PAPYRUS by PAPYRUS Prevention of Young Suicide

e h t g n i t t t h Ge g i r s r e b m u n

PAPYRUS

prevention of young suicide

PAPYRUS

CEO Report

prevention of young suicide Welcome to the newsletter of the national charity PAPYRUS.

Summer 2012 no.47 Contact details PAPYRUS Prevention of Young Suicide 67 Bewsey Street Warrington Cheshire WA2 7JQ. Tel: 01925 572 444 Fax: 01925 240 502 email: admin@papyrus-uk.org web: www.papyrus-uk.org For support, practical advice and information concerning suicide prevention call the PAPYRUS helpline:

HOPELineUK 0800 068 41 41 Patrons: Rt Hon David Hanson MP, Rt Hon David Heathcoat-Amory, Simon Hughes MP. Honorary Advisor: Professor Mark Williams – University of Oxford.

This newsletter is available online at www.papyrus-uk.org/NL/47 Back copies of previous newsletters are also on the website. Please note, the views expressed in this newsletter do not necessarily reflect those of the editorial team or of PAPYRUS as an organisation. Any information contained in this newsletter is intended for guidance only and is not a substitute for professional advice. No responsibility for loss occasioned as a result of any person acting or refraining from acting because of what is written in the newsletter can be accepted by the publisher, authors or the PAPYRUS Trustees.

Registered Charity Number 1070896. A Company Limited By Guarantee Number 3555482. COVER: Bangor University Rag Week fundraising – see page 15.

We are ALWAYS looking for people to get involved with PAPYRUS so if there's something you'd like to do to help, please contact PAPYRUS on admin@papyrus-uk.org or on 01925 572 444.

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Dear Friends and Members of PAPYRUS I attended and presented at a conference recently in North Wales which focussed on keeping young people safer online. During the speeches, I heard the phrase, “This stuff is not for bystanders.” It struck me that this was something we could probably say about all our work in suicide prevention. Preventing suicide is not an exact science. It can demand great tenacity and sensitivity. It is not for everyone. It can be painful and hard. For the many young people who struggle with thoughts of suicide, their daily challenge can be even harder. So, it is important to remember that our efforts can engender hope for those who remain vulnerable to suicide and those who worry about them. Suicide prevention can be an uphill struggle. Whether you are raising funds or raising awareness, our efforts can often seem to bear little fruit. One of our long-standing members described our campaign work as being like water streaming over a rock. Little by little, we play our part in raising awareness of a firmly held belief – that indeed many

young suicides are preventable. Since our last newsletter, we have met with government ministers from the Department of Health and the Ministry of Justice to represent the concerns of our members about reducing access to harmful online material and about a continuing lack of clarity and accuracy around the suicide statistics which are publically available. Further, we have continued to correspond with departments and agencies such as the Home Office and the Association of Chief Police Officers to secure achievable progress. Again, this can feel like a hard slog. Many members have written to their own MP – such political engagement is a really proactive way of actively forwarding our aim to reduce young suicides across the country. We have been working with other charities and organisations to see what we can do better together as part of the national Call to Action on Suicide Prevention. Our participation at these national meetings takes its credibility from your membership. We represent your

BBC’s Waterloo Road star is an Ambassador Actor singer/songwriter Tom Milner has become an Ambassador for PAPYRUS, speaking out to encourage young people to seek help. “The message I want to get out to young people like me is: if things aren’t working out please get help, don’t sink into despair – there are people out there who really do want to help. PAPYRUS has a national helpline HOPELineUK 0800 068 41 41 – it’s confidential, you won’t be judged, you can be anonymous – and it won’t show up on a BT ‘phone bill. You’ll get practical help with ideas to help you feel in a better place – don’t ever hesitate to dial that number. And watch out for each other too. HOPELineUK “We are delighted to have Tom’s support,” will help if you are worried about a mate.” said Ged Flynn, the charity’s Chief Executive. “It’s natural that young people are more likely to listen to their peers, than Tom gets off to a flying corporate-style messages from ‘above’ and Tom from his past roles has a great teen start releasing a new following – people we need to reach and song for PAPYRUS learn from. Young suicide is a national scandal that we need to talk about in order “#keeppluggingaway” to reduce stigma and make it OK for young says Tom people to seek help.” When Tom Milner acted a suicide attempt (as student Paul Langley in Waterloo Road Reunited) it made him acutely aware of what it may be like to be a desperate, suicidal young person. He realised that seeking help is vital if you feel alone in a dark place; that life is letting you down. Now he has come up with a novel way to help young people who may be thinking of suicide. Tom turned to his talents as a singer/songwriter to send young people a message they would identify with. Keep

Plugging Away is his new song due for release on Monday 21 May 2012. It acknowledges the roller-coaster ride of highs and lows that life for a young person is today – urging everyone to ‘keep on plugging’. It will be available on most popular download sites including Amazon, 7 Digital, Spotify and iTunes (not pre-release). To purchase with SMS, please text TRACK PLUGGING to 80818 (texts cost £1, which includes operator revenue share. UK only).

Contents experiences wherever we can and aim to ensure that family and friends have a voice and a place at these tables. I am really looking forward to our annual gathering in Bristol. It will be a chance to meet with people who often see each other only once a year but remain passionate about saving young lives from suicide. This year, we will listen to perspectives from Ireland as well as the UK. It is great to be able to share with you news of our recently launched text and email service. You can read more about that in this issue. Not standing by, we have responded to the needs of young people and their caregivers, those who often see better than any of us the effects that life can be having on young people’s mental health and wellbeing. As our team meets members around the country, we are spurred on to keep moving in our quest to prevent young suicides. We are regularly inspired by those who go out of their way to raise funds, share their story, join our training events, support us quietly or join in our more vocal campaigning. Thank you for all you are doing to help us to save young lives. Best wishes GED FLYNN Chief Executive

Out and about.

Statistics – seeking clarity.

Depression – one man’s view.

Mental wellbeing – five easy steps.

Media – raising our voice.

New SMS and email service.

Body Dysmorphic Disorder explained.

Saving Young Lives – PAPYRUS Members' Conference 2012 Come and meet other members of PAPYRUS and hear about the work of our charity. This year's conference is in the heart of Bristol, a city steeped in history. It is on Saturday 30 June 2012 – somewhat earlier than has been our traditional time of year for meeting. The venue for the conference and the dinner on the previous evening is The Grand Hotel, Bristol. This annual event gives our members and supporters the opportunity to meet together and find out what is happening within the charity. Also, we have the chance to learn what progress is being made more generally in young suicide prevention, which promotes the emotional health and mental wellbeing of our young people.

