Poster Presentation National Suicide Prevention Conference 2025

Enhancing support for individuals with complex trauma histories who are experiencing suicidal distress. (#162)

Alison Asche 1 , Mark Bekerman 1
  1. EMPHN, Box Hill, VICTORIA, Australia

There is compelling evidence that individuals who have experienced complex trauma are at disproportionate risk of suicide.  In a recent study, childhood maltreatment was found to account for 41 percent of suicide attempts in Australia, 35 percent for cases of self-harm and 21 percent for depression.  Similarly, the AIHW recently reported that child abuse and neglect was consistently the leading behavioural risk factor contributing to the burden of suicide and self-inflicted injuries in both males and females between 2003 and 2019.

 

Given limited support options, people with complex trauma histories who are experiencing chronic suicidal distress frequently accesses emergency services where arguably, their needs are not adequately met.  This pilot initiative takes a whole of systems approach enhancing the capability of primary care professionals in a community-based setting to provide support and reducing the need for crisis services.   Stakeholders involved in the codesign, and implementation of the initiative include Lived Experience representatives and peer workers, Ambulance services, a Local Hospital Network, a complex trauma peak body, Community Health, General Practice and allied health practitioners.

 

The objectives of this multisectoral work are to: 

  • Design, test and iterate interventions that will build system responsiveness for those experiencing suicidal distress who have complex trauma histories.  
  • Pilot a model that builds capability and confidence in the Primary Care sector to support people in the community, reducing the need for emergency services responses.
  • Address perceived medico-legal risk which can be associated with supporting people in suicidal distress. 

 

This presentation will:

  • Outline the challenges and enablers identified in cross sector co-design which support the system to better meet the needs of individuals experiencing suicidal distress who have complex trauma histories.  
  • Identify opportunities to leverage service coordination to enhance service system integration and to build the capability of the primary care sector to support this group.