The Poverty Alliance: Experiences of poverty stigma and mental health in the UK

More than 14 million people in the United Kingdom (UK) are currently living in poverty, and the number of people experiencing deep poverty is increasing (Joseph Rowntree Foundation, 2024).

We worked with the Mental Health Foundation and researchers from the University of Strathclyde on this report, where we examine how experiences of poverty stigma are related to mental health outcomes in the UK.

Our aim was to understand the impact of poverty stigma and who is most affected in order to inform solutions.

You read it below, or download it from here.

Suicide in Scotland: Minister responds to ‘distressing’ report

Mental Wellbeing Minster Maree Todd has described a rise in the number of probable suicides last year as “distressing”, saying the increase is driving a determination to deliver change.

National Records of Scotland figures show there were 792 probable suicides in 2023 – an increase of 30 on the previous year.

The Scottish Government is taking action jointly with COSLA to reduce the number of deaths by suicide. This ensures government and local services work together to support anyone at risk of suicide or affected by it, while tackling underlying factors that can lead to suicide, such as inequalities, stigma and discrimination, which have been exacerbated by the pandemic and cost of living crisis.

Self-harm is also a risk factor for suicide and last year saw the launch of the world’s first action plan focussed solely on tackling the issue. This includes funding for a new service where anyone affected by self-harm can get compassionate support, without fear of stigma or discrimination. 

Mental Wellbeing Minister Maree Todd said: “This report makes for distressing reading and my sincere condolences go out to all those who have been affected by the loss of a loved one by suicide.

“I am determined that together with COSLA and other partners we reduce the number of deaths by suicide and improve the nation’s mental health as a whole.

“The ambition and innovation in Scotland’s suicide prevention approach is widely recognised. However, we know there is always more to do.

“We are working hard with communities and services to help people talk more openly about suicide and offer compassionate support. We are prioritising reaching more people at higher risk of suicide, including those living in poverty, middle aged men, and LGBT communities. 

“We are launching an online portal to ensure people feeling suicidal know where to go for help. The introduction of suicide reviews this year will also help us spot missed opportunities to support people and importantly use that learning to redesign services.

“Our wider actions around Mental Health are also helping to prevent suicide. They include funding more than 800 additional mental health workers in A&E departments, GP practices, police custody suites and prisons, and investing in our Communities Mental Health and Wellbeing Fund which prioritises suicide prevention and social isolation projects.”

Chair of the Scottish Government’s Suicide Prevention Academic Advisory Group Professor Rory O’Connor said: “Similar to other countries, sadly an increase is not unexpected given the challenges of recent years, including the cost of living crisis and the economic downturn which have led to financial and social hardship for so many.

“Every single death is heartbreaking, leaving behind devastated families, friends and communities.  We need to continue to do everything we can to ensure that those at risk of suicide receive the care and support that they need when they need it.” 

COSLA President, Councillor Shona Morrison said: “As the voice of Local Government in Scotland, COSLA has taken a strong position on the importance of the mental health and wellbeing of our communities and the need to tackle inequalities that contribute to suicide risk.

“There is a considerable amount of work taking place across local areas in Scotland which supports delivery of the Suicide Prevention Strategy.

“We firmly believe that no death by suicide is acceptable, and we remain committed to working in partnership with Scottish Government to realise the ambitions of our joint strategy ‘Creating Hope Together’ to reduce deaths by suicide, whilst tackling the inequalities which contribute to suicide.”

Anyone affected by these issues can access support from the following services:

Suicide Prevention Scotland responds to 2023 death by suicide data

Suicide Prevention Scotland has responded to today’s release of data from National Records of Scotland (NRS) for 2022  which shows a small year on year increase in deaths by probable suicide.

Statistics released by NRS show that there were 792 suicides registered in 2023, a 3.9% increase on 2022 (which was up 1.2% on 2021’s data). 

It’s the highest number of deaths by suicide since 2020 (805).

To understand how this increase fits into the broader trend, it is essential to consider not just year-to-year changes but also the five-year average, which provides a more stable and reliable measure of trends over time. 

