Can Suicides Be Prevented By Providing Better Mental Health

Services in Canada

Alain Lesage MD

Institut universitaire de santeacute mentale de Montreacuteal

alesageiusmmssssgouvqcca

Library of Parliament

March 28 2014

ldquoDonrsquot talk to me about death It kills merdquo

Sacha Guitry

Canadian Mythsbull Suicide is a First Nations problem

bull Suicide is a personal decision It cannot be prevented like death from infectious diseases or chronic illnesses

bull Suicides have so many causes that suicide rates cannot be considered an indicator of the quality of Canadian mental health services

A Silent Epidemic

bull 10 suicides every day in Canada just under 4000 per year

bull 4 men 1 woman

bull Second- or third-leading cause of death among people under 45

bull Men aged 30 to 60 account for half of all suicides

Mortality by Suicide in Canada 1979ndash2009 by Sex Rates Standardized per 100000 People

(Source Public Health Agency of Canada)

Adjusted Mortality by Suicide in Canadian Provinces (men) Compared with Other Jurisdictions

1 Age-standardized to 1991 Canadian population both sexes

Sources Quebec Department of Health and Social Services Death records 2007

OMS httpwwwwhointmental_healthpreventionsuicidecountry_reportsen (consulted on August 31 2011)

Statistics Canada (2010) Mortality Summary List of Causes 2007 Health Statistics Division Catalogue no 84F0209X

Text table 1mdashStandardized-population by age group Canada July 1 1991

85104107

119123127132136

150152154160161167169171175180182190192

207213213217

227265274

308355

409570

0 15 30 45 60

Italy 2007Spain 2008

United Kingdom 2009Netherlands 2009

Ontario 2007Australia 2006

Nova Scotia 2007British Columbia 2007New Brunswick 2007

Germany 2006Manitoba 2007Denmark 2006Canada 2007Norway 2009

Sweden 2008Hong Kong SAR 2009

Alberta 2007Saskatchewan 2007United States 2007New Zealand 2007

Ireland 2009Austria 2009

Quebec 2007Czech Republic 2009

Switzerland 2007France 2007

Belgium 2005Finland 2009

Japan 2009Hungary 2009

South Korea 2009Lithuania 2009

Adjusted Mortality Rate by Suicide per 100000 People

Co

un

trie

s a

nd

Ju

risd

icti

on

s

Canadian Mythsbull Suicide is a First Nations problem

bull Suicide is a personal decision It cannot be prevented like death from infectious diseases or chronic illnesses

bull Suicides have so many causes that suicide rates cannot be considered an indicator of the quality of Canadian mental health services

A Silent Epidemic

bull 10 suicides every day in Canada just under 4000 per year

bull 4 men 1 woman

bull Second- or third-leading cause of death among people under 45

bull Men aged 30 to 60 account for half of all suicides

Mortality by Suicide in Canada 1979ndash2009 by Sex Rates Standardized per 100000 People

(Source Public Health Agency of Canada)

Adjusted Mortality by Suicide in Canadian Provinces (men) Compared with Other Jurisdictions

1 Age-standardized to 1991 Canadian population both sexes

Sources Quebec Department of Health and Social Services Death records 2007

OMS httpwwwwhointmental_healthpreventionsuicidecountry_reportsen (consulted on August 31 2011)

Statistics Canada (2010) Mortality Summary List of Causes 2007 Health Statistics Division Catalogue no 84F0209X

Text table 1mdashStandardized-population by age group Canada July 1 1991

85104107

119123127132136

150152154160161167169171175180182190192

207213213217

227265274

308355

409570

0 15 30 45 60

Italy 2007Spain 2008

United Kingdom 2009Netherlands 2009

Ontario 2007Australia 2006

Nova Scotia 2007British Columbia 2007New Brunswick 2007

Germany 2006Manitoba 2007Denmark 2006Canada 2007Norway 2009

Sweden 2008Hong Kong SAR 2009

Alberta 2007Saskatchewan 2007United States 2007New Zealand 2007

Ireland 2009Austria 2009

Quebec 2007Czech Republic 2009

Switzerland 2007France 2007

Belgium 2005Finland 2009

Japan 2009Hungary 2009

South Korea 2009Lithuania 2009

Adjusted Mortality Rate by Suicide per 100000 People

Co

un

trie

s a

nd

Ju

risd

icti

on

s

A Silent Epidemic

bull 10 suicides every day in Canada just under 4000 per year

bull 4 men 1 woman

bull Second- or third-leading cause of death among people under 45

bull Men aged 30 to 60 account for half of all suicides

Mortality by Suicide in Canada 1979ndash2009 by Sex Rates Standardized per 100000 People

