louis appleby @ProfLAppleby Twitter profile | Pikagi

Pikagi

louis appleby

@ProfLAppleby

35,317

Followers

1,656

Following

2,130

Media

26,204

Statuses

researcher & govt adviser on suicide prevention & mental health. may also tweet on nature, arts & whatever happens.

Manchester/Anglesey

Joined May 2012

Don't wanna be here? Send us removal request.

Pinned Tweet

@ProfLAppleby

louis appleby

26 days

I’ve been looking in more detail at the 2023 suicide figures from ONS, published this week. They showed a 6% rise, giving us the highest national rate since 1999. In fact, the detailed picture - by age, sex & where people live - is not simple. Short 🧵 & TW

@ONS

Office for National Statistics (ONS)

29 days

5,579 suicides were registered in England in 2023, equivalent to a provisional rate of 11.1 suicide deaths per 100,000 people. This rate was statistically significantly higher than in 2022 and is the highest rate we have seen since 1999. ➡️

13

101

102

13

97

215

Last Seen Profiles

@daggester

@Incendium_GG

@IZON_official

@BlueDevil_HC

@mybabatweets

@Antique_n_flawl

@eraacs

@joemcbreen

@BinghamtonMBB

@sirotetyou

@africanfarming_

@itskaiwan

@yellow_magic__

@siema161

@Leyden_Soccer

@AntiBullyingPro

@Expressfunded

@huge_spectator

@OminousDaGOAT

@bikenewyork

@chihamaru_desyO

@dankmemebunny

@UndertaleJP

@bobaelietist

@ena_ggggg

@GovNiger

@hideinu

@CheetahsRugby

@_elmeta__

@gumi_nokia

@kellyintulsa

@KnightYamir

@LoungeDrs

@Arts_Alive

@OkkesDe43916638

@KiuSum

@ProfLAppleby

louis appleby

2 months

We need to see an end to that line about choosing a living daughter or dead son. It is not based on evidence. May add to distress in young people & mislead worried parents. Deeply insensitive to 200 families/yr to whom the suicide of a teenager is more than a slogan.

94

699

2K

@ProfLAppleby

louis appleby

2 months

Children with gender distress may face bullying, isolation & family conflict, reasons to be alert to suicide risk. Empathic support is vital but evidence that puberty blockers reduce risk is weak & unreliable. Invoking suicide in this debate is mistaken & potentially harmful.

73

442

2K

@ProfLAppleby

louis appleby

2 years

Unambiguous conclusion on risk assessment tools in today’s NICE guidance on self-harm. Don’t use them. Risk is individual, complex, dynamic & can’t be reduced to a number. Assessment should be personal, collaborative, leading to a practical plan to keep safe.

Tweet media one

39

673

2K

@ProfLAppleby

louis appleby

2 years

That fake statistic, a “200% rise” in suicide since lockdown, has reappeared just as further restrictions are considered. Reminder •suicide rate has not risen in pandemic •alarming claims can add to distress of people already struggling •check source of any stat before sharing

17

525

1K

@ProfLAppleby

louis appleby

3 years

It’s become common to see an academic dropping off Twitter to escape abuse. It starts with a tweet or media appearance commenting on evidence from their field of study. Someone takes exception to their message, outrage spreads. Their timeline becomes a torrent of hostility.

38

296

987

@ProfLAppleby

louis appleby

2 years

Constantly hearing about suicide risk being downplayed because someone: •“has capacity” •is impulsive •has personality disorder diagnosis •would already have “succeeded” if they were serious None of these decisions is based on evidence or, for that matter, ethical.

45

318

964

@ProfLAppleby

louis appleby

4 years

Today’s false “suicide rise” tweet is still circulating. So a few social media rules on suicide: •check source before RT’ing, even in a good cause •doubt any conveniently rounded statistic, like “200% rise” •be aware alarming stories can cause distress to people at risk

26

530

902

@ProfLAppleby

louis appleby

3 years

Short Q&A on suicidal ideas (not about anyone in particular): •should we ever dismiss suicidal ideas? No •do they always signify high suicide risk? No, but they always signify distress. •does everyone who is suicidal tell someone? No, and one reason is fear of the response.

