AN EDINBURGH SUICIDE: THE DEATH OF HUGH MILLER. A FICTIONAL HISTORY IN THREE PARTS: 1. THE UNENLIGHTENED 2. AN EDINBURGH PANORAMA

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Despite the trials of the past 15 months, Amy’s goal is still clear: “I hope that we will develop a much better understanding of how social and cultural factors shape how suicide is practiced and responded to in diverse areas and communities within Scotland. As part of this, I hope also to contribute to shifting the landscape of suicide research somewhat, so that social and cultural factors or contexts are taken more seriously in developing responses to suicide.” More broadly, suicide is a topic of intense public interest, perhaps especially for those who have themselves experienced suicidal thoughts or actions, or who have lost someone to suicide. Help for suicidal thoughts – NHS – directory of organisation helplines offering help with suicidal thoughts Marshall, a mother of one, had applied for leave to go abroad and meet her family to deal with her depression, but police sources said she was denied leave.

Hopeline UK (Papyrus) – helpline for children and people aged 35 and under who are experiencing suicidal thoughts Given the challenge of working in a country with a large population, CPSP has started its work in two states – Maharashtra and Tamil Nadu. It hopes this work will lead to other states, and eventually the central government, bringing in more measures to prevent pesticide suicides. A clinical toxicologist by profession, Michael first became aware of the issue as a student on summer placement in a Sri Lankan hospital. He had been taken on to study snake bites but was alarmed by the number of patients being admitted as a result of pesticide self-poisoning.the role of culture in shaping the meanings suicide has, and the impacts it might have on different communities It concluded: “There were opportunities both to respond more holistically to the information Romy actively disclosed about her mental health and wellbeing, and to monitor Romy’s ongoing situation more effectively, therefore allowing her to be identified as a student who was struggling and required additional support.” With the centre’s formation, the team were able to expand their work to other countries throughout Asia. One notable success has been their work in Nepal. Meanwhile, CPSP’s work will soon be complemented by a new NIHR Centre at the University of Edinburgh – the Centre for Acute LMIC (low and middle-income countries) Poisoning - which aims to improve the care of acutely poisoned patients. The new centre, also led by Professor Michael Eddleston, will focus on unintentional poisoning, including occupational pesticide poisoning.

CrossCountry Trains tweet: Avanti West Coast are conveying passengers between Edinburgh and Carlisle in both directions until further notice. For connecting Glasgow TransPennine Express services. Transpennine Express are conveying passengers via any reasonable route until further notice. Nepal is a country that is heavily dependent on agriculture, where pesticides are widely used and are easily accessible within communities. In 2018–19, Nepal recorded 5,754 suicides – a high number for a relatively small country. Over 24% of these suicides were by poisoning, most by ingestion of highly concentrated agricultural pesticides. In 2019, a CPSP study, and subsequent discussions with Nepalese policy makers, resulted in a national ban on a number of pesticides. Sri Lanka's success made it clear to Michael that regulation was by far the most effective means of preventing deaths from pesticide poisoning. He saw a need for an organisation that focused on identifying problematic pesticides and supporting effective pesticide regulation globally. Mid Cheshire Mind - Informal drop-in centre and provides advice, information, support and regular activities and groups

Making a difference

Mens’ Shed – support for lonely people who want to actively fix things whilst working on their own issues (not just for men) So how can staff get involved in the project? Amy shares more: “We have a monthly virtual seminar series, which is open to all, as well as a mailing list and network which we are keen to grow. Our research will take us across Scotland, so we are always happy to be put in touch with organisations and individuals across the country – and beyond – who are interested in deepening our understanding of suicide in relation to society and culture.” It was the first of two “special circumstances” applications, both of which cited mental health issues. As her situation deteriorated there were eight requests for coursework extensions, visits to the student support office looking for help and an appointment with a personal tutor, who noted she was unkempt and wearing stained clothes that he found very out of character. Self Injury Support – support for girls and women affected by self harm Support for people affected by suicide The Marshalls’ solicitor Jelina Berlow-Rahman said: “We are pleased someone is finally listening to the families and their concerns.”

Chief Scientist’s Office of the Scottish Government. ‘General Practitioner understandings and management of self-harm: a qualitative study’. Co-Investigator.

Recognising the issue

CPSP has grown out of the work of Professor Michael Eddleston, who has worked on pesticide suicides for more than twenty years, particularly in Sri Lanka. Michael began working with colleagues in Sri Lanka, including researchers, clinicians and policymakers, supporting their work to identify lethal pesticides and introduce new bans. Mr Taylor said: "She had been steeling herself for the operation given the traumatic memories a return to the hospital environment held for her but was also hopeful that this would be a positive step forwards."