(Source Public Health Agency of Canada)

Adjusted Mortality by Suicide in Canadian Provinces (men) Compared with Other Jurisdictions

1 Age-standardized to 1991 Canadian population both sexes

Sources Quebec Department of Health and Social Services Death records 2007

OMS httpwwwwhointmental_healthpreventionsuicidecountry_reportsen (consulted on August 31 2011)

Statistics Canada (2010) Mortality Summary List of Causes 2007 Health Statistics Division Catalogue no 84F0209X

Text table 1mdashStandardized-population by age group Canada July 1 1991

85104107

119123127132136

150152154160161167169171175180182190192

207213213217

227265274

308355

409570

0 15 30 45 60

Italy 2007Spain 2008

United Kingdom 2009Netherlands 2009

Ontario 2007Australia 2006

Nova Scotia 2007British Columbia 2007New Brunswick 2007

Germany 2006Manitoba 2007Denmark 2006Canada 2007Norway 2009

Sweden 2008Hong Kong SAR 2009

Alberta 2007Saskatchewan 2007United States 2007New Zealand 2007

Ireland 2009Austria 2009

Quebec 2007Czech Republic 2009

Switzerland 2007France 2007

Belgium 2005Finland 2009

Japan 2009Hungary 2009

South Korea 2009Lithuania 2009

Adjusted Mortality Rate by Suicide per 100000 People

Co

un

trie

s a

nd

Ju

risd

icti

on

s

Mortality by Suicide in Canada 1979ndash2009 by Sex Rates Standardized per 100000 People

(Source Public Health Agency of Canada)

Adjusted Mortality by Suicide in Canadian Provinces (men) Compared with Other Jurisdictions

1 Age-standardized to 1991 Canadian population both sexes

Sources Quebec Department of Health and Social Services Death records 2007

OMS httpwwwwhointmental_healthpreventionsuicidecountry_reportsen (consulted on August 31 2011)

Statistics Canada (2010) Mortality Summary List of Causes 2007 Health Statistics Division Catalogue no 84F0209X

Text table 1mdashStandardized-population by age group Canada July 1 1991

85104107

119123127132136

150152154160161167169171175180182190192

207213213217

227265274

308355

409570

0 15 30 45 60

Italy 2007Spain 2008

United Kingdom 2009Netherlands 2009

Ontario 2007Australia 2006

Nova Scotia 2007British Columbia 2007New Brunswick 2007

Germany 2006Manitoba 2007Denmark 2006Canada 2007Norway 2009

Sweden 2008Hong Kong SAR 2009

Alberta 2007Saskatchewan 2007United States 2007New Zealand 2007

Ireland 2009Austria 2009

Quebec 2007Czech Republic 2009

Switzerland 2007France 2007

Belgium 2005Finland 2009

Japan 2009Hungary 2009

South Korea 2009Lithuania 2009

Adjusted Mortality Rate by Suicide per 100000 People

Co

un

trie

s a

nd

Ju

risd

icti

on

s

Adjusted Mortality by Suicide in Canadian Provinces (men) Compared with Other Jurisdictions

1 Age-standardized to 1991 Canadian population both sexes

Sources Quebec Department of Health and Social Services Death records 2007

OMS httpwwwwhointmental_healthpreventionsuicidecountry_reportsen (consulted on August 31 2011)

Statistics Canada (2010) Mortality Summary List of Causes 2007 Health Statistics Division Catalogue no 84F0209X

Text table 1mdashStandardized-population by age group Canada July 1 1991

85104107

119123127132136

150152154160161167169171175180182190192

207213213217

227265274

308355

409570

0 15 30 45 60

Italy 2007Spain 2008

United Kingdom 2009Netherlands 2009

Ontario 2007Australia 2006

Nova Scotia 2007British Columbia 2007New Brunswick 2007

Germany 2006Manitoba 2007Denmark 2006Canada 2007Norway 2009

Sweden 2008Hong Kong SAR 2009

Alberta 2007Saskatchewan 2007United States 2007New Zealand 2007

Ireland 2009Austria 2009

Quebec 2007Czech Republic 2009

Switzerland 2007France 2007

Belgium 2005Finland 2009

Japan 2009Hungary 2009

South Korea 2009Lithuania 2009

Adjusted Mortality Rate by Suicide per 100000 People

Co

un

trie

s a

nd

Ju

risd

icti

on

s

Number of Suicides in Canada by Province and Territory 2008

httpwwwstatcangccapub84-215-x2011001tbls-enghtm

22

10

11

462

467

131

157

1025

1152

107

96

11

11

3705

0 500 1000 1500 2000 2500 3000 3500 4000

Nunavut

NorthWest Territories

Yukon

BC

Alberta

Saskatchewan

Manitoba

Ontario

Quebec

New Brunswick

Nova Scotia

PEI

Newfoundland amp Labrador

Canada

Institut National de Santeacute Publique du Queacutebec Model of Determinants of Health Status in Populations (Bernard Lemay and Veacutezina 2004)