23

320

891

@ProfLAppleby

louis appleby

3 years

Our finding that #lockdown did not put up suicide in England echoes an international study last week. We should now see an end to claims about suicide from lockdown opponents with no previous discernible interest in #mentalhealth . Cynical, dangerous & not based on evidence.

27

271

855

@ProfLAppleby

louis appleby

6 years

60% with anxiety/depression are not on any treatment, 1/3 who die by suicide haven’t been to GP in last year, but story in several papers today is.....too much prescribing.

24

465

800

@ProfLAppleby

louis appleby

3 years

Summary of our week: •we publish data showing no rise in suicide post-lockdown •we receive torrent of abuse from anti-lockdown Twitter warriors •fake, dangerous claim that suicide is up 200% starts to recirculate Coincidence? Be careful who you listen to. @NCISH_UK

33

368

814

@ProfLAppleby

louis appleby

2 years

Where did it come from, the idea MH staff shouldn’t intervene when a suicidal person is thought to have capacity? •Misunderstanding of MH Act •Culture of downgrading risk in a service under pressure •Stigma directed at people with PD diagnosis Dangerous & unacceptable.

69

262

811

@ProfLAppleby

louis appleby

3 years

It’s #WorldSuicidePreventionDay & the theme is hope. Suicide is not inevitable. A day of deep sadness for families bereaved by suicide. Many have become champions for doing better, their personal stories moving & influential. An outstanding contribution. #WSPD2021

6

301

701

@ProfLAppleby

louis appleby

11 months

Thanks to everyone who has messaged, liked or otherwise responded. 🙏 Awards may be individual but they reflect the efforts of many. And they have a wider positive meaning: they’re a sign of what matters to society. #SuicidePrevention #mentalhealth

@NCISH_UK

NCISH

11 months

Huge congratulations to our @ProfLAppleby who received his knighthood for services to medicine and mental health on Tuesday!

Tweet media one

78

75

700

64

39

687

@ProfLAppleby

louis appleby

4 years

Like many people I am constantly checking for #COVID19 updates. So today I ignored twitter, turned off notifications & went for walk along beach at Newborough, #Anglesey , one of UK’s most beautiful places. Look after your #mentalhealth in this difficult time.

Tweet media one

Tweet media two

Tweet media three

Tweet media four

18

88

620

@ProfLAppleby

louis appleby

1 year

Thanks for the kind messages re the #NewYearsHonours . It’s a tribute to the brilliant researchers, charities, professionals & civil servants I’ve worked with. To the inspirational families who have brought #suicideprevention out of the shadows. Thanks to them & #HappyNewYear .

123

54

616

@ProfLAppleby

louis appleby

3 years

Today we’re releasing suicide data for 2020 covering several parts of England, total population 9 million. The month by month figures are reassuring: there has been no rise in suicide following lockdown. @NCISH_UK

186

214

598

@ProfLAppleby

louis appleby

5 years

We don’t always take self-harm seriously but: - 50% of those who die by suicide have previously self-harmed - suicide is up 50-fold in 12m after going to A&E with self-harm - 1 in 50 attending A&E with self-harm have died within a year (My talk in Antrim today)

16

373

594

@ProfLAppleby

louis appleby

7 years

Reminder of how xenophobic press tried to blame Jo Cox's tragic murder on mental illness - which has played no part in today's conviction.

@ProfLAppleby

louis appleby

8 years

No-one knows motive but for some media, easier to blame mental illness than poisonous atmosphere they helped create.

Tweet media one

Tweet media two

47

674

485

21

794

536

@ProfLAppleby

louis appleby

2 years

Plenty of justified outrage following #BBCPanorama ’s film of staff abusing patients in a secure mental health unit. It made headline news. Investigations are under way. Staff have been suspended. But outrage alone will not prevent a repeat. Short 🧵 & TW.

