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No. 65 of 2016 Principles as amended, taking into account amendments up to Amendment Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 33 of 2018)
Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis).
Administered by: Veterans' Affairs
Registered 03 Apr 2018
Start Date 02 Apr 2018
End Date 23 Sep 2018
Table of contents.

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Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 65 of 2016)

made under subsection 196B(2) of the

Veterans' Entitlements Act 1986

Compilation No. 2               

Compilation date:                              2 April 2018

Includes amendments up to:           Amendment Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 33 of 2018) (F2018L00207)

The day of commencement of this Amendment Statement of Principles concerning suicide and attempted suicide is 2 April 2018.

 

About this compilation

 

This compilation

This is a compilation of the Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 65 of 2016) that shows the text of the law as amended and in force on 2 April 2018.

The notes at the end of this compilation (the endnotes) include information about amending laws and the amendment history of provisions of the compiled law.

Uncommenced amendments

The effect of uncommenced amendments is not shown in the text of the compiled law. Any uncommenced amendments affecting the law are accessible on the Legislation Register (www.legislation.gov.au). The details of amendments made up to, but not commenced at, the compilation date are underlined in the endnotes. For more information on any uncommenced amendments, see the series page on the Legislation Register for the compiled law.

Application, saving and transitional provisions for provisions and amendments

If the operation of a provision or amendment of the compiled law is affected by an application, saving or transitional provision that is not included in this compilation, details are included in the endnotes.

Modifications

If the compiled law is modified by another law, the compiled law operates as modified but the modification does not amend the text of the law. Accordingly, this compilation does not show the text of the compiled law as modified. For more information on any modifications, see the series page on the Legislation Register for the compiled law.

Self‑repealing provisions

If a provision of the compiled law has been repealed in accordance with a provision of the law, details are included in the endnotes.

 

 


RMA-Red

 

Statement of Principles

concerning

SUICIDE AND ATTEMPTED SUICIDE
(Reasonable Hypothesis)

(No. 65 of 2016)

The Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(2) of the Veterans' Entitlements Act 1986.

 

Dated    24 June 2016

 

 

 

 

 

The Common Seal of the
Repatriation Medical Authority
was affixed to this instrument
at the direction of:

 

 

 

 

Professor Nicholas Saunders AO

Chairperson

 

  

Contents

1          Name........................................................................................................................................... 3

2          Commencement........................................................................................................................ 3

3          Authority..................................................................................................................................... 3

4          Revocation................................................................................................................................. 3

5          Application................................................................................................................................. 3

6          Definitions.................................................................................................................................. 3

7          Kind of injury, disease or death to which this Statement of Principles relates............... 3

8          Basis for determining the factors........................................................................................... 4

9          Factors that must exist............................................................................................................. 4

10        Relationship to service............................................................................................................. 6

11        Factors referring to an injury or disease covered by another Statement of Principles. 7

Schedule 1 - Dictionary............................................................................................. 8

1          Definitions.................................................................................................................................. 8

 


(a)            


 

1               Name

This is the Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 65 of 2016).

2               Commencement

This instrument commences on 25 July 2016.

3               Authority

This instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.

4               Revocation

The Statement of Principles concerning suicide and attempted suicide No. 11 of 2010 made under subsection 196B(2) of the VEA is revoked.

5               Application

This instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.

6               Definitions

The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.

7               Kind of injury, disease or death to which this Statement of Principles relates

(1)          This Statement of Principles is about suicide and attempted suicide and death from attempted suicide.

Meaning of suicide and attempted suicide

(2)          For the purposes of this Statement of Principles:

(a)           suicide means the intentional act of taking one's own life; and

(b)          attempted suicide means an intentional act, the purpose of which is to take one's own life, but which has a non-fatal outcome.

Death from attempted suicide

(3)          For the purposes of this Statement of Principles, attempted suicide, in relation to a person, includes death from a terminal event or condition that was contributed to by the person's attempted suicide.

Note: terminal event is defined in the Schedule 1 – Dictionary.

8               Basis for determining the factors

The Repatriation Medical Authority is of the view that there is sound medical‑scientific evidence that indicates that suicide or attempted suicide and death from attempted suicide can be related to relevant service rendered by veterans, members of Peacekeeping Forces, or members of the Forces under the VEA, or members under the MRCA.

Note: relevant service is defined in the Schedule 1 – Dictionary.

9               Factors that must exist

At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting suicide or attempted suicide or death from attempted suicide with the circumstances of a person's relevant service:

(1)          being a prisoner of war before the suicide or the attempted suicide;

(2)          having a clinically significant disorder of mental health as specified at the time of the suicide or the attempted suicide;

Note: clinically significant disorder of mental health as specified is defined in the Schedule 1 - Dictionary.     

