World Suicide Prevention Day is on 10 September and the theme for 2024 is changing the narrative on suicide. Suicide is a major public health challenge, with more than 700,000 deaths each year globally. Many of us have been touched by the impact of suicide and suicidality as psychiatrists or in our personal lives, and we can help start the conversation on suicide and suicide prevention.

On 9 September, the Final Report from the Australian Royal Commission's report into Defence and Veteran Suicide was released. The Commission undertook a thorough investigation into the mental health challenges faced by both serving and ex-serving defence personnel achieved by examining the systemic and institutional factors impacting Defence and Veteran suicide. It is evident that there is a pressing need for improved cultural practices and better access to mental health resources within the Defence community.

The College made a formal submission to the Royal Commission which included 33 recommendations highlighting the need for improved access to psychiatric care for serving members and veterans.

As psychiatrists we are dedicated to delivering comprehensive mental health care, focusing on identifying and treating underlying mental illnesses, assessing risk factors, and creating safety plans. We work in close collaboration with individuals, families, and other health professionals to prevent suicide.

Congratulations to College member, Dr Peggy Brown AO, in her role as a commissioner in this landmark inquiry. Peggy is also co-chair of the Community Collaboration Committee and member of the Military Veterans and Emergency Services Personnel Mental Health Network at the College.

The College welcomes the release of the report and calls for an urgent and timely government response.

For additional College resources including endorsed guidance, please see the following:

• Position Statement 101: Suicide prevention – the role of psychiatry
• Professional Practice Guideline: Support after Patient Suicide
• Clinical Practice Guideline: Deliberate self-harm CPG
• Australia: Reporting suicide and mental ill-health: A Mindframe resource for media professionals, Mindframe.
• Aotearoa New Zealand: Media Guidelines for Reporting on Suicide, Aotearoa New Zealand Ministry of Health - Manatū Hauora