45

227

560

@ProfLAppleby

louis appleby

2 years

While this is playing out, people are anxious - desperate - about the security of their homes & jobs, their debts, rent & benefits. This is not a political game. Economic stress is the most powerful driver of mental ill-health & suicide.

11

192

560

@ProfLAppleby

louis appleby

1 year

Plea to journalists writing about suicide. 6000 people/yr die by suicide in UK. 6000 families devastated. Suicide is not a catchy headline or way to score political points. Check figures, think about language, take advice, be responsible - what you write can add to risk.

8

156

550

@ProfLAppleby

louis appleby

4 years

We know from 1st #lockdown whose #mentalhealth we now need to focus on: young people, those who are anxious, lonely, traumatised or bereaved, at risk from alcohol or dom violence, living with mental ill-health or on wrong end of inequality due to poverty, ethnicity or stigma.

25

215

548

@ProfLAppleby

louis appleby

3 years

It’s widely assumed that suicidal men do not ask for help. We found that in 67% of those who died, there had been contact in previous 3m with frontline services, 38% in final week. Our new report @NCISH_UK . Lead researcher @Cathy2778

Tweet media one

26

308

535

@ProfLAppleby

louis appleby

2 years

Doctors are re-posting a tweet saying suicide in medics is high. This isn’t true in England (no figures for other UK countries). Spreading alarming statistics re suicide can add to risk in distressed people. Stop, delete, read the evidence.

25

173

524

@ProfLAppleby

louis appleby

2 years

We should stop using suicide risk asst tools. Evidence clear, most agree. Why do they persist? Defensive practice, form-filling culture. What to do instead? Individual approach to safety, skilled, collaborative, involving family. Govt #SuicidePrevention advisory group today.

26

163

505

@ProfLAppleby

louis appleby

11 months

Must admit, this is an unusual photo. But the people who would have loved it are my parents. Part of that incredible post-war generation who, very bright but without qualifications, saw education as the route to a better life for their children.

Tweet media one

31

24

515

@ProfLAppleby

louis appleby

2 years

We’re going into a dangerous period for suicide risk. Every recession has put up rates, historically & worldwide. But countries with employment & welfare support have been able to reduce impact. Debt, jobs, low pay, insecure housing, this is what #SuicidePrevention is about.

22

218

493

@ProfLAppleby

louis appleby

4 years

That Neil Kinnock speech from 1983 is now on a loop in my head: I warn you not to be ordinary I warn you not to be young I warn you not to fall ill And I warn you not to grow old

6

188

498

@ProfLAppleby

louis appleby

8 years

No-one knows motive but for some media, easier to blame mental illness than poisonous atmosphere they helped create.

Tweet media one

Tweet media two

47

674

485

@ProfLAppleby

louis appleby

9 years

Have pulled out of presentation on rising prison suicide at MoJ tomorrow after being told not to refer to falling staff nos. #HowGovtWorks

130

2K

481

@ProfLAppleby

louis appleby

7 years

Do @BBCPanorama realise how irresponsible this could be if suicidal people stop antidepressants as a result?

@BBCPanorama

BBC Panorama

7 years

Is there a link between anti-depressants & violence? We investigate on Wednesday. Interview @thesundaytimes here:

47

17

22

37

311

469

@ProfLAppleby

louis appleby

4 years

My greatest wish for 2020 is about young people, whose suicide rate has risen over past decade. That we offer them a more hopeful future. That we live up to their values, on equality, diversity, the environment. That people in power listen, that their voice will matter. #HNY2020

11

158

475

@ProfLAppleby

louis appleby

3 years

2 main conclusions from @ONS report on suicide in early pandemic -no rise in rates, despite alarming claims: be careful who you listen to. -rate in <25s down despite evidence of distress: suicide is complex, need to understand protective as well as risk factors.