(3)          experiencing a category 1A stressor before the suicide or the attempted suicide;

Note: category 1A stressor is defined in the Schedule 1 - Dictionary.  

(4)          experiencing a category 1B stressor before the suicide or the attempted suicide;

Note: category 1B stressor is defined in the Schedule 1 - Dictionary.

(5)          having a significant other who experiences a category 1A stressor within the two years before the suicide or the attempted suicide;

Note: category 1A stressor and significant other are defined in the Schedule 1 - Dictionary.

(6)          experiencing the death of a significant other within the five years before the suicide or the attempted suicide;

Note: significant other is defined in the Schedule 1 - Dictionary.

(7)          experiencing the death of a parent within the 25 years before the suicide or the attempted suicide, where the person was aged 18 years or younger at the time of the parent's death;

(8)          experiencing the attempted suicide of a parent within the 25 years before the suicide or the attempted suicide, where the person was aged 18 years or younger at the time of the parent's attempted suicide;

(9)          for persons 18 years of age and younger only, experiencing the suicide of a peer within the five years before the suicide or the attempted suicide;

Note: peer is defined in the Schedule 1 - Dictionary.

(10)      experiencing the death of a sibling due to suicide within the 15 years before the suicide or the attempted suicide;

(11)      experiencing a category 2 stressor within the ten years before the suicide or the attempted suicide;

Note 1: A category 2 stressor can arise in a variety of circumstances connected with service.  Such circumstances can arise during the course of service, as a result of separation from service and the conditions associated with that separation, and in the transition to civilian life in the years following separation.

Note 2: category 2 stressor is defined in the Schedule 1 – Dictionary.

(12)      being a perpetrator of bullying within the five years before the suicide or the attempted suicide;

(13)      having experienced severe childhood abuse before the suicide or the attempted suicide;

Note: severe childhood abuse is defined in the Schedule 1 - Dictionary.

(14)      attempting suicide or performing a self-injurious act, within the ten years before the suicide or the attempted suicide;

Note: performing a self-injurious act is defined in the Schedule 1 - Dictionary.

(15)      having a medical illness or injury which has resulted in, or where the prognosis involves, a severe level of disability at the time of the suicide or the attempted suicide;

Note: severe level of disability is defined in the Schedule 1 - Dictionary.

(16)      having epilepsy at the time of the suicide or the attempted suicide;

(17)      having persistent pain as specified of at least three months duration at the time of the suicide or the attempted suicide;

Note: persistent pain as specified is defined in the Schedule 1 - Dictionary.

(18)      having failed an academic examination or other academic assessment within the 30 days before the suicide or the attempted suicide;

(19)      for persons 25 years of age and younger only, commencing a course of antidepressant therapy, or increasing or reducing the dose of antidepressant therapy, within the eight weeks before the suicide or the attempted suicide, and during that time reporting new or worse symptoms of agitation, aggression, insomnia, irritability, hyperkinesia, mania, hypomania or worsening of depressive symptoms;

(20)      taking a drug or a drug from a class of drugs from the specified list of drugs, within the 14 days before the suicide or the attempted suicide;

Note: specified list of drugs is defined in the Schedule 1 - Dictionary.

(21)      taking mefloquine or chloroquine within the six months before the suicide or the attempted suicide;

(22)      using methylenedioxypyrovalerone (MDPV) or 4-iodo-2,5-dimethoxy-N-(2-methoxybenzyl)-phenylethylamine (25I-NBOMe) within the 12 hours before the suicide or the attempted suicide;

(23)      having a moderate to severe traumatic brain injury before the suicide or the attempted suicide;

(24)      undergoing bariatric surgery within the ten years before the suicide or the attempted suicide;

Note: bariatric surgery is defined in the Schedule 1 - Dictionary.

(25)      anticipating an imminent and permanent relocation to a residential aged care facility at the time of the suicide or the attempted suicide;

(26)      inability to obtain appropriate clinical management for the attempted suicide.

10           Relationship to service

(1)          The existence in a person of any factor referred to in section 9, must be related to the relevant service rendered by the person.

(2)          The factor set out in subsection 9(26) applies only to material contribution to, or aggravation of, attempted suicide where the person's attempted suicide was suffered or contracted before or during (but did not arise out of) the person's relevant service.

11           Factors referring to an injury or disease covered by another Statement of Principles

In this Statement of Principles:

(1)          if a factor referred to in section 9 applies in relation to a person; and

(2)          that factor refers to an injury or disease in respect of which a Statement of Principles has been determined under subsection 196B(2) of the VEA;

then the factors in that Statement of Principles apply in accordance with the terms of that Statement of Principles as in force from time to time.