2012 speakers include: In the Keep Plugging Away music video Tom performs with fellow actors Tom Gibbons (Waterloo Road Reunited, Doctors and currently in CBBC’s Young Dracula) and Dean Smith (Waterloo Road and other TV programmes). Tom is donating all revenues to the charity, as well as wanting to raise awareness of our helpline HOPELineUK, our email/SMS services and the suicide prevention training and resources we provide. Please help us to raise awareness of Tom's CD: Keep Plugging Away. This will enable us to reach more young people and help to prevent those in despair from killing themselves. If you are on Twitter, please ask your followers and friends to trend #keeppluggingaway

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Follow the FUN fundraisers...

Dr Sharon McDonnell from Manchester University Sharon has worked at the Centre for Mental Health and Risk since 2000. Currently, she is the principal investigator of a study which aims to develop a parental suicide bereavement training pack for health professionals. Cindy O'Connor from Pieta House in Ireland Cindy is the Chief Operations Officer and Clinical Director at Pieta House, which provides individual therapy for people who engage in self-harm, have suicidal ideation or have attempted suicide. Pieta House runs workshops on the prevention of

To download the BOOKING FORM suicide and self-harm. please visit our We will also hear website or from some young people contact Norma on about how they are aiming to save young 01925 572 444 … lives through a new local before 31 May 2012 schools project they are leading on.

INVITATION TO DINNER on 29 June 2012

There is also the opportunity to meet for dinner at 8pm the evening before with the Trustees and other friends and members - please do consider coming along and meeting new friends. Call Norma for more details or to finalise bookings on 01925 572 444. Please use the booking form to reserve your conference place(s), as soon as possible. If you are intending to come the evening before to Bristol, then please let the office know. All hotel bookings are being left to individuals to book. We recommend you book early. There are lots of city centre hotels to choose from. More details available from our office: 01925 572 444. Thank you for your ongoing interest and support. PAPYRUS SUMMER 2012 3

PAPYRUS TRAINING SuicideTALK The topic of suicide attracts stigma. Taboo is associated with it. We can offer you a way to examine the value of breaking this taboo. SuicideTALK is a 2 hour session aimed at small groups, organisations, community groups, schools and colleges. The session offers people the chance to revisit some of the opportunities open to them to maintain a healthy mind and to help others to do so. During the session, we are able to share an overview of our work at PAPYRUS and discuss ways in which people can engage in helping to provide healthier communities for young people who may be vulnerable to suicide. Please contact us on 01925 572444 for details or visit us online at papyrus-uk.org ASIST Suicide is a leading killer of young people in the UK. Further, there are hundreds of young people who attempt suicide who never hit the headlines. Suicidal thinking is very common. Impulsivity in young people can shift thinking into behaviour with little warning. That's one reason why we need safe people to recognise when to intervene and offer suicide first aid. Applied Suicide Intervention Skills Training, known as ASIST is a 15 hour course spread over two consecutive days. A market leader in suicide prevention programmes worldwide, this skills-based training has already been accessed by over 1 million people and offers a universal suicide intervention model to participants. PAPYRUS provides this training to help create suicide-safer communities for and with young people. N.B. Attendance at both days is expected. The training runs from 08:30 until 16:30 each day. You will work with others in a safe learning environment using a number of learning modes. Please book your place early to avoid disappointment.

Future dates include: Gateshead, 14-15 June 2012 Taunton, 27-28 September 2012 Warrington, 11-12 October 2012 We can also offer you training for groups in your organisation at a local venue. Contact us for details on 01925 572444 Cost: £250 for the two days’ programme including refreshments and

Some recent comments after the ASIST workshop from attendees: “I found myself in a position to apply ASIST principles to help a suicidal person to a safe place the day after I completed the course. Thank you PAPYRUS and ASIST.” “It really gave me confidence in an area that I had always thought of as really specialist and one that, if I am honest, scared the life out of me.” “The simulations really helped. The workshop gave me a chance to practice my new skills and get positive feedback.” “Thanks for sharing the intervention model. It was a very intensive two days but I left feeling really confident in being able to ask vulnerable people about their suicidal feelings.” course materials. Concessions available for charities and PAPYRUS members. Outcomes: You will be more ready, willing and able to intervene effectively in the Iives of young people and others who may be suicidal. Book your place now. For training places and further information, please email us here or call 01925 572444. Help us to save young lives.

Dr Alexis Bowers MBBS MRCPsych MSc (Distinction) is a Consultant Psychiatrist for the Hertfordshire Partnership NHS Foundation Trust. He works with service users experiencing acute psychological distress both in their homes and in hospital. I was always taught to ask my patients what is wrong with them. For 5 years at medical school it was drilled into me ‘Listen to the patient, they will tell you what is wrong with them.’ The patient would tell me a list of their ‘problems’ and I diagnose them with an illness or disease. I then tell them what they need to get better. Right? Wrong. Unfortunately it has taken me 17 years (since I started medical school) to realise that asking people what their problem is, what is

Out& about Round UP

Call to Action on Suicide Prevention has brought together a number of organisations from public, private and voluntary sectors. PAPYRUS has been represented on the initial working groups by Dr Kirsten Windfuhr (Data and Research), Rosemary Vaux (Campaigns), Alexis Elliott (Care Pathways) and Ged Flynn (Online Environment). After preliminary meetings, the working groups are to feed back to a steering group. Meantime, the UK Government has yet to publish the final version of its Strategy, Preventing Suicide in England but we continue to work collaboratively with the Department of Health and as part of the National Advisory Group to bring this to fruition as soon as possible. !

Meantime, the Welsh Assembly Government Suicide and Self Harm Reduction Advisory Group has been actively looking at a Welsh version of the NHS publication, Help Is At Hand – the very useful resource written for those who have been bereaved by a suicide. Each of the Health Boards in Wales has a plan to reduce suicide in accordance with the !