Tweet media one

7

215

469

@ProfLAppleby

louis appleby

6 years

Peak day for suicide is Jan 1st - alcohol, family rows, fears for year ahead. #Staysafe & look after others tonight & tomorrow.

Tweet card media

The timing of general population and patient suicide in England, 1997-2012 - PubMed

There is substantial seasonal and temporal variation in suicide deaths, and there appears to be some evidence in the clinical as well as the general population in England. Clinical services should be...

pubmed.ncbi.nlm.nih.gov

15

467

450

@ProfLAppleby

louis appleby

8 months

It’s a special day when your daughter gets married.

Tweet media one

54

2

444

@ProfLAppleby

louis appleby

2 years

Quite a day. Thinking about my 1st days in #mentalhealth a lifetime ago, nursing assistant in long stay ward in my summer holiday. And all the brilliant people I have worked with on reforming MH care & #suicideprevention . Thanks to @rcpsych & @DrAdrianJames for the award.

@rcpsych

Royal College of Psychiatrists

2 years

We've come to the final #RCPsychAward of the day. It's time to announce Professor Louis Appleby ( @ProfLAppleby ) as the recipient of this year's Lifetime Achievement Award. Very well deserved, Professor Appleby! Watch the testimonial here:

Tweet media one

14

11

76

60

40

429

@ProfLAppleby

louis appleby

2 years

You can’t separate inequalities of economics & #mentalhealth . Suicide rate in NE now more than twice London rate, new @ONS report shows. Deprivation, depression, the link is 2-way. If #LevellingUp is going to work, it has to address both.

Tweet media one

12

273

420

@ProfLAppleby

louis appleby

4 years

No shortage of social media comment about suicide over the weekend but few researchers joined in & those who did called for caution from everyone else. And with good reason. Research evidence warns that media coverage can put others at risk. Thread/1

Tweet card media

Media coverage as a risk factor in suicide

A total of 293 findings from 42 studies on the impact of publicized suicide stories in the media on the incidence of suicide in the real world were analyzed by logistic regression analysis. Studies...

14

252

417

@ProfLAppleby

louis appleby

2 years

Being a doctor - or any other health professional - is a privileged position. Public trust is high. With that comes responsibility beyond clinical practice. It includes visible leadership on public health. For example, getting vaccinated in a global pandemic. #NHSmandate

7

50

413

@ProfLAppleby

louis appleby

5 years

Had never realised how much suppressed outrage there was over Jeremy Kyle. So if plan is to end humiliation of vulnerable people, no reason to stop at reality TV or even tabloids, there is plenty of it in how we treat people in debt, on benefits, in immigration centres.

11

141

401

@ProfLAppleby

louis appleby

2 years

Reminder that losing someone you love to suicide is devastating, that this tragedy affects 6000 families/year in UK, that nothing - no issue of power or politics - alters the importance of support or sympathy or human connection. #SuicidePrevention

15

114

405

@ProfLAppleby

louis appleby

4 years

This drive towards lifting lockdown worries me. It must take a special kind of expertise to see over 30,000 lives lost & think we have over-reacted.

14

105

404

@ProfLAppleby

louis appleby

4 years

3 issues for #mentalhealth leaders to work on over next few wks: 1. Anxiety in the general population, severe for some 2. Maintaining mental health in anyone isolating (keep connected) 3. Support for people under MH care, esp in crisis.

11

197

388

@ProfLAppleby

louis appleby

1 year

When we began studying suicide in MH patients 25yr ago, there was widespread view that services could make little difference. Now we have safer wards, early follow-up, NICE guidance on self-harm & much more. And lower patient suicide rates. Prevention is possible. #NCISH2023

25

106

390

@ProfLAppleby

louis appleby

1 year

Most of us in #mentalhealth have spent years trying to get people to seek help when they need it. Untreated depression being a major cause of suicide. So when we talk about charging people to see a GP, we should start not with the money but the risks.