 

Schedule 1 - Dictionary  

Note:       See Section 6

Definitions

In this instrument:

                              bariatric surgery means weight reduction surgical procedures including gastrojejunostomy, gastric stapling, vertical banded gastroplasty and gastrectomy with Roux-en-Y anastomosis.

                              category 1A stressor means one of the following severe traumatic events:

(a)           experiencing a life-threatening event;

(b)          being subject to a serious physical attack or assault including rape and sexual molestation; or

(c)           being threatened with a weapon, being held captive, being kidnapped, or being tortured.

                              category 1B stressor means one of the following severe traumatic events:

(a)           being an eyewitness to a person being killed or critically injured;

(b)          viewing corpses or critically injured casualties as an eyewitness;

(c)           being an eyewitness to atrocities inflicted on another person or persons;

(d)          killing or maiming a person; or

(e)           being an eyewitness to or participating in, the clearance of critically injured casualties.

Note: eyewitness is also defined in the Schedule 1 - Dictionary.

     category 2 stressor means one of the following negative life events, the effects of which are chronic in nature and cause the person to feel ongoing distress, concern or worry:

(a)           being socially isolated and unable to maintain friendships or family relationships, due to physical location, language barriers, disability, medical illness or psychiatric symptomatology;

(b)          experiencing a problem with a long-term relationship including the break-up of a close personal relationship, the need for marital or relationship counselling, marital separation or divorce;

(c)           having concerns in the work or school environment including ongoing disharmony with fellow work or school colleagues, perceived lack of social support within the work or school environment, perceived lack of control over tasks performed and stressful workloads, experiencing demotion at work, or experiencing bullying in the workplace or school environment;

(d)          experiencing serious legal issues including being detained or held in custody, ongoing involvement with the police concerning violations of the law, or court appearances associated with personal legal problems;

(e)           having severe financial hardship including loss of employment, long periods of unemployment, foreclosure on a property, or bankruptcy;

(f)           having a family member or significant other experience a major deterioration in their health; or

(g)          being a full-time caregiver to a family member or significant other with a severe physical, mental or developmental disability.

Note: significant other is also defined in the Schedule 1 - Dictionary.

                              clinically significant disorder of mental health as specified means one of the following conditions, which is of sufficient severity to warrant ongoing management, which may involve regular visits (for example, at least monthly) to a psychiatrist, counsellor or general practitioner:

(a)           acute stress disorder;

(b)          adjustment disorder;

(c)           alcohol use disorder;

(d)          anxiety disorder;

(e)           attention-deficit/hyperactivity disorder;

(f)           bipolar disorder;

(g)          body dysmorphic disorder;

(h)          brief psychotic disorder;

(i)            conduct disorder;

(j)            depressive disorder;

(k)          eating disorder;

(l)            obsessive-compulsive disorder;

(m)        oppositional defiant disorder;

(n)          panic disorder;

(o)          personality disorder;

(p)          phobic anxiety;

(q)          posttraumatic stress disorder;

(r)            schizoaffective disorder;

(s)           schizophrenia;

(t)            substance/medication-induced anxiety disorder;

(u)          substance/medication-induced psychotic disorder; or

(v)          substance use disorder.

                              eyewitness means a person who observes an incident first hand and can give direct evidence of it.  This excludes a person exposed only to media coverage of the incident.

                              MRCA means the Military Rehabilitation and Compensation Act 2004.

                              peer means an individual of a similar age, with whom the person has a personal association, such as a classmate.

                              performing a self-injurious act means committing deliberate harm to one's own body and may include cutting, burning, hitting or poisoning.  The injury is done independently, without the aid of another person, and is severe enough for tissue damage (such as scarring) to result.  This definition excludes acts associated with suicidal intent and acts related to social and cultural rites of passage which result in cosmetic scarring.

                              persistent pain as specified means:

(a)           continuous pain; or

(b)          almost continuous pain; or

(c)           frequent, severe, intermittent pain;

which is severe enough to interfere with usual work or leisure activities or activities of daily living.

                              relevant service means:

(a)           operational service under the VEA;

(b)          peacekeeping service under the VEA;

(c)           hazardous service under the VEA;

(d)          British nuclear test defence service under the VEA;

(e)           warlike service under the MRCA; or

(f)           non-warlike service under the MRCA.

Note: VEA and MRCA are also defined in the Schedule 1 - Dictionary.

                              severe childhood abuse means:

(a)           serious physical, emotional, psychological or sexual harm whilst a child aged under 16 years; or

(b)          neglect involving a serious failure to provide the necessities for health, physical and emotional development, or wellbeing whilst a child aged under 16 years;

where such serious harm or neglect has been perpetrated by a parent, a care provider, an adult who works with or around that child, or any other adult in contact with that child.

                              severe level of disability means needing help with some or all activities of daily living (communication, mobility and self-care).  This definition includes, for example, individuals with serious spinal injury, motor neurone disease or a disseminated malignancy.

