Gerry Georgatos – Suicide is the leading cause of unnatural deaths.

Australia’s suicide toll is increasing at one of the world’s highest rates
 
Australia’s suicide toll has increased by 35 percent in the last decade
 
Australia’s First Nations suicide toll has increased by 60 percent in the last decade
 
Nearly one in 3 of Australia’s suicide toll is comprised of the migrant born
 
One in 50 Australian deaths is a suicide
 
One in 17 First Nations deaths is a suicide
 
Suicide is a leading cause of death for Australian war veterans
 
Suicide is a leading cause of death for Australian construction and FIFO workers
 
Suicide is a leading cause of death for Australian farmers and rural living people
 
Suicide is a leading cause of death for Australians soon after they leave prison
 
Suicide is a leading cause of death for Australia’s homeless
 
Suicide is a leading cause of death for Australians living in social housing
 
Suicide is a leading cause of death for Australia’s LGBQTI people
 
Suicide is a leading cause of death for Australians who have been sexually abused
 
Suicide is a leading cause of death for Australian children and youth
 
It is reprehensible – odious – that the Australian Government has not heeded the calls for a Royal Commission into Suicide Prevention
 
Today, a major public figure backed by a leading mental health management professional claimed that 80 percent of Australia’s suicides are “mental health related”. I disagree. In the last few years I have supported more than a 1000 suicide affected families – and have also supported hundreds of individuals who attempted or who were experiencing suicidality. It is my experience that the majority of suicidality is behavioural – psychosocial as opposed to acute mental health disorders. We may have to core further argument around a fixed definition of “mental health” in reference to suicidality.
 
There are an arc of predominant determinants, some which require the inclusion of substantive psychiatric or psychological management while the majority of determinants and narratives require psychosocial support. Where possible the disabling of trauma should be the focus. Where possible supporting people to improve their life circumstances should be intensely supported.
 
A couple of years ago, I fought to save the life of a six-year-old child, to make sure she never attempted again. This child is doing well but that was because I was able travel to her, in the heart of our continent, to one of our remotest regions. I was shocked that one so young would contemplate suicide, and attempt. At the time I believed, or hoped, that I would never come across again a child so young and suicidal. Recently, I dedicated long-haul support to another suicidal six-year-old child, this time in one of our large cities.
 
Most recently, I have supported children, suicidal, six, nine, ten, eleven, twelve, thirteen, fourteen years of age. Without dedicated support it is my very certain belief that some of them would not be with us today.
 
There was one island community where a 13-year-old girl took her life. Her 11-year-old brother found her. The island has mainstream services, albeit small, but none visited the family, citing the need to provide the grieving family ‘space’. More than three weeks later I travelled to the island. I refused to leave the island till I met the family. I drove from the main community to an outstation near a smaller community and met the family. I was the first to do so. I have supported them ever since. That was three years ago. I helped relocate the family to Darwin, where the children attend school. I visit them every time I am in Darwin.
 
Long have I called for and argued for assertive outreach, for intense psychosocial supports, for through-care and aftercare and I continue to call for these, because through these, with the people supporting people in-person approach we can reduce the suicide toll. It breaks my heart that one Government after another does not heed and instead to be seen to be doing something funds research, which delivers more of the same ‘recommendations’.
 
One in 50 Australian deaths is a suicide. One in 17 First Nations deaths is a suicide. Australia, with more than 3,000 suicides a year, has a higher suicide rate than the United Kingdom. Australia’s First Nations peoples endure one of the world’s highest suicide rates. My heart broke when I learned that the Federal Government instead of funding what will save from suicide our young and older, that they approved $35 million for further ‘research’ on Indigenous and youth suicides. The study of suicide is not suicide prevention.
 
This $35 million research spend follows the more than $40 million wasted on the dozen ‘suicide prevention’ trial sites to which I had strongly argued against at the time when Prime Minister & Cabinet bureaucrats informed a Federal Government suicide prevention advisory group of which I was one of its members. Australia has been deluged with thirty years of relentless research in respect to suicide prevention. As a nation we have endured thirty years of the suicide crises unabated and uninterrupted.
 
