Thank you, Mr. Speaker. Thank you, Mrs. Groenewegen. During the committee’s travel in the communities, residents described their despair and helplessness in the face of suicide. They want clearer direction in how to support people who are at risk and what to do when something goes terribly wrong. The facts and statistics for the Northwest Territories show an obvious need to strengthen suicide prevention efforts. According to the 2011 Northwest Territories Health Status Report, the annual suicide rate in the Northwest Territories is 65 percent higher than the national rate. The same report indicates that the suicide rate in small communities is several times higher than the national average. The chief coroner for the Northwest Territories reported that the suicide rate for 2014 rose substantially over previous years. Furthermore, Statistics Canada data for 2010 show that the suicide rate among youth in the Inuit homelands – which include the Inuvialuit of the western Arctic – is up to 30 times higher than that of youth in other parts of Canada.
According to the latest national and international evidence, suicide is largely preventable. For this reason, suicide prevention efforts should be strengthened and include training in Mental Health First Aid for community leaders and GNWT employees. The government also should investigate methods used in Québec, where an aggressive provincial strategy has led to dramatic declines in the rate of suicide.
With respect to Bill 55, the committee sought to introduce provisions to better ensure that people who have attempted suicide, or threatened to do so, receive proper assessments and follow-up care. A new provision pertains to cases where a person has recently caused, threatened, or attempted self-harm. It will ensure that the person undergoes further assessment to determine whether an involuntary admission is necessary. The Minister agreed to the motion and assured the committee that education and training will be provided to health professionals so that the new provision is correctly administered. The Minister also explained that involuntary psychiatric assessments are completed by a trained psychiatrist or physician and is comprehensive in nature, including an investigation into the presenting concern, the history of the concern, a mental-status exam, a physical exam, personal history, direct observations, and consultation with other professionals.
The committee also drafted a motion to establish self-harm as a criterion for involuntary admission, under the proposed Section 13. However, after reviewing the draft motion, the Minister indicated that he could not concur with it. He explained that recent harm is not a guarantee that a person will harm themselves or others in the near future and, further, that an involuntary admission solely on this basis could result in a challenge
under the
Canadian Charter of Rights and Freedoms.Moreover, while the legislation in some other jurisdictions includes recent harm as a criterion for involuntary admission, it indicates that the risk of future harm must also be present. Persuaded by this reasoning, the committee chose not to introduce the motion.
Strategy for Youth and Adolescents
During its review of Bill 55, the committee learned that suicide is the second-leading cause of death among Canadian youth and that roughly 20 percent of Canadian youth have a mental health issue. Moreover, in about 70 percent of cases, mental health problems emerge before a person reaches the age of 18. These facts came to light in a 2006 report by the Standing Senate Committee on Social Affairs, Science and Technology. The ground-breaking report called the treatment of children and youth the worst part of the mental health system in Canada. The report made such an impact that all Canadian provinces subsequently developed stand-alone mental health strategies for youth and adolescents. The Northwest Territories has not yet followed suit. However, as he indicated at the clause-by-clause review, the Minister will be recommending that such a strategy be undertaken in the 18th Assembly.
Through you, Mr. Speaker, I’d like to turn it over to my colleague Ms. Bisaro. Thank you.