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Dáil Éireann debate -
Thursday, 22 Jun 2006

Vol. 622 No. 2

Adjournment Debate.

Suicide Prevention.

I thank the Ceann Comhairle for allowing me raise the issue of the media guidelines for the portrayal of suicide which were launched yesterday in Dublin and Belfast on behalf of the Irish Association of Suicidology and the Samaritans, which are both Thirty-two County organisations.

Any suicide is a newsworthy event. The fact that an individual has chosen to end his or life deliberately and prematurely attracts public attention. The sad truth is that there are more than 500 suicides each year, but a more frightening statistic is that more than 11,000 people each year present at accident and emergency units having attempted suicide or self harmed. It is estimated that the number of those who self harm is in excess of 60,000. The majority of suicide deaths go unreported, yet the effect of each individual suicide has a profound impact on family, friends, colleagues and community.

For journalists, a suicide presents a difficult dilemma. As an issue of concern to the public, it is clearly the responsibility of the reporter to present the facts as they happen without glamorising the story or imposing on the grief of those affected. Research from the UK, the USA, Australia and other countries overwhelmingly indicates that public presentation, whether factual or fictional, can and does lead to so called copycat suicides, also known as suicide contagion.

Specific concerns in this regard suggests those most affected are under the age of 24, although there is now more evidence that elderly people are also more prone to copycat suicide. The risk is greater when there is a sense of identification with the deceased, such as the case of a celebrity suicide or the suicide of a fictional character with whom the vulnerable person empathises and identifies, for example, because of age or background. Research suggests that romanticising suicide, idealising those who take their own lives or portraying suicide as a heroic act, even inadvertently, may encourage others to identify with the victim and view suicide as an attractive option and an acceptable strategy for dealing with their problems.

Providing specific details of a suicide method gives vulnerable people the knowledge they need to take their own lives. Media portrayal does not just affect choice of method but can increase the numbers of suicides. Written media, newspapers, magazines, books and websites are more likely to provide an incentive for imitation than broadcast media. This seems to be because the affected person can look at, absorb and be influenced by the information on a number of occasions whereas broadcast coverage is more transitory.

The Irish Association of Suicidology's and Samaritan Association's media guidelines for the portrayal of suicide highlight the fact that suicide is a difficult and complex issue, but that it is also a legitimate topic for serious discussion in factual and fictional media. The associations disagree with the view that suicide should not be discussed. Instead the guidelines highlight some of the ways the media can avoid perpetuating myths and misinformation and make a positive difference in people's attitudes.

The organisations' guidelines offer practical and sensible advice regarding the reporting of suicide. They advise reporters not to provide explicit or technical details of suicide methods, to avoid prominent or front page coverage, not to use dramatic photographs, not to romanticise or glorify suicide, not to imply there are positive results to be gained from suicide, to include details of further sources of information and advice and to avoid the use of phrases such as "a successful or unsuccessful suicide attempt", "suicide victim", "just a cry for help", "suicide prone" and "stop the spread or epidemic of suicide". They suggest instead that reporters should use phrases like "a suicide", "a suicide attempt", "take his or her life", "die by suicide", "a completed suicide", "person at risk of suicide" and "help prevent suicide". Regarding the dramatic portrayals of suicide, if the viewer or listener feels they can identify with the character, then the likelihood of imitative behaviour is increased. This is particularly the case if the character concerned is young and sympathetic. Young people and the elderly are at great risk of suicide and research shows that they are the most likely groups to be influenced by media presentation. The time of year is also important. Christmas Day and St. Valentine's Day, for example, are particularly difficult times as they mark major anniversaries without a loved one.

The guidelines on portrayal of suicide in the media were drawn up jointly by the Irish Association of Suicidology and the Samaritans. This was an update of the publication of January 2002. Speaking on my own behalf and not on behalf of any of the organisations involved, I seriously question the decision of the HSE national office of suicide prevention in giving an interview to The Irish Times on the day before the launch of the publication and giving an interview on “Morning Ireland” on the day of the launch which had a serious effect on the success of the event. I can only assume that the office has so little success since its inception that it decided to hijack the work of two NGOs. This sends a very bad message to NGOs working in the area of suicide prevention.