Our picture shows a recent cohort of ASIST suicide first aiders trained by PAPYRUS in Warrington

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recovery wrong with them can set the scene for a pretty miserable consultation. It reinforces to the patient how bad things are for them, although it lets me complete my checklist of symptoms and in turn I provide them with a prescription (or not) that will cure them. But that’s what doctors do, isn’t it? The Recovery Movement in mental health is well established1, although sadly many front line practitioners are blissfully unaware of it. I asked a consultant psychiatrist colleague of mine what ‘recovery’ meant to them. They replied, ‘a 50% or greater reduction in the Hamilton Rating Scale for Depression score.’ Is that what ‘recovery’ means to you? We, the health care professionals, have a habit of focussing on the deficits. As such it is easy to avoid the ‘individual’ who is behind these ‘problems.’ Maybe they want to go back down the pub with their friends,

but feel embarrassed in small crowds. Maybe their dream was to play football for their county but they now struggle to leave the changing room due to their checking rituals. Maybe they just want to return to college but a voice tells them they have to stay inside. Using goals We pay little interest to what the patient actually wants, what they dream of, what their goals are and what aspirations they have. By using these ‘goals’ as a recovery endpoint we can work with the patient to achieve these aims. The patient needs to know that they are in the driving seat and we are their co-pilot on their journey. Is my role as a doctor to get rid of the voice that tells the person to stay inside? Or is my role to help that person get back to

college? Is my role as a doctor to get rid of the compulsive checking behaviour of the footballer? Or is my role to get the footballer to play his match despite checking his studs every now and again? Recovery is personal and unique for each and every individual and is not necessarily about cure. Something that attracted me to PAPYRUS was a four letter word. HOPE. Recovery is about instilling hope. I was depressed once, I felt low and I wanted to kill myself (I did, really) but I got better. I don’t feel like that now, but if I did I would like someone to give me hope that I would get better. I knew I was recovered when I woke up one morning and felt happy my wife and two children were alive and healthy. I wonder what my Hamilton Rating Score for Depression would have been then… 1 http://www.centreformentalhealth.org.uk/recovery/

index.aspx

Something that attracted me to Papyrus was a four letter word. HOPE. national strategy, Talk to Me. All regional activities are then reported on regularly to the National Advisory Group. PAPYRUS is represented on this group by Ged Flynn. The PAPYRUS team has met with members and friends in various local areas as well as responding to invitations to attend seminars and presentations across the country. Since the last newsletter, we have given training to: – London Nightline on managing calls from suicidal young people – Lancashire Third Sector Consortium on the work of PAPYRUS and suicide prevention – Warwick University on suicide prevention as part of Mental Health Awareness Week – The Soroptomists in Keighley, West Yorkshire – about the work of the charity – NCompass, Blackpool on taking calls from suicidal people – Senior Tutors at Carmel College, St Helens on the work of the charity – Nursing Students at Glyn Dwr University, Wrexham – Priestley College, Warrington, on reducing stigma !

had a stand at Bradford College’s Mental Health Day in February. Further, 200 young people and ! PAPYRUS

staff from Winchmore School, Enfield, took part in an interactive assembly led by PAPYRUS on staying mentally healthy and help-seeking. ! The

team has attended a number of oneday seminars on suicide prevention including: – ‘Supporting Children and Young People’s Emotional Health’ in Leicester – ‘Preventing Young Suicides’ at a Suicide Prevention Conference in Taunton, Somerset – ‘Preventing Suicide among Digital Natives’ at Wrexham and Flintshire’s Local Children’s Safeguarding Board Away Day on Internet Safety April, PAPYRUS member Lorraine Hale was a guest speaker at the North West Conference on Self Harm and Suicide of Children and Young People, presenting ‘a parent’s perspective’. Her powerful talk provided a great insight from personal experience. In feedback many in the large audience of clinicians, health commissioners and educationalists said Lorraine’s contribution had been ‘inspirational’. Well done Lorraine. ! In

! PAPYRUS

MEETINGS in your community This year we have invited PAPYRUS members and friends to various regional gatherings to meet the PAPYRUS team. Small groups of people can re-energise each other and help us shape our activity and messages.

It is always good to reconnect and to meet new people. We have had meetings so far in Warrington, Taunton, Portsmouth, and South London. It has been particularly good to welcome friends and families who have been affected by young suicide. Many of you tell us how important it is to meet with others who are working to reduce the stigma and to prevent suicide in young people. Please see our Facebook page for more details: www.facebook.com/PAPYRUSUK Why not invite us to your area? Contact the office on 01925 572 444

PAPYRUS LEGACIES

Please will you consider leaving a gift to PAPYRUS in your will? A legacy will help to ensure we are able to continue our work in young suicide prevention long into the future – work that is important to you. Your solicitor will advise on legacy giving and there is also helpful information on the Charities Aid Foundation website www.cafonline.org PAPYRUS SUMMER 2012 5

Chairman’s message

Could you be a PAPYRUS Trustee? Dear Members and Friends It has been a busy time since our last newsletter. With our staff, the Trustees have been pushing forward on some of our campaign work as well as meeting with some of you in local areas. Those of you who were at last year’s Conference will have heard me ask people to consider becoming a Trustee of PAPYRUS. Some of you, who have been members for some time, may well have thought about joining the Board and, since last year, a few of you have expressed an interest. There may be others who would also be willing to offer their time and skills as Trustees. The Board meets six times each year, usually for most of the day and usually on the second Saturday of every second month. It would also be important for you to attend the Annual Conference. Meetings are usually held in Birmingham with one meeting in Warrington and another in London each year. A majority of the Board members have been personally affected or bereaved by young suicide. I would be very pleased to receive expressions of interest from those who have sadly have lost a brother, sister or young friend to suicide. We are also particularly keen to hear from people with skills in service development, business, finance, mental health and suicide prevention. If you are considering joining the Board, please contact me through our office on 01925 572444. I do look forward to seeing many of you at our Annual Conference in Bristol on 30 June. I recommend this event as a really good way of connecting with the wider family of PAPYRUS. Together we can become stronger in our resolve to reduce the number of young suicides each year. Kind regards Stephen Habgood Chairman

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We need to talk about statistics Clearly, every young suicide is an awful tragedy. Why, then, must we know how many young people take their lives each year? At PAPYRUS we have made it one of our campaign objectives to have the government publish honest, transparent statistics around those who take their own life each year, including statistics for those under the age of 15. Official suicide statistics are based on coroners’ verdicts. The coroner usually gives a ‘short form’ verdict such as ‘accident,’ ‘natural causes,’ ‘industrial disease,’ ‘suicide,’ ‘misadventure’ or even an ‘open verdict.’ It is from this list of verdict categories that the Office for National Statistics (ONS) gathers data and produces the statistics on the number of people who take their own lives each year. As reported in our last newsletter (Research Review, p.8. Autumn 2011), there is an increasing tendency for coroners to use ‘narrative verdicts’ for unnatural or unexpected deaths. We know that more than 3,000 narrative verdicts were recorded in 2009, compared with just 111 in 2001 and they account for more than 10% of all inquest verdicts. Where suicidal intent is not clear, the ONS classifies the death as ‘accidental’. Gunnell, Hawton and Kapur point out that, “As the use of narrative verdicts rises, so too may the underestimation of suicide. The consequences of this could be incorrect rate estimates, misleading evaluations of national and local prevention activity, and masking of the effects of the current economic crisis on suicide” (cf. BMJ 2011;343:d6030). Professor Louis Appleby, Chairman of the Government’s National Suicide Prevention Strategy Advisory Group, has insisted that, “There is nothing new in finding that some probable suicides are omitted from official statistics because of doubts about the person’s intent. Coroners used to record verdicts of