13

116

390

@ProfLAppleby

louis appleby

1 year

Think of the bereaved families campaigning about mental health risks of gambling, calling for tighter regulation, seeing today what they are up against. Not just any MP, but chair of the all-party parliamentary group on betting & gaming.

Tweet media one

21

220

395

@ProfLAppleby

louis appleby

6 years

On #WorldSuicidePreventionDay I am signatory on letter to national media calling for more sensitive reporting of suicide & end to use of words like "commit".

Tweet card media

Celebrities appeal to media to change how suicide is reported

Stephen Fry and Richard Curtis among signatories of letter calling for more understanding

www.theguardian.com

10

198

379

@ProfLAppleby

louis appleby

2 years

Unequivocal on risk assessment tools in today’s self-harm guidance from @NICEComms . My colleague Nav Kapur was expert adviser.

Tweet media one

14

202

382

@ProfLAppleby

louis appleby

5 years

As I explained to @thesundaytimes , rise in suicide & self-harm can’t simply be blamed on social media. Multiple causes & strongly linked to economic deprivation & emotional trauma.

@thetimes

The Times and The Sunday Times

5 years

New figures reveal that suicides are running at more than five in 100,000 among teenagers in England, up from a rate of just over three in 100,000 in 2010

10

33

24

20

227

361

@ProfLAppleby

louis appleby

4 years

Thinking of positives for when this is over: •public health no longer the poor relation •new sense of social cohesion •new mood to protect vulnerable •me-first boorishness finished •anti-vaxxers too •huge changes to protect environment look feasible •digital truly arrives

20

79

356

@ProfLAppleby

louis appleby

6 years

Odd how keen media always are to find biological trigger for suicide, as if loneliness, poverty, family break-up & alcohol aren't enough. @guardian today.

12

194

343

@ProfLAppleby

louis appleby

3 years

Mistake to call it Plan B with implication of admitting failure. Mistake to equate Plan B with lockdown. Mistake to talk about individual choice rather than social responsibility. Mistake to underplay pressure on NHS as “sustainable”.

@BBCNews

BBC News (UK)

3 years

What are the Covid restrictions around the UK and are they likely to change?

13

13

31

14

83

350

@ProfLAppleby

louis appleby

1 year

1600 suicides by MH patients/yr in UK - it’s important we never become desensitised to these numbers, fall back on fatalism & see suicide as inevitable, dismiss expressions of risk on grounds of capacity or “choice”. @NCISH_UK report now submitted. Out early next year.

17

140

351

@ProfLAppleby

louis appleby

3 years

Covid deaths in UK have passed 120,000, even more poignant when you recall how shocked we were by the prediction that 20,000 would be a good outcome. Easy to be desensitised to the scale of this tragedy, vital to keep stressing these numbers are real lives, real families.

7

107

347

@ProfLAppleby

louis appleby

6 years

Each year over 80 health care professionals die by suicide inc 16 doctors & 42 nurses. On way to London to meet @NHS_HealthEdEng about bringing #mentalhealth into education & training.

21

242

341

@ProfLAppleby

louis appleby

4 years

Must admit I’ve found the daily death toll hard to take - and mortality figures are my job. But passing 20,000 hospital deaths is the most tragic of milestones & we owe it to each individual, each family, to stop & think what that means. #COVID19

11

67

337

@ProfLAppleby

louis appleby

2 years

My mother was born 2 months after the Queen, near Balmoral. Left school at 14, ensured her kids went to uni. In WW2 had job photographing PoWs. Family took in child evacuee. Worked in NHS. Cared for 4 generations: 3 younger, 1 older. Lifetime of service but a different kind.

8

12

337

@ProfLAppleby

louis appleby

3 years

Meeting a family bereaved by suicide, as I did today, is an unsettling experience. I’ve been a clinician, I know the pressures, but families’ accounts of how we behave, dismissing their concerns, are deeply troubling. And the sting in the tail is hiring lawyers at inquest.

