Suicide: 'Irish suicide rate one of highest in Europe'

Procasinator · 24-01-2013 12:21AM

orestes wrote: »

While I agree that awareness of mental health issues in Ireland has moved forward in the last ten years, I definitely wouldn't say it has sky-rocketed. Guys sitting around and tinkering with engines or having a kick-about is fine for them to get stuff off their chests, but I honestly don't think it is suitable on it's own for the initial treatment of depression. Having stuff on your mind is not the same thing as suffering from a serious illness. The most successful treatment for depression, as shown by many many studies, is cognitive behavioural therapy and anti-depressants. As I said in my earlier post, I definitely think that the kind of thing you are talking about would be great, for people who are already being treated and in recovery.

I think saying any one thing will fix the issue is an over simplification of depression and suicide. However, I think good communities can often help prevent severe depression itself, particularly when depression is rooted in social isolation.

Depression has increased in particular among young unemployed males in rural areas, and while correlation is not causation, these individuals in particular are vulnerable to isolation.

orestes · 24-01-2013 12:25AM

Lyaiera wrote: »

I don't know where people have got the notion that people who kill themselves were suffering from depression. It may be technically correct with the new DSM which has pathologised many legitimate forms of sadness and sorrow but overall a lot of people who killed themselves could very well have been in desperate situations and not depressed at all.

Look at someone who is in their 60s, their wife has died, they live in rural area and all their kids have grown up and emigrated. Is that person "depressed?" Possibly. Do they have valid reasons for their depression? Absolutely. And no matter how many drugs you give someone or how much therapy (of which CBT is only the current method) they will always be in the situation where they're isolated and alone unless society changes. Similarly there's the person in their late forties with young kids who loses their semi-skilled, non-tech job. Where are they going to find another job? You can help someone be positive all you want but the reality is that they will find it extremely difficult to find a job anywhere near the same level they held previously.

What I'm trying to get across is that a lot of these problems aren't internal to a person. Even getting someone to readjust internally will not solve the problems a lot of people are facing.

Pretty much everything you have said in the above post is contrary to established theory and practice in clinical psychology.

From the gist of this and your other posts in this thread I get the feeling you're trying to say clinical depression isn't a legitimate illness or should not be treated medically?

Procasinator wrote: »

I think saying any one thing will fix the issue is an over simplification of depression and suicide. However, I think good communities can often help prevent severe depression itself, particularly when depression is rooted in social isolation.

Depression has increased in particular among young unemployed males in rural areas, and while correlation is not causation, these individuals in particular are vulnerable to isolation.

I didn't say any one thing would fix the issue, of course it's not that simple. I said that awareness should be the initial priority so that people feel comfortable asking for help and that initial treatment should be cbt and anti-depressants. I did say that I think that the social club/community aspect was important and that I think it is a good idea, but I don't think it should be the initial point of treatment. Repeated studies have shown cbt and medication to be the most successful treatment, the social aspects come later as recovery progresses.

tempura · 24-01-2013 12:38AM

UCDVet wrote: »

In theory - I love it.
In practice - you'll get a fancy 'Chairman for something' or 'Director of Mental something else' who works 70% of the year while getting a 150k salary. His or her 'department' or 'organization' will have some million euro budget, most of which will be spent questionably at best. Nice offices, nice pay checks for well educated, qualified, business/politically minded folk to run things and look at charts and make the difficult decisions. At the very bottom of it all, you'd have the people providing the actual service....they'll be woefully underfunded and largely ineffective.

The director will then publish an annual report saying how under-reported suicide is and how it's a fast growing epidemic and push to interpret any questionable death as a suicide. Then they'll print charts showing a 'culture of suicide' and fight to 'raise awareness' (read - scare the crap out of parents). They'll publish stuff about cute kids and Mums who killed themselves and emphasize how it COULD HAPPEN TO YOUR FAMILY.

It'll be more about PR and generating revenue than actually helping anyone.

I would agree somewhat with the above. In my experience its a case of different services for those who have and those who have not.

If you have the means to access help in the form of counselling and a good doctor, your chances for making progress are fairly good. Im not belittling anyone who has a mental illness and has the money to spare to help themselves, its still as difficult to deal with but you have choices.

