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Cheshire & Merseyside Suicide Reduction Summit 4 th February 2015

Suicide and Self Harm Mitigation A strategic approach to suicide and self harm reduction in primary care. Cheshire & Merseyside Suicide Reduction Summit 4 th February 2015. Alys Cole-King, MB, BCh , DGM , MSc, FRCPsych @AlysColeKing. Population. 5. Identification of suicide risk.

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Cheshire & Merseyside Suicide Reduction Summit 4 th February 2015

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  1. Suicide and Self Harm MitigationA strategic approach to suicide and self harm reduction in primary care Cheshire & Merseyside Suicide Reduction Summit 4th February 2015 Alys Cole-King, MB, BCh, DGM, MSc, FRCPsych @AlysColeKing

  2. Population

  3. 5

  4. Identification of suicide risk Patients identified as high risk Surface Level Patients identified as low risk

  5. Strategic priorities in suicide prevention

  6. Key elements of suicide prevention

  7. Changing working practices in primary care

  8. Enhancing response primary care

  9. Suicide Prevention Training Programmes Specialist MH Services Emergency Department GP with special interest General Hospital staff Rural primary care services GP & primary care teams Counselling services Allied health Profs Pharmacy

  10. Solutions • Engage with GPs to increase training uptake • RCGP Curriculum • CPD sessions • RCGP Mental Health Training Advisory Group • Equal status given to suicide prevention training as CPR • Needs to contribute to reduced HFE • Needs to contribute to robust clinical governance • Appraisal & revalidation • RCGP signed up to the Crisis Concordat

  11. Self-help leaflets Feeling on the edge helping you get through it Feeling overwhelmed and staying safe U Can Cope www.connectingwithpeople.org/

  12. References: • Cole-King A, Green G, Gask L, Platt S (2013) Suicide Prevention are we doing enough? Advances in Psychiatric Treatment. 19:284-291 • Cole-King A, Garett V, Williams H, Hines K, Platt S (2013) Suicide mitigation embedding compassion in clinical care. Advances in Psychiatric Treatment. 19:276-283 • Hines K, Cole-King A (2013) ‘Hey Kid are you OK..a story of a suicide attempt’ Advances in Psychiatric Treatment. 19:292-294 • Cole-King A, Lepping, P Suicide mitigation: time for a more realistic approach. 2010. BJGP 3-4 • Cole-King A, Lepping P (2010) Personal view: Will the new Government change our approach to risk? British Medical Journal, July. 341: c3890.  • Cole-King A, Green G, Peake-Jones G, Gask L (2011) The Assessment and Management of Patients with Suicidal Thoughts in Primary Care: An introduction to the concept and practicalities of suicide mitigation. Innovaite Vol 4: issue 5, 288-295 • Cole-King A, Green G, Wadman S, Peake-Jones G, Gask L (2011)Therapeutic assessment of patients following self harm in primary care. Innovaite Vol 4: issue 5, p278 -287 • Cole-King A (2010) Suicide Awareness in Primary Care: How making the right connections can save lives.  RCGP News p 6. •  2009 4 RCPsych peer reviewed poster presentations of all clinical tools

  13. Classification of suicidal thoughts (Cole-King 2010)

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