Samaritans and Facebook; Self-harm and You Tube

From a report released on Sky News:

The Samaritans and Facebook are teaming up to allow users to get help for friends they think might be having serious problems. Facebook has 30 million users in the UK and anyone concerned about people struggling to cope or with possible suicidal thoughts will be able to get help through the Help Centre.

The feature enables users to report specific content, like status updates or wall posts. For instance, typing the word "worried" into the help centre search engine will bring up a list of places to find advice as well as the option to report suicidal content. Once a report about suicidal content has been processed, the distressed person will be sent a message with information on how they can contact the Samaritans if they need help.

Samaritans chief executive Catherine Johnstone said: "We want to remind people that if a friend says that life isn't worth living, they should always be taken seriously. "Facebook is a part of daily life for so many of us and we must make sure that people online have support when they need it."

And connected to this, a brief report has been published called: The Scope of Nonsuicidal Self-Injury on YouTube. Early in the report they state:

The top 100 videos analyzed were viewed over 2 million times, and most (80%) were accessible to a general audience. Viewers rated the videos positively (M _ 4.61; SD: 0.61 out of 5.0) and selected videos as a favourite over 12 000 times. The videos’ tones were largely factual or educational (53%) or melancholic (51%). Explicit imagery of self-injury was common. Specifically, 90% of non-character videos had non-suicidal self-injury photographs, whereas 28% of character videos had in-action non-suicidal self-injury. For both, cutting was the most common method. Many videos (58%) do not warn about this content. [My italics]

Ten going on sixteen

Ten Going On Sixteen is a profile of young New Zealanders in the transition years put out by the Ministry of Youth Development.   The data was collected by Victoria University’s Youth Connectedness Project from 2006 to 2008.

"The research was designed to test the hypothesis that “connectedness” – to family, peers, school and community – is predictive of subsequent health and wellbeing of young people. The hypothesis was confirmed, with “connectedness to family and school” most strongly predictive of subsequent happiness, self sense of identity. "

While the report online is not particularly detailed (the spirituality section is very skimpy) is does highlight some interesting factors about young people, things that it might be useful for youth group leaders to know about. 

It shows that in general most children are happy with their parents and friends - boys in particular say they get on well with their families.   Girls tend to be happier when they're in the younger age range and grow less happy from the time they're 12.  Boys for the most part stay happy.  

In regard to the girls' decrease in happiness, this is mostly put down to the onset of puberty.  "Given that the average age that girls have their first period is 12-13, the explanation is likely to lie in the interaction between pubertal stage and social and cultural expectations.  The onset of puberty has already been linked to increase in depression and increased rates of self harm among adolescent girls.  In societies where expectations of girls are high, the levels of stress and anxiety among young women seem also to be higher."

There are a small group in both sexes who say they are sad most of the time around the time they're ten years old.   However, the report doesn't show whether these particular children had specific reasons to be sad.   Broken family relationships barely come into the report. 

It was a slight surprise to me to see how early many of the children are starting to drink alcohol. 

• Drinking becomes a normal behaviour for young people between the ages of 10 and 16.
• Between the ages of 12 and 14, the percentage of boys who say they drink alcohol on one or two days a month or more doubles - from 16 percent at age 12 to 35 per cent at age 14. 
• For girls the increase is even higher, from 13 per cent at age 12 to 44 per cent at age 14.
• At age 14, more girls than boys report drinking, but by age 16, the boys have caught up.
• At age 15, over half of the young people in the survey say that they drink alcohol on one or two days a month or more.
• At age 16, 71 per cent of boys and 66 per cent of girls say they drink alcohol one or two days a month or more.
• Around three per cent of the young people in this survey are ‘serious’drinkers, drinking on ten days a month or more.

The question has to be asked: where do they get the alcohol from?   

The survey was taken from around 50% European children, 30% Maori, and 20% of other ethnicities. 

SPINZ Symposium

At the SPINZ National Symposium 2009, the following paper will be presented: Emergency department re-presentations following intentional self-harm by Silke Kuehl and Dr Kathy Nelson.

The abstract is as follows:
A retrospective observational design was selected for a period of one year and data was collected from electronic clinical case notes. The sample consisted of 48 people with 73 presentations and re-presentations.

This study made several discoveries:
many re-presentations (55%) occurred within one day;
the exact number of people who re-presented many times to ED is unknown, but is far higher than reported in other studies;
fewer support people were present for the second presentation;
the documentation of triage and assessments by ED staff was often minimal, though frequently portrayed immense distress of this population;
cultural input for Maori was missing;
physical health complaints and psychosis were found with some intentional self-harm presentations; challenging behaviours occurred in at least a quarter of presentations;
the medical and mental health inpatient admission rates were approximately 40% higher for second presentations.

Recommendations in regard to the use of a triage assessment tool, cultural input for Maori and the need for a mental health consultation liaison nurse in ED will be made. Staff education, collaboration between services with consumer involvement and further research of this group are required.

Further to this, the link above goes to the list of talks to be given at this Symposium. There are a number of culturally-concerned topics, both Maori and Pasifika, as well as some basics regarding suicide prevention. Anyone with a concern for people tending towards suicide should try and make time to attend.

The NZ Tui (in the photo) is used as a kind of logo on the SPINZ site - photo by 'North of Auckland'