A Dundee filmmaker has released a short online video aimed at helping men in the city open up about their mental health battles.
“Mind Yersel” is a short, three minute film by 21-year-old, Bonnie MacRae, and explores the devastating topic of male suicide in the city – which has the highest rate in Scotland.
“I watched first hand how suicide can affect a family, I’ve dealt with depression myself and then I came across an article saying Dundee was Scotland’s suicide capital and it wasn’t something that I was willing to just accept,” Bonnie said.
“When I first had the idea to turn the piece into a short film, I knew I wanted it to be totally about Dundee.”
The film features a small cast who all hail from the City of Discovery, something which Bonnie felt was pivotal to the project.
She added: “Every person featured in the film is born and bred Dundee, and that was really important to me.
“Real boys in Dundee need to see themselves represented in the media, they need to know that they’re not alone in feeling a certain way. I have a younger brother and wanted him to watch it and see a little bit of himself in the film.”
The young filmmaker, who is from Broughty Ferry, was also full of praise for the film’s leading man, who narrated the short video and also appeared on camera throughout.
“Stephen McMillan features and I think he’s totally done both Dundee and the topic justice,” Bonnie said.
“He was on board with the film as soon as he read the script having personally experienced similar issues. He genuinely inspires me and I’m so lucky to have had him involved, Dundee should be proud of him.
“I think it’s had such a big impact already because of how close to home it hits. People watch and see someone opening up who speaks the same way they do, who walks the same streets as them – that was imperative.
Bonnie hopes that through watching the video, people of all ages and backgrounds in the city will be encouraged to seek help if they are struggling and hopefully save lives.
She added: “This film isn’t me preaching on how to cure depression, but I hope that in making the film I’ve started a long overdue conversation that needed to be had in Dundee.”
A man whose entire adult life has been plagued by mental health difficulties believes a 24-hour crisis centre for those suffering in Tayside would be a “great idea”.
Marc McLeish backed the Not in Vain for Lee campaign aimed at setting up a round-the-clock self-referral service, warning vulnerable people desperately need more support resources across the region.
The 33-year-old, from Perth, said: “If something like that existed in Tayside, it would be great.
“I have probably had about 40 emergency assessments in total but in almost 90% of these, I have been sent away with no treatment.
“If there was somewhere that was 24 hours, then it could be the case that I would not have self-harmed as much as I have.
“It would be great to have one in Perth as well but Dundee would be a good start.”
Marc, who was diagnosed with borderline personality disorder aged 23, has spent his entire adulthood battling his demons and the years since his school days have been marred by repeated incidents of self-harming and multiple hospital stints.
He said: “When I was in my teens and early 20s I attempted suicide quite a few times by taking an overdose.
“I have been a prolific self-harmer since I was in my teens and I have probably done it up to 100 times in 17 years.
“I always felt like I was a bad person because I was gay and I believed I needed to be punished, so that’s what I have done.”
Marc’s struggles with his mental health have had a profound impact on his day-to-day life and he admits he has difficulty coping. He added: “I really don’t have a very good quality of life.
“For me right now, it’s not a day at a time but rather two hours at a time and that’s what’s getting me through.”
Marc spoke about his mixed experiences with health services throughout his struggles, having been admitted to hospitals in both his hometown and Dundee.
“The first inpatient treatment I had was probably about 10 years ago in the Murray Royal Hospital and I had no issues with the treatment there,” he said.
“My GP practice has been fantastic, but there is definitely a lack of resources in Tayside.”
Marc’s most recent stint in hospital was just last month, when he spent five days in the Carseview Centre in Dundee after being admitted following an appointment with his GP.
He also raised concerns that his time at the Dundee unit was spent unsupervised – so much so he claims he was able to harm himself twice during his stay.
He said: “In Carseview, I felt people were left to their own devices.
“I asked my named nurse for a razor, saying I wanted to shave and I was told that as long as I wasn’t going to harm myself, I could have it.
“I then severely harmed my right arm with the razor and the wounds were gaping wide.
“I discussed with my family whether I should leave and we came to the joint decision that I should.”
A spokeswoman for NHS Tayside said: “Due to patient confidentiality, we are unable to comment on matters relating to individual patients.
“However, we can confirm we are in direct contact with the patient’s family.”
The number of children and adolescents waiting to see a mental health specialist has reached record numbers, new figures show.