The number of deaths by suicide in 2023 at 792 is very slightly above the previous five-year average (787 for 2018-2022).

Compared to the previous female five-year average (208 for 2018-2022), 2023 shows a decrease of six deaths. Compared to the previous male five-year average (579 for 2018-2022), 2023 shows an increase of 11 probable suicides.

The average age of death by suicide has fallen from the previous year. In 2022 this was 48.2 years; in 2023 it was 46.6 years.

The overall increase in the past year can be attributed to an increase in male suicides by 34 (590). There was a reduction in female suicides by four (202). The rate for men remains three times that of women. 

Looking back over the previous few years, there was a long downward trend in suicide rates from 2011-2017. 

This was followed by an increase in 2018 and 2019, then by a decrease in 2020 and 2021, with the lowest numbers seen since 2017 (680) in 2021 (753). 

The numbers released for 2022 increased very slightly (762). 

The further increase in numbers for 2023 suggest that the downward trend may have stalled, however it is too early to say as several years’ data are needed to confirm an overall trend.

Over the last five years, Scotland’s suicide rates have shown fluctuations, with some years experiencing notable increases. 

For example, in 2018, there were 784 deaths by suicide, a sharp rise from previous years, particularly among young people aged 15-24. The numbers slightly decreased in 2021 to 753 but rose again to 762 in 2022.

Probable suicides in the 15–24-year-old group have increased by ten to 79 in 2023, from 69 in 2022. 

However, the category with the highest increase was the 35-44-year-olds (up 22 to 175), repeating a pattern seen for the previous year’s data, where this age-group also had one of the highest increases in suicide numbers for 2022 (up 22).

In contrast, the biggest reduction seen is in the 65-74-year-old group, which has fallen by 28 to 63 in 2023 from 91 in 2022. 

There has also been a slight decrease over the last year in the 75-84-year-old group, with numbers staying the same in the 55-64-year-old age group.

The decrease in these older age groups was driven mostly by male suicides, which decreased by 22 to 99 in the 55-64-year-olds, and by 12 in the 65-74-year-olds. 

In contrast, the increase seen for 2023 was driven mostly by male suicides in the 35-44-year-old group, which were up 23 to 144, and the highest number in this age category since 2011.

Although 792 people died by suicide in 2023, this number does not consider changes in the population size or how the number of people in different age groups change as time goes by. 

Therefore, suicide rates corrected for these changes give more meaningful comparisons. 

When we use these corrected suicide rates, the highest rates seen in 2023 was among 35-39-year-old males (44.3 per 100,000), an increase of 9.8 from 34.5 in 2022. 

The next highest rate was for 40-44-year-old males (42.1 per 100,000), an increase of 5.4 from 36.7 in 2022. 

In comparison, the highest rate for female suicide rate increased by 7.0 to 14.9 in the 50-54-year-old group.

In 2023, the suicide rate in the most deprived areas was 20.9 per 100,000, compared with least deprived areas of 8.6 per 100,000. 

This means that deaths by suicides in 2023 occurred 2.4 times more in our most deprived communities, an improvement on inequality seen in previous years e.g., 2022 which was 2.6 times more and the previous five-year average 2018-2022, which was 3.1 times more.

In September 2022, the Scottish Government and COSLA (Convention of Scottish Local Authorities) launched the country’s new long-term suicide prevention strategy and action plan, Creating Hope Together

To deliver the new strategy, a new community of organisations and people, Suicide Prevention Scotland, has been established.

Last week it reported on progress made during its first full year in operation

Creating Hope Together sets out four key outcomes. Partnership is at the heart of the approach, with a range of strategic partner(s) appointed to drive delivery. They are:

  • Creating a safer environment that protects against suicide across the whole of Government and society – Samaritans
  • Improving understanding of suicide and tackling stigma – SAMH
  • Providing compassionate support for anyone affected by suicide – Penumbra & Change Mental Health
  • Working in a connected way, that always draws on evidence and lived experience – Public Health Scotland 

A new National Suicide Prevention Advisory Group (NSPAG) has also been established. 

Led by Rose Fitzpatrick CBE QPM, its members represent many of the sectors leading work on the social determinants of suicide. This includes poverty, as well as partners who are working in key sectors affected by suicide — such as the criminal justice sector.

