Suicide Prevention – - PowerPoint Presentation

Suicide Prevention –
Suicide Prevention –

Suicide Prevention – - Description

a partnership approach Mark Smith Head of Suicide Prevention and Mental Health Fundamental Issues Mental Health and Vulnerability Vulnerability and Risk Risk and Consequence Victimisation Criminality amp criminalisation ID: 382497 Download Presentation


amp health btp suicide health amp suicide btp mental rail care people incidents prevention operation police partner month london local life suicidal

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Suicide Prevention – a partnership approach

Mark Smith

Head of Suicide Prevention and Mental HealthSlide2

Fundamental Issues

Mental Health and Vulnerability

Vulnerability and Risk

Risk and Consequence


Criminality & criminalisation

Danger to others

Danger to self

Impact on families & communities

Impact on resources

Economic impact

Liability issuesSlide3

The Rail Network

A draw for the vulnerable

Transient population

Equality Issues

(access to services)

Immigration statusHomelessness Learning difficultiesAlcohol & substance misuseRace and cultureSlide4

BTP National Analysis

350 fatalities a year

84% believed to be suicides

41% of deceased had a mental health history

1700 incidents a month which involve mental health issues

2700 incidents of suicidal behaviour per year680 suicide prevention plans opened in one year Evidence of vulnerable people travelling great distances to attempt suicide and importing demand for servicesIn a 3 month period only 5 out of 11 people involved in suicidal incidents in Camden lived in the BoroughLondon North hotspot area with 30% of suicides & 37% of all related incidentsSlide5

Suicidal Incidents

01/04/12 - 31/03/13



296 suspected suicides

89 injurious attempts313 non injury attempts or life saving interventions44 reconnoitring796 threats with no attempt630 third party reports570 Para-suicide eventsSlide6

BTP Approach

2010 new Suicide Prevention Policy and SOP

Vulnerability assessment tool & structured suicide prevention plans

Public Protection Units & Mental Health Liaison Officers

Close working with Rail Industry Partners and the Voluntary sector

However barriers to effective working identified - Unfamiliarity with local Health & Social Care services and structuresReluctance of many agencies to share information Lack of medical oversight of police decision makingDifferences in local Health and Social Care service provision

Inconsistency in clinical judgements

Detention under S136 often ineffective in reducing risk

Need for a new approach to overcome these barriers

Need to secure appropriate diversions & free up police officer timeSlide7

2013 - New Partnerships

January - BTP & Network Rail (NR) agree a 3 year project to better coordinate activity in relation to Mental Health and Suicide Prevention which includes closer working with Samaritans

February - BTP, NR and NHS London agree 3 month funding to provide a pilot joint health and police intervention capability – ‘Operation Partner’

April - NHS England (London) agree further 6 month funding for Operation Partner

April - BTP and London Underground agree a 12 month project to join and enhance Operation Partner

September - BTP join ‘Street Triage’ programme funded by Department of Health and will seek to re-create Operation Partner outside LondonSlide8

Operation Partner

Combined Public Protection Unit

BTP operational & analytical resources

Supported by Mental Health Professionals

Key elements;

Medical operational review of BTP interventions and PIER plansSupport to BTP custody Outreach interventions & assessmentsFast access to dataTransition from Crisis to Care

689 people reviewed in 2013 – Only 1 later completed suicide on the railway and 1 away from the railwaySlide9

A New Model

Identifying Vulnerability

Assessment tool

Custody Screening

Analysis – people & places

Joint Intervention Team

Managing Risk



Situational solutions

Providing Care

Care Plan

Family support

Information sharing

Escalation processSlide10

A life saved – Op Partner

09/03/13 - Male seen acting strangely at station by rail staff

13/03/13 - Male returns – rail staff report to BTP

who attend, gain CCTV images & circulate to rail staff

14/03/13 – PPU circulate Image to all local GPs and local police. MHP circulate to all local Mental Health Units

15/03/13 - Male returns - rail staff call BTP who detain him under S136. Suicide note found in subject’s pocket and he tells officers he was going to do it ‘today or tomorrow’ MHP liaised with hospital and after assessment he is further detainedMHP have maintained contact with hospital re ongoing treatment and statusOne life saved – one railway fatality prevented

Suicide Prevented at Twyford Railway Stn 15/03/13Slide11

Key Benefits

Early access to relevant information

More informed and robust decision making

Support to frontline officers assisting them to access places of safety/services

Better outcomes for vulnerable people

Savings in police officer/staff time within the PPUSavings in Officer/PCSO time on the front lineDefined progression from Crisis to CareUp-skilling of PPU staffMany examples of MHP intervention being invaluable in breaking down organisational boundariesSlide12

Life Saving InterventionsSlide13

Key Issues

Funding challenges

Transport Health Needs Assessment – transient demand

Most people presenting in mental health crisis or with suicidal behaviour are not offenders

Commissioning – strategic fit

Care Bill requirements for vulnerable adultsConcordat commitmentsS136 improvement plan for London

Shom More....