At the end of December, there were 10,820 young people waiting to start treatment at CAMHS.
This compares with 9,337 during the same period in 2018 and a low of 7,620 in December 2017.
The official stats show that two-thirds of children were seen within 18 weeks, well below the 90% target.
The Scottish government standard states children and young people should start treatment within 18 weeks of referral to CAMHS.
In the last three months of last year only NHS Borders, NHS Orkney and NHS Western Isles met the standard, with NHS Lothian seeing less than half within the allotted timeframe.
The statistics show 272 children and young people who were seen during the final quarter of 2019 had waited over a year.
A further 589 children who were still waiting at the end of December had already been waiting over a year.
There were 3,884 children and young people starting treatment in the final quarter of 2019, a 14.1% decrease from the same quarter in 2018.
There are now more than 30,000 open cases in CAMHS.
Mental health problems
The Scottish Children’s Services Coalition said the waiting time figures highlighted the “desperate need” for increased investment.
A spokesman said: “The simple fact is that we are continuing to fail thousands of children and young people with mental health problems, and more clearly needs to be done to address this epidemic.”
Mental Health Minister Clare Haughey said the Scottish government was creating new CAMHS posts as well as strengthening the support available in communities and schools.
She said: “This year’s Programme for Government builds on this progress even further.”
That includes community wellbeing services for children and young people and a new 24/7 crisis support service, Ms Haughey said.
Scottish Labour’s Mary Fee said: “At a time when youth suicides have been increasing these figures should shame SNP ministers into action.”
Scottish Liberal Democrat health spokesman Alex Cole-Hamilton said: “Problems that start small are becoming crises as help arrives too late.”
He called for a mental health practitioner in every GP practice and new 24 hours a day service in A&E.
A former health board chief has sparked fury by suggesting a landmark inquiry into mental health services should not have gone ahead because it held up work to improve care.
Crawford Reid, former chairman of the Perth and Kinross integrated joint board (IJB), believes the independent inquiry “completely screwed” plans to redesign local mental health facilities.
The inquiry, led by former prisons governor David Strang, strongly criticised what it described as a loss of “trust and respect” in local psychiatric services.
But Dr Reid believes the launch of the inquiry – at the behest of the bereaved families of suicide victims – has set progress back in Tayside by two years.
The redesign was signed off in January 2018 by Perth and Kinross IJB, which is in charge of inpatient mental health services, but was put on hold following the inquiry’s interim report in May last year.
Ahead of an NHS meeting to discuss a proposed action plan on mental health tomorrow (Thursday), Dr Reid said: “Several aspects of the inquiry report give me great concern. (Ex-chair and ex-chief executive) John Brown and Malcolm Wright came in at a time when Tayside was in a dysfunctional shape – it was a knee-jerk reaction.
“I’m not minimising how ruinous suicide is but what’s happened is the mental health transformation programme has been basically put on hold.
“If the transformation programme had started to move in, things would have improved with a full complement of consultants.
“They completely screwed it.”
Relatives of those who took their own lives after engaging with local mental health services have criticised Dr Reid’s comments as poorly considered.
“There have been ample opportunities for genuine change with regards to mental health services in Tayside over the years given the sheer volume of investigations and horror stories.
“Nothing was changing hence why I, and others campaigned for this inquiry.
“Perhaps if these fantastic changes that are being proposed had actually been implemented years ago, lives would have been saved and there would have been no need for an inquiry.”
Gillian Murray
She added: “I feel yet again that we, the bereaved families who campaigned tirelessly for change, are being used as a scapegoat for the never-ending list of failures.”
Mandy McLaren, who lost her son Dale Thomson to suicide in 2015, said: “The redesign was in the interim report, and it did say it should be halted.
“The matter with him is he doesn’t want to take any responsibility for the part they all played in allowing these failures and allowing these deaths.”
Following a near-two-year investigation, the Independent Inquiry issued 51 recommendations on February 5.
Witnesses who gave accounts to the inquiry described how the transformation programme appeared to be little more than an asset management plan to save money.
However, Dr Reid believes that, with time, the programme could have gradually reintroduced localised care at facilities such as the Mulberry Unit in Angus, which was mothballed in 2017 despite being only despite being opened in 2011.
He also believes independent case reviews should have been held for each person who dies after engaging with mental health services.
