Suicide rates in Dundee are higher than any other city council area in Scotland, according to a new report.
The Scottish Suicide Information Database also shows that men accounted for three-quarters of suicides across Tayside in the last seven years.
According to the report, there were 164 deaths caused by suicide in Dundee with an average of 16.7 per 100,000 population between 2011 and 2017.
Angus along with Perth and Kinross Councils recorded 98 and 126 suicides respectively.
For Tayside as a whole, 388 suicides were recorded with an average per 100,000 population of 14.1.
Men were more likely to take their own lives, with the rates across Scotland highest among those aged 35-54 and in deprived areas.
Nearly three-quarters of those who died had contact with healthcare services in the year before their death.
An inquiry is currently under way into NHS Tayside’s mental health services after a number of concerns surrounding the Carseview Centre.
Phil Welsh, whose 28-year-old son Lee took his own life last year, said the latest statistics were “damning”.
He said: “It’s clear that there’s a situation here that isn’t working.
“I think the fact there is an inquiry shows there’s something amiss.
“Mental health is a discussion point now but it’s all well talking, we need support for people afterwards and that is why we badly need a crisis centre.”
A spokeswoman from NHS Health Scotland said: “National suicide prevention programmes need to incorporate a comprehensive public health approach which seeks to reduce stigma, improve mental wellbeing in the whole population and address the underlying causes of poor mental health.”
Bosses at the health board aim to get rid of 1,300 posts to plug the hole in its finances, official papers revealed.
They say they can do that over several years through “natural staff turnover”, but it is feared cuts to backroom staffing will have an impact on patients.
The decision to shrink the workforce comes as the board benefits from having at least £62 million of debt written off by the Scottish Government.
The plans are revealed in an assurance report to the board from September.
It said there was an “acceptance that staff levels need to reduce by 10%”.
Gillian Murray, who has been campaigning for better mental health services after failings in the care of her late uncle, said the decision shows that “balancing the books obviously means more to them than saving lives”.
“People in Dundee are dying because NHS Tayside is a shambles and to cut the workforce is another slap in the face for all of us,” she added.
Murdo Fraser, the Conservative MSP in Perthshire, said: “Local people will be wondering what impact these massive reductions in staff will have on their already pressured services.”
Annie Ingram, NHS Tayside director of workforce, said no one will lose their job but said spending on the workforce is higher than health boards of a similar size.
She added: “We are carrying out a review of staff numbers, grades and skills, which is being carried out in partnership with our staff and our trades unions, to ensure we have a safe, affordable and sustainable workforce.”
The NHS in Scotland is not financially sustainable and its performance has continued to decline, the public spending watchdog has warned.
Audit Scotland said health boards were “struggling to break even” and none had met all of the key national targets – with NHS Lothian not meeting any.
It highlighted increasing demand on NHS services, and rising waiting lists.
Health Secretary Jeane Freeman said the government was already taking forward Audit Scotland’s recommendations.
But the watchdog’s report prompted widespread criticism of the Scottish government, with the Conservatives claiming it should “make shameful reading for the SNP”.
The report said pressure is building in several areas – including the recruitment and retention of staff, rising drug costs, Brexit and a significant maintenance backlog.
It said “decisive action” was needed to protect the “vital and valued service”.‘
What does the report say?
The report warned that the NHS in Scotland is “not in a financially sustainable position”, with NHS boards “struggling to break even, relying increasingly on Scottish government loans and one-off savings”.
And it said the “declining performance against national standards indicates the stress NHS boards are under”.
The only target met nationally in 2017/18 was for drugs and patients to be seen within three weeks.
Only three of Scotland’s regional health boards met the target for patients beginning cancer treatment within 62 days of being referred
The proportion of youngsters seen by CAMHS within 18 weeks fell from 83.6% in 2016/17 to 71.2% in 2017/18.
The Scottish government invested £13.1bn in NHS services last year, but Audit Scotland said when inflation was taken into account there was a 0.2% real terms drop in cash.
Health boards made “unprecedented” savings of £449.1m, but many relied heavily on one-off savings for this, while three boards – NHS Ayrshire and Arran, NHS Highland and NHS Tayside – needed £50.7 million of loan funding from the government to break even.
This was “significantly more” than in previous years, with Audit Scotland saying four boards have predicted they will need a combined total of £70.9m in this current financial year.
The report said the “NHS is managing to maintain the overall quality of care, but it is coming under increasing pressure”, adding Brexit would create “additional challenges” for the health service.
However the scale of these challenges was “difficult to assess” because of “significant uncertainty” over the terms of the UK’s withdrawal deal from the European Union, and because data on workforce nationality is not routinely collected.
Auditor General Caroline Gardner said: “The performance of the NHS continues to decline, while demands on the service from Scotland’s ageing population are growing.
“The solutions lie in changing how healthcare is accessed and delivered, but progress is too slow.”
What has the Scottish government said in response?
Health Secretary Jeane Freeman said the government was already taking forward Audit Scotland’s recommendations.
