The number of people with mental health issues being readmitted to hospital in Tayside within a month of their discharge is increasing.
More than 16% of Tayside adults discharged from hospital, having been admitted on mental health grounds, were back within a month in 2016/17, according to new figures.
The readmission rate has increased from 11.9% in 2012/13.
NHS Tayside is above the Scottish average for mental health hospital readmissions in the most recent statistics compiled by ISD Scotland.
At 16.3%, it was behind only NHS boards in Dumfries & Galloway and Lothian.
The majority of patients readmitted after an initial stay in hospital were affected by mood disorders (36.9%), delusional type disorders (19.2%) and adult personality and behavioural disorders (15.8%).
North East Scottish Conservative MSP Bill Bowman said the increase in readmissions for depression is “very troubling”.
The ISD figures also recorded NHS Tayside region had the fourth highest suicide rate in Scotland, behind Forth Valley, Highlands and Orkney – 14.4 per 100,000 between 2012 and 2016.
Mr Bowman said: “At some point, one in four people will experience a mental health condition.
“NHS Tayside staff are doing their best to deal with the growing number of people who come to them with symptoms of depression and low mood.
“Because Tayside has such a high suicide rate, NHS Tayside needs resources to dig into why people come back to hospital so quickly.
“If it’s because of underfunding in areas run by councils and community healthcare partnerships, the SNP government needs to assess the potential damage it is doing by making cuts to local authority budgets.”
A spokesperson for NHS Tayside said: “Mental illnesses can be unpredictable and there are many reasons why a patient may require to be readmitted following discharge from hospital.
“Patients can sometimes experience a new episode of illness for which admission to hospital is the most appropriate course of treatment.
“Patients are discharged following clinical assessment from a consultant psychiatrist and are followed up locally within the community.
“There is no direct relationship between the length of time a patient is in hospital and the need to be readmitted.”
She added: “Anyone can become suicidal; the reasons can be different and very complex and it is not always due to mental illness. Each suicide is a tragedy and the impact on those left behind lasts a lifetime.
“Every suicide in Tayside is comprehensively reviewed by the Tayside multi-agency Suicide Review Group to look at the circumstances surrounding each individual case.
“f people are feeling suicidal, the best thing to do is talk and tell someone how they are feeling. Speak to someone you can trust or call a helpline. If you’re worried that someone else is suicidal, ask them – asking someone directly about their feelings can help them.”
Further help and information can be found by downloading the “Suicide? Help!” app, visiting www.suicidehelp.co.uk or calling NHS 24 on 111, Samaritans on Freephone 116 123 or Breathing Space on 0800 838587 or www.breathingspacescotland.co.uk
An independent inquiry into mental health services in Tayside is currently under way.
A Fife director is hoping to release a new film with a focus on coping with depression over the festive season in time for Christmas 2019.
‘Cold’, which has been written and produced by Kirkcaldy film maker Gavin Hugh, is being filmed in locations across Kirkcaldy, Stirling, Edinburgh and Aviemore, with two days of filming already in the can.
It is a huge personal undertaking for Gavin, who has previously worked for STV and Sky News and has been running his own Kirkcaldy-based video production business, MidgieBite Media, since late 2017 while also working part time at the Scottish Parliament as an assistant to Dundee City East MSP Shona Robison.
However, with the production funded through goodwill and his own pocket so far, Gavin and his team plans to launch a crowdfunding campaign early this year to help finish the film and release it in winter 2019.
“For a lot of us, Christmas is a happy time of year where we can celebrate and put all of our troubles to one side but for people suffering with depression it can be incredibly difficult to do that,” Gavin explained.
“We focus on how the pressure of trying to take part in the festivities and putting on a brave face just isn’t something that can be easily switched on and off in time with the days on a calendar.
“Taking care of your own mental health is easy to overlook. I’ve had my own issues with anxiety over the years, and some of the people that I’m closest to in my life have suffered from depression.
“Mental health issues can be challenging not just for the individual but for the people around them who are trying to offer support.
“As this film is drawing on a lot of personal experiences, it’s really important for me that our film gives an honest portrayal of these issues.
“While there’s an increasing awareness of mental health issues in mainstream society, we’re really hoping that the film can help encourage people to still be mindful of them at this time of year.”
Gavin has been involved in a lot of local film projects over the years, particularly with horror filmmakers Hex Media, and has recently been working closely with Robbie Davidson on his upcoming World War Two epic ‘Dick Dynamite’.