“If you look at each and every recommendation there’s not one that moves the process of improving mental health services in Tayside one inch forward,” he added.
“Not one of those 51 recommendations, without the transformation programme going on, will improve anything.
The Susan Carnegie Centre, at Stracathro Hospital, which housed the Mulberry unit.
“The transformation programme had no time to bed in and move forward – if it had been allowed to develop the situation would have been fantastic compared to what it was two years ago.
“It’s not perfect but it’s far better than what we’ve been left with at this time. The sooner it gets put back on the boiler the better.
“Without a shadow of a doubt, this inquiry should not have gone ahead.”
NHS Tayside and the independent inquiry have been contacted for comment.
“We really need to work with staff to fix mental health”
Renewed calls have been made by NHS staff representatives for health bosses to work with them to improve mental health services in Tayside following the publication of the Strang report.
Jenny Alexander, employee director at NHS Tayside and a Unison rep, said the 51 recommendations were unlikely to be met unless staff were on board with the health board’s plans
She warned that actions could not be rushed through in the way the mental health transformation programme was perceived to be by some observers in 2018.
She told a meeting of Dundee’s health and social care partnership board (HSCP) yesterday: “The partnership aspect of this is very, very important.
“If we are running off and doing things like in 2018 we’re not going to do anything differently.
“We really need to start working in partnership with staff-side – if we don’t have staff on side we will never get through those 51 recommendations.
“We need to make sure we have improvements done for these people that we’re caring for.”
The independent inquiry found that staff reported feeling disrespected and undervalued by senior colleagues.
One mental health staffer described the atmosphere in mental health services as “a culture of fear”.
Arlene Mitchell, Dundee HSCP locality manager, says actions have already been taken in response to the inquiry.
These include the creation of new senior mental health posts, a new process for investigating adverse events and a plan to improve better support for those leaving mental health inpatient services.
Ms Mitchell said: “From a Dundee perspective, we’re in a good position…to ensure a strong staff partnership approach.
“We feel there’s a need to strengthen some of the staff partnership activity.”
Almost half of Dundonians who have died by suicide sought help from crisis services in the year leading up to their death, according to official figures.
The Scottish Suicide Information Database (SSID) report shows that 45.5% of the city’s 198 suicide victims between 2011 and 2018 contacted one or more unscheduled care services in the 12 months prior to taking their own lives.
NHS Scotland’s latest update to the SSID comes after it emerged tragic TV star Caroline Flack had been visited by an ambulance crew at her London home less than 24 hours before her death on Saturday.
Two-thirds of those who sought unscheduled help in Dundee did so by calling for an ambulance – and half attempted to get support from the NHS 24 telephone service.
Just over a quarter of those who sought help from Tayside’s out of hours service, which currently operates from Dundee’s Kings Cross Health and Community Centre.
Researchers who compiled the SSID noted that people who went on to take their own lives were six times more likely to have had at least one contact with the ambulance service in the year leading to their death.
The out of hours service can make referrals to NHS Tayside’s Crisis Resolution Home Treatment Team (CRHTT) for cases of mental health crisis in Dundee.
However, staff working for the CRHTT have reported feeling undersupported as NHS Tayside focuses on inpatient services such as those offered at the Carseview Centre.
NHS Tayside is reviewing the SSID report, along with the final report published by the Independent Inquiry into Mental Health Services in Tayside two weeks ago.
Mike Winter, associate medical director for mental health, said reducing suicide attempts was “a priority”.
He added: “NHS Tayside and partner organisations have been reviewing our crisis care and home treatment centres and working to develop a Psychiatric Emergency Plan.
“It should however be recognised that a key aspect of suicide prevention is the opportunity for people in despair to talk about their problems, whether this is to a work colleague, a friend or family member, or to a volunteer from Samaritans.
“The Independent Inquiry report will guide our further work on suicide prevention and other improvements we wish to progress.”
Scottish Labour health spokesperson Monica Lennon said opportunities for health and care services to refer people for mental health treatment “cannot be allowed to be missed”.
She added: “Reducing mental health stigma needs our collective efforts, proper funding for health and social services, and joined up working so that there is no wrong door.”
Responding to the report, mental health minister Claire Haughey said £3 million of funding was supporting the Scottish Government’s existing Suicide Prevention Action Plan.