When reporting suicide, a fine line must be drawn between sensitive intelligent reporting and excessively sensational portrayal of suicide. The most important guiding principle is to consider the reader, listener or viewer who might be in crisis when they read, hear or see the piece. Will the piece make it more likely that they will attempt suicide or more likely that they will seek help? Will the piece cause more pain to the bereaved of suicide?

I am responding on behalf of the Tánaiste and Minister for Health and Children, Deputy Harney. I thank the Deputy for raising this matter on today's adjournment.

The media play a very important part in raising awareness about suicide and suicide prevention, and in changing the stigma and our attitudes to suicidal behaviour and to mental illness. Suicides can be newsworthy and dramatic events. That an individual has chosen to end his or her life, deliberately and prematurely, suggests that there is a story to be told. For journalists and editors, suicide presents a dilemma. It can be an issue of public interest, thereby coming within the ambit of news reporting. There can be a positive aspect to reporting suicide, as debate may help to de-stigmatise the subject and provoke a wider discussion about the importance of good emotional health. However, research also shows that inappropriate reporting or photography can lead to copycat suicides.

I welcome the publication of the Media Guidelines for the Portrayal of Suicide, which the Minister of State at the Department of Health and Children, Deputy O'Malley, launched on Tuesday of this week. The publication is a joint collaboration by the Irish Association of Suicidology and the Samaritans and has been produced primarily to help those working in the media. It makes suggestions for journalists, writers, photographers and directors, working in television, radio, theatre, film, print and electronic media.

The guidelines are not meant to be exhaustive and they do not seek to dictate, because each situation is different. They aim to offer support in deciding how to approach what is undoubtedly one of the most difficult matters to cover. These guidelines offer practical suggestions on appropriate reporting of suicide, such as the use of appropriate language, including details of sources of information, the avoidance of simplistic explanations for suicide and the avoidance of detailed descriptions of suicide methods.

As we are all aware, there was in the past a reluctance to even discuss the issue of suicide. Thankfully, this situation has now changed. In Ireland, the level of discussion and openness on mental health issues, including deliberate self-harm and suicide has increased significantly in recent years, which is very welcome. However, we need to ensure that public discussion and media coverage of suicide and deliberate self-harm remains measured, well informed and sensitive to the needs and well-being of psychologically vulnerable and distressed individuals in our society. In particular, we need to continue to work as a society to create a culture and environment where people in psychological distress feel able to seek help from family, friends and health professionals.

Suicide touches the lives of many people and is in every case a tragedy, both for the life that has ended and the family, friends and community left behind. Many of us will know someone who has attempted suicide or died by suicide. The number of deaths by suicide registered by the Central Statistics Office was 431 in 2005. Young males have shown a significant increase in the rate of suicide in the past decade, with 321 such deaths in 1995 rising to 353 in 2005. These findings reinforce the need for sustained and co-ordinated action in response to the ongoing problem of suicidal behaviour.

I recognise the many challenges that lie ahead and I am aware that there are no easy or single interventions that will bring a guarantee of success. International evidence shows that reducing the suicide rate and preventing suicides requires a collective, concerted effort from all groups in society — health, social services and other professionals, communities, voluntary and statutory agencies and organisations, parents, friends, neighbours and individuals.

In this regard, the national strategy for action on suicide prevention was launched on 8 September last by the Tánaiste and Minister for Health and Children, Deputy Harney. A fundamental aim of the new strategy is to prevent suicidal behaviour, including deliberate self-harm, and to increase awareness of the importance of good mental health among the general population. The Health Service Executive is taking a lead role in overseeing the implementation of the strategy, in partnership with those statutory and voluntary organisations that have a key role to play in making the actions happen. Driving the implementation of the strategy is the national office for suicide prevention within the national population health directorate of the HSE. The role of the national office is to co-ordinate suicide prevention activities across the State, consult widely on the planning of future initiatives, and ensure best practice in suicide prevention. This year an additional €1.2 million was allocated to the national office.