Most of the primary cast for Cold are Fifers, including Andrew Gourlay, Hana Mackenzie, Craig Seath and Iain Leslie, as are most of the technical crew.
Lead actress Rowan Birkett, a friend of Gavin’s from student days at Stirling University, has been travelling up from Ambleside in England to take part, while Dundee is also represented in Grant R Keelan, a city-based photographer who acts in the film as well as working in the technical team.
“It’s genuinely been great to work with so many talented local artists,” he added.
More details about the crowdfunding campaign will be announced in due course, and the plan is to hold a premiere of the new film in Kirkcaldy later in the year.
I’ve struggled with my mental health for seven years. I’ve got anorexia, and depression and anxiety. It started at school when I was 11. I don’t remember the root causes. I just started being really anxious and restricting what I ate, and hiding food. I felt so worthless and horrible. I hated the way I looked. I started self-harming, my mood was really low and it all spiralled out of control.
I didn’t understand what was going on. After a while, I thought it was normal to feel like that. It’s only recently that I’ve started realising that a lot of people suffer.
When I was 14 a friend noticed I wasn’t eating and was really withdrawn and told a teacher. I was really angry and annoyed but, looking back, I’m glad she did that because I wouldn’t have said anything. They then told my parents and I was referred to child and adolescent mental health services. I still didn’t think anything was wrong with me.
My parents were heartbroken. I can’t imagine how hard it is for them. I’ve put them through so much. I was in hospital for just under a year and they had to visit me and see me in such a distressed state. I think they found it really tough and still do.
I felt I couldn’t go out for ages. Even now, when I go on public transport I get really anxious. At its worst I used to panic, my heart beat faster and I started shaking. My thoughts would race and I would think that everyone was staring at me and that something bad was going to happen. Everything was exaggerated. Most times, I felt like I deserved self-harming. It was like a punishment for eating or going out.
There are days when I feel more optimistic about my future. Things are still hard but I’m doing a lot better than I was. Quite a few people have told me that they struggle with anxiety. It’s not fair. I know some amazing and lovely people; they don’t deserve to be going through that.
Harvey Sparrow, 16, Badsey, Worcestershire
When I started my GCSEs, my school was really pushing everyone, saying we all had to do well and work hard. I’ve always been the sort of person who is very motivated but the stress started building slowly and I couldn’t handle it. The thought of going to school made me nervous and I felt like I wasn’t good enough. It carried on and I felt a lot of sadness and hopelessness. It was awful.
I started feeling really detached from myself. I didn’t feel in control of my body. It turned out that was a type of anxiety. My stomach felt like it was churning. I’d feel sick when I knew I didn’t have a stomach virus. I lost concentration and if there was even a small doubt about me doing well, I’d lose focus. I couldn’t deal with it. It got really dark at times. I felt there was no point in me being here because I wasn’t bringing anything to the world. I wasn’t making my life any better. I had a lot of suicidal thoughts. I told my dad and we went to see the doctor. It took a few appointments for them to take me seriously.
A lot of my friends have anxiety around school. I thought everyone else was OK because people didn’t show it. Some of them lose out on sleep, some sleep way too much and some are very depressed. They don’t see a point in living. I know what it’s like. But to hear them say things like that is shocking when in my eyes they’re amazing. I guess they would have said the same thing about me. It’s a weird situation.
When I talk to my dad he says he never wants anything bad to happen to me. Now I’m in a good place, I’m like: “Why would I ever think of ever hurting myself?” I don’t want to throw my life away just because I’m in a bad place.
• In the UK, Samaritans can be contacted on 116 123 or email@example.com. In the US, the National Suicide Prevention Lifeline is 1-800-273-8255. In Australia, the crisis support service Lifeline is 13 11 14. Other international suicide helplines can be found at www.befrienders.org.
Chairwoman Jill Scott said it was a “scandal” that sufferers were having to “sort out their situation” themselves following the shutdown of the Mulberry Unit at Stracathro Hospital.
Angus Health and Social Care Partnership hit back at the criticism and said it was “encouraging” that a local group of people had come together to support one another and address mental health stigma.
Mrs Scott said: “It is a very sad reflection on Angus Health and Social Care Partnership that at a time when the mental health of our community is a growing concern that the first rate Mulberry Unit is being hived off for alternative use.
“Members of the public, sufferers of depression and people of influence in Angus Health and Social Care Partnership all recognise the problem but it comes down to the patients themselves who are having to sort out their situation.