32

65

331

@ProfLAppleby

louis appleby

3 months

Feels this week we have jumped back 20-30 years in mental health to re-discover why we needed assertive outreach teams & a community treatment order. Nottingham tragedy is a disturbing echo of high profile cases at that time.

32

74

323

@ProfLAppleby

louis appleby

28 days

New suicide figures for the final 3m of 2023 are published by @ONS today, giving us rates for last year as a whole. It is not good news. The suicide rate rose 6% from 2022, the first substantial rise since 2018. The rate was 11.1 per 100,000 people, highest figure since 1999.

21

223

324

@ProfLAppleby

louis appleby

1 year

To avoid misunderstanding: there was no rise in child suicide in England in 2020.

@IsabelOakeshott

Isabel Oakeshott

@IsabelOakeshott

1 year

Children committed suicide because of lockdown. RIP Mark Horton #thelockdownfiles

2K

1K

6K

8

102

326

@ProfLAppleby

louis appleby

3 years

People contacting me about the #highintensitynetwork . My concerns: •suicidal crisis should never lead to criminal sanctions •practice adopted across NHS always needs robust evidence •strict rules (laws) on sharing NHS info are essential to patient confidence #SuicidePrevention

7

116

315

@ProfLAppleby

louis appleby

22 days

#CassReview is a landmark report. It should lead to better mental health care for a group of distressed young people facing prejudice & at risk. It also shows why in health care, ideology should never outweigh evidence.

15

67

322

@ProfLAppleby

louis appleby

3 years

Levelling up? Suicide rate in North-east is almost twice what it is in London. If you want to improve quality of life & productivity, #mentalhealth is crucial. #WorldMentalHealthDay

2

95

317

@ProfLAppleby

louis appleby

6 years

Mental ill-health exists everywhere, it is part of human experience. But only US has mass shootings in schools. Outrageous for @realDonaldTrump to deflect issue. @BBCWorld

12

206

307

@ProfLAppleby

louis appleby

11 months

Poorly judged & potentially dangerous. Good frontline agencies work together - crises can have mental health, social & safety elements. And mental ill-health is common - no sector serving the public can simply withdraw from it.

@guardian

The Guardian

11 months

Met police to stop attending emergency mental health calls

50

57

108

17

112

312

@ProfLAppleby

louis appleby

5 years

86 health professionals, inc 16 doctors & 42 nurses, die by suicide per year in E&W. Our report on mental wellbeing in NHS highlights need to treat staff well, support them when struggling & take risk seriously.

15

263

314

@ProfLAppleby

louis appleby

4 years

Suicide prevention at time of pandemic: supporting people with mental illness, those who are isolated, in crisis or bereaved; addressing domestic violence & alcohol & financial hardship. A rise in suicide is not inevitable. Key graphic from our paper in @TheLancetPsych today.

Tweet media one

13

240

316

@ProfLAppleby

louis appleby

4 years

My daughter turns up unexpectedly from London, pitches a tent in our back garden & we have our first time together for months that isn’t via a screen. I realise how much time we have all spent in a kind of emotional lockdown. #StaySafe

8

11

315

@ProfLAppleby

louis appleby

6 years

Thought I’d watch just a few mins of #ItsAWonderfulLife but should have known better: #suicideprevention masterpiece with its themes of hope, community & value in ordinary lives.

Tweet media one

10

64

295

@ProfLAppleby

louis appleby

4 years

Blaming young people for the 2nd wave, like reporting your neighbours, is damaging to the social cohesion we need in coming months. So for anyone overseeing arrival of students just now, #wellbeing too has its rules: don't blame, don't punish, support, encourage, trust.

10

106

307

@ProfLAppleby

louis appleby

1 year

In black cab & conversation takes its inevitable turn to my job. Then the driver’s story pours out: distress, divorce, no support, the friend who took his own life. Reminder of how many men don’t know where to get help, how many lives are touched by suicide.

