This paper outlines a systems approach to suicide prevention that recognises it takes many sectors, groups and individuals working together to save lives. It has been written at a time when the country is facing the worst public health crisis in a generation. The COVID-19 pandemic will leave a lasting impact on New Zealanders' health, social and economic status for a long time to come.

There is a large body of scientific literature that shows that several factors related to an economic recession are associated with an increased risk of suicide - including unemployment, social isolation, increased social inequality, financial insecurity and the loss of property. These factors will be experienced most acutely by the people in the community who are the most vulnerable and who have the least resources to weather the downturn – especially the poor and those who have recently lost income due to business closures and unanticipated unemployment.

Recommended actions

1. Strengthen the national stewardship role and functions of Parliament in relation to suicide prevention. 

2. Strengthen the local and national infrastructure supporting the implementation and monitoring of the national Suicide Prevention Strategy Every Life Matters and its associated Action Plan. 

3. Identify one or more high-priority population groups to focus on in the coming year. 

4. Identify some evidence-informed strategies for these high priority population groups, which can be supported by all political parties.

5. Identify any additional strategies for the coming year that are applicable to the general population - such as supporting a strong population health responses to help mitigate the psychosocial risk factors associated with COVID-19 pandemic.