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Suicide prevention strategy needs revision, says MLA

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There needs to be more after-care support for families who have experienced suicide, said Frame Lake MLA Kevin O'Reilly in the legislative assembly Tuesday. GNWT image

The GNWT recently funded suicide prevention programs but questions remain over supports for after-care among people who have attempted suicide.

Frame Lake MLA Kevin OSA国际影视传媒橰eilly told members of the legislative assembly on March 30 that one of his constituents informed him of the limits of health supports for individuals with experience of suicide.

The person reached out after Health Minister Julie Green announced on March 9 that her department had .

The fund will provide $45,000 per project for Indigenous governments and non-governmental organizations to develop and deliver community-based suicide prevention activities.

Gaps in support

But OSA国际影视传媒橰eilly said his constituent wrote to him about her familySA国际影视传媒檚 experience of suicide that included issues of stigma, lack of intensive counselling at the community level and follow-up after suicide attempts.

SA国际影视传媒淢y constituent stressed the need for continuing care after a suicide crisis as key to preventing chronic, personal cycles of suicide attempts. Individualized after-care plans and better family supports are needed,SA国际影视传媒 said OSA国际影视传媒橰eilly.

He then listed several supports such as the Community Counselling Program, Child and Youth Care Counsellors and SA国际影视传媒渟tepped careSA国际影视传媒 models offered through Health and Social Services.

NWT suicide rate higher than Canada

However, even with all of those programs the NWT SA国际影视传媒渟uffers rates of suicide at alarming levels compared to other territories and provinces,SA国际影视传媒 OSA国际影视传媒橰eilly said.

The , published on Nov. 5, 2020 doesnSA国际影视传媒檛 specifically have rates on suicide, but it does offer statistics on self-injury as an indicator of suicidal behaviours.

The rate of self-harm hospitalizations has increased from about 15 per 10,000 per year in the latter half of the 2000s to an average 24 per 10,000 in the last five years, the report said.

The current rate in the territory SA国际影视传媒 28 per 10,000 SA国际影视传媒 is four times higher than the national rate of 6.7 per 10,000 (2018-19).

RELATED REPORTING: Data on NWT residentsSA国际影视传媒 poor health presented along with improving long-term trends in GNWT report

The shows the suicide rate for the NWT was at 2.3 per 10,000 in 2013-2017. It was 1.2 for Canada as a whole.

Addressing Green, OSA国际影视传媒橰eilly asked what the normal practice with for after-care plans for people who have attempted suicide, how the plans are monitored and the supports available for affected families and communities.

Individual supports after suicide attempts

Green responded that following a suicide attempt, the person is assessed to determine if they need medical treatment or if they would benefit from certification under the Mental Health Act.

The non-hospital route involves speaking with the individual and doing risk assessment. TheySA国际影视传媒檙e given a safety plan that includes community-based supports and referral to follow-up services such as the Community Counselling Program or psychiatry.

Psychiatry plans are tailored to individual needs, Green said, and it is up to them to follow through with the plans.

The stepped care approach eliminates waiting lists, she added, making it possible for people to access a same-day appointment or return the next day if needed.

Family and community support

It also involves online supports through the Strongest Families Institute that provides care for families with children and young people.

SA国际影视传媒淲hat we're trying to do here is provide a spectrum of supports,SA国际影视传媒 she said.

On the community level, the GNWT has formed a suicide prevention and crisis response network with the Northwest Territories Health and Social Services Authority (NTHSSA).

Following a critical incident, the community can reach out to the health authority to ask for help and there is a conversation about what help is needed. NTHSSA then seeks those supports which could be one-on-one counselling or outreach support and tries to meet the communitySA国际影视传媒檚 goals.

SA国际影视传媒淭his system is in place now. I know it was recently used in connection with an incident in Tuktoyaktuk. What happened there was that a counsellor flew in from Paulatuk to assist the community, and there were people who flew in from Yellowknife to assist the community,SA国际影视传媒 Green said.

Community suicide prevention fund

The minister said there has already been a lot interest in the community suicide prevention fund in the three weeks since it was launched and groups have finalized proposals.

Although $45,000 is the limit per community, not every group will apply for that amount and some proposals might call for significantly less than that, Green said.

Green added that if more funding is required the GNWT would contact Health Canada for more money.





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