The side I have seen from someone who relies on the HSC for help is an entirely different thing. Yes, you get to see your GP, and maybe get meds prescribed, then you get referred to your local HSC funded health centre, where you get to see a counsellor. You come away from this with a little hope and your appointment to see them again in 4 weeks. You go back and hey presto, a different counsellor, and again the next time, and the next. No continuity. Anyone with an ounce of knowledge about mental illness should know that the relationship between a patient and their counsillor is important, you need to build up trust and familiarity , a good counsillor needs to learn about a person to be of any help. This practice just makes a person uneasy and skeptical which then only makes their condition worse.

The same goes for meds, they need to be followed up. Your doctor should tell you how they will make you feel initially, that they take a little time to work, that they are not a miracle cure. The two go hand in hand, good doctor, and good counselling. And of course, the third, good friends and family to support a person. Its not rocket science and in essence it not very difficult to achieve. But is all about money, the funding and the budgeting. Our current government do obviously not see a need to put more into this area as is apparent. Everyday of the week I hear about people who are not coping too well and seem to have no choices.

I feel a little at odds writing the above as I really don't want to put anyone off going this road. Its the only road there seems to be for most at the moment. So much more needs to be done.

pushkii · 24-01-2013 12:39AM

Pottler wrote: »

How about for a start, provide Govt funded, 24hr manned helplines like the Samaritans struggle to do? How about improve access to and availability of, primary care for sufferers of mental health issues? How about much, much more open and honest discussion of the subject? That might do for a start, if you give people a forum for their suggestions, I believe you will not be long about finding solutions. And how about actually providing realistic, solid funding for measures in this field? As opposed to lip service, poor service and no service?

This

fearcruach · 24-01-2013 12:46AM

It's a serious problem in Ireland, compounded by a shambolic mental health service and a serious ignorance of mental health by the general populace.

I attempted suicide twice in the last year. On paper everything in my life couldn't be better. I've been told before "sure what would you have to be depressed about?", "you need to try harder to be happier" and so on. I suffer from a particular disorder that massively predisposes me to suicidial ideation and has a 75% attempt rate amongst sufferers. Medication has a very limited role to play in its treatment.

There is a therapy which is the only treatment which has been shown to be effective but the only community mental health centre to offer it, is in Blackrock. The Mental Health Service is set up rigidly along geographical catchment areas and if you don't live in Blackrock or the surrounding areas then you don't get the service.

I'm lucky in that I got a referral to a private therapist who can do the therapy with me but it's expensive (€300 a month) which not a lot of people could afford (I have a decent job). If you can't afford it and didn't live in Blackrock then there are literally no options available to you.

When I tell people I attempted suicide the reaction ranges from a lot of uncomfortable shuffling to people telling me I'm selfish and to stop being dramatic. Attitudes in this country are still far behind a lot of countries.

Procasinator · 24-01-2013 12:48AM

orestes wrote: »

I didn't say any one thing would fix the issue, of course it's not that simple. I said that awareness should be the initial priority so that people feel comfortable asking for help and that initial treatment should be cbt and anti-depressants. I did say that I think that the social club/community aspect was important and that I think it is a good idea, but I don't think it should be the initial point of treatment. Repeated studies have shown cbt and medication to be the most successful treatment, the social aspects come later as recovery progresses.

To simplify (probably too much*), there is a before, during and after with depression. While of course funds and effort should be put into the during (i.e. depressed and potential suicidal people), there should also be a focus on what helps prevent initial depression (before) and reocurrence of depression (after). While you are focused on the during, a multi-facet approach is needed to help with the before and the after. If we tackle the before and the after, it will hopefully reduce the amount of people that enter into the during category.

Depression will always occur, but the fact that the suicide rate is increasing rather that staying constant means that some of the many causes and pressures of depression are more prevalent in the population today.

I believe that isolation, along with debt and other stresses common in the recession, are some of the leading reasons for the increase in suicidal rate among young males.

I understand your point, but I also didn't get the impression that Lyaiera was implying that social clubs could replace treatment of clinical depression. But rather, that social isolation from is a problem for many in modern Ireland and tackling that could help reduce the suicide rate. Of course, other activities could help to, like tacking alcohol and substance abuse, as suggested by the report.

* I say this as I realise that some conditions and diseases can't be put into a neat category of before, during and after, and that the causes of depression can be out of control such as schizophrenia, bipolar, e.t.c. I'm not trying to suggest that depression and suicide is caused by things like social isolation and substance abuse, but rather they can be a contributing factor in some cases.

