Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Review of Australia’s funding commitments for suicide prevention from 2021–22 to 2026–27

Di Hu https://orcid.org/0009-0008-3369-1545 A B * , Charlotte Comben https://orcid.org/0000-0002-9100-2970 A B , Sandra Diminic https://orcid.org/0000-0001-8742-8816 A B and Claudia Pagliaro https://orcid.org/0000-0001-7781-2101 A B
+ Author Affiliations
- Author Affiliations

A School of Public Health, Faculty of Medicine, The University of Queensland, Brisbane, Qld, Australia.

B Queensland Centre for Mental Health Research, Brisbane, Qld, Australia.

* Correspondence to: d.hu1@uq.net.au

Australian Health Review 48(1) 45-51 https://doi.org/10.1071/AH23176
Submitted: 30 August 2023  Accepted: 27 November 2023  Published: 18 December 2023

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

Examine the distribution of funding for suicide prevention in Australia from 2021–22 to 2026–27.

Methods

Government websites were reviewed to locate budget documents related to suicide prevention funding. Information was extracted on the program/service to be funded, and the funder entity, duration, and year allocation. Extracted data was reviewed to identify commonly targeted sub-populations.

Results

The majority of suicide prevention-related funding was allocated to aftercare for persons who have attempted suicide, consistent with the effectiveness of these services, followed by programs targeting the general population. Little funding was allocated to other specific sub-populations, such as young people and Aboriginal and Torres Strait Islander peoples. The amount of funding allocated to suicide prevention varied across jurisdictions, which is only partially explained by suicide rates.

Conclusions

There is a need for greater investment in care for specific sub-populations who are at higher risk of suicide. This study provides a baseline for comparing future investments in suicide prevention in Australia.

Keywords: health funding and financing, health policy, mental health, mental health services, policy review, population health, suicide, suicide prevention.

References

Australian Institute of Health and Welfare. Suicide & self-harm monitoring. Canberra: AIHW; 2023. Available at https://www.aihw.gov.au/suicide-self-harm-monitoring/data/

Beautrais AL. Risk factors for suicide and attempted suicide among young people. Aust N Z J Psychiatry 2000; 34(3): 420-36.
| Crossref | Google Scholar | PubMed |

Schlichthorst M, Reifels L, Krysinska K, et al. Trends in suicide-related research in Australia. Int J Ment Health Syst 2020; 14: 2.
| Crossref | Google Scholar |

Blakely TA, Collings SC, Atkinson J. Unemployment and suicide. Evidence for a causal association? J Epidemiol Community Health 2003; 57(8): 594-600.
| Crossref | Google Scholar | PubMed |

Chesney E, Goodwin GM, Fazel S. Risks of all-cause and suicide mortality in mental disorders: a meta-review. World Psychiatry 2014; 13(2): 153-60.
| Crossref | Google Scholar | PubMed |

Ayano G, Tsegay L, Abraha M, et al. Suicidal ideation and attempt among homeless people: a systematic review and meta-analysis. Psychiatr Q 2019; 90(4): 829-42.
| Crossref | Google Scholar | PubMed |

Hirsch JK, Cukrowicz KC. Suicide in rural areas: an updated review of the literature. J Rural Ment Health 2014; 38(2): 65-78.
| Crossref | Google Scholar |

Hoertel N, Franco S, Wall MM, et al. Mental disorders and risk of suicide attempt: a national prospective study. Mol Psychiatry 2015; 20(6): 718-26.
| Crossref | Google Scholar | PubMed |

Department of Health and Aged Care. What we’re doing about suicide prevention. Canberra: Australian Government; 2022. Available at https://www.health.gov.au/health-topics/mental-health-and-suicide-prevention/what-were-doing-about-suicide-prevention#initiatives-and-programs [accessed 2023].

10  Stone DM, Crosby AE. Suicide Prevention. Am J Lifestyle Med 2014; 8(6): 404-20.
| Crossref | Google Scholar | PubMed |

11  Life in Mind. Regional Strategies and Frameworks. Life in Mind Australia; 2023. Available at https://lifeinmind.org.au/policies/regional-approaches [accessed 2022].