“I am full of admiration, as an individual, as is Brechin Community Council, for these people but I despair for the future.
“It is a scandal that mental health is treated as a poor relation. Patients have been hung out to dry.”
The Mulberry Unit at Stracathro Hospital in Angus was finally closed earlier this year and patients were transferred to the Carseview Centre in Dundee.
Richard May, 45, who suffers from depression, set up Stop Mental Health Stigma three weeks ago and his ultimate goal is to eventually put in place a 24-hour mental health facility.
“There is just not enough being done for people struggling with mental health issues,” he said.
“Too many suffer in silence and feel alone but we are getting people out of their houses and it’s changing lives in a very positive way.”
The group meet in Montrose on Monday, Wednesday and Friday and Brechin on Tuesday, Thursday and Saturday.
Mr May, who lives in Montrose, started the group after being overwhelmed by the response when he put up a Facebook post admitting he was suffering from depression.
Bill Troup, Head of Mental Health Services, Angus Community Health Partnership said “self-management” is an element of mental health treatment.
He added: “Other local services that are available in Angus include self help groups, listening services, health and wellbeing, befriending and community mental health.
“Multidisciplinary Community Mental Health Teams are available in every town in Angus.
“It is important to remember that only six out of every 100 people who access mental health services each year need hospital care.
“With a greater focus on recovery and improved mental wellbeing in communities most people with a mental health problem are treated at home or in the community.
In both the UK and US, services for young people are being cut, leaving those from marginalised groups at greatest risk of suicide.‘Whatever the language deployed to describe the scale of mental health challenges facing Britain’s young people, it has to be addressed immediately.`
One recent report called the problem a “silent catastrophe” while a survey of teachers labelled it an “epidemic”. But, whatever the language deployed to describe the scale of mental health challenges facing Britain’s young people, it has to be addressed immediately.
Of course, an increase in referrals over time may be, in part, an indication of more young people self-reporting and GPs being more receptive to it. Nevertheless, the warning flares on children and young people’s mental health have come thick and fast lately. In June, the NHS England boss, Simon Stevens, said a major expansion of serviceswas needed to deal with growing demand. A few days earlier, a report from the Association of Child Psychotherapists warned of “a serious and worsening crisis” following a survey of staff in child and adolescent mental health services (Camhs). Underfunding on top of service reorganisation was an ongoing threat to specialist services, it concluded. “There was never a golden age of funding” for young people’s mental health, as Andy Bell of the Centre for Mental Health explains, but help must include a concerted focus on groups that face additional inequalities, such as LGBTQ youth who are much more likely to experience common mental health problems. Research shows that almost twice as many young LGBTQ people in the UK (44%) have considered suicidecompared with heterosexual non-trans young people (26%).
In the US, concerns about young people’s mental health have come to the fore lately, too, including for common problems like anxiety, depression and suicide. Suicide is the second biggest cause of death for 10- to 24-year-olds in the US and 90% of those who die have a mental health condition. And research shows the proportion of young people treated at children’s hospitals for suicide attempts or suicidal thoughts more than doubled between 2008 and 2015.
The 2018 State of Mental Health in America report tells a story similar to Britain’s. “Rates of youth with severe depression increased from 5.9% in 2012 to 8.2% in 2015,” it reports. And again, access to treatment is a problem as budget cuts put pressure on insurance coverage and services. “Even with severe depression, 76% of youth are left with no or insufficient treatment.”
And, as in Britain, for youngsters from marginalised groups the picture is especially challenging. Amit Paley, chief executive of the Trevor Project, which offers suicide prevention and crisis intervention support for young LGBTQ people in the US, points out that the rate of gay, lesbian and bisexual young people who have seriously contemplated suicide is around three times that of heterosexual young people. The evidence tells us that early identification and intervention can mitigate damage to young people’s mental wellbeing. We know, for example, that if children’s centres and young people’s services and schools are better equipped to promote wellbeing they can make a difference.
When it comes to young people in extreme distress or at risk of suicide, effective crisis services and access to support are utterly essential. But so too is preventing youngsters from reaching a crisis in the first place.
• In the UK the Samaritans can be contacted on 116 123. In the US, the National Suicide Prevention Lifeline is 1-800-273-8255. In Australia, the crisis support service Lifeline is 13 11 14. Other international suicide helplines can be found at www.befrienders.org.