GeneticEnvironmental

(physical socio-cultural)

Lifestyle Services

Determinants of Health Status in

Populations

9

Number of People with Axis I and II DisordersResearch Project on Deaths by Suicide in New Brunswick (April 2002 to May 2003)

N=102

__________________________________________________________

Mood disorders 69

Substance use or dependency disorders 61

Psychosis and other associated symptoms 7

Personality disorders 52

Comorbidity (two and more) 75

Total with at least one diagnosis 93

Use of Services in 102 Suicides in New Brunswick 2002ndash2003

Use of Medical Services in Year Preceding Death in 12301 Quebec Suicides 2000ndash2009 (Source Uniteacute de surveillance des maladies chroniques et deacuteterminants

INSPQ RAMQ MeDEcho ISQ)

bull For mental health purposes (mental health diagnosis with service)ndash Hospitalization 14

ndash Emergency room 27

ndash Psychiatrist ambulatory 31

ndash General practitioner ambulatory 45

ndash NO contact for obvious mental health purposes 47

bull All contact with medical servicesndash Hospitalization 27

ndash Emergency room about 49

ndash General practitioner between 79 and 86

ndash Specialist between 72 and 76

ndash NO contact between 12 and 21

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

9

Number of People with Axis I and II DisordersResearch Project on Deaths by Suicide in New Brunswick (April 2002 to May 2003)

N=102

__________________________________________________________

Mood disorders 69

Substance use or dependency disorders 61

Psychosis and other associated symptoms 7

Personality disorders 52

Comorbidity (two and more) 75

Total with at least one diagnosis 93

Use of Services in 102 Suicides in New Brunswick 2002ndash2003

Use of Medical Services in Year Preceding Death in 12301 Quebec Suicides 2000ndash2009 (Source Uniteacute de surveillance des maladies chroniques et deacuteterminants

INSPQ RAMQ MeDEcho ISQ)

bull For mental health purposes (mental health diagnosis with service)ndash Hospitalization 14

ndash Emergency room 27

ndash Psychiatrist ambulatory 31

ndash General practitioner ambulatory 45

ndash NO contact for obvious mental health purposes 47

bull All contact with medical servicesndash Hospitalization 27

ndash Emergency room about 49

ndash General practitioner between 79 and 86

ndash Specialist between 72 and 76

ndash NO contact between 12 and 21

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

Number of People with Axis I and II DisordersResearch Project on Deaths by Suicide in New Brunswick (April 2002 to May 2003)

N=102

__________________________________________________________

Mood disorders 69

Substance use or dependency disorders 61

Psychosis and other associated symptoms 7

Personality disorders 52

Comorbidity (two and more) 75

Total with at least one diagnosis 93

Use of Services in 102 Suicides in New Brunswick 2002ndash2003

Use of Medical Services in Year Preceding Death in 12301 Quebec Suicides 2000ndash2009 (Source Uniteacute de surveillance des maladies chroniques et deacuteterminants

INSPQ RAMQ MeDEcho ISQ)

bull For mental health purposes (mental health diagnosis with service)ndash Hospitalization 14

ndash Emergency room 27

ndash Psychiatrist ambulatory 31

ndash General practitioner ambulatory 45

ndash NO contact for obvious mental health purposes 47

bull All contact with medical servicesndash Hospitalization 27

ndash Emergency room about 49

ndash General practitioner between 79 and 86

ndash Specialist between 72 and 76

ndash NO contact between 12 and 21

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

Use of Services in 102 Suicides in New Brunswick 2002ndash2003

Use of Medical Services in Year Preceding Death in 12301 Quebec Suicides 2000ndash2009 (Source Uniteacute de surveillance des maladies chroniques et deacuteterminants