Suicide is Australia’s leading cause of unnatural deaths. During the last decade, Australia has had among the world’s highest increases in its suicide toll, by 33 percent – and for First Nations Australians by 60 percent. Australia’s suicide toll is more than two and three quarters times the road deaths toll and more than 30 times the domestic violence homicides toll. The majority of the suicide toll is intersected by socioeconomic disadvantage where within the accumulation of life stressors are more pronounced and for some within the travesty of poverty narratives there culminate a firmament like perception of inescapability from these stressors.
 
I feel that all my work – and of colleagues – in crafting and achieving lifesaving outcomes – in working alongside people to psychologically and psychosocially journey from the worst of selves to the best of selves, to positive selves – in improving their life circumstances – in signature piece projects, some sponsored by the Commonwealth through Prime Minister & Cabinet, that we are forever betrayed by the relentless failures of the Commonwealth – and State and Territory Governments – to wholesale invest. Those who are let down, betrayed, are those whose very lives depended on what the funding should have been invested in.
 
I feel that all the work we do, all the evidence, all the lived experience highlighted to the nation relentlessly through the media, versing up the nation on the ways forward that it’s all sold out, betrayed by our Governments’ lack of politic will to deliver on what the evidence compels.
 
During the last year, I have assisted lived experience voices into our nation’s media – of suicide affected families, and of individuals – young and older – who attempted. I did this so the nation could hear straight from the heart – hear more than what deskbound researchers can tell us. Those who I eventually facilitated their story into various media asked for their voices to be heard, to tell their own story, to unpack for readers and listeners their narrative, the arc of their issues. They are more than just betrayed by the spend on more research, they are angry. 
 
I spend my days keeping children – and older – alive. There must be no further spending on so-called research on suicide prevention. I do my research without any funding. The raw data I publish regularly, that I avail to everyone, I do this at no remunerative benefit. I will not accept funding and will not take away a quid away from the potential of suicide prevention.
 
Hundreds of millions of dollars have been spent on suicide prevention during the last decade. The near $80 million that I have described misspent in the last few years if it had been spent on developing outreach services for First Nations Australians at serious risk, spent on youth suicide, lives would have been saved. I argue that an investment of $80 million would reduce the suicide toll for First Nations Australians. Each year of this century, the First Nations suicide toll has increased. We can for the first time this century, reduce the toll and in so doing inspire the nation. We can reduce the Australian youth suicide toll. We know the elevated risk groups; population and categorical. We know the ways forward. We need Governments to scrub up with the quid but not to researching suicide. Suicide prevention research is paper thin, repetitive, rebadged, the same old recommendations. It is not research akin to trialling an anti-cancer treatment.
 
The youngest suicide I have responded to, worked long haul to support the family, is of a nine-year-old child. The youngest attempted suicide I have responded to is of a six-year-old. Our Governments must be steadfast in a salt-of-the-earth nobility to refuse primarily funding researchers, who are now no better than carpetbaggers, and instead fund outreach, fund services, fund the capacity for as many of the affected to improve their life circumstances.
 
There are many who we have kept alive by being there for them, by improving their lives, by validating their trauma and subsequently disabling their trauma. We were and are there for them. I would love for you to hear their stories and to warm our nation on the authentic ways forward, to galvanise more of what is needed. I would love The Guardian to bring you their stories, listen to their voices. Alas, may they be heard by State and Territory and Commonwealth Governments. There is no legacy more important than the one that improves the lot of others to the point of saving lives. 
 
I remember everyone that we lose to suicide but foremost I remember those lost to suicide that we could have helped if we had been resourced to do so.
 
 
 

• Gerry Georgatos is a suicide prevention and poverty researcher. He is also the national coordinator of the suicide prevention focused National Critical Response Trauma Recovery Project and the former coordinator of the suicide postvention National Indigenous Critical Response Service.

 

Crisis support services can be reached 24 hours a day: Lifeline 13 11 14; Suicide Call Back Service 1300 659 467; Kids Helpline 1800 55 1800; MensLine Australia 1300 78 99 78; Beyond Blue 1300 22 4636.