7

32

309

@ProfLAppleby

louis appleby

4 years

Guidance is coming but my 5 tips on looking after your mental health if you're isolating: - stay connected - keep active, plan your day - manage anxiety - rest, sleep, exercise - treat yourself - cake, box sets, whatever works - avoid constant checks on news #StaySafe

8

203

308

@ProfLAppleby

louis appleby

5 years

Main hope for 2019 is that last 2 years has been an aberration & we see resurgence of values that matter: altruism, acceptance, internationalism, environment, community. #HappyNewYear to all & stay hopeful.

14

69

305

@ProfLAppleby

louis appleby

2 months

An issue this wk has been suicide rhetoric. Arose in discussion of trans children but issue is far broader. Talking up suicide may add to risk in distressed people who identify with those who take their lives. Suicide is not a slogan. It is all too real for countless families.

12

75

297

@ProfLAppleby

louis appleby

5 years

A day to acknowledge families bereaved by suicide: their determination to protect others has been the decisive factor in giving #suicideprevention high profile it now has. #WSPD2019

11

112

297

@ProfLAppleby

louis appleby

6 years

Depression no different from broken arm? Heard again at #HayFestival2018 that much-used comparison - pro-parity, attempt to convince sceptics it’s real. But it is different, more profound, more personal, more dangerous. Isn’t that the message?

32

119

288

@ProfLAppleby

louis appleby

4 years

Worth stressing that when media, campaigners or twitterati say suicide is rising, as several have, they have no evidence for this. I know their motive is positive - concern about people in distress. But talking up suicide risk & the “inevitable” line is potentially harmful.

9

111

293

@ProfLAppleby

louis appleby

5 years

As no deal gets closer, reminder that every economic shock has harmed mental health & caused a rise in suicide. All this brinkmanship & nationalist bluster is scandalous, we are taking about real lives. #Brexit

9

176

283

@ProfLAppleby

louis appleby

4 years

Updated guidance on reporting of suicide, to reduce imitation. Don’t romanticise or give details of method. And, esp in this pandemic, don’t oversimplify the cause. People’s lives are complex.

@samaritans

Samaritans

4 years

Careful and responsible reporting of suicide can contribute to suicide prevention. Today sees the launch of Samaritans’ new media guidelines and resources to support safer coverage of suicide

Tweet media one

8

342

421

0

171

291

@ProfLAppleby

louis appleby

3 years

It’s world #suicideprevention day this week (Friday). We’ve had 18 months of international collaboration to an extent I haven’t previously known. It’s always a poignant occasion, profoundly emotional for many. The theme this year is hope. @IASPinfo #WSPD2021

Tweet media one

3

116

288

@ProfLAppleby

louis appleby

6 years

When suicide occurs w/out warning we say "masked depression" but maybe not depression at all: rapid onset despair in impulsive young men. No wonder risk asst is hard. My talk on things we "know" about suicide @rcpsych .

22

171

282

@ProfLAppleby

louis appleby

8 months

England’s new #suicideprevention strategy has just been published. New priorities, new evidence. New commitment to reduce the tragedy of suicide.

Tweet card media

Suicide prevention in England: 5-year cross-sector strategy

17

183

280

@ProfLAppleby

louis appleby

1 month

We should be concerned by the new stigma, the public perception that mental health is an excuse, a card people play. But we should also ask whether our previous anti-stigma messaging has contributed, however inadvertently, and how that can change. Short 🧵

11

93

280

@ProfLAppleby

louis appleby

1 year

Another attempt to reduce the complexity of rising adolescent self-harm to smartphones. Important to note: The original graph has been re-drawn in ways that affect its interpretation. The study it’s taken from (by my colleagues in Manchester) drew a different conclusion. 🧵

@JonHaidt

Jonathan Haidt

1 year

1. British people: Here is what has been happening to the mental health of your children since 2010. Full story here:

Tweet media one

61

456

1K

12

129

281

@ProfLAppleby

louis appleby

5 years

Oversensitive perhaps but could all those debating exactly what represents “political suicide” reflect that for 6000 families/yr the word is more than a useful metaphor.