Their role is to provide advice to Suicide Prevention Scotland, Scottish Government and COSLA which helps us focus on the complexity, intersectionality and inequality of suicide. 

NSPAG recently published its first year report and recommendations.

Suicide Prevention Scotland’s National Delivery Lead Haylis Smith comments: “The fact that 792 people died by suicide is a stark reminder we still have so much more to do – and we are determined to keep working together do it. 

“We don’t just think about the number of people who die by suicide on this day in August, they are in our thoughts every day – they help drive us to do this work – to try to help prevent future deaths.

“Every death by suicide is one too many and we need to continue to build our understanding of what we need to do and how we need to do it by listening to the experts, those who study and research suicide and people who have lived and living experience. 

“We’ll use that understanding to help us develop and deliver more action that will save lives.

Ross Cunningham is part of Suicide Prevention Scotland’s Lived Experience Panel. Ross, who lives in Orkney, has suffered from depression and suicidal thoughts and is an advocate for social prescribing. He said:

“The grief experienced by so many people across Scotland who have had to bear the death of a loved one to suicide in 2023, or any year, is a heartbreak beyond words. The loss is something family and friends will tragically have to live with for the rest of their lives.

“Those we have lost aren’t just a statistic, they were people living in Scotland who had a name, had parents, had friends and family who loved them very much, had hobbies, had dreams and ambitions, and had a life of their own – one which cruelly came to an end when they believed that suicide was their only option.

“We must not let the immense loss of life to suicide that these figures represent, and those before it, be in vain. This should be a wake up call to governments, policy makers, employers and wider society that more must be done in all parts of Scotland – in every village, town, city and island community – to take preventative actions and to further support those suffering from depression and suicidal thoughts.

“Everyone can take little steps each day, recognising that you may need to talk to someone or seek support about your own mental health, or even if it’s just checking in with a friend on WhatsApp or phoning a loved one you know who might be going through a difficult time.

“Please don’t suffer in silence, don’t bottle things up. If you are going through something, know that support is out there – and the first step to getting that support is speaking to someone about how you’re feeling.”

Nadine Dougall, Professor of Mental Health & Data Science at Edinburgh Napier University and a member of the Suicide Prevention Scotland Academic Advisory Group comments: “Each death by suicide is an enormous tragedy, leaving devastating and lasting impacts on families, friends, and communities. 

“Suicide is complex and rarely caused by a single factor, needing a whole-population approach to prevention.

“While reducing deaths by suicide is essential, it is also crucial to understand long-term trends and the influence of various factors to guide effective suicide prevention efforts. 

“Notably, deaths by suicide among men aged 35-44 have increased, with the suicide rate reaching 44.3 per 100,000 people – the highest since 2011. This calls for further investigation to focus suicide prevention activities. Although there have been some gains in reducing inequality in suicide rates, much more needs to be done to sustain and improve these efforts.”

If you or someone you know is struggling with their mental health or feeling suicidal, please don’t hesitate to ask for help by contacting your GP, NHS24 on 111, Samaritans on 116 123 or Breathing Space on 0800 83 58 87.

Respiratory Syncytial Virus (RSV) vaccination programme begins

With Scotland’s new Respiratory Syncytial Virus (RSV) vaccine programme having begun, Public Health Scotland (PHS) is encouraging those eligible to get vaccinated.

PHS’s Head of Immunisation and Vaccination, Dr Sam Ghebrehewet, joined the First Minister, John Swinney, in a visit to the vaccination clinic in the Hub Community Centre in Clydebank today.

During the visit to the clinic in NHS Greater Glasgow and Clyde, Dr Ghebrehewet and the First Minister were delighted to meet with pregnant women and older adults who are among the first to have come forward for their RSV vaccine.   

RSV is a common and highly infectious respiratory virus that affects the breathing system. It is the leading cause of emergency respiratory admissions to hospital in Scotland in infants, with 1,516 children aged under one hospitalised with the virus last year. 

To help protect newborns and infants, pregnant women are being offered the vaccine during antenatal appointments with their midwife from 28 weeks into their pregnancy.

