CMScript 7 of 2024: Focus on Attempted Suicide
September is National Suicide Prevention Month, a time to break the silence and raise awareness for those who are struggling. Help is available, and it is important to know where to find support and what care is covered under the Prescribed Minimum Benefits (PMBs).
Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. It often stems from complex interactions of mental health disorders, stress, trauma, and other life challenges. The impact of suicide extends beyond the immediate loss, affecting family members, friends, and the broader community, leading to emotional, psychological, and economic burdens.
According to the World Health Organization (WHO), approximately 703 000 people die by suicide every year globally. This means that one person dies from suicide every 40 seconds. For every suicide, numerous individuals attempt suicide.
The estimated suicide rate in South Africa is 23.5 per 100 000, which translates to about 14 000 deaths from suicide per annum. It is the second leading cause of death among young people aged 15–29. There is no official national data on how many people attempt suicide in South Africa, however, it is estimated that about 280 000 people try to take their own lives each year. This estimate is based on the idea that for every person who dies by suicide, there are about 20 others who attempt it.
What is covered under prescribed minimum benefits (PMBs)?
Attempted suicide, irrespective of the cause, is included in the PMBs in the Diagnostic Treatment Pairs (DTPs). The DTPs include the diagnosis, treatment and care of the condition.
The PMB treatment is specified as hospital-based management for up to three days OR up to six outpatient contacts. There is, however, no limit on the number of suicidal attempts to be covered in a year by a medical scheme.
The PMBs include all medical, psychiatric, and psychological treatment costs that are required during the three days in hospital or the six outpatient contacts. Attempted suicide is an emergency medical condition. An emergency medical condition means the sudden and, at the time, unexpected onset of a health condition that requires immediate medical treatment and/or an operation. If the treatment is not available, the emergency could result in weakened bodily functions, serious and lasting damage to organs, limbs, or other body parts, or even death.
In addition, injuries, complications, and underlying causes that may arise from attempted suicide must be funded according to the PMB Regulations.
If you are at immediate risk of harming yourself but are not currently injured, it is crucial to seek help right away. Reach out for support by contacting a mental health professional, counsellor, therapist or even a friend.
South African Depression and Anxiety Group (SADAG): 011 234 4837 or Fill in this form to contact a counsellor.
Suicide Crisis Helpline: 0800 567 567
Download full CMScript here.
