Individuals who have experienced complex trauma are recognised as being at disproportionate risk of suicide. In addition, estimates suggest approximately 70% of individuals diagnosed with borderline personality disorder (BPD) have histories of trauma. Of all mental illnesses, BPD has the highest suicide rate, being 45 times more likely to die by suicide than the general population.
Given limited support options, people with complex trauma histories experiencing suicidal distress frequently access emergency services, where arguably, their needs are not adequately met. As highlighted in the National Suicide Prevention Strategy, support solely from a mental health lens is likely to be insufficient given social determinants, including complex trauma, are key contributors to suicidal distress.
A pilot initiative is being undertaken to build the capability of primary care to provide support in community-based settings, reducing the need for involvement of crisis services. Stakeholders involved in codesign included Lived Experience, Ambulance, Local Hospital Network, complex trauma peak body, Community Health and General Practice. The objectives of this pilot are to:
This panel discussion will provide insights from three distinct perspectives; a PHN, community health service and a state specialist trauma service, with ample time for audience questions and discussion. The core components of the pilot; primary and secondary psychiatry consultations, Communities of Practice and skills-based capability building of the General Practice, allied health and peer workforce will be explored in terms of:
Preliminary findings from an independent evaluation will also be shared to guide future initiatives, including an assessment of the efficacy of the core components.