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.”
A grieving mum has demanded an overhaul of mental health services after it emerged dozens of people have taken their own lives in Dundee despite seeking help.
The proportion of suicide victims in the city who have attended a psychiatric appointment in the year leading up to their deaths is higher than in any other part of the country, official data revealed.
Mandy Mclaren, whose son 28-year-old son Dale died in 2011 shortly after discharging himself from the Carseview Centre in Dundee, said the new figures were evidence that people are being let down by NHS Tayside’s mental health services.
“To me the whole system is failing,” she said.
“That amount of people committing suicide is absolutely shocking. It does not get any easier.
“You hope they will learn by their mistakes, but they’re not.”
In nearly half (46%) of the 164 suicides in Dundee between 2011 and 2017, the victim had a psychiatric outpatient appointment in the 12 months before their death, which is the highest rate in the country.
The Scottish Suicide Information Database, which was published on Tuesday, showed there were 769 probable suicides in Tayside and Fife during that period. The national total was 5,204.
A spokeswoman for NHS Tayside said every suicide was a tragedy and was “comprehensively reviewed by the Tayside multi-agency Suicide Review Group to look at the circumstances surrounding each individual case”.
Rose Fitzpatrick, chair of the Scottish Government’s National Suicide Prevention Leadership Group, said: “The Scottish suicide rate fell by 20% between 2002-06 and 2013-17, and we are committed to reducing this by another 20% over the next four years.”
People have until December 14 to give evidence to an independent inquiry into mental health services in Tayside.
Visit www.suicidehelp.co.uk or phone Samaritans on Freephone 116 123.
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.”
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?”
An investigation has been launched into the practice of doctors who cared for two Dundee suicide victims shortly before they died.
The General Medical Council (GMC) investigations centre on the care of Dale Thomson, 28, and David Ramsay, 50, who both took their own lives after visiting Dundee’s Carseview psychiatric centre.
Mr Thomson took his own life after discharging himself from the centre in 2015, while Mr Ramsay killed himself after being turned away from the same centre the following year.
A public outcry surrounding the deaths led to NHS Tayside launching an independent inquiry into its mental health services.
Now the GMC, which maintains the official register of medical practitioners in the UK, has launched its own investigation after “reviewing information in the press.”
The medical staff involved in the care have not yet been named, however, the family of Mr Ramsay received a letter from the organisation confirming the investigation, while family of Mr Thomson have also been contacted.
Gillian Murray, the niece of Mr Ramsay, said: “We absolutely welcome this investigation.
“We’ve been saying for the past two years it’s clear that the staff involved with David’s care failed him.
“Now there are various different investigations to determine exactly why he was failed and whether the staff involved are fit to practise.
“David lost his life through sheer negligence.”
Mr Ramsay, who had been experiencing psychotic episodes, was advised to “pull himself together” and to do “normal things” like take his dog for a walk.
After twice being turned away from Carseview, he was found dead at Templeton Woods four days later on October 9 2016.
Meanwhile, Mr Thomson turned to Carseview for help after barricading himself in his flat in January 2015.
He was allowed to leave the centre by doctors, however, and was found dead in his Charleston home just over two weeks later by mum Mandy McLaren.
A Fatal Accident Inquiry (FAI) into the death of Mr Thomson, though finding his death “unavoidable”, did highlight shortcomings in NHS systems which were “relevant” to his death.
Ms McLaren also confirmed she had been called by the GMC and had instructed the body to speak with her lawyers.
She said: “They said they had been looking over newspaper clippings.
“It’s a good thing but I don’t hold out much hope that anything will get done.
“I would like to be proved wrong though. Something needs to change.”
A campaign by families claimed at least 10 suicides could have been prevented had better help been given at the mental health unit.
It is not known whether any other families in Tayside have been contacted.
A spokesperson for the GMC said the organisation would not comment on any ongoing investigations into individual doctors.
Every day in Scotland, an average of two people die from suicide.
It is the leading cause of death among people aged 20-34 in the UK – with the rate considerably higher among men.
Sadly, it’s an issue all too familiar to many in Dundee – so much so that it’s led to intense scrutiny of local mental health services and an inquiry being launched. All last week, events were held to highlight the issue for Suicide Prevention Week. As part of that, the Tele has spoken to four people who have attempted to take their own lives, about their experiences and how they came through them.
They’re all members of the Blue Wings group, set up in Dundee by Robbie Russell after his frustration grew at the “underfunded” mental health services on offer in Tayside.
The group previously led calls for patrols to be introduced to the Tay Road Bridge, following a number of incidents involving people contemplating suicide or taking their lives on the crossing.
Dave Johnston, 43, from Claverhouse, became aware of suicide in a previous workplace.
