National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Suicide data for England (2002-2012)

National Confidential Inquiry into Suicide and Homicide by People with Mental Illness

Suicide data for England (2002-2012)

General population suicides: age and gender profile

10%

18%

25%

20%

13%

7% 7%

9%14%

20% 21%

15%

9%12%

0

1000

2000

3000

4000

5000

6000

7000

8000

9000

10000

Under 25 25-34 35-44 45-54 55-64 65-74 75+

Nu

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f su

icid

es

Age-group

Male Female

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

General population suicides: cause of death by gender

50%

17%

5%

10%

4%

13%30% 39%

1%

10%

7%12%

0

2000

4000

6000

8000

10000

12000

14000

16000

18000

20000

Hanging/strangulation Self-poisoning Carbon monoxidepoisoning

Jumping/multipleinjuries

Drowning Other

Nu

mb

er o

f su

icid

es

Cause of death

Male Female

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Patient suicides: age and gender profile

7%

18%

27%

22%

14%

7%

5%7%

14%

22%23%

18%

10%7%

0

500

1000

1500

2000

2500

Under 25 25-34 35-44 45-54 55-64 65-74 75+

Nu

mb

er o

f p

atie

nts

Age-group

Male Female

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Patient suicides: cause of death by gender

46%

21%

3%

15%

4%

10%

31%36%

1%

15%8% 9%

0

500

1000

1500

2000

2500

3000

3500

4000

4500

Hanging/strangulation Self-poisoning Carbon monoxidepoisoning

Jumping/multiple injuries Drowning Other

Nu

mb

er o

f p

atie

nts

Cause of death

Male Female

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Patient suicides: primary diagnosis by gender

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Ethnic origin (not including white): patient suicides

Black African136 (14%)

Black Caribbean126 (13%)

Indian/Pakistani/Bangladeshi

317 (32%)Chinese24 (2%)

Mixed race236 (24%)

Other non-white165 (16%)

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Marital status: patient suicides

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Employment status: patient suicides

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Living circumstances: patient suicides

Alone 5768 (46%)

With parent(s)1435 (11%)

With spouse/partner (with or without

children)3793 (30%)

With children only555 (4%)

Other shared (e.g. friends)

651 (5%)

Prison/YOI70 (1%)

Other specified310 (2%)

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

In-patient suicides – cause of death

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Number of patient suicides per week following discharge (2002-2012)

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Number of patient suicides per day following discharge (2002-2012)

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Duration of illness: patient suicides

21%

26%

53%

0

1000

2000

3000

4000

5000

6000

7000

within 12 months 1-5 years more than 5 years

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atie

nts

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Timing of last contact: patient suicides

18%

32%

22%

13%14%

0

500

1000

1500

2000

2500

3000

3500

4000

4500

< 24 hours 1-7 days 1-4 weeks 5-13 weeks More than 13weeks

Nu

mb

er o

f p

atie

nts

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Symptoms at last contact with mental health services: patient suicides

14%

15%

12%

4%

11%

5%

7%

8%

31%

35%

0 500 1000 1500 2000 2500 3000 3500 4000 4500

Suicidal ideas

Hopelessness

Recent self-harm

Increased use of other substances

Increased use of alcohol

Hostility

Delusions or hallucinations

Deterioration of physical health

Depressive illness

Emotional distress

Number of suicides

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Mental health teams’ estimation of suicide risk at last contact: patient suicides

12%

48%

31%

9%

28%

58%

12%

2%0

1000

2000

3000

4000

5000

6000

7000

8000

No risk Low Moderate High

Nu

mb

er o

f pat

ien

ts

Suicide risk

Long-term risk Immediate risk

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Mental health teams’ views on preventability: patient suicides

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Mental health teams contact with relatives after suicide: patient suicides

None3674 (32%)

Letter862 (8%)

Discussion (face to face or

telephone)6859 (60%)

Other78 (1%)

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Changes over time in the use of tricyclics and SSRI/SNRI self-poisoning by patient suicides

ENGLAND_SUICIDE (2002-2012)© National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved.Not to be reproduced in whole or part without the permission of the copyright holder.

Changes over time in the prescription of antidepressant drugs to patient suicide

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