Do you know of any charities that work specifically with people who are leaving prison? Sorry to put you on the spot. If you do not have the information, I t...
Haylis Smith
I do not have the information to hand. We recently visited HM Prison Edinburgh and spoke a lot with the Barnardo’s service there that supports families of pr...
Marie McNair
SNP
That would be really helpful. Thank you.
Maree Todd
SNP
We can certainly look at the work that we do alongside charities that work with prisoners. From previous roles in the Government, I know about the work that ...
Marie McNair
SNP
Holistic support is really important as well.
Paul O’Kane (West Scotland) (Lab)
Lab
Good morning to the witnesses. I will focus on the potential impacts of the strategy for groups that are disproportionately impacted by suicide. In the evide...
Maree Todd
SNP
I am happy to start, but I am pretty sure that nearly everyone will want to contribute. We agree that it is not appropriate to take a one-size-fits-all appr...
Haylis Smith
There are a number of areas that we are looking at. The minister mentioned the changing rooms programme and its focus on football. Just recently, there has b...