accident or misadventure in many such cases, now they may record a narrative verdict. There is no reason to doubt the fall in suicide in England in the last decade, though of course we should continue to examine how narrative verdicts are used”. (cf. The Daily Telegraph, October 2011). André Rebello, Secretary of the Coroners’ Society, said suicide statistics might have overestimated the numbers, since they included open verdicts, where the intent was unclear, as well as suicide verdicts. Rebello, the Liverpool coroner, said coroners, as part of the judiciary, needed high degrees of proof as to what constituted suicide and must not face “pressure from the executive or arms of the executive such as statisticians”. Jane Matheson, consultant in public health for the NHS in Cumbria, found the academics’ report supported the findings of an audit of suspected suicides in Cumbria. The study identified all suspected suicides in 2008 from the (ONS) files and compared them to the coding of the 2008 registered deaths that had yet to be confirmed by the ONS. In total, 52 suspected suicides were included in their audit. She found that eight deaths, where case history review left little doubt as to these individuals' intention to take their own lives, did not figure among the 39

A verdict of suicide requires “some evidence that the deceased intended to take his own life" deaths recorded in the definitive annual ONS suicide statistics for 2008. A narrative verdict was delivered in all eight cases. Her findings suggest there is an underreporting of the numbers of suicides in Cumbria by about 20% and that their usefulness in monitoring Cumbria's suicide prevention strategy is compromised. In addition, all narrative verdicts missed in the ONS statistics were from one of Cumbria's two coroner jurisdictions. She concluded that local audits provide a more accurate picture of suicides than ONS data. Local audit also provides information on hotspots, clusters and potential service failures. She therefore recommended that local audits should continue to be a core element of local suicide prevention strategies. What she found in Cumbria is likely to be true for the rest of England and

Wales: a clear underreporting of the number of people who kill themselves each year. The fact that a verdict of suicide requires “some evidence that the deceased intended to take his own life” means that open verdicts are often recorded in cases where suicide is suspected but the evidence of intent is lacking. Over the last decade there has been an increasing trend by coroners to increase the level of certainty, above the previous standards, in proving that the deceased killed themselves before returning a suicide verdict. An open verdict on the other hand is returned without even a glimpse of doubt about the circumstances of death, intention to die and the strength of evidence. Coroners work on the presumption that no human being takes his or her own life until the contrary is proved. This trend has led to a gradual increase in open verdicts and a gradual false decrease in suicide verdicts. In 1996 Emad Salib a consultant psychiatrist, reviewed all coroners’ verdicts in North Cheshire over a five year period. He noted that in 23% of the open verdicts and 13% of misadventure verdicts there was evidence that the deceased intended to kill themselves but a suicide verdict was not returned. In an attempt to apply a realistic ‘clinical’ rather than ‘legal’ definition, he allocated all cases in which a ‘clear’ intimation of intent was evident, regardless of official verdict, to what he considered may have been a probable suicide act. Compared to the purely legal definition, he noted an increase in suicide from 97 to 158 (63% increase) which he believed was acceptable as probable suicide. Even with the appointment of a Chief Coroner, coroners may not be the right source to obtain accurate information about suicides. Perhaps we need each Public Health Authority to be made responsible for a formal review of deaths locally and ask them to take a clinical/social view about the death, just as they do in Cumbria. The ONS does not publish the number of deaths by suicide of children under 15 years of age because there is a view that these young people cannot have the intent of killing themselves. Sadly, the numbers are important because they provide us with a true picture of this awful social phenomenon. Stephen Habgood PAPYRUS Chairman

PCC upholds Complaint Many of you will have heard and/or read about the insensitive remarks about rail suicide made by Jeremy Clarkson on BBC’s The One Show and later in his regular column in The Sun newspaper. PAPYRUS wrote letters of complaint to both Mr Clarkson and The One Show and joined other charities in a formal complaint to the Press Complaints Commission (PCC), which we feel is progress made (see below). We had considerable and very co-operative dialogue with The One Show, although regrettably the producers have a policy not to cover suicide due to the young age of their audience. PAPYRUS believes this misses an opportunity to raise awareness and reduce stigma among young people. Despite a second ‘follow-up’ letter to Mr Clarkson’s office, no response has been received. Complainant Name: Samaritans, Mind, Rethink Mental Illness, Sane and PAPYRUS Prevention of Young Suicide Clauses Noted: 5 Publication: The Sun Complaint: Samaritans, Mind, Rethink Mental Illness, Sane and PAPYRUS Prevention of Young Suicide complained to the Press Complaints Commission that the newspaper had published a comment article that breached the terms of Clause 5 (Intrusion into grief or shock) of the Editors’ Code of Practice. The complainants considered that the article’s use of graphic imagery and a “flippant” tone had violated the dignity of people who had died by suicide and intruded into the grief of their families. Resolution: The PCC negotiated a meeting between representatives of Samaritans – acting on behalf of the complainants – and representatives of The Sun to discuss the article and the broader issues of how The Sun and other newspapers deal with issues of suicide and mental health. Following the meeting, The Sun wrote to the PCC to confirm that – notwithstanding the right of its columnist to hold a view that others strongly opposed – it accepted that parts of the column had overstepped the mark and apologised for the offense caused. “It agreed to training in reporting suicide sensitively to be conducted by Samaritans. It also agreed to support the Time to Change campaign against mental health discrimination led by the charities Mind and Rethink Mental Illness and to offer training to its staff on mental health reporting.” It also agreed to try to liaise with the complainants on issues affecting them in future. In addition, both parties agreed to contribute to future discussions about the terms of Clause 5 of the Code and how it relates to groups of people bereaved in a certain way rather than individual bereavements. The matter was resolved on that basis. Date Published: 19/04/2012 PAPYRUS SUMMER 2012 7

Depression: A FEAR OF EVERYTHING one young man’s view of depression

e.” d i ins n o e s oud

don’t be scared , e d insi “I’m tearing up A sportsman recently described depression as ‘a fear of fear.’ I think I would take this even further. To me, depression is the fear of, well, everything. I’d throw guilt in too. Most rational people could cope with either of these things without much difficulty. After all, rarely is life all positives; we can expect to have one or two things weighing on our minds at any one time. Indeed, a healthy fear of certain things can act as a spur, bring a higher level of determination to succeed. Sportsmen, business people, politicians … all use the fear of the unknown to bring out the best in themselves from time to time. I’ve had that fear too over the years, from attending cup finals to that crucial approach shot on the 18th. Perhaps this particular fear is a fear of failure, and so heightens the senses and focusses the mind in order to drive success. But in my time fighting depression, this is not the fear I refer to. To me, there’s a greater fear. A fear of everything, seeing the worst outcome every time, worrying about all the things I know deep down are the things I should be trying my best NOT to worry about if I want to stay healthy – and yet I simply cannot