He said: “Part of my day-to-day work involves taxying when my other operation is out of season so I quite regularly meet people in the taxis who experience mental health problems and suicidal tendencies. My own personal belief is that people are let down by the system.
“Right now if someone goes up to Carseview, they’ll be turned away on the vast majority of occasions without any treatment at all.”
Although the issue is common throughout Tayside, Dave said he has seen people around him being afraid to admit their dark thoughts to the authorities, calling for more effort to bring understanding to the system.
Dave said: “I’ve got experience from speaking to somebody very recently who had attempted their own life and were taken to Carseview.
“They were taken overnight and their only experience the next morning was that a police surgeon spoke to them and asked if they still felt suicidal. Nobody in their right mind would say yes because they don’t want to be kept in police custody and they were released that morning.”
He said including people who have experienced suicide themselves is needed in the system.
He said: “The folk that deal with these issues day in and day out may have ideas about it but perhaps the best people to talk to them and give them advice are the people that are suffering from the problems themselves.
“We still live in a very macho environment where it’s seen as a weakness to speak about these types of things. It’s not a weakness, it’s an illness.”
Robbie Russell, 28, from Arbroath, said he became angry and lonely during his teenage years, eventually attempting suicide at age 16 for the first time.
He said: “I was fine when I was younger, but when I got to my teenage years, I was quite angry.
“I was seen as a bad kid.
“I was never recognised as someone with mental health issues. It followed me into my late teens – I started getting arrested and turned to drugs as a shield to get out of it but it didn’t work.”
Robbie said he struggled to open up about the way he was feeling.
He added: “It was instilled into me about pride. You’re a man, you’re not really supposed to have feelings.
“That’s not the case – we’re all human and everyone feels an emotion and everyone should be allowed to express it.
“The first person I told was my mum. She’s always been my rock, I have always been a bit of a mummy’s boy. She has talked me out of a lot of situations.”
At his most vulnerable, Robbie started hiding under his bed and felt like he was not being taken seriously.
“I was let down by the system. Back then, there was far too much ignorance – everyone was just playing you off like you’re an attention-seeker,” he said.
Robbie later founded the Blue Wings group to help others who were feeling suicidal with the hope of developing the Facebook group into a charity.
“I started getting a lot better and opening up a lot more than I used to,” he said.
“I started accepting things a lot more.”
Aged 13, Tina Grant, from Douglas, tried to take her own life for the first time. She said she would do anything to get the pain she was feeling out of her head.
Tina said: “I felt dead for such a long time. I tried to do pills, slit my wrists, drink, everything.
“I didn’t know how to deal with it all so I thought that was the only way to do it.
“When you’re in a dark place and have so many bad things going on in your life, you just want to escape it.”
Tina, now 35, went through her suicide attempts for two years before telling her mum.
She said: “I hid it from my mum and stepdad for a long time and when they actually saw the razor on my wrists, that is when they got the help for me when I was about 15.
“I never really had anyone to talk to and speaking to someone is such a helpful tool.”
Although Tina admits she has not fully recovered from feelings of suicide, she is able to face the day more easily after opening up to other people.
She said: “I still deal with it now but I’m dealing with it a lot better because instead of turning to drink, I talk to my friends and family and that makes me feel so much better.
“It was like a weight had been lifted off me and I felt like a new person.
“I felt happier, freer and alive.”
Now, Tina is looking to get into care work and help others who are feeling suicidal.
She said: “If nobody knows of the groups available to you, go online and talk to people – it’s the best thing to do. Nobody is alone.”
Gavin Elliot, 20, from Broughty Ferry, has been on the edge of the Tay Road Bridge three times and still feels like he has not overcome his suicidal thoughts.
He said: “I was in care since I was about seven. Life was tough from the beginning.
“I tried multiple times to kill myself – whether it was sticking scissors to my throat, jumping off the bridge, trying to hang myself, trying to suffocate myself.
“Anything that I could try, I tried it because I thought the only way out was to end myself.”
He added: “Last time I tried was two years ago when my father passed away.
“I was at the edge of the Tay Road Bridge on the other side of the barrier when police came and they pulled me away.”
Gavin said he kept himself hidden from the world and only started talking to others when his support workers noticed.
He said: “Every day I’d wake up in the morning and think, why? What’s the point in me waking up when it is the same old routine every day? I would spend months on end in my house alone with no visitors – no physical contact, nothing. I sat alone and blocked everyone out.”
After ending up on the bridge, he was taken to Dundee’s Carseview mental health facility but said he did not receive much support.
“People at Carseview would look at me, say I was OK and send me home without any treatment whatsoever,” he claimed.
To get his life back on track, Gavin said he turned to BMXing which has helped him through his difficulties.