There were also over 1,000 cases of RSV recorded in adults aged 75 and over in Scotland between October 2022 and September 2023, with more than half (535) having to spend time in hospital as a result.

Local health boards in Scotland have been inviting all those currently eligible by letter to come forward for their free RSV vaccine including:

  • Those turning 75 years old on and between 1 August 2024 and 31 July 2025.
  • Anyone who is aged 75 to 79 years old on 1 August 2024.

Highlighting the importance of pregnant women and older adults coming forward for the RSV vaccine, Dr Sam Ghebrehewet, Head of Immunisation and Vaccination at PHS, said: “I’m pleased to join the First Minister and NHS Greater Glasgow and Clyde’s vaccination team at Clydebank Community Centre today and see people coming forward for the RSV vaccine.

“Vaccinations have played a major role in protecting the health of people across the globe over the last 50 years. Today’s launch of the new RSV vaccination programme marks another significant step in protecting the population of Scotland against preventable diseases.

“RSV can be very serious for those who are more vulnerable, such as newborns, infants and older adults. If you’re eligible, getting vaccinated is the best and simplest thing you can do to protect yourself or your newborn baby from RSV.

“Public Health Scotland continues to work closely with all health boards to ensure as many people as possible receive their vaccine and protect themselves against the more serious complications of an RSV infection.” 

Sara, a pregnant woman who received her vaccine at the clinic today, said: “I’d heard of RSV before and how serious it can be for babies.

“After I saw there was going to be a vaccine, I read up about it and decided it was the obvious thing to do to protect my baby when they are born.”

The First Minister said: “I encourage pregnant women to take up their vaccination appointments to protect their babies against the leading cause of hospitalisation in infants during the first weeks and months of life. 

“Ensuring a healthy childhood is every parent’s first priority, however, it is equally important that those aged 75-79 take up their offer of this vaccine.

“We have acted quickly with partners to introduce this vaccine in time to maximise the benefit to the more vulnerable ahead of winter. This programme will reduce the numbers seriously ill or hospitalised, helping to manage the significant winter pressures on our NHS.”

View information on the RSV vaccine for babies on NHS inform

View information on the RSV vaccine for adults on NHS inform

NHS 24 healthy lifestyle: 12 Week Weight Management Programme

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Dara Ó Briain, Milton Jones, Rose Matafeo, Angela Barnes and more big names join the line up for Underbelly Big Brain Tumour Benefit

Tuesday 13 August, 7.20pm at McEwan Hall, Underbelly Bristo Square

  • So far, Underbelly has raised over £110,000 for The Brain Tumour Charity from these benefits alone, including nearly £20,000 at the last Fringe benefit in 2023.
  • Dara Ó Briain, Milton Jones, Rose Matafeo, Angela Barnes, Ian Smith, Carl Donnelly, Kanan Gill, Amy Gledhill are confirmed to appear in this year’s show with more guests to be announced soon. 
  • The show was created by Underbelly in 2017 following the diagnosis of an aggressive and rare form of brain cancer called Ependymoma in Alfie Bartlam, the son of Underbelly’s co-founder Ed Bartlam. Alfie sadly died, aged 7, in August 2019.
  • Brain tumours are the leading cause of cancer-related deaths in children and adults under 40. They shorten life expectancy by an average of 27 years, the most of any cancer. Despite this, brain tumour research is more underfunded compared to many other cancers.

Underbelly has today (9th August) announced its much-anticipated line-up for the sixth annual Big Brain Tumour Benefit in the majestic McEwan Hall. 100% of the box office income is being donated directly to The Brain Tumour Charity, the world’s leading brain tumour charity and the largest dedicated funder of research into brain tumours globally.

