Grey Not Blue: Depression and suicide in older people - Nelson

1 OCTOBER IS INTERNATIONAL DAY OF OLDER PEOPLES - TAKE THE OPPORTUNITY IN OCTOBER TO LEARN MORE ABOUT SUICIDE IN OLDER PEOPLE, THE FORGOTTEN POPULATION IN MENTAL WELLBEING AND SUICIDE PREVENTION

There are some suicide risk factors that are particular to older people yet rarely are included in suicide risk assessment tools nor covered in suicide prevention training.

Many general population suicide prevention and mental wellbeing campaigns do not or inadequately address the unique contributing factors to depression and suicide in older people.

Studies indicate that the aged care sector is underprepared, the workforce under skilled and there lacks leadership to champion effective prevention strategies and promoting wellbeing in older people.

It is critical that those working with older people are:

• knowledgeable about the latest research and understanding of suicide in older people
• confident and competent in responding to the depressed or suicidal older person
• able to implement a suicide postvention response and provide support for those impacted by a suicide death

Suicide in those over 65 is more common than is generally thought. The suicide statistics in recent years show that suicide among the elderly is on the increase. Often under reported, depression and suicide are major mental health issue for this age group. Primary health professionals, support workers, aged care workers, pastoral care workers & clergy are often best placed to identify those at risk and to provide support and interventions.

Emerging mental health issue 
As the baby boomer generation age, many will enjoy reasonable physical health, however mental health issues, in particular depression, will be much more prevalent. This is not just an issue for those in primary care or aged care facilities but is one that needs serious consideration by management and workers in retirement villages. In a study of the locations of suicide in New Zealand, it was found that apart from private home, aged care facilities and retirement villages were the most common places where older people killed themselves. This has implications for family, staff and other residents.

Impact of COVID-19 
Due to effective pandemic control, the impact of COVID-19 has been limited. However as we experience more different strains of the virus, its impact on older people’s wellbeing is ongoing and needs more careful consideration. The lockdowns, self-isolating and physical distancing has heightened feelings of loneliness and isolation, issues that already are major risk determinants of suicide in older people. COVID-19 related depression and anxiety in older people will be addressed in the workshop.

Suicide vs Assisted Dying 
In November 2021 the End of Life Choice Act allowing assisted dying became law. The previous year's public referendum saw a robust public debate about whether people have the right to end their life at a time of their choosing and, if so, under what circumstances. It presented a combination of philosophical, moral, legal and ethical dilemmas. The public debate highlighted the common misconception that assisted dying equates suicide. Understanding the difference between the two is critical for those working with older people. While the narrative of a suicidal older person may be similar to someone wishing to take up the option of assisted dying when at the end stage of a terminal illness, they are quite different in meaning and require different responses and interventions. The workshop will cover the complex interrelationship of factors, the difference between suicidality in older people and assisted dying and the appropriate responses and interventions for each.

Workshop Description

This workshop is specifically designed for those who work with older people in community or residential settings in the NZ context. The identification of suicide in older people and engaging with and supporting the suicidal older person are the main focus of this workshop.

Placing suicide in older people in a social context, workshop participants will examine the factors that promote wellbeing and those that contribute to depression and suicide. Topics such a loss, redundancy and futility, loneliness and isolation, elder abuse, quality of life, terminal illness and assisted dying will be covered.

Topics covered in the workshop:

• Grey not blue - Overview of depression and life stressors in older person and the risk for suicide
• The silent suffering – Social determinants of suicide in older people
• Suicidal behaviour vs Assisted Dying
• Identifying suicide ideation and behaviour in older person
• Support strategies for older people who are suicidal
• Dealing with the impact of a suicide of an older person and prevention of suicide contagion

What others have said about this workshop

“A must attend for anyone working with older people. Learnt heaps” 
Aged Care Worker

“Thank you so much for sharing your knowlege and passion. I leave with a new determination in my work” 
Older Person Mental Health Nurse

