A drastic overhaul of mental health support remains the key to reducing the number of attempted suicides on the Tay Road Bridge, it has been claimed.
There has been a spate of incidents on the crossing recently, with the bridge being closed by police after reports of concern for a person just after 3am earlier this week.
In another incident, a body was recovered from the Tay after a man was seen entering the water from the bridge.
Dundee City Council leader John Alexander said more must be done for people struggling with their mental health before they reach crisis point.
He said: “The reality is, the bridge isn’t the issue.
“Mental health services, and making sure adequate support is there for people who find themselves in crisis, is the issue.
“We have to ask ourselves, why are people presenting themselves at the bridge and why are people – in some instances – jumping off the bridge? And are they receiving the right support?
“In many cases, the answer will be ‘no’.
“And that is fundamentally the crux of it – we’ve got to get better at providing the right services at the right time, to intervene and support people to save their lives.
“That’s what’s going to make the difference to saving people’s lives.
“The bridge, unfortunately, is just one way in which a negative experience manifests itself.
“And, if it wasn’t the bridge, it might well be something else.”
In July, Health Improvement Scotland said it had found “significant concerns” with adult mental health community services in Dundee.
He said: “It’s just not about physical things like barriers and netting, there are other things.
“It’s about more than having messages and support available on the bridge – such as if people can pick up a phone and call someone.
“It is making sure people know there is support available and they are valued, and that isn’t what they need to do and where they need to be.
“I’ve been asked previously about things like a crisis centre, and I think those types of initiatives are going to make far more of a difference than netting, or fencing or whatever it might be.”
The ongoing issue will be discussed at a meeting of the bridge board on Monday.
In-roads are being made after a controversial report outlined mental health provision in the city, say officials.
Latest data – published by the Scottish Social Services Council – revealed six exclusive mental health officers (MHOs) were employed across the region
As a result, Dundee City Council used nine other MHOs to provide cover in 2019.
Cover MHOs are determined as social workers who step in when no exclusive or non-exclusive MHOs are available.
“The amount of MHO work, if any, they do each week tends to be very small. They are very unlikely to have the job title Mental Health Officer,” the report added.
Fife, in comparison, had 14 exclusive MHOs and 29 non-exclusive MHOs.
Phil Welsh, whose son Lee took his own life in 2017, said the report was very disappointing.
“Considering that Dundee is the suicide capital of Europe this report is damning and shocking,” he said.
Phil, who is campaigning for a new mental health crisis centre, added: “Six dedicated MHO’s to cover a city with the highest suicide rate in mainland Scotland, is desperately inadequate.”
He added: “Dundee, the fourth largest city in Scotland is way down in the stats.
“Once again we have empirical evidence that Dundee is not being supported sufficiently when it comes to the recruitment, training and retention of mental health professionals.”
Dundee Labour councillor Richard McCready said the report showed there was a clear need to improve mental health services in Dundee.
He said: “Instead of an integrated approach we have a confused and patchy service.”
John Alexander said the report was eight months out of date – and when a current vacancy was filled, a full quota of 16 MHOs would be in place.
Three people were currently in training and would be added to the team “hopefully within a matter of months,” he added.
A Dundee Health and Social Care Partnership spokesman said: “Since the data was collected there has been a positive impact in this area of work due to an increase in capacity within the Mental Health Officer team, this has put us in a better position to meet demand.
“Our Mental Health Officers can and do provide out of hours services through contact from out of hours.”
The SSSC report also revealed a total of 249 weekly hours were spent on MHO work in Dundee compared to 334 in Aberdeen, 276 in Angus and 278 in Perth and Kinross.
And Dundee fared worse than 13 other local authority areas in Scotland for the number of mental health care hours it offers residents, with 16.7 hours per 10,000 of the population.
The Scottish average is 20.5 hours. In comparison Edinburgh has 19.6, Angus 23.7, and Glasgow city 17.2.
A report, by Health Improvement Scotland (HIS), found “significant concerns” with adult mental health community services, which are managed by NHS Tayside and health and social care partnerships.
It is the latest blow for the local service’s reputation following a string of damaging inquiries and reports in recent years.
HIS raise questions over the area’s “crisis resolution” service, and claims there are inconsistencies in access to treatment depending on where people live.