The Government is committed to the implementation of suicide prevention initiatives and the further development of our mental health services in order to prevent, and reduce, further tragic loss of life.

Care of the Elderly.

Tá mé thar a bheith buíoch den Cheann Comhairle as an seans an t-ábhar seo a thógaint. Ós rud é go bhfuil sé lonnaithe sa Ghaeltacht, labhróidh mé cúpla nóiméad i nGaeilge.

Tá mé ag caint faoi aonad cónaithe i mBaile na hAbhann, i nGaeltacht Chonamara. Ba é an rud a tharla ná go raibh géarghá le píosa fada áiseanna cearta a fháil do sheandaoine agus dóibh siúd a chabhraíonn leo. Bhí siad ag iarraidh áis a fháil le freastal ar na riachtanais sin. Tar éis iarrachtaí Bhord Sláinte an Iarthair, fuair siad suíomh chun áiseanna a chur ar fáil.

Níor éirigh leis an mbord agus, ag an am céanna, tháinig Tearmann Éanna ar an saol, áit a bhfuil níos mó ná 20 teach beag do sheandaoine. Le cabhrú na Roinne Comhshaoil, Oidhreachta agus Rialtais Áitiúil agus an bhoird sláinte, tógadh an áis. Ón am sin, nuair a críochnaíodh é i mí Dheireadh Fómhair 2005, tá sé folamh. Níl aon chinneadh tógtha faoi riar an aonaid, chúrsaí slándála, nó conas é a chothabháil agus leapanna faoisimh a chur ar fáil. Bhí lá oscailte ann, agus d'fhreastail an tAire, an Teachta Ó Cuív, agus príomhfheidhmeannach Údarás na Gaeltachta air, ach níor tháinig éinne ón HSE. Níl sé ar intinn agam a bheith drochbhéasach.

In the absence of the success of the HSE in providing a facility that would meet the needs of the Irish-speaking people in Connemara, this building was provided and has been available since September 2005. Nothing has happened since. I have received a letter from the Health Service Executive stating that in the past ten years 49 public nursing home spaces have been provided in County Galway, 12 in Áras Ronán on the Aran Islands, 17 in Carna and 20 in Carraroe. The letter states that in the next five years no new nursing home spaces are envisaged. No spaces have been provided in Galway City for the past ten years. There are 32 beds in St. Francis Home.

We have a facility made available through voluntary work, the opening of which the Minister for Community, Rural and Gaeltacht Affairs attended as did the chief executive of Údarás na Gaeltachta. No representative of the Health Service Executive was available to attend the open day. Local people are looking after the building. They go in and switch off the alarm which is regularly activated. The building, which is surrounded by 20 small houses for the elderly, has been ready to be fitted out for two years. This contrasts with the speed with which private hospitals are being facilitated on the grounds of University College Galway. Bids have been sought, to be submitted before 30 June, for a new hospital and the successful applicants will be selected within weeks of that date from consortia currently seeking shares from consultants who are contracted to provide public health care. In Connemara, on the other hand, people must look at a building for which no provision has been made for maintenance, security or operations, despite old people living around it.

The building to which I refer was given as a gift, as it were, a gesture that deserves praise. The way in which the Department of the Environment, Heritage and Local Government combined with other bodies to provide this facility is precisely the type of approach we need. The other logical and practical step to take in Connemara would be to introduce a mobile service because many of the elderly people in the area cannot make the journey into Galway city. It makes no sense that the building lies empty and in danger with local people having to look after it. I ask the Minister of State to raise the matter with the Minister for Health and Children.

The Deputy's time has concluded.

This is my only opportunity to raise the issue and I am grateful for it. As the Ceann Comhairle is aware, if I were to table a parliamentary question on the matter, it would be ruled out of order. I hope the Minister of State will announce a solution to the neglect I have highlighted.

