Scottish Government

Stephen Platt
Joanne McLean
Allyson McCollam
Avril Blamey
Mhairi Mackenzie
David McDaid
Margaret Maxwell
Emma Halliday
Amy Woodhouse

ISBN 0 7559 6197 8

This document is also available in pdf format (1.3MB)

CONTENTS

INDEX OF TABLES

INDEX OF FIGURES

ACKNOWLEDGEMENTS

EXECUTIVE SUMMARY

ABBREVIATIONS

PART ONE INTRODUCTION, AIMS, OBJECTIVES AND METHODOLOGY

CHAPTER ONE INTRODUCTION
1.1 Suicide in Scotland: international comparison and temporal trends
1.2 The cost of suicide
1.3 The policy response
1.4 Choose Life

CHAPTER TWO AIMS AND OBJECTIVES

CHAPTER THREE METHODOLOGY
3.1 Introduction
3.2 Overview
3.3 Theories of change
3.4 Review of national strategies
3.5 Coordinator surveys
3.6 Interviews with national informants (including National Implementation Support Team)
3.7 Case studies with local areas
3.8 National workshops
3.9 Economic focus
3.10 Data analysis

PART TWO FINDINGS AND COMMENTARY

CHAPTER FOUR SUSTAINABLE INFRASTRUCTURES
4.1 Introduction
4.2 Development of a national infrastructure to support suicide prevention
4.3 Development of local infrastructures

CHAPTER FIVE ALLOCATION OF RESOURCES
5.1 Introduction
5.2 Allocation of national funding
5.3 Allocation and use of funds at local level
5.4 Identifying the level of resources invested in Choose Life
5.5 The economic case for investing in Choose Life
5.6 Expenditure 2003 - 2006
5.7 Funding decisions: phase two 2006 - 2008
5.8 Supporting people who self-harm and rationales behind investment in related activities
5.9 Progress in the allocation of resources

CHAPTER SIX INNOVATIVE PRACTICE
6.1 Introduction
6.2 Innovative community, voluntary and self-help practice
6.3 Innovative ways of working
6.4 Progress towards innovative practice

CHAPTER SEVEN SUSTAINABILITY
7.1 Introduction
7.2 National approaches to sustainability
7.3 Local approaches to sustainability
7.4 Progress in sustainability

CHAPTER EIGHT DECISION MAKING PROCESSES AND LEARNING
8.1 Introduction
8.2 Descriptions of approaches to learning and planning/decision making
8.3 Reflections on decision making and learning

CHAPTER NINE PERCEIVED PROGRESS TOWARDS MILESTONES
9.1 Reflections on national support
9.2 Reflections on local progress
9.3 Summary

PART THREE CONCLUSIONS AND RECOMMENDATIONS

CHAPTER TEN CONCLUSIONS
10.1 Introduction
10.2 Progress
10.3 Focus and targeting
10.4 Innovative development and the use of evidence
10.5 Sustainability

CHAPTER ELEVEN RECOMMENDATIONS
11.1 Future investment in suicide prevention
11.2 Sustainability
11.3 Targeting of action
11.4 Strategic integration of self-harm
11.5 The role of the Community Planning Partnership
11.6 Options for the delivering the national coordination function
11.7 Outcomes and targets

REFERENCES

ANNEXES
ANNEX 1 REVIEW OF NATIONAL STRATEGIES FOR SUICIDE PREVENTION
ANNEX 2 THE ECONOMIC COSTS OF SUICIDE IN SCOTLAND IN 2004
ANNEX 3 ASSESSING THE COST-EFFECTIVENESS OF AREA-BASED SUICIDE PREVENTION STRATEGIES: PRACTICAL AND METHODOLOGICAL CHALLENGES.

The views expressed in this report are those of the researcher and
do not necessarily represent those of the Department or Scottish Ministers.