Issues ranging from parental separation to sexual abuse and bullying are among factors involved in child suicides in Wales, a study has found.
Research, published by Public Health Wales and Swansea University, examined the deaths of 33 young people aged 13 to 18, over a four-year period.
There was rarely a single reason why they had taken their own life.
The study said stigma related to self-harm was a “major challenge” and could be preventing families seeking help.
Lynne Neagle AM, who chairs the Welsh assembly’s cross party group on suicide prevention, said she believed it was “nothing short of a public health emergency”.
Reducing Adverse Childhood Experiences (ACEs) was among key ways of preventing suicide, the study said.
Others included preventing alcohol and substance misuse, and improving education and training opportunities.
The major study is a follow-up to a research project which reported in 2014.
It follows evidence from across the UK of an increase in deaths by suicide in young people since 2010. Statistically, it is not possible to detect differences in the suicide rate in Wales because of the small numbers involved.
What were background issues to the suicides?
Adverse childhood experiences
Risk factors in young suicide cases
In the study, the youngest of the 33 cases reviewed was 13 years old and 70% were male.
Seventy per cent had experienced at least one ACE. Some of the issues in the background included: substance misuse; poverty – more than half lived in an area classified as deprived; sexual abuse and assault; bereavement; shame; difficulties in education, employment or training; and lack of awareness around self-harm.
Six of the children had expressed their distress on social media beforehand; five had a family history of suicide or suicidal behaviour.
Eight had recently experienced a relationship break-up, while six had experienced issues with attendance at school and truancy.
The review notes there is rarely a single reason why a child or young person takes his or her own life. It’s usually due to a variety of risk factors, circumstances and adverse experiences, which the children’s commissioner – in her introduction to the report – calls “complex”.
Despite this, suicide is potentially preventable.
“A number of young people had episodes of self-harm where parents were unsure of how to respond and so were not accessing services even when this was suggested by schools or healthcare services,” the study said.
“Stigma related to self-harming behaviours remains a major challenge to suicide prevention efforts.”
What needs to happen?
Review leader Prof Ann John, national lead for suicide and self-harm prevention at Public Health Wales, said suicide was not inevitable and the review offered a framework for tackling some of the issues leading to it.
“We need to be tackling issues such as alcohol and substance misuse in young people and making sure young people who are abused, sexually assaulted or bereaved are able to access the talking therapies that we know can support them,” she said.
Lynne Neagle AM, who chairs the Welsh assembly’s cross party group on suicide prevention, said the review was the “closest thing we have to hearing the voices of those young people who have died by suicide”.
“Nothing is more important than preventing young people dying by suicide,” she said. “I believe it is nothing short of a public health emergency.”
She said the clear opportunities for suicide prevention needed to be seized with “vigour, determination and urgency”.
Kate Heneghan, head of the suicide prevention charity Papyrus, in Wales, said it believed “talking about suicide is the only way to challenge stigma and we know that talking openly encourages young people struggling with thoughts of suicide to seek help”.
“By asking ‘are you having thoughts of suicide?’ you have conveyed that you are a safe person to talk to and will help them to seek help.”
She added: “What really struck a chord was reading about the number of young people included in the report who had episodes of self-harm where parents were unsure how to respond.
“All too often at Papyrus we hear from bereaved parents who say they felt lost, they didn’t know what to do or where to turn and wished they had known about our helpline service when they were struggling to keep their child safe.”
Prof Sally Holland, Wales’ children’s commissioner added: “I am passionate about pushing for earlier and more joined up support for children’s mental health and social care needs. This review provides stark evidence of the importance of the need for these changes in Welsh communities.”
Six key suicide prevention opportunities:
- Ongoing action to restrict the access of children and young people to alcohol, along with full implementation of guidance to prevent substance misuse.
- Continued interventions for children who have experienced ACEs. This should also include greater engagement with safeguarding boards to raise awareness of the importance of protecting children from the effects of domestic violence and sexual abuse.
- Management of self-harm.
- Raising the age of participation in education, employment or training, including looking at support mechanisms for 16 to 18-year-olds.
- Better information sharing, including with private schools and state services.
- Better knowledge and awareness of self-harm and other risk factors for suicide.
You can also contact the Community Advice and Listening Line for Wales, which offers a free confidential support service with help to find local mental health services, on 0800 132 737 or text ‘Help’ to 81066.