I am pleased to have the opportunity to respond on behalf of my colleague, the Tánaiste and Minister for Health and Children, Deputy Harney.

The management and delivery of health and personal social services are the responsibility of the Health Service Executive under the Health Act 2004. This includes responsibility for the provision of services for older people. The HSE has advised that it has completed a business case proposal for Thearmann Éanna, Tullach, Baile na hAbhann and costed the proposal for a consultant led rehab team for the west Galway catchment area. The business case proposal includes accommodation and staffing at Tearmann Éanna which will include an eight bed hostel to accommodate older mental health service users from the local area.

Work has commenced in outfitting the building and I am informed by the HSE that this should be completed in the next two months. I understand decisions in respect of service delivery from the facility will be made by the HSE shortly.

I ask the Minister of State to communicate my remarks to the Minister for Health and Children.

I will do so.

School Enrolments.

Will the Minister for Education and Science come to the House?

The Chair does not know the answer to such questions.

Without wishing to detract from the position of the Ministers of State who are present, I object to the Minister's decision not to come before the House.

The matter I raise also concerns an empty building. The Minister for Education and Science has refused to accede to the demand made by parents of children in Naas that the new 16 classroom school in the town be fully opened for pupils in September this year. The background to this astonishing situation is that the four well established national schools in Naas are bursting at the seams with class sizes of up to 32 pupils and play areas packed with prefabricated buildings. More than 400 children are being taught in this type of unsuitable and, allegedly, temporary accommodation and for many of them prefabs will be the only type of school accommodation they will ever experience. As we speak, further prefabricated buildings are being added to existing schools. Despite this, 40 children have been denied places in Naas schools this year because they are overflowing and unable to take further pupils.

A long and sustained campaign mounted to have a new national school in Naas was successful and a new school with 16 classrooms was opened earlier this year. At this point, however, the logic of a lunatic asylum took over. The Education Act gives parents the right to send their children to the school of their choice and individual schools the power to adopt their own enrolment policies. The Minister and the planning section of her Department in Tullamore are seeking to deny these rights to the parents in Naas and the board of the new school, Scoil Bhríde. The Minister restricted enrolment in the new school to two infant classes, a practice she described as the norm. In response to a parliamentary question, however, she was unable to indicate another school where this approach had been taken.

The Minister informed me in a written answer that the existing schools had sufficient places, whereas her Department has confirmed that more than 40 eligible children cannot be accommodated in Naas schools. The Minister of State should address this contradiction. The Minister recently informed the principal of Scoil Bhríde that the 40 surplus pupils can be enrolled in the new school and any children moving into the area during the school year may also be enrolled. It appears from this statement — I have copies of the relevant letters — that other classes, apart from infant classes, will partially open but the staff required to open all the classes will not be provided and children who live across the road from the school will not be allowed to enrol.

I demand that the messing and uncertainty cease, the Minister allow Scoil Bhríde to establish its an enrolment policy that would enable it to open fully in September for all 16 classes, as it is entitled to do under the Act, and the parents be afforded their right under the Education Act to send their children to the school of their choice. What should have been a good news story for the Minister and the parents, pupils and teachers of Naas has turned into a crazy nightmare scenario in which children in the town are packed into unfit prefabricated buildings while a new state-of-the-art, 16-classroom primary school provided by the parents' taxation lies idle. I ask the Minister to apply her renowned common sense to this issue and open the new school fully in September.

I am grateful for the opportunity of outlining to the House, on behalf of the Minister for Education and Science, the actions being taken by the Department of Education and Science with regard to the enrolments of the new primary school in Naas.