She said NHS funding had reached “record levels of more than £13bn this year, supporting substantial increases in frontline NHS staffing, as well as increases in patient satisfaction, reductions in mortality rates, falls in healthcare associated infections, and Scotland’s A&E performance has been the best across the UK for more than three years.”
She added: “While our NHS faces challenges, common with health systems across the world, we are implementing a new waiting times improvement plan to direct £850m of investment over the next three years to deliver substantial and sustainable improvements to performance, and significantly improve the experience of patients waiting to be seen or treated.
“Ultimately we want to ensure people can continue to look forward to a healthier future with access to a health and social care system that continues to deliver the world-class compassionate care Scotland is known for.”
What other reaction has there been?
Conservative health spokesman Miles Briggs claimed the NHS was “facing an unprecedented challenge” with boards across the country “staring into a black hole of more than £130m.
He said: “For a government which has been in charge for more than 11 years, this should make shameful reading for the SNP.”
Labour’s Monica Lennon added: “After more than a decade of SNP complacency our NHS is in crisis.”
Dr Lewis Morrison, chairman of the British Medical Association (BMA) in Scotland, said the “stark warning” from Audit Scotland “could not be any blunter”.
But he added this would “come as no surprise to frontline doctors who have faced the consequences of inadequate funding year after year”.
And RCN Scotland director Theresa Fyffe said the report “underlines what those in the nursing profession have been warning about for a number of years – an unsustainable pressure on staff to deliver more care.
“This leads to staff burnout and, in some cases, a choice between staying in the profession and their own health.”
Drug use to tackle mental health conditions in Tayside and Fife has rocketed by nearly two-thirds, it has been revealed.
NHS Tayside has increased its use of anti-depressants by more than 73% since 2007/8, while treatments for psychosis and related disorders have risen by 42%.
Pharmacies under the health board handed out nearly twice as much dementia medication, an extra 95%, and there was also an increase in the number of doses used to treat ADHD of nearly 175%.
NHS Fife recorded a slower rise in every treatment type except anti-depressants, where there was an increase of more than 90%. However, it experienced an overall rise of nearly 65%.
Only hypnotics doses decreased, with a drop of nearly 11% for Tayside and just over 2% for Fife. NHS Tayside, which paid out nearly £9.5 million for mental health drugs last year, an increase of more than 37% on 2016/17, insisted drug therapy can be important to recovery.
A spokeswoman said: “Increased levels of identification and diagnosis of mental health conditions, including dementia, means that more patients are accessing important treatments that can improve quality of life.”
TWO women bereaved by suicide have forged a bond as they fight for changes to health services to better protect vulnerable patients.
Karen McKeown and Gillian Murray met after the Sunday Post told how Karen’s partner took his own life despite repeatedly asking for help.
Luke Henderson died on December 29, 2017 after eight attempts to get help from NHS Lanarkshire in less than a week.
Gillian Murray’s uncle David Ramsay also took his own life two years ago today, after he was told to go for a walk and pull himself together by medical staff at NHS Tayside.
He had been rejected for treatment twice at the psychiatric unit at Ninewells hospital in Dundee, where an inquiry is under way into a series of serious concerns. Both Luke and David’s cases were raised in the Scottish Parliament by MSPs, and Karen met the mental health minister Clare Haughey on Thursday, although says she left feeling disappointed.
The mum-of-two said: “I appreciate that the minister listened to me, but that is really all she did. I don’t want sympathy, I want action, answers. Smiling and nodding your head just isn’t good enough.”
Karen was joined by MSP Monica Lennon during the 30-minute session.
The MSP has vowed to continue to push for answers on Luke’s case and both Karen, from Motherwell, and Gillian will campaign to demand a national inquiry to help establish stronger safeguards for vulnerable, potentially suicidal patients.
Karen and Gillian think the Tayside inquiry should be extended to cover the whole of Scotland.
Karen said: “This isn’t just happening in one place. Gillian and I are covered by two health boards and very similar problems happened with our relatives.”
Gillian added: “I know there are problems happening all over Scotland, that’s why we want an inquiry nationally.”
The Scottish Government said: “The tragic death of Ms McKeown’s partner is currently under investigation by NHS Lanarkshire. A key action in our new suicide prevention plan is to ensure we learn from every death by suicide and ensure lessons are acted on.”
Since I spoke out about what happened to Luke, I couldn’t believe the number of people who sent me messages saying they had similar experiences. One of them was Gillian, and her uncle David’s case was just so similar to Luke’s.
It looked as if he was experiencing psychosis, the same as Luke was.
The whole family didn’t seem to be believed by doctors, who said David was showing no signs of suicidal ideation. That is the exact same thing they said about Luke.
They told me Luke was ‘forward planning’ because he was saying he was looking forward to Christmas – two days away.”
People are dying, and it can’t keep happening. Karen has been through what nobody should have to.
Her partner killed himself in their home, even though she tried to get him help. Their children have to grow up without a dad. Nobody should have to suffer like this, and Luke should never have suffered either. He should have been given help, just like David should have been.
How many more people have to live like this, or die before the NHS will sit up and listen?”