                              significant other means a person who has a close family bond or a close personal relationship and is important or influential in one's life.

                              specified list of drugs means:

(a)           angiotensin-receptor antagonists;

(b)          antiepileptics;

(c)           antipsychotics;

(d)          atomoxetine;

(e)           benzodiazepines;

(f)           beta-blockers;

(g)          bupropion;

(h)          corticosteroids, other than topical steroids;

(i)            doxycycline;

(j)            interferons;

(k)          isotretinoin;

(l)            opioid analgesics;

(m)        varenicline; or

(n)          zolpidem.

                              suicide and attempted suicide—see subsection 7(2).

                              terminal event means the proximate or ultimate cause of death and includes the following:

(a)                       pneumonia;

(b)                      respiratory failure;

(c)                       cardiac arrest;

(d)                      circulatory failure; or

(e)                       cessation of brain function.

                              VEA means the Veterans' Entitlements Act 1986.

                                                                                                                            

 


Endnotes

Endnote 1—About the endnotes

The endnotes provide information about this compilation and the compiled law.

The following endnotes are included in every compilation:

Endnote 1—About the endnotes

Endnote 2—Abbreviation key

Endnote 3—Legislation history

Endnote 4—Amendment history

Abbreviation key—Endnote 2

The abbreviation key sets out abbreviations that may be used in the endnotes.

Legislation history and amendment history—Endnotes 3 and 4

Amending laws are annotated in the legislation history and amendment history.

The legislation history in endnote 3 provides information about each law that has amended (or will amend) the compiled law. The information includes commencement details for amending laws and details of any application, saving or transitional provisions that are not included in this compilation.

The amendment history in endnote 4 provides information about amendments at the provision (generally section or equivalent) level. It also includes information about any provision of the compiled law that has been repealed in accordance with a provision of the law.

Misdescribed amendments

A misdescribed amendment is an amendment that does not accurately describe the amendment to be made. If, despite the misdescription, the amendment can be given effect as intended, the amendment is incorporated into the compiled law and the abbreviation “(md)” added to the details of the amendment included in the amendment history.

If a misdescribed amendment cannot be given effect as intended, the abbreviation “(md not incorp)” is added to the details of the amendment included in the amendment history. 

Endnote 2—Abbreviation key

ad = added or inserted

o = order(s)

am = amended

Ord = Ordinance

amdt = amendment

orig = original

c = clause(s)

par = paragraph(s)/subparagraph(s)

C[x] = Compilation No. x

    /sub‑subparagraph(s)

Ch = Chapter(s)

pres = present

def = definition(s)

prev = previous

Dict = Dictionary

(prev…) = previously

disallowed = disallowed by Parliament

Pt = Part(s)

Div = Division(s)

r = regulation(s)/rule(s)

ed = editorial change

reloc = relocated

exp = expires/expired or ceases/ceased to have

renum = renumbered

    effect

rep = repealed

F = Federal Register of Legislation

rs = repealed and substituted

gaz = gazette

s = section(s)/subsection(s)

LA = Legislation Act 2003

Sch = Schedule(s)

LIA = Legislative Instruments Act 2003

Sdiv = Subdivision(s)

(md) = misdescribed amendment can be given

SLI = Select Legislative Instrument

    effect

SR = Statutory Rules

(md not incorp) = misdescribed amendment

Sub‑Ch = Sub‑Chapter(s)

    cannot be given effect

SubPt = Subpart(s)

mod = modified/modification

underlining = whole or part not

No. = Number(s)

    commenced or to be commenced

 

Endnote 3—Legislation history

 

Name

Registration

Commencement

Application, saving and transitional provisions

Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) (No. 65 of 2016)

 

04 July 2016

 

F2016L01145

25 July 2016

 

 

Amendment Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) ( No. 26 of 2017)

 

28 February 2017

 

F2017L00174

 

27 March 2017

 

 

Amendment Statement of Principles concerning suicide and attempted suicide (Reasonable Hypothesis) ( No. 33 of 2018)

 

6 March 2018

 

F2018L00207

 

2 April 2018

 

 

 

Endnote 4—Amendment history

 

Provision affected

How affected

Clause 9(3)…………….....

rs Instrument No. 65 of 2016

Clause 9(4)…………….....

rs Instrument No. 65 of 2016

Clause 9(11a)……...….....

ad Instrument No. 65 of 2016

Schedule 1 – Dictionary '"category 2 stressor"…...'

rs Instrument No. 65 of 2016

Subsection 9(11)…………

rs Instrument No. 33 of 2018

Subsection 9(11a)……….

rep Instrument No. 33 of 2018

Schedule 1 – Dictionary '"category 2 stressor"…...'

rs Instrument No. 33 of 2018