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stop the wheels turning in my head. Money, career prospects, family, relationships, friends, just all merge together in one huge avalanche as soon as the first seed is planted. And so it begins. Everywhere I look, there are reminders. Turn the TV on, there it is. I get to the point I’ll be an emotional wreck watching anything on TV with a happy ending. A hundred million thoughts racing through your mind at any one time, and the more you try to stop it, the more it concentrates the mind and in actual fact, makes it worse still. To the point where you wish someone would just take the batteries out, switch you off, and turn you back on when it’s all over.

m ve – Stormy Cl o r The Ve –C

concentrate on yourself’, ‘forwards, not backwards’. I’d agree with every single one of these statements. Of course these are things I should be doing. It’s not that I don’t want to do these things. I just struggle to do them at times, to stop living in the past and thinking about the wrong things I’ve done, the people I’ve hurt along the way, the things I could have done better. Yet, now, I need to keep going; as much as I struggle with what’s happened in my life, I can focus on the future, even if that is just the next day, and then the next day after that, and after that. I’m grateful that I have friends and family around me to get me through the days that I’m finding difficult, because without them, I wouldn’t be here.

Positive Mix all of the above with a strong sense of guilt, and it’s not difficult to see why my mind might have difficulty trying to find anything positive to think about. Guilt can be born from events in our past – things we would do differently if we were given the chance again. Yet all the buzz phrases for sufferers of depression tell us to ‘look to the future’, ‘what’s done is done’, ‘

Ed: Thank you to our contributor for giving his own experience of depression here. Depression takes many forms. There are lots of places where readers can get help if they are suffering with depression. Perhaps first, the local GP is the best port of call. If you want to speak in confidence about it, call HOPELineUK 0800 068 41 41. Our professional advisors can help you. We also have information on local sources of help for you.

5 Easy Steps to WELLBEING

Here at PAPYRUS, we don’t just help individuals who are struggling with their mental health. We actively promote good mental wellbeing regardless of whether you feel happy or sad, as we believe being aware and being conscious of keeping ourselves happy, doing the things we enjoy and rewarding ourselves are all part of maintaining a healthy, happy emotional well-being. In 2008 the government commissioned a report for the Foresight Project that focused on Mental Capital and Wellbeing. The report recommends five ways of mental wellbeing that are easy to follow, here are some of our suggestions of how this can be fulfilled.

Connect – Connecting is about making time for those around you. Building relationships with those who we have in our lives can build up our support system for when we need it. It also gives us opportunities to become more involved in different activities and doing things that we enjoy with other people.

Be Active – Research after the Foresight Project shows that exercise helps us to feel strong – mentally and physically. It is common knowledge that exercise reduces the risk of cancer, heart disease and strokes, but less well-known is how exercise can help prevent depression. Exercise enables us to clear our minds, to cope and deal with any stressful situations we have in our lives. The hard work we put into exercise can also give us a sense of achievement, and acknowledging this and praising ourselves for it can be a great lift to our self-esteem and

confidence, especially if we are trying something new.

3 4

Take Notice – It’s easy to drift along with life and not be aware of the world around us. Observing the world we live in and what it brings to us can help us identify what is important to us, what we value, and how we can make time for it in our lives. Keep Learning – This may imply we are talking about education, which may produce memories of being bored in a classroom, when in fact learning can be fun. You can choose whatever it is you want to learn, and you can enjoy it. Trying something new – such as cooking, a sport, dancing – can boost our confidence and give us goals to work towards achieving. Creating goals for ourselves gives us an aim or target in life.

Give – Giving time to other people can make us feel great about ourselves, whether that’s volunteering to help our community, or helping out a friend when they need a hand. Helping people shows we are appreciated by others and that we can, and are, making a difference to someone else’s life.

Reference: Aked, J; Marks, N; Cordon, C & Thompson, S (2008). Five Ways to Well Being. A report presented to the Foresight Project on communicating the evidence base for improving people’s well being. Centre for Well Being, New Economics Foundation

Try something new today. We’d love to hear your feedback on whether this advice has worked well for you.

FAQs about Suicide Prevention I’ve been at university for the last six months but I’m not sure it’s for me. I’m not achieving high marks like I did at college and I haven’t made any friends so there’s no-one to talk to about it. It sounds as though you have a lot of things going on for you at the moment. Starting something new for the first time can be daunting and scary. You’ve taken a big step, moving from college to university and as well as your course struggles, you’re also finding it difficult to make friends. It’s okay to be upset. Going to college or university can be a really big leap and it can take some time to get used to the changes. You are not alone in that respect. Have you thought about talking to a lecturer or tutor at university? Many students will have spoken to them about this. They can help to reassure you and to also help you improve in your studies. If it all feels as though it’s getting too much, remember your university may have a counsellor you can talk things through with or call our HOPELineUK helpline 0800 068 41 41.

I’ve just broken up with my partner of six years. She’s left me for someone else, and me and the kids are devastated. I’ve tried talking to my friends but everyone just says I’ll get over it and I’m better off with out her; they don’t understand. I just don’t see the point in life if she’s not in it with me. How can I move on? The breakup of a relationship is never easy, especially when you’ve spent six years of your life with that person. It is obvious your partner meant a lot to you and it’s going to be difficult to fill that void. Acceptance of this is the first step. Try to keep yourself busy with friends, family and other activities when you may have normally spent time with her. I’m sorry to hear your friends don’t seem to understand, but perhaps they can be the ones to take your mind off it all. There are organisations that provide relationship counselling, so it’s worth looking online if you still find yourself struggling in the future. You mention that you don’t see the point in life if she’s not there. Please speak to your GP if you are having thoughts of suicide or call our HOPELineUK 0800 068 41 41 to talk about your feelings. You don’t have to cope on your own.

Over the past few months I’ve put on three stone in weight. It’s really knocked my self confidence. I’m really trying to lose it and I’m only eating one meal a day but I still can’t seem to shift it. I’ve started self-harming as a result. I don’t feel I’m the person I used to be. It sounds as though you’re going through a difficult time at the moment. Was there anything that happened that may have caused you to put on weight in the first place? It’s great you feel proactive about trying to lose this weight; however, eating only one meal a day could have serious side effects on your body and mood. Have you thought about seeing a doctor for some advice? It’s important to get a regular intake of food for energy and our minds to stay positive and a doctor or the NHS website can show you what type of foods are best. It sounds as though you are really low at the moment and you are coping by self-harming. Try going for a run or incorporating some exercise into your lifestyle when you feel like self-harming. This is great for your mood and will also help you lose weight.