Lyaiera · 24-01-2013 12:58AM

orestes wrote: »

Pretty much everything you have said in the above post is contrary to established theory and practice in clinical psychology.

From the gist of this and your other posts in this thread I get the feeling you're trying to say clinical depression isn't a legitimate illness or should not be treated medically?

You're not doing a very good job at understanding what other people are saying. I have been diagnosed with depression and medication helped me get my life in order.

You're going off the presumption that everyone has clinical depression and should be on anti-depressants and getting therapy. There are far more reasons for suicide than clinical depression.

I think the debate about suicide is a refusal to deal with large underlying issues. Suicide is a symptom of much bigger issues, stigma against mental health issues being one aspect and I am of the opinion that isolation in society is another. In fact stigma against mental health issues is a facet of the isolation endemic in society. People are isolated and feel they can't talk to anyone about their mental health. And this is one of the pressing issues of modern psychology and psychiatry with the leading practitioners advocating for a holistic community based approach.

What I'm saying isn't contrary to established theory and practice in clinical psychology, it's contrary to outdated theory and practice clinical psychology and psychiatry.

hedzball · 24-01-2013 01:00AM

My own mothers 2 year anniversary only sunday so it was.

49years of age and not a sign of it coming.

I don't do politics. I don't do stats.
I do get annoyed when I see pointless state spending. Pointless groups..

I was out of work at the time. Signed up to a free counseling service . They got back to me in 8months and 17 days.
I remember it exactly as I wrote an email stating to which.

I went away on my own and found a woman up the road. 50 quid an hour. It took away 60% of my problems. I still question why I am alone in my life now. I lost my best friend openly. I felt sorry for my brother 19 when it happened (I was 23) we have learned to adapt but my home is now my house. My father is doing well. I had plans to leave the country before it all happened.. Get away start elsewhere but kind of felt obliged to stay about really.

Im not unsure in my thoughts. Rather focussed person thank god. But I have one heavy heart for a long time now.

'hdz

the_syco · 24-01-2013 01:12AM

Timmyctc wrote: »

but our road deaths in the country for a long time were far far far too high

And of those numbers, how many happened on a straight road, where the single car veered off the road at high speed and hit the only big solid tree?

"eliminate some of the dangerous items they have access to"

Such as roads, railways, high places, rovers, etc?

Lyaiera · 24-01-2013 01:14AM

To go further, I think Procrastinator has an idea of what I'm saying and put it across very well.

Looking at suicide rates and looking at rates of depression is a case of looking at far too small a detail in an overall problem. It's a case of not being able to see the wood for the trees.

Yes, absolutely acute cases of depression and any mental illness should be treated with therapy and pharmacology. However there are broad societal issues that are causing problems. If you put hundreds of millions of Euros into dealing with every case of mental illness there is (including getting people to see their doctors in the first place) it wouldn't have an effect on people becoming depressed. They wouldn't be going to their doctors until they have an issue. The solution to the AIDs pandemic isn't finding a cure for aids, it's stopping people becoming infected in the first place. I would never say people should stop treating people with aids, just as I would never say people with mental health problems shouldn't be treated. I would never say that we should abandon the campaigns to get rid of the stigma of testing for STIs, just I would never say that we should abandon the campaigns to get rid of the stigma of seeking help for mental health issues. However just like there is massive efforts being targeted towards how people approach sexual relationships there should be just as much of an effort towards helping people to live mentally happy lives.

And one of the biggest problems in modern society is the alienation and isolation people are feeling as the world has changed and progressed. People are becoming increasingly unhealthy and unhappy and that's a societal issue that feeds into a whole lot of things mental health being one area. Treating mental health is definitely needed, but if we're to target the root cause of a huge amount of mental and physical health issues in society (and physical health hugely plays into mental health) then we need to start looking at broad approaches to problems people are experiencing as a society.

Procasinator · 24-01-2013 01:19AM

Although the idea of eliminating dangerous items sounds stupid on the surface, there is evidence to suggest that removing easy means often help in some cases.

Interesting article that discusses this somewhat:
http://www.nytimes.com/2008/07/06/magazine/06suicide-t.html?pagewanted=all&_r=0

Of course, when one of the most common method is hanging, it is hard to do much in this regard. We can't really make a case of taking peoples ropes away.