“This is the first workshop I have attended that has provided such a comprehensive coverage of suicide in older people. Could see so many of the factors in the people I see" 
Elder Abuse Worker

“This workshop is long overdue. For far too long the issues you raised have not been addressed" 
Older Person Advocate

"Absolutely fantastic. Best training I have been to in a long time. So much to take back to my staff" 
Director of Nursing, Aged Care Facility

"Appreciated the way you did not pathologise the aging process and provided a useful model to understand suicide and depression in an appropriate context" 
Geriatrician

An opportunity for a day of learning with internationally respected suicidologist, Barry Taylor

Barry has worked in mental wellbeing promotion and suicide prevention/postvention for 34 years at the local, national and international levels. His extensive experience includes sitting on state and national government advisory committees; designing, implementing and evaluating suicide prevention programs; writing suicide prevention guidelines, training packages and community resources; providing technical advice to community based and national mental wellbeing and suicide prevention programs.

Throughout his career, he has been a strong advocate for more focused action on suicide in older people which he termed "the forgotten population." He is the only New Zealand member of the International Suicide in Older Persons Working Group. As a Health Sociologist and Public Health practitioner, Barry has a long-term interest in the factors that contribute to mental distress and suicide risk in older people, such as social isolation, retirement and sense of purpose.

He has led multiple ‘firsts’ in the context of suicide prevention and postvention both in Aotearoa New Zealand and overseas. In recognition of his outstanding contribution to mental wellbeing and suicide prevention, he was awarded in 2016 the NSW Mental Health Commissioner's Community Champion Award. He currently sits on the Health and Disability Ethics Committee.

After a number of years overseas, Barry is living back in New Zealand and is passionate about building the knowledge base, competence and capability within our country to effectively respond to the unacceptably high rate of suicide in this country.

WORKSHOP DETAILS

WORKSHOP PLACES ARE LIMITED. REGISTER EARLY TO AVOID DISAPPOINTMENT 
Places in each workshop are limited. If the workshop is full please register your name on the waitlist

Group Booking Discount: Book 3 or more participants in one booking and receive 30% discount off each registration

Payment: Payment is by either: 
Credit Card (Visa or Mastercard) or  
Instalment payment (ZIP and Afterpay)  
Invoice - Organisations can request to pay by invoice. At payment method click on Invoice,

Terms for Payment By Invoice 
The Payment by Invoice option is only for organisations

By selecting to pay by invoice the organisation agrees to the following conditions:

1.  Your place in the workshop is not confirmed until payment has been received. Payment of the invoice must be made within seven days of registering to avoid having your registration cancelled. Late payment fees apply.

2.  A Tax Invoice from TaylorMade Training and Consulting will be sent to you separately which will contain bank details for payment.  

3.  By registering for the workshop, you agree to the cancellation and policy. (refer below).  Organisations who cancel within seven days of the workshop and have not paid the invoice for the outstanding registration fee are still obligated to pay the outstanding debt. 

Cancellation and Refund Policy 
Workshops can fill quickly. If you are no longer able to attend the workshop please cancel your registration as soon as possible. The following refund policy is strictly adhered to.

Cancellation up to seven days prior to the commencement of the workshop:  Full Refund less $40+GST admin fee

Cancellation within seven days prior to the commencement of the workshop: No refund but registration can be transferred to another person. To transfer your registration log on to your registration and update the name and contact details to the new person attending.

Non attendance:   No refund

Disclaimer: The information and professional advice delivered in the workshop and the associated printed material is provided solely on the basis that before relying on this material, participants should obtain appropriate advice relevant to their particular circumstance to evaluate its accuracy, currency, completeness and relevance for their purposes. TaylorMade Training and Consulting will not be liable for any damages of any kind to any person or entity arising from the use of this information. Your attendance at this workshop reflects your acceptance of this statement.

Organiser Contact Details

Barry Taylor 
Principal Consultant |  TaylorMade Training and Consulting 
Office:  04 280 0146                           Mobile:  022 397 9294 
Email:  registration@4wellbeing.nz   Website:  www.4wellbeing.nz