Scoil Bhríde national school is a new school which opened in September 2005. It currently accommodates two junior infant classes and when fully occupied it will operate as a two-stream, 16-classroom school. To enable it develop in this manner, it can only enrol two junior infant classes annually. This incremental development is common to all newly established schools to ensure that a shortage of accommodation at the school is avoided by over-enrolment in the early stages and, crucially, that the enrolments and staffing levels in other schools in the area, from which older pupils would inevitably be drawn, are not adversely affected. Notwithstanding this position and as an exceptional matter, the school has been given approval to enrol three junior infant classes for the next school year on the grounds that this will not impact negatively on the other schools in question.

Typically, a new school commences in temporary accommodation, which is provided incrementally thereafter to meet the school's junior infant intake level each year in the context of junior infant accommodation available in other schools in the area. A new school would have achieved a certain sustainable growth level without affecting other schools before transferring to its permanent accommodation. Its developmental curve would continue on this basis until all its accommodation is in use.

If a building is available for the school in question at inception, it does not mean that an orderly growth can be abandoned given the effect excessive enrolments will have on other schools in the area which have also been funded by the taxpayer. While enrolment policies are a matter for school authorities, the Department of Education and Science expects the enrolment polices of individual schools to complement the demand for pupil places in an area and, as in this case, to assist the growth of the new school in an orderly fashion. This is in the best interests of the schools, pupils and wider community alike.

Fundamentally, the existing schools, which have served the community well, particularly by obliging with extra pupil places when there was severe pressure for such places in recent years, now have a certain level of accommodation and teaching allocations in place. This cannot be ignored because a new school and new building have come on stream which will, in their own right, cater for the continuing growing needs of the area, as was always the Department's intention. The new school will of course be expected to cater for the small number of pupils in classes higher than infants for whom no place is available in the existing established schools in the town. The new school will be expected to cater for the small number of pupils in classes higher than infants for whom no place is available in the existing established schools in the town. The Department is confident that, between them, the primary schools in Naas can meet the needs of the increasing schoolgoing population in the town. I hope my reply was of some benefit to the Deputy.

It is madness.

House Prices.

This country is facing a number of crises. We have all realised that a crisis exists in the health services, and a drug epidemic is sweeping the country, especially in terms of cocaine. Figures revealed in the Permanent TSB-ESRI house price index confirm what everybody but the Government believes, namely, a housing crisis has also arisen. House prices have risen by an explosive 270% over the past decade. It must be asked whether the wages of working men and women have increased accordingly. I do not think they have.

The review also revealed that house prices in Dublin are a massive €130,000 more expensive than the rest of the State. In 1996, the difference was €10,000. When I got married 20 years ago, I could not afford a house in Rathfarnham where I grew up, so my wife and I had to move to Tallaght. Now, however, young people from Tallaght have to move as far away as Portlaoise to afford a house. Many of the young people I know must live at home until their late 20s or even 30s. Generations are living in the same house.

The Government emphasises shared ownership and affordable housing, options which are welcome for many people. However, people on social welfare or low incomes do not have the option of buying their homes. The roll-out of affordable housing is not much use to lone parents or part-time workers.

Nine years ago, the Government woke up to the fact that housing problems existed and commissioned Mr. Peter Bacon to compile a series of reports. Mr. Bacon made a number of recommendations but these seemed to have fallen on deaf ears. Investors get mortgage relief on second houses at a cost of €60 million per year to the taxpayer. When this relief was abolished in 2001, the housing market improved. However, despite the recommendation in the Bacon report that the relief be removed for good, it was reimposed by the former Minister for Finance, Charlie McCreevy. The National Economic and Social Council also recommended the removal of the relief because it drives up the price of houses for local people. The Government's priority should be on homes for people, not on holiday homes.

Some 44,000 people are on waiting lists for social housing. Sinn Féin has campaigned for the introduction of a constitutional right to a roof over people's heads. In one of the wealthiest countries in the world, it should not be seen as a privilege to have a home.

