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Dáil Éireann debate -
Thursday, 21 Nov 2002

Vol. 557 No. 6

Ceisteanna – Questions. Priority Questions. - Suicide Prevention.

Dan Neville

Question:

4 Mr. Neville asked the Minister for Health and Children the reason the allocation by his Department to suicide prevention programmes in 2000 and 2001 was 8.2% of the allocation to road safety, excluding expenditure by the Garda on enforcing traffic laws, despite the fact that more died by suicide than by road accidents; the reason there was a substantial reduction in expenditure on suicide prevention programmes in 2001 and 2002 in comparison with 2000; and his views on whether the Government is seriously ignoring the suicide crisis. [23107/02]

The Deputy is mistaken in his assertion that expenditure on suicide prevention programmes has been reduced in recent years. In fact, the opposite is the case. The level of additional funding being provided to health boards by my Department for suicide prevention has increased from €190,000 in 1999 to €3.8 million in 2002.

Additional funding allocated to a service in one year becomes part of the baseline funding for that service in subsequent years. Therefore, since the publication of the report of the task force on suicide in 1998, a cumulative total of over €8 million in additional funding has been provided towards suicide prevention and towards research aimed at improving understanding of this issue. These figures do not include funding provided by other Government Departments such as the Departments of Education and Science, Environment and Local Government and Justice, Equality and Law Reform which were identified in the report of the national task force on suicide as having a role to play in suicide prevention.

The report of the task force on suicide recommended that steps be taken to make the mental health services more accessible to the public, particularly to young people. Concern was also expressed at the risk of suicide in older people. In this regard, additional funding has been made available in recent years to further develop consultant-led child and adolescent psychiatry and old age psychiatry services to assist in the early identification of suicidal behaviour and provide the necessary support and treatment to individuals at risk. Funding allocated to these initiatives is not recorded as expenditure on suicide prevention, but has a vital role to play in the area.

Significant funding has also been provided for many voluntary organisations who deal with people suffering from depression, mental illness and bereavement who are at risk of suicide and attempted suicide. Again, this funding is not recorded under the heading of suicide prevention.

Considerable progress has been made to date in the implementation of the recommendations of the report of the national task force on suicide. Many of the recommendations of the task force, however, require continuous development particularly in the area of training and in the development of services relating to suicide and suicide prevention. I am fully committed to supporting suicide prevention programmes and the health strategy published last year includes a commitment to intensify the existing suicide prevention programmes over the coming years.

The additional resources required to continue the work in suicide prevention and the further development of mental health services for individuals who may be at risk will be considered in the context of the overall determination of expenditure for mental health services for 2003 and subsequent years.

I cannot comment on the allocation of funds to road safety, as this is a matter for the Minister for the Environment and Local Government.

I refer the Minister to Question No. 499 of 5 November in which he gave me the figures for suicide prevention and to the reply with regard to expenditure on road safety which I received from the Minister for Transport, Deputy Brennan. The Minister for Health and Children's reply outlined the expenditure on suicide prevention and they are the figures I received in early November. The Minister is now quoting other figures and I do not know why they differ.

Does the Minister agree that the increase in the number of deaths by suicide, from an average of 65 in the early 1960s to an average of 450 in recent years, deserves much attention, investment and research? According to the national research foundation on suicide, a total of 10,000 people each year are treated in hospitals for attempted suicide. This is an epidemic that deserves attention and funding to find out why it is happening. We must introduce programmes to ensure these figures are reduced and to promote mental health services.

Suicide is the most common cause of death in young people. Eighty per cent of deaths among young males are the result of suicide. Does the Minister not agree that his investment in mental health services and suicide prevention should be reviewed? Will there be an increase in expenditure on suicide prevention, as outlined in the reply I received on 5 November, given that the figures for 2001 and 2002 show a reduction on the figure for 2000? Will the Minister confirm that despite the cutbacks he has announced, this area will be ring-fenced and that there will be an increase in expenditure on suicide prevention and suicide research?

With regard to the figures, the Deputy might be talking about the rate of increase onto the base. The figures I have are: €190,000 for 1999, €1.5 million for 2000, €1.054 million for 2001 and €1.11 million for 2002. The total figure is €3.878 million. That is the base. We are talking about adding to the base, and the rates of addition as opposed to the actual base figure. Those are the figures I have been given but I will clarify the matter for the Deputy later. Under the heading of child-adolescent psychiatry, for example, £1.75 million was the increase in 1999, and it increased fairly substantially afterwards. It was only £1.3 million in 2000 but it increased to £4.095 million in 2001, and up to €6.061 million in 2002. The Deputy will agree that, historically, the whole area of child and adolescent psychiatry was sadly neglected in this State.

Absolutely. Children had no rights.

The current measure is one of the most effective ways of bringing such services to adolescents, and to children in particular, who constitute an important target group in dealing with parasuicide and suicide. Base funding for adult psychiatric services has also increased significantly in recent years. In 1999, only £203,000 was allocated to various voluntary groups, while this year we have given an additional €1.5 million to the voluntary sector, bringing the total to €3 million.

We must proceed to Question No. 5.

Will the Minister answer a simple question? Will the increase be ringfenced against inflation?

I will have to revert to the Deputy concerning the exact breakdown of the 2003 figures.

What about next year?

I said I will have to come back to the Deputy about 2003, as I do not have the precise net figures for specific items in the mental health area. I have a global figure for mental health services—

Which is only 5%.

—but I have not broken it down. The increase will not be on a par with last year's increase.

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