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Children: Suicide and Self-harm

Volume 742: debated on Tuesday 22 January 2013

Question

Asked By

To ask Her Majesty’s Government what action they are taking in the light of the ChildLine report, Saying the Unsayable: What’s Affecting Children in 2012, which highlighted a significant increase in the number of children contacting ChildLine about suicide and self-harm.

My Lords, helplines provide a vital source of support and advice for children who are suffering abuse, worried about something or concerned about someone they know. For the period 2011-15 the Government have invested £54 million in the Children and Young People’s Improving Access to Psychological Therapies project to transform mental health services for children. For 2011-15 we have awarded the NSPCC a grant worth £11.2 million for investment in ChildLine and the NSPCC helpline.

My Lords, I thank my noble friend for that encouraging Answer. Over the past 25 years, ChildLine has saved the lives of many children and young people. However, there are serious concerns that, last year, 92% more counselling was given to girls on self-harm than in the previous year, mainly because of depression, bullying and sexual abuse, especially for those who do not comprehend the nature of grooming and blame themselves. Will the Government put greater emphasis on tackling suicide and self-harm, focusing on prevention and the implications for schools, support agencies and professionals working with children who are vulnerable to sexual exploitation, to give these young people hope, confidence and self-esteem?

My noble friend has raised important issues and I assure her that the Government take them very seriously indeed, including the alarming stories about the grooming of young girls. However, each case of self-harm is the result of a complex mix of problems and there is no quick fix. Departments and services are looking actively at joining up information in order to provide integrated care and personalised services so that an individual’s problems can be tackled together and they are supported in finding a way out of self-destructive patterns of behaviour.

My Lords, what percentage of schools have access to either a school counsellor or a school nurse? Can the Minister also say whether that percentage has gone up or gone down? I realise that this is a fairly technical question, so if she does not have the figures now, perhaps she will write to me.

I thank the noble Baroness. In fact, I do not have the statistics in front of me, so I will write to her. However, we do of course recognise the incredibly valuable work of school nurses and others in performing a pastoral role within schools.

My Lords, from successive reports, has the Minister noted the role of alcohol in the phalanx of causes of self-harm among children? What is being done to reduce the availability of alcohol to teenagers?

My Lords, the right reverend Prelate will be aware that the question of how one can reduce the incidence of alcohol consumption has been under discussion for some time in other departments. In almost any town or city centre these days one can see young people, particularly young girls, under the influence of alcohol. I would say that broadly it comes under the same scope of giving young people self-respect and trying to encourage a sense of their own worth through improved behaviours delivered by proper education and guidance.

Is my noble friend aware that the cluster of young suicides in Bridgend, south Wales, was no coincidence? It was preceded by the dissemination of very worrying images of suicide not just on internet sites but also in films and plays? What can the Government do to make theatre and film companies aware of the potential for damage to young, vulnerable and immature minds when these dark subjects are explored, so that it is done responsibly, if at all?

My noble friend raises wider issues in this debate, which are of course entirely relevant but must always be balanced with freedom of speech and of information. That is a delicate balance to strike. Ministers from three departments—the Home Office, the Department for Culture, Media and Sport and the Department for Education—are working with the media and with the internet industry, particularly through the UK Council for Child Internet Safety, to try to find ways of keeping children safe online. The Department of Health is also involved in that. The broader debate about further media is one that could be very profitably taken up within that.

My Lords, can the Minister assure the House that the Government will do all they can to ensure that attempted suicide, or suspected self-harm, is taken seriously by all the services and ensure that the proper range of counselling is provided for these young people at a critical stage in their lives?

The noble Lord raises a very important point. It is increasingly vital that the different departments and services that work with children join up the information so that a holistic picture of a vulnerable child can be built up, and to avoid information slipping through the net, as has happened in one or two high-profile cases.

My Lords, we know that speedy access to psychological and therapeutic services for distressed children is extremely difficult in some areas, and likely to get worse when responsibility for commissioning children’s health services is broken up between different organisations, as will happen under the Government’s health service reorganisation. Can the Minister tell the House which organisation, in future, will be responsible for commissioning and improving psychological and therapeutic services for children?

Again, I am afraid that I cannot directly answer the noble Baroness. However, I know that there is an increasing amount of joined-up discussion between departments to try to ensure that such issues are covered, and I will of course write to her if I can get a direct answer. I know that the Chief Medical Officer has put a high priority on well-being, particularly among children and young people. It will be a cross-departmental responsibility to ensure that happens.

My Lords, I have watched the work of ChildLine with great interest and admiration over the years. It has been quite remarkable in changing the attitudes and sensitivities that children face when they are abused. I am also delighted that the founder of ChildLine, Esther Rantzen, has now started another line, called the Silver Line, for abused or damaged older people. Can the Minister assure us that this will be taken seriously and the same level of encouragement and support given to it in the future as has been given, quite rightly, to ChildLine?

I can reassure the noble Baroness that abuse of any vulnerable person, whether a child or an adult, is taken very seriously by the Government and any measures that are proposed to counteract it will be supported. As she says, ChildLine has developed its services to meet the needs of children today. One of the reasons why the number of children approaching it has increased is that there is now an online facility, and many children find it easier or more acceptable to express their troubles online than over a telephone. That is providing a very helpful and vital service to vulnerable children.