INSPQ RAMQ MeDEcho ISQ)

bull For mental health purposes (mental health diagnosis with service)ndash Hospitalization 14

ndash Emergency room 27

ndash Psychiatrist ambulatory 31

ndash General practitioner ambulatory 45

ndash NO contact for obvious mental health purposes 47

bull All contact with medical servicesndash Hospitalization 27

ndash Emergency room about 49

ndash General practitioner between 79 and 86

ndash Specialist between 72 and 76

ndash NO contact between 12 and 21

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

Use of Medical Services in Year Preceding Death in 12301 Quebec Suicides 2000ndash2009 (Source Uniteacute de surveillance des maladies chroniques et deacuteterminants

INSPQ RAMQ MeDEcho ISQ)

bull For mental health purposes (mental health diagnosis with service)ndash Hospitalization 14

ndash Emergency room 27

ndash Psychiatrist ambulatory 31

ndash General practitioner ambulatory 45

ndash NO contact for obvious mental health purposes 47

bull All contact with medical servicesndash Hospitalization 27

ndash Emergency room about 49

ndash General practitioner between 79 and 86

ndash Specialist between 72 and 76

ndash NO contact between 12 and 21

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

13

Comparison of Interventions Received and Interventions Required and Percentage Difference (n=102 Study of 102 Suicides in New Brunswick)

Received

n

Required

n

Difference

Psychiatric medication 51 65 22

Residential setting

hospitaldetox centre38 70 46

Intensive follow-up 34 71 52

Psychotherapy 19 48 60

Peer counselling 13 12 -

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

14

Needs Responsibility Number of

recommendations

among the 102

cases

Recommendations Stakeholders

Promotion

Training

Provincial

health

department

professional

organizations

49 Important for the public

patients and family to consult

for depression addictions and

suicidal crises better

detection treatment and

referral between primary and

specialized medical and social

services

Everyone (public families

patients front-line and

specialized medical and

psychosocial services

justice system and

education system)

Coordination Regional

specialized

mental health

and addiction

services

authorities

41 Continuity and closer follow-

up coordination of specialized

mental health and addiction

services for cases with

comorbidity

Specialized mental health

and addiction services

emergency rooms and

hospital medical services

front-line medical and

psychosocial services and

police services

No recommendations 28

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

British Study of All Suicides and Homicides Involving People with Mental Disorders

Healthcare Quality Improvement Partnership (HQIP) National Confidential Inquiry into Suicide and Homicide httphqiporguknational-confidential-inquiry-into-suicide-and-homicide

While D et al Implementation of mental health service recommendations in England and Wales and suicide rates 1997-2006 a cross-sectional and before-and-after observational study Lancet Mar 17 2012379(9820)1005-1012

Nuremberg Alliance Against DepressionmdashFour Strategies

1 Training and support for family doctors

2 Public information campaign about depression

3 Cooperation with various community stakeholders

4 Various actions to support self-help activities and high-risk groups

Hegerl U Mergl R Havers I Schmidtke A Lehfeld H Niklewski G Althaus D

Sustainable effects on suicidality were found for the Nuremberg alliance against depression

Eur Arch Psychiatry Clin Neurosci 2010 Aug260(5)401-6 Epub 2009 Nov 17

Depression Literacy and Seeking HelpPartners for Life | Solidaires pour la vie

17

Partners for Life Pilot-Year Results

Reached Schools visited

790000 690

Power in NumbersQueacutebec Canada

2011Population of Canada

35000000Population of the province

of Queacutebec8000000

Queacutebec adolescentpopulation

500000(about 50-70 reached)

Annual Reach

bull 50000 peoplebull 270 schoolsbull 1725 workshops

MONEY TALKSOn average the program costs

$10 per person

1998 to present across the province of Queacutebec and small part of Ontario

mainly PRIVATE sponsorship

18

65decline

Suicides per Total population

Suicides per Teens 15-19 years old

34decline

Action Leads to ChangePartners For Life a real impact on teen suicide

Decline in Quebec Teen Suicide

Since Partners for Life was launched in 1998 teens show the largest decline in number of annual suicides compared to all other age groups in QuebecTo this effect the Reacuteseau queacutebeacutecois de recherche sur le suicide sup1 recently published a scientific advice highlighting the importance of this program as well as its contribution to a greater than 65 reduction in youth suicide rates in the province over the past decade

To read the scientific opinion of the RQRS go to wwwmentalillnessfoundationorg

sup1 Created in 2009 the Reacuteseau queacutebeacutecois de recherche sur le suicide (RQRS) fosters research using different methodologies (basic clinical epidemiological) on suicide causes and preventionThe RQRS aims to consolidate the leadership of Quebec researchers on the national and international scenes