The Irish Times goes into this a bit:
http://www.irishtimes.com/newspaper/frontpage/2013/0123/1224329191088.html

orestes · 24-01-2013 01:29AM

Lyaiera wrote: »

To go further, I think Procrastinator has an idea of what I'm saying and put it across very well.

Looking at suicide rates and looking at rates of depression is a case of looking at far too small a detail in an overall problem. It's a case of not being able to see the wood for the trees.

Yes, absolutely acute cases of depression and any mental illness should be treated with therapy and pharmacology. However there are broad societal issues that are causing problems. If you put hundreds of millions of Euros into dealing with every case of mental illness there is (including getting people to see their doctors in the first place) it wouldn't have an effect on people becoming depressed. They wouldn't be going to their doctors until they have an issue. The solution to the AIDs pandemic isn't finding a cure for aids, it's stopping people becoming infected in the first place. I would never say people should stop treating people with aids, just as I would never say people with mental health problems shouldn't be treated. I would never say that we should abandon the campaigns to get rid of the stigma of testing for STIs, just I would never say that we should abandon the campaigns to get rid of the stigma of seeking help for mental health issues. However just like there is massive efforts being targeted towards how people approach sexual relationships there should be just as much of an effort towards helping people to live mentally happy lives.

And one of the biggest problems in modern society is the alienation and isolation people are feeling as the world has changed and progressed. People are becoming increasingly unhealthy and unhappy and that's a societal issue that feeds into a whole lot of things mental health being one area. Treating mental health is definitely needed, but if we're to target the root cause of a huge amount of mental and physical health issues in society (and physical health hugely plays into mental health) then we need to start looking at broad approaches to problems people are experiencing as a society.

Ok, now I get you, my apologies. I misinterpreted your posts, sorry. I misread it as some kind of no need for medical treatment just keep yourself active idea, that was my fault for not seeing the bigger picture of what you were saying, sorry again, and to you too Procastinator

Lyaiera · 24-01-2013 01:59AM

orestes wrote: »

Ok, now I get you, my apologies. I misinterpreted your posts, sorry. I misread it as some kind of no need for medical treatment just keep yourself active idea, that was my fault for not seeing the bigger picture of what you were saying, sorry again, and to you too Procastinator

No worries. It was a good conversation and helped me wrap my head around my own ideas too.

Every aspect of the mental health debate needs to be addressed. From patients being able to afford their medication all the way to people having the ability to have a fulfilling life. None of these issues are simple and I think it's great that a healthy discussion about them can be had in AH! :eek:

Endless Nameless · 24-01-2013 02:23AM

......why is everybody ITT blaming the Government?

Lightbulb Sun · 24-01-2013 02:49AM

Real Life wrote: »

What sort of thing are other countries doing thats different?
What can our government do to prevent it?

serious questions, im not defending the government in any way i just want to know what actually can be done.
I say this as someone who has what i would consider to be pretty bad depression so im not trying to brush the matter under the rug.

Germany or Holland, can't remember has a system at known black spots for suicide with cameras and alarms that alert nearby personnel in order to prevent deaths. Irish government has no original ideas, just steals other countries ideas or most likely doesn't bother its hole to do so. Also ironically you had half of AH a few days ago taking the piss out of Sinead O Connors opinion cos of her mental health condition.

Smidge · 24-01-2013 03:09AM

Very, very sad statistics indeed.
No matter which way you cut it that is a lot of lost lives.
You can say awareness has increased about mental health all you like.
Doesn't matter what awareness is raised if the "attitude" to suicide and mental health does not change among Irish society.

skyfall2012 · 24-01-2013 03:31AM

Hersheys wrote: »

I'm Irish. Female. Possibly young 26, do I fit in the young demographic?

Anyways, been suicidal previously, to an extent currently. Have no money so am reliant on the state services.

An urgent referral to a psychiatrist is 3 weeks AND COUNTING. Been on a waiting list for 3 months for counselling.

Due to mental health stigma my family don't know so I'm doing this alone. Reason I'm alone? The support services just are not there.

It's unfortunate.

Hi Hershey, I don't think there is a stigma in Ireland anymore almost everybody has been touched by suicide. One of my inlaws and also a local person from my area died by suicide in the law few years. People are taking it very seriously.