Phil Welsh, who has been campaigning for a 24/7 crisis centre since the suicide of his son Lee, said: “The review, specifically in regard to immediate crisis support, still leaves the region far short of what is needed – namely a non-referral 24 hour crisis centre.
“What is offered in the report exemplifies that no real change will be forthcoming.
“While the review goes on to acknowledge that the partnerships and NHS Tayside recognise that they are struggling to provide the appropriate levels and quality of crisis response – but what is really alarming is the vagueness and empty gesture that `steps are being taken to address this’.
“The public have a right to understand `what steps` will actually be taken. This review does nothing to assure the people of Tayside that mental health provision will change,
“Will we as a region suffer more preventable suicides until these ‘steps’ are put in place?”
HIS also criticised the reliance on temporary staff, which the organisation claimed was unsustainable in the long-term.
And the organisation has recommended the health board and partnerships address these issues urgently.
However, the report did acknowledge that Tayside was not the only board facing these challenges, and that it was a nationwide problem.
And it also praised the commitment and dedication of staff, in the face of a number of challenges outwith their control.
NHS Tayside has issued a joint response with Angus, Dundee and Perth and Kinross health and social care partnerships.
It maintains they will continue to work to keep their promise of listening and acting on what requires to be done to improve mental health care in the region.
A spokesman said: “We will now ensure that the actions and recommendations set out in the report are progressed through the improvement work already under way across mental health services Tayside.”
The statement added: “This HIS review coincided and overlapped with the final report of the Independent Inquiry into Mental Health Services in Tayside which was published by Dr David Strang in February 2020.
“The findings released are reflected in the 51 recommendations of the independent inquiry’s report, and they will be taken forward in our Listen Learn Change draft Action Plan, which was submitted to Scottish Government in June 2020.
“Our final action plan will be completed later this month and include any further recommendations from this review, alongside the detailed work which is being progressed to improve mental health services across Tayside.
“We made a promise to the people of Tayside that we will ‘Listen, Learn and Change’ in response to the independent inquiry and the further actions which we will take from today’s report reinforce that pledge.
“As we move forward we will continue to refine our plans and ensure that these voices feature strongly and influence the new Tayside-wide Mental Health and Wellbeing Strategy which will be published in early 2021.”
Mental health campaigner Gillian Murray, whose uncle, David Ramsay killed himself after being refused treatment at Carseview Centre, said the report highlighted the “same old rubbish.”
She said: “Given Health Improvement Scotland undertook multiple reports and investigations that proved worthless – hence the need for a truly independent inquiry – I have little faith in the substance or impartiality of their reports.
“Thankfully David Strang will be returning early next year to see which, if any, of his recommendations have been implemented. That will be a report worth reading.”
Richard Peter–Tenant, who formed Dundee men’s mental health charity Walk and Blether said he supported any effort to improve mental health services in Tayside.
Richard said: “It’s at least encouraging that a further review has been carried out into what is available in Tayside.
“I am a strong supporter of a 24-hour mental health crisis centre for Dundee.
“One was needed before but I think it is going to be even more necessary as we begin to come out of this situation.”
Richard added: “If this report is listened to, along with the recommendations made in the Strang Report then maybe we can go some way to resolving Dundee’s mental health crisis.”
The Independent Inquiry Into Mental Health Services in Tayside
In February of this year The Independent Inquiry Into Mental Health Services in Tayside published its Trust and Respect report and called for an urgent overhaul of the practices.
In May 2018, concerns were raised in the Scottish Parliament about the provision of mental health services in Tayside.
An inquiry to examine the accessibility, safety, quality and standards of care provided by all mental health services in the region was commissioned as a result.
The final report, Trust and Respect, was published on February 5 and was chaired by David Strang CBE.
It contained 51 recommendations to improve mental health care in Tayside and highlights numerous failings, including a breakdown of trust, a failure to deliver services, a lack of psychiatrists, a lack of leadership and a lack of accountability.
Addressing his findings at the time Dr Strang said the board had “lurched from crisis to crisis”.
Dr Strang said he’d been disappointed NHS Tayside appeared to not have listened and did not learn from previous incidents.
He said: “On too many occasions, Tayside has adopted a defensive position, giving the impression of wanting to protect its reputation at all costs.”
Dr Strang said, while he couldn’t make any promises NHS Tayside would act on his recommendations, he was confident there would be strict monitoring of what the board was doing and he vowed to revisit the situation.
