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For how long can we ignore those at risk? : Comments
By Cathy Kezelman, published 16/4/2010Not only is our society in denial about suicide. As a community we need to look after our most vulnerable and protect those whose childhoods betrayed them and whose adult lives are at serious risk.
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But you just said it yourself, there is a wide range of contributing factors, it is not all down to nurture and genetics plays a part.
This was in response to the assertion, "that child sexual abuse, emotional abuse and physical abuse as children was in the medical history of almost all of the patients in the huge Psychiatric hospital he worked at in Ireland over a period of 30 years."
Didn't you read the subject quote that I was challenging? The inference was that "almost all" mental conditions (and that doesn't exclude many), are caused by ill treatment as a child, especially sexual abuse. That is wrong. That may often be present is insufficient to imply causation, otherwise the crowing of the rooster would indeed cause the sun to rise.
There is already a peak initiative to dramatically change how health services are managed and it is prudent to hold everything in place and not prejudice the improvement effort. Of course there will be elbows out from professionals and organisations, public and private to protect or increase their turf and that is where too much of our taxes are lost through poor targeting, co-ordination problems, duplication and complexity.
Meanwhile it would be wrong to think that government is uninterested in child and youth mental health and suicide and that all of the work is being done by NGOs who are under-resourced by government. There is the report by the Senate Community Affairs Standing Committee on Mental Health Services in Australia titled Towards Recovery: Mental Health Services in Australia (September 2008). The report concluded that further investment, leadership and cooperation are required to achieve an adequate community-based, recovery-focused mental health care system in Australia. The federal government's own auditor (ANAO) will follow up on recommendations.