Ms Haughey noted: “This report represents a significant contribution to the growing evidence base around suicide in Scotland which will inform current and future policy and activity.”
Support is available by calling Samaritans free 24 hours a day on 116 123. If you prefer to write down how you’re feeling, you can email jo@samaritans.org.
The parents of two young men who committed suicide after perceived failures of care by medical staff in Tayside have said they hope the deaths of their sons will not be in vain.
Dale Thomson took his own life in 2015 after spending time in Dundee’s heavily-criticised Carseview Centre, used to house and treat patients with mental health problems.
Dale’s heartbroken mum Mandy McLaren, a vocal critic of the health board and a campaigner for better mental health provision in Dundee, claims NHS Tayside “killed her son” and said she will “never forgive” the board and staff for the treatment Dale received.
She sat down for an interview with Tele, joined by Phil Welsh and Lesley Nicoll, who are also from Dundee.
Their son Lee Welsh took his own life in August 2017 after what the couple say were failings by his GP.
Lee, a talented musician, had endured mental health problems on-and-off for over nine years, being prescribed various alternative medications, but never actually receiving a particular diagnosis.
Phil and Lesley feel if he had received different treatment when he contacted his doctor in the days prior to his death, he would still be alive today.
Phil was given a Valium prescription to give to Lee on Friday August 4 and told to double his dose as his anxiety worsened, when his parents felt he needed to be admitted to Carseview.
They said his doctor told him he would not be able to get a referral to Carseview as it was the early evening on a Friday.
Lee went back to his GP on Monday August 7, having self-harmed over the weekend. However, he was again not referred to Carseview.
Lee’s parents Phil Welsh and Lesley Nicoll.
He took his own life the following day, aged 27.
NHS Tayside said that as an independent contractor, the actions of Lee’s GP were not the responsibility of the health board.
Mandy McLaren said it was the lack of care by NHS Tayside’s staff at Carseview in 2015 which led to Dale’s death.
The 28-year-old died in January 2015 after leaving the unit, which is part of Ninewells Hospital.
He had referred himself to Carseview via his GP and had been staying there between January 8 and January 10 that year. He discharged himself against medical advice.
Dale Thomson.
Dale’s sister later phoned police to inform them he had threatened to burn down people’s homes once out of the unit, and he was detained by police and returned to Carseview.
However, once assessed by doctors, he was returned to police custody and allowed to live with his grandmother.
Despite a follow-up GP visit and the prescription of an anti-depressant, Dale took his own life.
In 2016, while saying she could not comment on specific cases, the then-health minister at Holyrood, Shona Robison, apologised for any care which fell below the expected standard.
Ms Robison, who was replaced in the role by Jeane Freeman in June 2018, said: “If a service or part of the health service doesn’t meet the standards it should meet, then of course I would apologise to their family — whether that’s in mental health services or any other service.
“Obviously I can’t comment on individual cases to any great extent, because I’m not party to the full clinical information.
“Most of the time, our services are of a very good quality – sometimes services do fall short of where they should be.”
The three grieving parents spoke openly and frankly about the circumstances surrounding Lee and Dale’s deaths, and the heartbreak they have lived with since losing their sons.
Both Lee and Dale’s cases have tragic similarities.
The pair were both men in their 20s, had a history of mental health problems, had been supported by their families and had sought help from the NHS.
Both families claim the care they received fell far short of what their sons needed.
And, perhaps most tragically of all, both men left behind young daughters.
Mandy has been involved with a Stakeholders’ Group, set up in 2018, made up mainly of families or service users whose lives have been affected by mental illness or suicide.
They continue to campaign for better mental health services and meet next on February 20, one week before the upcoming NHS Tayside board meeting.
Mandy said she also receives messages and phone calls, sometimes from strangers in Carseview, asking for advice as they struggle with their mental health.
The website aims to share stories relating to mental health issues which can be shared with politicians, charities, and other people, in the hope that “funding and a fresh approach to the subject of mental health will finally be discussed and implemented”.
The family say that if they can prevent one family from enduring the same heartache they are currently suffering, Lee’s death will not have been in vain.
They are also campaigning for a crisis centre for people who can access acute mental health services without referral.
In the Trust and Respect report, it states that the Scottish Association for Mental Health (SAMH) has been working with various agencies and bodies in Tayside “to support the drive to increase access to preventative and short-term interventions”.
