Selling remediation as prevention is dishonest

Regular readers of, and subscribers to, this blog know that I am a strong advocate for the prevention of suicides, especially those related to work. Mental illness is not always connected to suicides but there is often a correlation between, mental stress, self-harm, suicide ideation and suicides. as such it is useful to keep an eye on suicide statistics, particularly in industries or times of great stress.

In early December 2020, Victoria’s Minister for Mental Health, James Merlino, addressed the Parliamentary Accounts and Estimates Committee (PAEC) to discuss the 2020-21 Budget Estimates. At that time, Merlino made some clear statements about the rates of suicides, which are useful to remember when evaluating suicide and mental illness prevention strategies like those mentioned in the Productivity Commission’s recent inquiry into Mental Health.

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Suicide statistics could benefit from a different analysis

Regular readers of this blog would be aware that I feel that the prevention of suicide gains less attention than early intervention and that mental health has dominated suicide discussions to the point that suicides without a mental health context are largely ignored. This situation is starting to change with non-psychological pressures gaining some acknowledgement, if not examination. Mental health still dominates but the pool of contributory factors is expanding.

On 30 November 2020, the Medical Journal of Australia published the best recent example of this change, an article called “Suicide by young Australians, 2006-20415: a cross-sectional analysis of national coronial data.” The most useful statement in the research report, and the media release, is:

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Thanks, but we need more

Statistics are vital to any decisions about occupational health and safety (OHS). Safe Work Australia (SWA) does a great job providing statistical packages based on the data sources it can access. Last week SWA released its 2019 report on “Work-related Traumatic Injury Fatalities” which identified vehicle collisions as, by and large, the most common cause of worker fatalities. This category may be a surprise to many readers but perhaps the most important part of the report is what is omitted.

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Actions speak louder than words

A short debate in South Australia’s Parliament about the upcoming World Suicide Prevention Day was illustrative of some of the politics and barriers to reducing suicide.

Independent politician, Geoff Brock moved the following in support of World Suicide Prevention Day.

That this house –
(a) acknowledges that 9 September 2020 is World Suicide Prevention Day;
(b) acknowledges that world prevention day started in 2003;
(c) acknowledges that in excess of 3,000 people die from suicide every year;
(d) acknowledges that suicide is one of the largest causes of death each year;
(e) encourages people of all ages to openly discuss and acknowledge deaths by suicide;
(f) encourages people of all ages to openly discuss their mental health and wellbeing issues with family and friends;
(g) acknowledges the everlasting impact and effect of any death on family members and others; and
(h) encourages the state government to provide sufficient support, both financial and other support, as necessary.

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More data means a stronger case for change in workplace health and safety

SafetyAtWorkBlog tries to include links to original data and reports wherever possible. Last week the Australian Institute of Health and Welfare (AIHW) released its 2020 data insights report. There is a lot in it, and some relates to workplace risks. Perhaps the most useful section is the chapter of Social Determinants of Health (SDH). For those readers for whom this is a new concept, this chapter is obligatory reading.

SDH is crucial to understanding how occupational health and safety (OHS) risks fit with non-work, or social, activities, government policy decisions and economic pressures. The beauty of the AIHW take on SDH is that it based on Australian data.

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Building an honest state of knowledge about suicide

Bizarre dark painting

The apparent suicide of former Australian Football player, Shane Tuck, last week has again sparked discussion in the media and the community about suicide. The Victorian Coroner, John Cain, believes that how we talk about suicide needs a review. As workplace and work-related suicides also occur, the discussion is relevant to occupational health and safety (OHS).

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Mental health change needs to break out

On May 15 2020 Australia’s National Cabinet supported the National Mental Health and Wellbeing Pandemic Response Plan developed by the National Mental Health Commission. The focus was on the mental health impacts of the COVID-19 Pandemic but in the text was a reference to a National Suicide and Self Harm Monitoring System developed and run by the Australian Institute of Health and Welfare (AIHW). Given the dearth of valid data on suicide and after an earlier article questioning datasets, SafetyAtWorkBlog posed some questions to the AIHW about the monitoring system.

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