I would say that you should talk to someone in your family, I would imagine they would want to be there for you, don't go it alone.

Bad Santa · 24-01-2013 05:04AM

Had a cousin who attempted suicide many times and was in and out of psychiatric hospitals for years and years and while they were are a support to him, they also hindered him as it turned out that he actually had a rare undiagnosed autoimmune para-thyroid disorder and is now running his own business and feels top of the world. Oddly enough, he got diagnosed in St Thomas's casualty in England. He was over attending a Premier League match and had severe panic attacks (as he was prone to) and when they ran certain tests that he never had done before (guess not all endocrinologists would do them as a matter of course) they discovered it.

Our health system is a joke though, as all the different treatment modalities are all in their little separate arenas and that's such a shame as I think there would far less chance of misdiagnosis if psychiatrists worked alongside endocrinologists and the like a lot more than they currently do. Dieticians also have a massive role to play when people are feeling low, be that for hormonal reasons or chemically imbalance ones.

Course, telling people to make sure they get second opinions in order to see if there might actually be a physical problem being missed, is of course much easier said than it is done, as people just don't have the money these days to be seeing numbers of specialists, be lucky if they have enough to see one but it is always advisable for anyone feeling ill (continually at least) to get as many opinions as they can, particularly if they feel in any way unhappy or uneasy about a diagnosis they have been given. Can do no harm and may just save your life.

I have no clue why more men seem to take their lives more than woman though. I don't think it's as simple as women talking about things more, there's more to it than that. Men see themselves as a failure when things go wrong for them, more than women do I feel. We're brought up with an idea of what a man should be and I think having a good job, being strong, confident and healthy is the cornerstone of all that, or at least it has tended to be in recent times. Anything then going wrong in these areas, particularity for a long time, and men's self esteem plummets and they start seeing themselves as less masculine, bordering on a complete failure.

Men's image of themselves, while perhaps exaggerated in their own mind when feeling low, is really stemming from what it is that society's image of them is, based on the reality of their circumstances. If society sees a single man with no job, no kids, no relationship etc as being worthless, then such men will inevitably see themselves that way and that's not to say that women don't suffer stigmas themselves, they do but I just don't think they are seen in as negative a light as men are, for whatever reason, but both men and women make up society and so perhaps the first step is to change our own attitude whenever we wish to change society's.

Cookie_Monster · 24-01-2013 07:58AM

part of the problem IMO is that the state now makes it so difficult to actually go and do things in clubs or groups and so forth. I was in scouts for 20+ but left due to all the bolloxogy that crept in, the huge insurance costs, the rules upon rules upon rules about what you could not longer do, the vetting and as a young male being treated like a criminal around kids in the eyes of the law and so forth.
When simple things like this are made more difficult you are inevitably going to decrease community involvement and increase isolation and encourage all the problems that lead down the road to suicide

Real Life · 24-01-2013 08:12AM

Lightbulb Sun wrote: »

Germany or Holland, can't remember has a system at known black spots for suicide with cameras and alarms that alert nearby personnel in order to prevent deaths. Irish government has no original ideas, just steals other countries ideas or most likely doesn't bother its hole to do so. Also ironically you had half of AH a few days ago taking the piss out of Sinead O Connors opinion cos of her mental health condition.

can you show me where this happened? i dont think it did

bodice ripper · 24-01-2013 08:28AM

To be honest, it is everyone's fault.

Speaking as someone who is from a family riddled with mental health issues, numerous people who are close friends have asked us to not talk about it in public, because we are making others uncomfortable.

Ireland is kind of like that. I don't take it personally, nor do i tell those close friends to **** off, but seriously - telling a mentally ill person to keep it to themselves?!? Thank christ neither of my parents grew up in Ireland and never, ever had that attitude...

Gauss · 24-01-2013 09:38AM

I think out culture of "banter and sarcasm" are partially to blame. People feel less open to expressing their emotions genuinely IMO. The emotions become bottled up and cause havoc.

Gauss · 24-01-2013 09:48AM

I think out culture of "banter and sarcasm" are partially to blame. People feel less open to expressing their emotions genuinely IMO. The emotions become bottled up and cause havoc.

Madam_X · 24-01-2013 10:24AM

bodice ripper wrote: »

To be honest, it is everyone's fault.