After being rescued from the freezing waters of the River Tay, Zana Grant felt only one thing – disappointment.
The 25-year-old had attempted to take her own life in January 2018 but, having survived the harrowing experience, felt she had “failed”.
In a candid account of a life spent battling her own mental health issues, Zana has bravely discussed what brought her to the edge on numerous occasions over the past few years.
Discussing her experience being rescued from the Tay over two years ago, Zana said: “I did not want to survive, I had no idea that I would survive. This was no cry for help, I wanted to die.
“I just wanted the pain I was suffering from to end. I had made my peace and wasn’t even particularly distressed when I took the decision.
“I remember it all clearly – I was so disappointed I was still alive.”
Zana has been rescued from the river twice since her first experience.
She told the Tele she will reach a point of crisis again and cannot guarantee she will not make attempts on her own life again.
Despite her own demons, Zana is training to be a mental health nurse and is also a qualified crisis volunteer.
She has made the difficult decision to speak out about her own battle as she calls for a self-referral crisis centre to be introduced in the city to help hundreds of others like her.
In bravely telling her story, Zana hopes the authorities take notice of what people are going through on a daily basis.
A crisis centre, Zana believes, would help people like her who feel they have nowhere to turn when they reach rock bottom.
A campaign led by Phil Welsh, whose son Lee took his own life in 2017, has called for a 24/7 crisis centre in Dundee.
It would operate similar to those elsewhere in Scotland, providing access to counsellors and support in a home-like environment allowing people time and space to seek appropriate help.
Zana said: “If by speaking out I can make people sit up and listen to my story and understand the dreadful mental health crisis that is taking place in Dundee then it will have been worth it.
“Dundee needs this centre. It would give people somewhere to go when they are at their very lowest and in their darkest hour.
“I don’t know if it would have prevented me doing what I did but it would have given me an option. At the crisis moments I would have had somewhere to turn instead of having to wait six or seven hours to speak to someone, which is the way the system works currently.”
Zana admits she has probably been suffering from mental issues for her whole life.
It was only when she reached secondary school that it became clear what was going on inside her own head.
She has been on medication, had a number of doctors appointments but has yet to receive a definitive diagnosis.
Zana also spent five months in the Carseview Centre and, although praising the staff and help she received there, admits it alone cannot deal with the demand and needs of those suffering mental health.
“There is something very far lacking in the mental health help that is available in Dundee,” Zana said.
“I know I need help. I have a constant need to die and it is very likely I will try again.
“On one occasion when I tried to take my own life, I told hospital doctors I’d attempt to do it again if I was released.”
Zana did make another attempt shortly after her release, only to be rescued by emergency services.
She knows that her battle is far from over – but hopes others can gain courage from reading about what she has gone through.
Zana said: “I have thought long and hard about going public with this. But I am ready to do it .
“Something needs to be done and if by speaking out it helps someone else and helps to get things changed then it will have been worth it.”
Charities back calls for crisis centre
Leading Dundee charities have backed calls for a 24-hour crisis centre in the city – and said more must be done to support those in need.
Feeling Strong and 18 and Under, who both support young people suffering from mental health issues, have insisted there would be huge benefits to having a drop-in centre in the city which would give people a first port of call if they are struggling.
Laurie Matthew, who founded 18 and Under, said: “I totally agree – a 24/7 crisis centre is needed in Dundee.
“I would like to see it extended to also cater for young people.
“Many mental health issues begin during teenage years and it is so difficult for young people to get support and help when they need it.
“I have known young people to have to wait up to a year to get proper support. It is outrageous.
“If they could have access to a 24/7 centre when they needed it we might go a long way to preventing mental health issues and problems developing and becoming even worse.”
Brook Marshall, project director of Feeling Strong, said: “We already support the idea of a 24/7 centre in the city.
“There are equivalent centres in other parts of Scotland and these have had a huge impact on mental health and well being.
“It is time that Dundee City Council, the Scottish Government and the NHS realised how big a mental health problem we have in Dundee and how important a centre like this in the city could be.”
Scottish Government has their say
A spokeswoman for the Scottish Government said: “Mental health and wellbeing is a top priority for the Scottish Government and we want to ensure mental health crisis services are available for all those in distress whenever they need them.