22

97

279

@ProfLAppleby

louis appleby

5 years

I've seen countless health initiatives bringing in as experts outsiders with no NHS experience. Once in a while it works, usually it's an expensive irrelevance, sometimes a disaster.

Tweet card media

NHS managers will be trained by the army in bid to boost leadership skills

NHS managers will be trained by the army in a bid to improve the quality of their leadership.

www.telegraph.co.uk

66

144

274

@ProfLAppleby

louis appleby

2 years

Every financial crisis is also about #mentalhealth . Rising prices & rents, debts, fears over jobs & homes. Add to that the possibility of cutting public services to reduce borrowing. These figures on our screens are not just numbers, they are people’s lives.

4

86

272

@ProfLAppleby

louis appleby

3 years

After months of claims & predictions about escalating suicide rates caused by lockdown, our findings are reassuring. But there are also several caveats. @NCISH_UK

Tweet media one

25

99

274

@ProfLAppleby

louis appleby

2 years

The “out of the blue” suicide phenomenon combines 2 things with different routes to prevention: •people able to hide how low they are feeling •people who experience rapid onset of despair Prevention means tackling stigma, recognising our own vulnerability, crisis services.

11

63

270

@ProfLAppleby

louis appleby

21 days

Seeing a lot of criticism of the evidence informing the #CassReview . Exclusions, narrow view of methodology, etc. My impression is the opposite, the review was generous. These are vulnerable young people. We can’t lower standard of safety & effectiveness the NHS should require.

12

66

276

@ProfLAppleby

louis appleby

4 years

Role of algorithms in A level fiasco is no surprise to anyone concerned with risk assessment in #mentalhealth where there are constant claims that AI can outperform clinicians. Problem is it can make choices but lacks judgement.

8

84

268

@ProfLAppleby

louis appleby

2 years

When people say suicide must be going up in pandemic, I’ve heard of cases, it shows how far from tragic reality we were pre-pandemic. So, as reminder: 1 in 66 men dies by suicide. Think of a crowded train, a stadium, the street where you live. It has always been a vital issue.

7

83

267

@ProfLAppleby

louis appleby

4 years

Twice in last week I’ve been told of cruel comments by health staff to people who had self-harmed. I really believe this is unusual now but it shows there is something deep-rooted that we have to eradicate.

87

79

262

@ProfLAppleby

louis appleby

5 years

One of most shameful parts of miserable #Brexit saga has been seeing alarm & bewilderment of people who have made UK their home, some for generations, working in NHS, research, care homes, part of community. Talk of hard borders & backstops doesn’t cover it.

9

117

258

@ProfLAppleby

louis appleby

2 years

Thanks so much for all the good wishes today. Touched - overwhelmed really - to hear from so many friends & colleagues. Doing my best to reply. @rcpsych

Tweet media one

@rcpsych

Royal College of Psychiatrists

2 years

We've come to the final #RCPsychAward of the day. It's time to announce Professor Louis Appleby ( @ProfLAppleby ) as the recipient of this year's Lifetime Achievement Award. Very well deserved, Professor Appleby! Watch the testimonial here:

Tweet media one

14

11

76

35

11

256

@ProfLAppleby

louis appleby

4 years

Public Health England under attack but their leadership on #suicideprevention nationally has been important, working with local authorities, publishing guidance, managing clusters & now setting up real-time surveillance.

2

85

260

@ProfLAppleby

louis appleby

6 years

With #suicideprevention leaders for today’s announcement by PM of new ministerial role: their tireless work has got us to this point. #WorldMentaHealthDay

Tweet media one

14

63

248

@ProfLAppleby

louis appleby

9 months

Interviewed this wk about what I’d most like to change about #mentalhealth care. My answer: the way we downplay suicide risk with judgements about mental capacity, “it’s behavioural”, etc. And the way our services reject people because of comorbidity that actually adds to risk.

15

67

259