12  Richmond Fellowship Queensland. The Way Back Support Service. Richmond Fellowship Queensland; 2023. Available at https://www.rfq.com.au/service/the-way-back-support-service/ [accessed 2023].

13  Life in Mind. Aftercare. Life in Mind Australia; 2023. Available at https://lifeinmind.org.au/aftercare [accessed 2022].

14  Life in Mind. Postvention. Life in Mind Australia; 2023. Available at https://lifeinmind.org.au/suicide-prevention/approaches/postvention [accessed 2023].

15  Australian Government Productivity Commission. Real Australian, State and Territory governments’ expenditure on mental health services (Table 13A.1). Canberra: Productivity Commission; 2023. Available at https://www.pc.gov.au/ongoing/report-on-government-services/2023/health/services-for-mental-health

16  Australian Government Productivity Commission. Real estimated Australian Government expenditure on mental health services (Table 13A.2). Canberra: Productivity Commission; 2023. Available at https://www.pc.gov.au/ongoing/report-on-government-services/2023/health/services-for-mental-health

17  Commonwealth Government. National Mental Health and Suicide Prevention Agreement. Canberra: Commonwealth Government; 2022. Available at https://federalfinancialrelations.gov.au/sites/federalfinancialrelations.gov.au/files/2022-05/nmh_suicide_prevention_agreement.pdf

18  Australian Bureau of Statistics. National, state and territory population. Canberra: ABS; 2022. Available at https://www.abs.gov.au/statistics/people/population/national-state-and-territory-population/jun-2022

19  StandBy. Support After Suicide. 2023. Available at https://standbysupport.com.au/ [accessed 2023].

20  Krysinska K, Batterham PJ, Tye M, et al. Best strategies for reducing the suicide rate in Australia. Aust N Z J Psychiatry 2016; 50(2): 115-8.
| Crossref | Google Scholar | PubMed |

21  Mann JJ, Michel CA, Auerbach RP. Improving suicide prevention through evidence-based strategies: a systematic review. Am J Psychiatry 2021; 178(7): 611-24.
| Crossref | Google Scholar | PubMed |

22  Youturn Youth Support. You're stronger than you think. 2022. Available at https://youturn.org.au/ [accessed 2022].

23  Gehrmann M, Dixon SD, Visser VS, et al. Evaluating the outcomes for bereaved people supported by a community-based suicide bereavement service. Crisis 2020; 41(6): 437-44.
| Crossref | Google Scholar | PubMed |

24  Nagel T, Hinton R, Griffin C. Yarning about Indigenous mental health: translation of a recovery paradigm to practice. Adv Ment Health 2012; 10(3): 216-23.
| Crossref | Google Scholar |

25  Bywood P, Katterl R, Lunnay B. Disparities in primary health care utilisation: Who are the disadvantaged groups? How are they disadvantaged? What interventions work? Adelaide: Primary Health Care Research & Information Service; 2011. Available at https://fac.flinders.edu.au/dspace/api/core/bitstreams/67b4f721-6296-4268-96b5-6cde2fb4c212/content

26  LGBTIQ+Health Australia. MindOut: Mental Health & Suicide Prevention. LGBTIQ+Health Australia; 2023. Available at https://www.lgbtiqhealth.org.au/mindout [accessed 2023].

27  Male Suicide Prevention Australia. Leading the way in national male suicide prevention. 2016. Available at https://malesuicidepreventionaustralia.com.au/ [accessed 2023].

28  MensLine Australia. Lifeline. 2023. Available at https://mensline.org.au/ [accessed 2023].

29  Australian Institute of Health and Welfare. 2.1 How does Australia’s health system work? Australia’s health 2018. Australia’s health series no. 16. AUS 221. Canberra: AIHW; 2018.

30  Pridmore S, Fujiyama H. Suicide in the Northern Territory, 2001–2006. Aust N Z J Psychiatry 2009; 43(12): 1126-30.
| Crossref | Google Scholar | PubMed |

31  Nous Group. The case for mental health reform in Australia: a review of expenditure and system design. 2013. Available at https://www.medibank.com.au/content/dam/client/documents/pdfs/The_Case_for_Mental_Health_Reform_in_Australia.pdf