Public inquiry into suicides | “Avoidable deaths”, denounces coroner Julie-Kim Godin

2023-06-15 05:21:39

Can we prevent people from killing themselves when they suffer from complex mental health problems aggravated by substance use and have a history of suicide? Yes, provided you put the resources in, concludes coroner Julie-Kim Godin in her public inquiry report published on Wednesday. Overview in five highlights.




63

Number of recommendations contained in this 127-page report on the suicides of five people between 2017 and 2019. Each had a history of suicidal ideation or behavior, and presented with complex mental health problems coupled with substance use disorders. alcohol, drugs or medication.

“Let us ensure that mental health is not the poor child of the health system and that the necessary investments are made to achieve this and address the shortage of manpower”, pleads Me Godin, calling for “a human and personalized response”.

100

More than a hundred witnesses took part in the investigation, including several families. Relatives, who are recognized as important protective factors, often feel “poor and little involved, even excluded, from care and the recovery process”, deplores Ms.e Godin.

“When a violent event or a death by suicide occurs, they consequently feel tenfold anger and guilt which add to their grief, making them themselves vulnerable and at risk”, underlines the coroner.

It recommends that the Ministère de la Santé et des Services sociaux support its establishments and community organizations so that they facilitate the involvement of loved ones and the circulation of information.

9

The coroner grouped her recommendations under nine themes, placing the tandem “substance use and mental health disorders” at the top of her list.

This complex cocktail “often leads to a less favorable evolution, a non-linear course, poor adherence to follow-up and treatment, a poorer response to interventions as well as a higher risk of suicide”, warns Ms.e Godin.

For so-called “concomitant” disorders to be detected quickly and not treated in a vacuum, health professionals and first-line workers must be better trained, she recommends.

” Security net “

The expression comes up about twenty times in the report, to note its insufficiency or its non-existence.

When Mikhaël Ryan left his treatment center, neither his relatives nor the organization that had sent him there were notified. Two days later, he killed himself after killing his mother.

The relatives of Suzie Aubé were not further informed of her release from the psychiatric hospital or of her arrest for impaired driving the day before. A few hours later, she ended her life.

Multiplying the examples, the coroner insists on the importance of “putting in place a solid safety net” around vulnerable people.

$

As the coroner did not quantify the sums required to respond to her recommendations, this symbol does not appear anywhere in her report. However, the need to “enhance care and services”, “facilitate access”, “improve training” and “intensify resources” appears everywhere.

“The good intentions and government directions are clear,” recognizes Ms.e Godin citing the interdepartmental mental health and addiction action plans. “But the means to materialize this major project within the entire health network deserve to be specified and structured. One can also wonder whether the planned investments will be sufficient. »

NEED HELP ?

If you need support, if you are having suicidal thoughts or if you are worried about someone close to you, contact 1 866 APPELLE (1 866 277-3553). A suicide prevention worker is available to you 24 hours a day, seven days a week.

You can also consult the site commentparlerdusuicide.com

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