Starring in this year’s show will be:

  • Irish comedy legend Dara Ó Briain
  • King of the one-liners Milton Jones
  • Kiwi Edinburgh Comedy Award Winner and tv actress Rose Matafeo
  • UK tv star and stand up comedian Angela Barnes
  • 2023 Edinburgh Comedy Award Best Show nominee and BBC Radio 4’s  Ian Smith
  • Indian comedy super star Kanan Gill
  • Edinburgh Comedy Award nominee Amy Gledhill
  • And our MC will be Fringe favourite Carl Donnelly

All money raised via ticket sales and in donations on the night goes to The Brain Tumour Charity – a cause which is very close to Underbelly’s heart. Co-Founder of Underbelly, Ed Bartlam’s, son Alfie was just 4 years old when he was diagnosed with a form of aggressive brain cancer in 2016 and sadly died three days after the end of the Fringe in 2019.

Research into brain tumours is significantly underfunded in the UK compared to other cancers, despite being the leading cancer killer for those under 40. Each year, over 11,400 people in the UK are diagnosed with a brain tumour – meaning 31 families face the devastation of this diagnosis every day.

Ed Bartlam, Underbelly’s co-founder said: “I’m delighted that we are announcing another superb line up for Underbelly’s sixthBig Brain Tumour Benefit show at the Edinburgh Fringe.

“We have raised over £110,000 for The Brain Tumour Charity since our first show in 2017, and we cannot thank both the comedians and the audiences enough for their support so far.

“My wife and I are raising £1.5M for the charity to fund a specific paediatric brain tumour research and new treatment project based in Cambridge.

“We’re doing this through a range of fundraising events and this annual Fringe show is a vital part of that. Call me biased, but this show is an amazing evening of comedy for the very best of causes. So please buy a ticket!”

Hannah Bowler, Corporate Partnership Manager at The Brain Tumour Charity, said: We are thrilled that the Big Brain Tumour Benefit comedy gig is returning this year, for its sixth show, and we are incredibly grateful for our amazing partners, Underbelly, for their ongoing support in raising crucial funds for research and awareness of the devastating impact of brain tumours.

“Brain tumours are the biggest cancer killer of children and adults under 40, The Brain Tumour Charity is committed to fighting brain tumours on all fronts.

“We can only work towards our goal of helping people with a brain tumour live longer and better lives with the support from people like Ed, Charlie and the truly incredible Underbelly team.”

To book tickets for Underbelly’s Big Brain Tumour Benefit, please visit:

https://underbellyedinburgh.co.uk/event/underbellys-big-brain-tumour-benefit-2024

The Heart Health Boost: How twenty minutes of reading a day can reduce your risk of a heart attack

Dedicating just 20 minutes a day to reading could offer significant benefits, including reducing your risk of a heart attack.

This simple habit not only enriches the mind but also contributes to heart health in several profound ways.

Mubin Ahmed from Awesome Books tells us how:

Stress Reduction

One of the primary ways reading helps reduce the risk of heart attacks is through stress reduction. Stress is a significant risk factor for heart disease. When you immerse yourself in a good book, your mind is transported away from the worries and anxieties of everyday life. According to a study by the University of Sussex, reading for just six minutes can reduce stress levels by up to 68%. Imagine the compounded benefits of dedicating 20 minutes daily to this relaxing activity!

Improved Sleep Quality

Poor sleep is another risk factor for heart attacks. Reading before bed can help improve sleep quality, leading to better heart health. Instead of engaging with screens, which emit blue light and disrupt sleep patterns, opting for a physical book or e-reader with a warm light setting can signal to your brain that it’s time to wind down. Better sleep means your body can repair and rejuvenate, reducing strain on your heart.

Mental Stimulation

Reading keeps your brain active and engaged, which is beneficial for overall mental health. Mental stimulation has been linked to lower levels of stress and anxiety, both of which can negatively impact heart health. By regularly challenging your brain, you help maintain its functionality, potentially staving off conditions that can indirectly affect your heart, such as depression and cognitive decline.

Lower Blood Pressure

Relaxation from reading can also help lower blood pressure. When you are engrossed in a book, your body relaxes, and this relaxation can lead to lower blood pressure. High blood pressure is a significant risk factor for heart attacks, so maintaining a lower blood pressure through regular reading can contribute to heart health.

Social Connections

Reading, especially fiction, enhances empathy and social understanding. These improved social connections and empathy can lead to stronger relationships and social support networks, which are essential for emotional well-being. Emotional well-being and strong social connections have been shown to lower the risk of heart disease.

