Welcoming Scottish Government’s response to NSPLG suicical crisis recommendations

Key headlines:

• Scotland’s National Suicide Prevention Leadership Group (NSPLG) has welcomed the Scottish Government’s acceptance of their recommendations to improve the response to people who are in suicidal crisis
• The NSPLG brings together people with lived experience of suicide alongside academic, third sector, and statutory partners to support the delivery of Scotland’s Suicide Prevention Action Plan: Every Life Matters
• The NSPLG recommendations address one of Every Life Matters’ key actions and have been accepted in full by the Scottish Government
• They set out an approach to suicidal crisis based on the principles of Time, Space and Compassion and will be published on the Scottish Government website on Wednesday, October 13 2021

Scotland’s National Suicide Prevention Leadership Group (NSPLG) has welcomed the Scottish Government’s acceptance of recommendations for improvements to the response provided to people in suicidal crisis.

Established by the Scottish Government, the NSPLG brings together people with lived experience of suicide alongside academic, third sector, and statutory partners to support the delivery of Scotland’s Suicide Prevention Action Plan: Every Life Matters.

These key NSPLG recommendations have been accepted in full by the Scottish Government and will be published on their website on Wednesday, October 13 2021.

The NSPLG report uses evidence on the effectiveness of differing models of crisis support to make recommendations to service providers and share best practice.

It deliberately does not recommend a particular model of crisis support.

Instead, it sets out an approach which sees suicidal crisis response as a human reaction, not a service model, and sets out the principles of Time, Space and Compassion as the basis of improvement in support for those in crisis.

The recommended approach is at the core of the NSPLG’s vision in supporting delivery of Every Life Matters, ensuring the right support is available for people when they are actively contemplating suicide at a time of crisis.

Time allows a person to discuss their feelings, and Space recognises the need to provide an accessible, quiet, comfortable, pleasant place for a person to talk and/or a virtual space to access support by phone, text or online.

In addition, research shows that Compassion in response to a person in crisis encourages them to disclose details which, in turn, can lead to more effective support being offered and lay the foundations for self-compassion, reducing the need for support from frontline services in the future.

Embedding the principles of Time, Space and Compassion into responses to suicidal crisis in Scotland will require concerted action across national and local government, and services across sectors, communities and citizens.

NSPLG chair Rose Fitzpatrick CBE QPM, said: “We believe that this approach, rooted in Time, Space and Compassion, can be implemented across all sectors and communities, transforming the experiences of those in crisis and at immediate risk of suicide.

“It is important to highlight that this report is not critical of existing crisis support. Based on the experiences of those who have been in suicidal crisis and those around them, it recommends a radically different cultural landscape, and requires a different sort of resourcing to enable this approach to be implemented consistently.

“People with lived experience of the impacts of suicide and those providing services tell us these recommendations have the potential to improve the experiences of those who seek help at a time of suicidal crisis, and ultimately to save lives.”

Member of NSPLG Lived Experience Panel, Shumela Ahmed (39) from Bridge of Allan near Stirling, is the managing director at Resilience Learning Partnership. She has family and friends who have experienced poor mental health and made suicide attempts. Shumela has also experienced suicidal thoughts herself.

She said: “I believe Time, Space and Compassion is the right approach because it’s trauma informed and it understands that it takes time to build up trust and connect with a person when they are in a suicidal crisis.

“Every interaction is an opportunity for intervention. When a person is at risk of suicide they need a compassionate response from someone who will spend time with them and offer a safe space for them to talk.

“A really kind, compassionate, empathetic human conversation is often what is actually needed rather than following some big, important framework.

“I look forward to these recommendations being implemented in workforces so that staff have the tools and the resources to take this approach.”

The former CEO of Penumbra and former member of NSPLG, Nigel Henderson, has been appointed by the Scottish Government to lead the implementation of this work.

The NSPLG recommendations are intended to be a starting point for work in this area and they focus, in the first instance, on the practical support and evidence required to make this culture shift collaboratively, and on ensuring the availability of existing crisis services as we emerge from the pandemic.