PAPYRUS SUMMER 2012 9

In the public arena

Media Highlights

Is all publicity good? I read a survey stating that a quarter of charities suffer bad publicity. If publicity can be a risk … why do we do it? Because young suicide is a national scandal that needs to be talked about. As a charity we need to raise our share of voice. Having the media on our side, by encouraging them to talk and write about us, is an extremely powerful way to get our messages of hope, help and suicide prevention out to young people and those who live and work with them. Some of the benefits are immediately measurable. Following a high profile mention of PAPYRUS, we see a rise in calls to HOPELineUK as well as increased website traffic.

So how do we manage that risk? It is essential that we are recognised by the media as a useful, co-operative resource for them; as the authority on preventing young suicides. We aim to build good relationships with journalists, to gain a reputation for honesty, integrity and responding promptly to requests with accurate information and interesting comment – in other words – by giving journalists what they want. Journalists want news, so we try to avoid ‘puffery’. When they seek our opinion on current relevant issues around suicide among young people, we are able to respond with qualified opinion from our suicide prevention team. This is based on their professional experience, what we learn from talking with young people about the issues they are dealing with daily, as well as the experience of you, our members.

10 PAPYRUS SUMMER 2012

We need your help However, even if a news item has national relevance, regional press and radio frequently seek comment from a local person; someone with experience of suicide either through loss, or overcoming suicidal thoughts when they were young. Personal experience is extremely powerful in helping to reduce the stigma that surrounds suicide and indeed raise awareness of contributing factors. Only by reducing stigma will we encourage young people to feel able to speak about suicidal feelings and – vitally – seek help. We are hugely grateful to those of you who have worked with our press office. We recognise that it is not easy to talk about personal experience and assure you that every media request is carefully assessed. Personal details are never given to the media without prior consultation. We establish boundaries together, which we then negotiate with the journalist. We have media guidelines that contain statements around the work of PAPYRUS and the resources we offer. ! If you feel able to help by sharing your connection with PAPYRUS – and sometimes it can be anonymous – please call me for an exploratory chat, with absolutely no obligation. Rosemary Vaux, PAPYRUS Press Office direct line 020 8943 5343 mailto:pressoffice@papyrus-uk.org

! PAPYRUS has featured in several radio broadcasts this year including two separate national programmes on BBC Radio 5 Live that focussed on suicide following the inquest into the death of Gary Speed, the football star and commentator. Ged Flynn (pictured) gave advice during a late night ‘phone-in programme that ran well over time, such was the response. The following day’s Breakfast programme featured comment from Stephen Habgood, Chairman, and Alexis Elliott, our Suicide Prevention Coordinator. ! Trustee Martyn Piper contributed to a BBC Radio Solent news item on our South England regional supporters’ meeting in Hampshire and Ged Flynn featured on BBC Jersey in a general programme on suicide prevention. ! We gained considerable publicity on the appointment of Tom Milner, our young singer/songwriter and TV star, as an Ambassador – and now continuing with advance publicity to promote Keep Plugging Away, the song he has written and recorded to benefit PAPYRUS. See article page 2. Thanks to all our fundraisers whose independent publicity efforts are gaining mentions of PAPYRUS in the media. This can only encourage others to shout about their efforts, which is great publicity for our charity, as well as hopefully encouraging more people to support your efforts. On that note, our press office will help anyone fundraising to prepare a press release for local media. Just send a note with a few details of what you are doing and why you have chosen PAPYRUS, including dates and location. We can either send the release to the media for you – or help you with contact details of your local papers, radio and TV news desks. And of course, you will have final approval of the content.

Advice by SMS or e-mail New service opened in response to requests As a core aim in our strategic planning at PAPYRUS, we have been determined to ensure that we would LISTEN TO and LEARN FROM young people – especially those who might be seeking help with suicidal thoughts – and those most closely associated with them, their friends and families. Many young people at risk and their caregivers contact us for advice through HOPELineUK. Yet, others have suggested that – for one reason or another – they would not use a helpline. It is vital that we reach young people in a way they feel comfortable with. In response, we have launched two new services, which preserve the enquirer's anonymity and confidentiality. We now provide professional suicide advice and support by SMS and by email.

Stephen Habgood, PAPYRUS Chairman, says:

"We have been keen to get beside young people and those who are worried about young people who may be thinking about harming themselves or considering suicide. These new ways of getting help are being opened to improve access to our support and advice.”

Alexis Elliott, PAPYRUS Suicide Prevention Coordinator, says:

"Young people often find it hard to 'phone a helpline: for some it is easier to share feelings in a text. If they are using their mobiles, it is cheaper for them and they can retain their anonymity. Our service will remove personal details from their incoming text or email and our response can be received when they wish to collect it, privately."

email: pat@papyrus-uk.org SMS: 07786 209697

PAPYRUS will operate these services for a trial period initially.

Exercise

... for a healthy body and mind When you read the title a number of thoughts may have entered your mind:

“Exercise, great! I love sport!”, “Exercise??? Yeah right! I’d rather watch TV”, or “Exercise…yeah I’d love to, but I simply don’t have the time”. You may love exercise because you want to be fit and healthy; you may play a sport because you get to socialise with other people; perhaps you exercise because you’re training for a marathon. BUT, do you ever exercise for the emotional benefits? Yes, all these are fantastic reasons for exercising but, hopefully, by the end of this article, you may feel that exercise is not only great for our bodies, our social life or a competition – it also benefits our minds. Statistics and research have proven that we feel happier when we exercise. Whether we row the Channel as John Bishop did recently, or whether we go for a 10 minute walk, we achieve a sense of satisfaction (cf. Robertson, Robertson, Jepson and Maxwell 2012). At some point, we may all suffer from stress and react to the pressures of life. Putting time aside for ourselves to run or swim, or engage in some form of activity that gets our heart pumping, can release this stress and enable us to relax.