Encourages Mindfulness

Reading requires concentration and presence, which are key aspects of mindfulness. Mindfulness, or being fully present in the moment, has been shown to reduce stress and promote a sense of calm. Regular practice of mindfulness through reading can improve your overall emotional health, thereby reducing the risk of heart-related issues.

How to Incorporate Reading into Your Daily Routine

Set a Specific Time: Choose a consistent time each day for your reading session, whether it’s in the morning, during lunch, or before bed.

Create a Cosy Space: Designate a comfortable spot for reading, free from distractions.

Choose Enjoyable Material: Select books or articles that genuinely interest you to make the habit enjoyable and sustainable.

Limit Screen Time: Opt for physical books or e-readers with non-glare screens to reduce eye strain and improve relaxation.

Join a Book Club: Engaging with others about what you’re reading can enhance your enjoyment and provide additional social benefits.

Mubin Ahmed from Awesome Books says: “Incorporating just 20 minutes of reading into your daily routine can offer significant benefits for your heart health.

“From reducing stress and improving sleep to lowering blood pressure and fostering mindfulness, this simple habit is a powerful tool in reducing the risk of heart attacks.

“So, grab a book, find a cosy spot, and start reading your way to a healthier heart today!

New research reveals nearly a quarter of Scottish children have NEVER had an eye test

SPECSAVERS has launched its first ever ‘eye screen’ van to put children’s eye health and eye tests at the top of parents’ agendas.

Popping up at The Royal Botanic Gardens in Edinburgh, the van was not only equipped with ice lollies, but also visual screeners, to help identify any potential eyesight problems in children and alert their parents if they required a more thorough eye test. 

The activity comes as new research conducted by Specsavers among parents in Scotland with kids aged 4-16, revealed that almost a quarter (22%) of children of this age have never had an eye test, and a further 12% haven’t had one in two years or longer.

This is despite 15% of parents in Scotland saying their child had experienced problems at school which could be linked to vision. The most common issues raised includes struggling to see the whiteboard (43%), experiencing discomfort because they are straining to see (36%) or having to move to the front of the classroom to see (21%).

Little progress has been in the last 15 years as research carried out by Specsavers in 2009, showed just under a quarter (23%) of UK children aged between 3-12 had never had an eye test.[1]

The latest survey found the most common reasons parents across Scotland haven’t taken their child for an eye test is because they don’t know how frequently they need to go (33%) or they have no visible problems (17%). Other reasons include parents not being advised that their child needs an eye test (17%) or knowing at what age they should have one (17%).

Specsavers clinical services director Giles Edmonds said‘A lot of parents assume that because their child doesn’t display any signs of a vision problem, there’s no need to have their eyes tested.

‘However, this couldn’t be further from the truth. Ensuring your child has regular eye examinations from an early age is incredibly important for several reasons. Given more than 80 per cent of our learning, cognitive and social abilities are facilitated through our sight, it’s extremely important to your child’s overall development.

‘Poor eyesight can cause learning and behavioural problems. Conditions such as squinting and amblyopia (lazy eye) can be treated more effectively if they are picked up earlier, which could make a huge difference to your child. An eye test doesn’t just check vision. It can also detect other underlying health conditions.’

The research also found that during school holidays, parents across Scotland have a back-to-school list of around 10 to 11 tasks, including everything from buying new school unforms (55%), shoe fittings (52%) and labelling personal items (45%). However, eye tests ranked lower (42%) alongside dental checks (42%).

Giles adds: “We understand how many things parents have to think about, especially during the summer holidays and before the new school year starts. 

“By showing up with our eye screen van, we hope we’ve put eye tests on parents’ radars as they play a significant role in setting children up for a happy and fulfilling school life.”

The research also found children in Scotland are reluctant to get their eyes tested. Nearly a half (48%) think it will hurt and nearly one in five just don’t want glasses (19%).

To combat this, Specsavers is looking at ways to make a visit to the opticians more fun with the launch of its friendly ‘Optomonsters’. Customers will start to notice the Optomonsters popping up in stores nationwide soon.