National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Suicide data...
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National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Suicide data for England (2002- 2012)
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Transcript of National Confidential Inquiry into Suicide and Homicide by People with Mental Illness Suicide data...
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
mb
er o
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
Nu
mb
er o
f p
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
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.
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
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’ 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%)
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 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
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.