A global housing survey indicated that Irish house prices are unsustainable. While the cost of land is on average 20% of the total cost of house construction in industrial countries, it is 50% in Ireland. The contentious Part V of the Planning and Development Act 2000 stipulates that 20% of residential development sites must be used for social and affordable housing, but many builders pay money instead of delivering housing units. The Building Industry Bulletin of 2002 found that the profit on building land in Ireland was 300% above average profits. The Kenny report recommended a ceiling on the price of land of the existing value of agricultural land plus 25%. Again, however, no action was taken by the Government. Many young people in Ireland face difficulties, yet the Government does not seem to realise that a crisis exists.

This matter, as well as the other comments made on house prices in recent days, arise mainly from a press release by Permanent TSB, the special tenth anniversary edition of the Permanent TSB-ESRI house price index. This has the appearance of a rather contrived piece of publicity, given that the first issue of the index was only published in July 1998, even if it contained backdated figures to 1996. The launch of an affordability index by EBS also generated a lot of publicity, even though the affordability figures turned out to be well within the criteria applied by lending institutions themselves.

It is ironic that an institution such as Permanent TSB is eager to dramatise house price increases. Last year, when I voiced concern about the likely impact on house prices of increased lending and 100% mortgages, Permanent TSB responded by pointing out that the rate of house price growth had been moderating, which was the case until then, and stated that it believed the introduction of 100% mortgages would not have any impact on moderation or in any way contribute to house price inflation. Few now agree with that prediction and statistics do not give any credence to it. In a recent quarterly bulletin, the Central Bank noted that the gradual acceleration in house price inflation since last autumn had coincided with some easing of credit conditions. The bank stated that this seemed, at least in part, to reflect an increased effort on the part of mortgage lenders to market new products, specifically, 100% mortgages.

The Central Bank's comments are helpful and I hope they will promote a more restrained approach than the presentation made by a Permanent TSB representative at a conference earlier this year which proclaimed the merits of 100% mortgages, interest-only mortgages, 40-year mortgage terms, the inclusion of room rental potential in income assessment and, as a more radical solution for the future, the prospect of intergenerational mortgages.

Many financial institutions have hyped up the price of houses over the past year. My belief that it is time for more sanity in the mortgage lending area broadly accords with the sentiments expressed yesterday by the President of the European Central Bank. We could do with much less hype in the housing market and an end to scaremongering about the inability of first-time buyers to gain a foothold in the market. This is important because price expectations have an important influence on the market. A certain amount of damage has been done by hype and overly aggressive marketing. Some people have been stampeded into buying sooner than may be necessary, putting first-time buyers into competition with each other and stretching buyers' borrowing to the limit of what may be prudent.

It would be foolish to ignore the potential implications of excessive lending at individual and macro levels for house prices, which are determined not only by the numbers seeking houses but also by the volume of available funds. While easier credit may seem a panacea for some individuals in the short term, the overall impact on market prices and the long-term implications in terms of personal debt are not likely to be favourable. If things go wrong, the Government can always be blamed. The figures quoted by PTSB do not show the full picture. They are based purely on PTSB's lending and relate to a mixture of new and second hand houses. My Department's statistics, based on returns from all mortgage lending institutions, show that the rate of increase for new houses nationally was a good deal less, 210%. Prices in Dublin have also been skewed by a number of high profile and highly priced new developments, while second-hand prices are often inflated by demand for houses with potential development sites attached, as well as scarcity in highly sought after areas. Typical first-time buyer prices are a good deal lower than the overall average — on average approximately 13% less and lower in some cases. In Deputy Crowe's constituency affordable housing has been put on sale at €142,000 for a two bedroom house and €172,000 for a three bedroom house.

In my constituency one in three houses is rented.

I accept that some people on basic wages are under pressure. For those who cannot afford homes under the affordable homes scheme, the budget for social housing is almost €2 billion. Many affordable homes are available for sale at prices under €200,000. Those who earn €30,000 manage to buy these.

Some of the problem is due to financial institutions shovelling out money and giving too much. If builders and developers see that people get loans for any amount they increase the price. Financial institutions get publicity from press releases that hype the situation and create demand.

The Dáil adjourned at 5.25 p.m. until 2.30 p.m. on Tuesday, 27 June 2006.
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