The Partners for Life program was launched in 1998

19

Partners for Life Pilot-Year Results

Reached Schools visited

790000 690

Power in NumbersQueacutebec Canada

2011Population of Canada

35000000Population of the province

of Queacutebec8000000

Queacutebec adolescentpopulation

500000(about 50-70 reached)

Annual Reach

bull 50000 peoplebull 270 schoolsbull 1725 workshops

MONEY TALKSOn average the program costs

$10 per person

1998 to present across the province of Queacutebec and small part of Ontario

mainly PRIVATE sponsorship

18

65decline

Suicides per Total population

Suicides per Teens 15-19 years old

34decline

Action Leads to ChangePartners For Life a real impact on teen suicide

Decline in Quebec Teen Suicide

Since Partners for Life was launched in 1998 teens show the largest decline in number of annual suicides compared to all other age groups in QuebecTo this effect the Reacuteseau queacutebeacutecois de recherche sur le suicide sup1 recently published a scientific advice highlighting the importance of this program as well as its contribution to a greater than 65 reduction in youth suicide rates in the province over the past decade

To read the scientific opinion of the RQRS go to wwwmentalillnessfoundationorg

sup1 Created in 2009 the Reacuteseau queacutebeacutecois de recherche sur le suicide (RQRS) fosters research using different methodologies (basic clinical epidemiological) on suicide causes and preventionThe RQRS aims to consolidate the leadership of Quebec researchers on the national and international scenes

The Partners for Life program was launched in 1998

19

65decline

Suicides per Total population

Suicides per Teens 15-19 years old

34decline

Action Leads to ChangePartners For Life a real impact on teen suicide

Decline in Quebec Teen Suicide

Since Partners for Life was launched in 1998 teens show the largest decline in number of annual suicides compared to all other age groups in QuebecTo this effect the Reacuteseau queacutebeacutecois de recherche sur le suicide sup1 recently published a scientific advice highlighting the importance of this program as well as its contribution to a greater than 65 reduction in youth suicide rates in the province over the past decade

To read the scientific opinion of the RQRS go to wwwmentalillnessfoundationorg

sup1 Created in 2009 the Reacuteseau queacutebeacutecois de recherche sur le suicide (RQRS) fosters research using different methodologies (basic clinical epidemiological) on suicide causes and preventionThe RQRS aims to consolidate the leadership of Quebec researchers on the national and international scenes

The Partners for Life program was launched in 1998

19

Bill C-300

STATUTES OF CANADA 2012CHAPTER 30

An Act respecting a Federal Framework for Suicide Prevention

ASSENTED TODECEMBER 14 2012

BILL C-300

LOIS DU CANADA (2012)CHAPITRE 30

Loi concernant lrsquoeacutetablissement drsquoun cadre feacutedeacuteral de preacutevention du suicide

SANCTIONNEacuteELE 14 DEacuteCEMBRE 2012

PROJET DE LOI C-300

Recommendations (1 of 2)

bull The Public Health Agency of Canada should be responsible to the Parliament of Canada for the national suicide prevention strategy and specifically for

ndash reviewing every suicide using the British model of the ldquoNational Confidential Enquiry on Suiciderdquo and issuing recommendations every year

ndash using its mental disorders surveillance system linked with its chronic disease surveillance system to monitor changes in the quality indicators for medical services for mental health purposes and

ndash implementing a national literacy program for all adolescents based on the Partners for Life | Solidaires pour la vie model

Recommendations (2 of 2)

bull The Government of Canada should provide a transition budget to support equitable access to psychotherapy in every province and territory including suicidal crisis psychotherapy within 24 hours for any Canadian who needs it

Recommendations (1 of 2)

bull The Public Health Agency of Canada should be responsible to the Parliament of Canada for the national suicide prevention strategy and specifically for

ndash reviewing every suicide using the British model of the ldquoNational Confidential Enquiry on Suiciderdquo and issuing recommendations every year

ndash using its mental disorders surveillance system linked with its chronic disease surveillance system to monitor changes in the quality indicators for medical services for mental health purposes and

ndash implementing a national literacy program for all adolescents based on the Partners for Life | Solidaires pour la vie model

Recommendations (2 of 2)

bull The Government of Canada should provide a transition budget to support equitable access to psychotherapy in every province and territory including suicidal crisis psychotherapy within 24 hours for any Canadian who needs it

Recommendations (2 of 2)

bull The Government of Canada should provide a transition budget to support equitable access to psychotherapy in every province and territory including suicidal crisis psychotherapy within 24 hours for any Canadian who needs it