No it isn't. I know the "We as a society" thing is not malicious, but all it is is unfairly blaming the wrong people.
What about people who have mental illness themselves? What about people who are working hard to eradicate the stigma?

mickydoomsux · 24-01-2013 10:54AM

I blame the huge problem with drink in this country for the relatively high number of suicides. In some areas of the country it's literally the only thing to do and it just drives some people into deep depression. Either that or people who don't drink become completely isolated because the pub is the only place to meet people and socialise, particularly in rural areas.

One of my more unpopular opinions with relation to suicide in young Irish men is the attitudes of young Irish women. I'm only 30 but I can't believe how OK women in their early twenties are with messing young lads around nowadays. Cheating, stringing guys on and head games seem to be the order of the day. Young women seem to either not notice or not care how they are effecting guys lives and messing them about is almost worn as a badge of honour amoung their peers. As I said, it's an unpopular opinion and maybe I'm old fashioned but I genuinely think it has some bearing on suicide figures with young Irish men.

Madam_X · 24-01-2013 10:59AM

Well women can experience the very same, so I don't think that in and of itself is a cause, but the lack of support men might feel in such a situation could be. Women tend to have more of a support network, generally speaking.

bodice ripper · 24-01-2013 11:01AM

Madam_X wrote: »

No it isn't. I know the "We as a society" thing is not malicious, but all it is is unfairly blaming the wrong people.
What about people who have mental illness themselves? What about people who are working hard to eradicate the stigma?

they are in the minority. the amount of times I and other family members have been asked not to talk about it is unbelievable. Irish people get very very uncomfortable if somebody starts with a heartfelt outpouring. If you don't see that, then you aren't spending enough time outside of Ireland.

also, if i hear one more cockwad mutter about "selfish" when they hear about a suicide, I will slap them.

Procasinator · 24-01-2013 11:02AM

mickydoomsux wrote: »

One of my more unpopular opinions with relation to suicide in young Irish men is the attitudes of young Irish women. I'm only 30 but I can't believe how OK women in their early twenties are with messing young lads around nowadays. Cheating, stringing guys on and head games seem to be the order of the day. Young women seem to either not notice or not care how they are effecting guys lives and messing them about is almost worn as a badge of honour amoung their peers. As I said, it's an unpopular opinion and maybe I'm old fashioned but I genuinely think it has some bearing on suicide figures with young Irish men.

I think it may be unpopular only in that I would say the inverse is true too, that young guys mess young girls around. People sometimes expect different behaviour from men and women, but that itself is probably an old fashioned belief.

Everyone seems to be playing that game.

santana75 · 24-01-2013 11:36AM

I hate saying things like, the problem is the system, but its true. Im not even talking about going through the HSE for treatment when you're having psychological problems(which seems to be a joke). Im talking about the lack of education with regards to our own mental health in schools. Theres so much emphasis placed on points to gain entry to college, its all cold hard academics but theres zero resources or time given over to educating people about themselves, life, the way of the world. Which is way more important than how to write a balance sheet. Instead of a double maths class why not single maths and a class where people are thought about how to deal with bereavement or loss in general?
I agree that the real figure for suicide in this country is a lot higher than reported. I know a psychologist and she told me that a lot of the time "car accidents" are really suicides in disguise. How many of those deaths could have been avoided had those lads been thought how to look after their mental and emotional health? And I say lads because its mostly men killing themselves. I grew up in a mans man kind of place and you just didnt show any emotion for fear of being set upon. And I dont think much has changed, blokes are afraid to let their emotions out and do their natural thing, which leads to all sorts of repression problems. Its more socially acceptable for women to let their emotions out, its even encouraged, but not so for men. Plus women are way more supportive of each other in times of emotional difficulty. I mean if a girl gets dumped by her boyfriend she'll be straight on the phone to her friends but if a bloke gets dumped he cant really talk about it with his mates. Usually what happens is he'll hit the booze which is a disaster waiting to happen. But something has gotta be done at the grass roots level, theres a serious disparity in whats being thought in schools. Some time has to be given over to that side of life thats completely ignored but extremely important.

the_syco · 24-01-2013 11:38AM

Bad Santa wrote: »

I have no clue why more men seem to take their lives more than woman though.

Probably because "big boys don't cry" mentality.

Suicide: 'Irish suicide rate one of highest in Europe'

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