Some interesting facts about exercise that benefit our emotional wellbeing include: ! Increased self-acceptance and confidence. When we achieve a goal we feel more confident about accomplishing other targets in our professional, personal, and social lives. ! A calmer mind and being able to control our moods when we might normally become stressed in traffic, at work, and at home – our minds feel clearer and we are able to organise our thoughts better. ! Feeling happier – those who exercise are more optimistic and happy than those who lead sedentary lifestyles. ! The ability to express our frustrations, disappointments, anger and negative energy in a positive way – psychologically and physically, exercise gives us more energy and confidence to improve our relationships with family and friends. ! Less feelings of depression and anxiety – these feelings can decrease

with regular physical activity, especially if we break into a sweat. ! A better perspective on life – our problems and most situations improve if we are fit and healthy – we have time to reflect and think about events more clearly. ! Looking and feeling healthier. As the weather starts to get warmer, opportunities for exercise increase – don’t waste them! Head outside and meet up with a few friends for a kick-about in the park, or a game of tennis. Make a competition out of it if you need that extra motivation. Then tell us how good exercise made you feel on Twitter: @papyrus_tweets … or our Facebook page. We’d love to hear your thoughts and ideas.

Reference: Robertson, R., Robertson, A.R.R., Jepson, R., and Maxwell, M. (2012) ‘Walking for depression or depressive symptoms: a systematic review and meta-analysis.’ Mental Health and Physical Activity 2 (3) PAPYRUS SUMMER 2012 11

Focus:

Body Dysmorphic Disorder –

What is it? Body Dysmorphic Disorder (BDD) is a mental health condition in which an individual spends a lot of time concerned about their appearance. This can take various forms. For example, they may compare their looks with other people’s, worry that they are physically flawed or spend a long time in front of a mirror concealing what they believe to be a defect. The majority of people with BDD are preoccupied with some aspect of their face and many believe that they have several defects. The most common complaints concern the nose, hair, skin, eyes, chin, lips, and overall body build. Some individuals may feel that there is a lack of symmetry in their appearance. They may feel that something is too big or too small or that it is out of proportion to the rest of their body. At some point in life, almost everybody will feel unhappy about the way they look, but these thoughts usually do not prevail. However, for a person with BDD, the thought of a flaw is very distressing and does not disappear, even when others may think that there is nothing wrong with the way that individual looks. To receive a diagnosis the individual's preoccupation must cause significant distress or impairment in at least one area of their life. This might mean that a person may feel that they cannot go out in public unless they have hidden the problem area in some way, or they may avoid a range of social situations because of the anxiety and discomfort these situations create. Alternatively, a person may enter such situations but remain very self-conscious. In less conspicuous ways an individual may use heavy make-up, style their hair in a particular way, change their posture, or wear layered clothes. Some resort to surgery. It is thought that BDD can begin to develop during adolescence – a time when the body is going through major physiological changes but the 12 PAPYRUS SUMMER 2012

person themselves also begins to develop emotionally, seeking out their own personality. It is also during this time that individuals may appear more sensitive in their behaviour as they try to adjust to these ‘changes’ as they happen. This can impact how the individual, view themselves, not wanting to seek help as they feel it may draw attention to their problem. If an individual with BDD does seek help, it may be for another issue, such as depression, anxiety or obsessive compulsive type behaviours. These types of issues can develop from the individual’s own self-concept – how they view themselves and those around them. BDD can have a massive impact on the individual’s self esteem, often viewing themselves negatively, and will affect the way in which they interact with others. Hidden problem As BDD is such a hidden condition, the exact number of people in the UK who have experienced it is not known. This is because the individual will usually conceal their feelings from those around them, partly as they may be too ashamed to discuss their problem and partly as they may not want to draw attention to their perceived deficit. It is due to the very nature of the condition itself that BDD can be missed by health professionals (Grant et al, 2005) or can be misdiagnosed.

References: Obsessive-compulsive disorder: core interventions in the treatment of obsessivecompulsive disorder and body dysmorphic disorder (NICE Guideline, November 2005). Grant, J et al. (2005) 'Recognizing and treating body dysmorphic disorder', Annals of Clinical Psychiatry, vol. 17, pp. 205-10

Member Sonia Edwards shares her story … My son, Craig, had a sensitive nature and at 17 became reclusive after falling out with some friends, hardly leaving the house. He used to spend quite a lot of time getting his hair just right, something which seemed pretty normal for a teenager. At 18 he wanted an operation on his lower jaw to improve his profile appearance. He agreed to see a psychiatrist to get a referral to have the operation done quicker. The operation was a success and he was pleased. He started a temporary job but when it ended he became reclusive again. He adopted an unusual hairstyle which he always cut and styled himself, taking hours, constantly gelling and drying. We learnt to keep out of his way because he became angry with himself if it didn’t look perfect. He once became very aggressive when asked if he could stop a very long drying session. He joined a gym, became obsessed and visited daily, determined to get a ‘six pack’ – then suddenly stopped. Craig then had a large tattoo done to cover up another he didn't like. Initially happy, he soon hated it and became very depressed, talking about cutting his arm off because he disliked it so much. However, he continued to work and commenced laser tattoo removal. It was also around this time that he’d had his ‘perfect’ teeth capped. Scarred for life He then became transfixed with a little dent in his face following the removal of a small mole and found a private skin clinic which advised that an operation would remove the dent leaving just a small scar. The operation didn't heal properly and he resorted to laser treatment. Despite healing well he read about sandpapering scars, which he did, making it worse. He visited private cosmetic clinics seeking to improve the small scar on his face, which he eventually had re-stitched. Craig hid the fact that he was not happy with the result and in his last note he said he was “scarred for life” and blamed the surgeon. He took his life just a week after the operation. Craig was diagnosed with Body Dysmorphic Disorder only a couple of months before he died. It is very common in teenagers and young adults, both male and female. The completed suicide rate for sufferers is three to four times higher than those suffering from Bipolar, with a suicidal ideation rate of around 80%. BDD is a chronic illness, and symptoms are likely to persist, or worsen, if left untreated by suitable medication and counselling. Ed: PAPYRUS is often contacted by young men and women who are suffering with this illness as well as their parents, partners and friends. If you need support and advice, contact us: HOPELineUK 0800 068 41 41 email: pat@papyrus-uk.org SMS: 07786 209697

We are extremely grateful to everyone who has supported PAPYRUS, and please do keep it up!

Fundraising... For all our events, please see our website for details of how you can join in:

www.papyrus-uk.org

Aberdeen Burlesque Night !

Long term supporter Jacqueline Reid organised yet another hugely successful burlesque night in support of PAPYRUS. Jacqueline said, “Building upon our last event, we were thrilled to sell yet another 100 tickets!” Thanks to everyone who went along to the event and donated.

New York Times ...

Peter Nicklin and his son David ran the New York Marathon in memory of Dan Pickard, Kevin Davy and Tina Nicklin. Peter and David ran the race in such a quick time that they featured in the New York Times the day after – well done! Peter and David have raised lots of money for PAPYRUS.

Doing the Groundwork!