“We have funded NHS 24 to increase the support it provides by telephone. We have also extended the Distress Brief Intervention programme to support people contacting NHS 24 in distress from anywhere in Scotland, subject to assessment of individual callers’ needs.
“NHS Tayside and its partners are working on the redesign of mental health services and supports in response to the recommendations of the Strang report. This will include improving the local response to people in mental health crisis.”
Get help: Hotlines for suicide support charities
If you’re feeling low or suicidal, there are a number of helplines you can call and gain
support from trained professionals. They are:
Samaritans – for everyone. Call: 116 123 Email: jo@samaritans.org
Campaign Against Living Miserably (CALM) – for men. Call: 0800 58 58 58 – 5pm to midnight every day. Visit the webchat page.
Papyrus – for people under 35. Call: 0800 068 41 41 – Monday to Friday 9am to 10pm, weekends and bank holidays 2pm to 10pm. Text: 07860 039967. Email: pat@papyrus-uk.org.
Childline – for children and young people under 19. Call: 0800 1111 – the number will not show up on your phone bill.
Dundee City Council’s leader has backed calls for a 24-hour crisis centre for people struggling with mental health problems – after admitting support services in the city “have not been good enough”.
Campaigners have previously urged public bodies in Dundee to fund and open a 24/7 mental health crisis centre in the city following previous cases of self-harm and suicide.
The issue came to the fore again after a person was helped from the Tay Road Bridge on Thursday. The bridge has now been seen as a “crisis area” according to councillor Lynne Short – with numerous people rescued by emergency services on the bridge and surrounding area.
Speaking to the Tele in a video interview, councillor Short, who represents Maryfield, said: “The bridge staff work really, really hard to support people, and I can only thank them enough for all that support that they do give.
“It’s just really unfortunate that people in the city do see that area as being somewhere to find help.
“I recognise it, as an individual, and I’ve always found the support I’ve needed. That’s why I’ve always been very open about my struggles with my mental health, and the fact that we can talk about it nowadays.
Maryfield councillor Lynne Short spoke about the matter during a video interview.
The council leader echoed Ms Short’s views, and cited the Strang Report’s findings into mental health.
Mr Strang’s Trust and Respect report identified 51 recommendations to be implemented to improve mental health services in Tayside.
Strathmartine councillor Mr Alexander said: “The Strang Review, which was pretty hard-hitting, gave some very serious, well-thought out recommendations.
“One of the key recommendations was around this kind of idea of a support centre that was accessible to members of the public at any point in time.”
However, the council leader questioned whether the bridge would be the best place for a centre, because people may feel uncomfortable seeking help at such a visible location.
John Alexander joined the Tele for a video interview with colleague Lynne Short.
“You have to be conscious and listen to people who have real-life experience, rather than a politician saying, ‘I think it needs to be here’,” he added.
A female was rescued from the Tay by emergency services late last night.
The woman, who has not been identified, was hauled out of the water close to City Quay just before 11.30pm.
She was transferred to a waiting ambulance. The woman was reported to be very cold but otherwise uninjured.
Emergency services including Police Scotland, Scottish Ambulance Service, Broughty Ferry Lifeboat crew and two coastguard teams from Dundee and Arbroath raced to the scene shortly after the alarm was raised at 10.55pm.
A spokesman for HM Coastguard said they received a call from police saying that a female was in the water just off City Quay.
The spokesman said: “Emergency services, including both Broughty Ferry lifeboats, raced to the scene to the woman’s aid.
“The woman was traced by the RNLI crew and she was pulled on to the inshore lifeboat.
“She was then transferred to a waiting ambulance. She was conscious and breathing but was very cold.”
The Tay rescue is the second in three days for the volunteer Broughty Ferry lifeboat crew.
On Sunday they rescued a woman who was seen to enter the water opposite City Quay and began swimming out into the river.
The woman, who had been overwhelmed by the current, was saved by the crew of Broughty Ferry lifeboat who managed to haul her out of the water just as she was going under.
A spokeswoman for Police Scotland said: “Around 11.10pm on Tuesday, 16 June, police were called to a report of a woman in the River Tay near to City Quay in Dundee.
“The woman was rescued from the water and taken by ambulance to Ninewells Hospital to be checked over then later released.”
Zana admits she has probably been suffering from mental issues for her whole life.