A team of young people from Groundwork took part in a number of fundraising events in memory of Tilly Gallagher. Huge thanks to Tom Sheffield, Kelly Tenant, Kimberley Barnes, Shaun McKeown, Zoe Price, Jess Mundey, Sarah Webber and Team leaders Chris Tod and Rogan Mills.

Jo Burling

Jo and family held a fundraising party to celebrate what would have been her brother Tommy’s 35th birthday. Jo said “If we’d known that PAPYRUS had been around before he died, maybe things would have been different. We had a brilliant night in his memory and we raised a huge amount.” Thank you to Jackie, Tom, Joanne and Marie and everyone who donated.

PAPYRUS SUMMER 2012 13

Fundraising. !

Dave Hart

In memory of Dave who died in November 2011, the Hart Family released a single ‘Home’ that was written by Dave and his friend Jake. It reached number 15 in the unofficial charts due to their publicity effort, with iTunes’ sales for that week alone reaching, we believe, 1896 downloads. The efforts of Dave’s family and friends have led to a number of fundraising activities for PAPYRUS. They include his fellow college students wearing suits for a day, a collection in the local Tesco store two days before Christmas and a May gig (see picture) at the local nightclub with top-named bands donating their services.

Shane Horkan

Shane is taking on a huge challenge in memory of his brother, Chris. Shane and his team are running 140 miles across the UK – Bridlington to Blackpool – this summer. Visit www.140miles.co.uk for more info and to sponsor the team.

Sky divers

rease of extremely We have had an inc p out all wanting to lea brave supporters, to ks an money! Th of a plane to raise u ed their fears! If yo fac o wh e on ery ev e, div sky part in a would like to take .org ising@papyrus-uk please email fundra for a pack.

Christmas Cards, its never too early!

Christine Scully & El Plantio Golf Club

Thank you to Christine Scully and her fundraising group in El Plantio Golf Club in Alicante. For several years now Christine and her team have been raising money over the past few years and show no signs of stopping! A special mention to Manolo the owner of the Golf Course and Santiago the marshall at the Golf Club for all of their support.

14 PAPYRUS SUMMER 2012

Our 2012 Christmas cards are now on sale. They retail at £4.00 for a pack of 10. They can be ordered from our website http://www.papyrusuk.org/more/publications If you are able to sell packs on behalf of the charity, please contact Norma on 01925 572444 or email admin@papyrus-uk.org

Give it a go ...

PAPYRUS in the Marches

We would really like others to take up the challenge of forming fundraising groups like this. If you would like to give it a go in your area, please contact Louisa on fundraising@papyrus-uk.org / 01925 572444.

When Stephanie Lyth Lawley from Ross-on-Wye lost her son, Joe in 2000. she was determined to do something positive to help ensure other families did not endure the same distress. Shortly after she and husband, Lincoln (a former Trustee) joined PAPYRUS, Stephanie enlisted a group of local friends as her committee and founded local support and fundraising group, PAPYRUS in the Marches (PiMs). Her aim was to raise much-needed income for the charity and through very professional organisation of over 50 diverse and highly successful events – from Christmas to music concerts – they have made a huge contribution. ! Ged Flynn writes: “Stephanie and her team have done an incredible job. Over the years, they have stuck to their aim of raising funds for PAPYRUS and, in doing so, have made so many people aware of our work to prevent suicide among young people. We are delighted that they have raised such an amazing amount of money for the charity – over £100,000. They’re now all taking a well earned break. Our sincere thanks go to Stephanie and everyone in PiMs for this incredible achievement. Thank you so much!”

Natasha Warnes Rainbow Concert !

The Northampton Music and Performing Arts Service organised the Natasha Warnes Rainbow concert, in memory of Natasha who died in July. The event was a celebration of her life and creativity and, although emotional at times, with its upbeat feel throughout, the evening seemed to strike exactly the right chord for everyone. Thank you to all who helped to organise the concert, attended and donated. Your kindness and support is very much appreciated (art by Natasha).

… simply by Gift Please don’t forget Gift Aid ing an additional Aiding your fundraising you are rais 25p per £1.

Upcoming FUNDRAISING events:

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! Jacqui Hanks Fun Run: On the 3rd anniversary of Josh’s death, his family are organising a 5k fun run to raise money and awareness for PAPYRUS. Jacqui Hanks is hoping to recruit about 400 people to take part in Worcestershire. Look out for details on PAPYRUS social media. ! We had several runners in Manchester’s first marathon in April – well done everyone! 26 miles is a very long way on foot! ! PAPYRUS wishes lots of luck to Dan Rennie who is taking part in the Eton Triathlon in May – what a mighty challenge! ! A charity night is being held in memory of Paul Gaddas in May. ! Good luck to everyone running in the BUPA Great Manchester Run on 20th May. Look out for PAPYRUS CEO Ged Flynn taking part! ! PAPYRUS has been nominated as one of the Warrington Rotary Golf day’s charities in May. ! Saddle up! Milly Wilkinson and team are cycling all the way from London to Paris in June. ! Lauren Fogerty and family are organising a huge walk on 1st July from Blackburn to Blackpool in memory of Vicky Harrison. Anyone is welcome to join in! Please contact Louisa on 01925 572444 or fundraising@papyrus-uk.org for more details. ! Former PAPYRUS Trustee, Sam Greaves, is running the British 10k again in July – what fancy dress will he and his team wear this year?! ! The 2012 Big Fun Runs are taking place all over the UK. To register please visit our website: papyrus-uk.org ! 3 Peaks Challenge – Luke Davison is taking up this awesome feat on 22nd August. ! Phil Carpenter is taking on the biggest challenge to date – climbing to Everest Base Camp in October.

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He needs US... ...we need YOU 01925 572444

to donate what you can

PAPYRUS

Thank you

prevention of young suicide

Why not join us... Membership form When PAPYRUS Trustees discuss what the charity needs to do, we look to the experiences of our members to help us. If you want to help young people to live with hope, you can give our work some special meaning. Family, friends and professionals, please join PAPYRUS now. Name

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Signed: I enclose ÂŁ20 for annual membership. I enclose a donation of ÂŁ Only one newsletter and information will be sent to an address, if you want additional copies of mailings, please tick this box. By filling in the Gift Aid declaration, we will be able to claim back from the Inland Revenue the income tax that has already been paid on any donation you may make.

Date: Please Note: Remember to notify us if you no longer pay an amount of Income Tax/Capital Gain Tax equal to the tax we reclaim on your donation. This declaration can be cancelled at any time by notifying PAPYRUS.

Please tick this box if you require a receipt. Please return this form to: PAPYRUS Prevention of Young Suicide, 67 Bewsey Street, Warrington, Cheshire WA2 7JQ.

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