Public Health England

Welcome to the Suicide Prevention Profile. It has been produced to help develop understanding at a local level and support an intelligence driven approach to suicide prevention. It collates and presents a range of publically available data on suicide, associated prevalence, risk factors, and service contact among groups at increased risk. It provides planners, providers and stakeholders with the means to profile their area and benchmark against similar populations.

Tool structure - data are presented under the domains: Suicide data, Related risk factors, and Related service contacts. Domains group data by geography (Clinical Commissioning Group or Local Authority) and within that are ordered by topic (e.g. the CCG 'Related service contacts' domain presents data on primary care, then IAPT, then specialist care, and ends with emergency care).

Tool content - data are drawn from a number of sources and vary by time period and presentation of value. Some values are based on small numbers. Care should be taken with interpretation. Detailed meta data are set out in the Definitions section. 

Data quality - data items are included if viewed as robust, of sufficient quality, or offer an important element that could not be otherwise gained. Each indicator has been assessed and labelled with its quality rank.

Link to video - a video taking users through how to use the profile to support the development and monitoring of local suicide prevention action plans.

Important note on female suicide data - the local authority level age group specific crude rates reported are those for the region in which the local authority resides.

Supporting Documents

Recent updates

November 2016 update

A number of updates to indicators have been made in the following domains

 

Suicide Data

Suicide age-standardised rate per 100 000 (3 year average) new County & UA 2013/15 data

 

Related Risk Factors

Adult social care users who have as much social contacts as they would like new County & UA 2015/16 data

Statutory homelessness new County and UA data 2015/16

Domestic abuse incidents new County & UA data 2014/15

Children in the youth justice system new County & UA data for 2014/15

Unemployment new County & UA data for 2015. Please note for this indicator past year’s data were updated as a result of re-weighting of the original survey data from the source. Re-weighting was done so that the estimates take into account population changes taking place over time.

Long-term unemployment new County & UA data up to August 2016

 

Related Service Contacts Domain

IAPT service acces and recovery indicators updated for new CCG data for 2016

Follow up after discharge new CCG data for Q1 2016/17

 

August 2016 update

Suicide Data Domain

Please note that the definition of the Suicide age standardised rate indicators (persons, male, female) has been changed so that it is in line with the National Statistics definition, as such the values have changed slightly. Historic data has been changed, so all time periods use the same National Statistics definition.

Related Service Contacts Domain

County and LA

Please note that two indicators: Adults in treatment at specialist drug misuse services- rate per 1000 population and Adults in treatment at specialist alcohol misuse services- rate per 1000 population have had the age range within the denominator population changed. The population age range has been changed from 15-75 years to 18 years and over. This is to align the indicators with the Numbers in treatment at specialist drug misuse services and Number in treatment at specialist alcohol misuse services in the Co-existing substance misuse and mental health issues profile, which cover the age range 18+. Data for 2013/14 has been amended to take into account of the change, and new data for 2014/15 has been added.

Another indicator: People living alone: % of all households occupied by a single person, has been re-instated.

 

June 2016 amendment

Related Service Contacts Domain

County and LA

Please note that two indicators: Number in treatment at specialist drug misuse services and Number in treatment at specialist alcohol misuse services have been removed and replaced with indicators previously part of the profile: Adults in treatment at specialist drug misuse services: rate per 1000 population and Adults in treatment at specialist alcohol misuse services: rate per 1000 population.

 

May 2016 updates

The Alcohol related hospital admission (broad) indicators have been updated for 2014/15 in the Related Risk domain.

 

April 2016 updates

Indicators have been updated in the Related Service Contacts domain:

Access to IAPT services: People entering IAPT as % of those estimated to have anxiety/depression  (CCG)

IAPT recovery: % of people who completed treatment who are 'moving to recovery' (CGG)


 

March 2016 update

There have been some significant updates and changes to a number of indicators and the inclusion of a link to a video taking users through how to use the profile to support the development and monitoring of local suicide prevention action plans.


Indicator updates and changes:

 

Suicide Data Domain

Years of life lost due to suicide age-standardised rate 15-74 years: rate per 10 000 persons 3 year average for male, female and persons

Suicide crude rate for age and sex 15-34, 35-64 and 65+ per 100 000 5 year average

 

Related Risk Factors Domain

County and LA

Higher risk drinking: % of people drinking at increasing or higher risk levels indicator has been replaced by Alcohol related hospital admissions (broad) for Male, Female and Persons

People living alone: % of all households occupied by a single person has been removed and replaced by two indicators: Social isolation % of adult social care users who have as much social contact as they would like according to the ASCUS and Social isolation % of adult carers who have as much social contact as they would like according to the PSSC survey.

 

Related Service Contacts Domain

County and LA

Two indicators have had their definitions altered: Adults in treatment at specialist drug misuse services: rate per 1000 population and Adults in treatment at specialist alcohol misuse services: rate per 1000 population. Now they are Number in treatment at specialist drug misuse services and Number in treatment at specialist alcohol misuse services.

 

CCG

The following indicators have been updated

People in contact with Adult Mental Health services: Rate per 100,000 population (end of quarter snapshot)

Mental Health Service users with crisis plans: % of people in contact with services with a crisis plan in place (end of quarter snapshot)

People on Care Programme Approach: Rate per 100,000 population (end of quarter snapshot)

CPA adults in employment: % of people aged 18-69 on CPA in employment (end of quarter snapshot)

CPA adults in settled accommodation: % of people aged 18-69 on CPA in settled accommodation

Follow up after discharge: % of patients on CPA who were followed up within 7 days after discharge from psychiatric inpatient care (in quarter)

February 2016 update

Related service contacts domain

Emergency hospital admissions for intentional self harm

IAPT recovery

Contact with mental health services

January 2016 updates

A number of CCG indicators have been updated in the risk factors and service contacts domains:

Related risk factors domain

Number of people with SMI known to GPs: % on register

Number of adults with depression known to GPs: % on register

Looked after children: rate per 10 000 <18 population

Children leaving care: rate per 10 000 <18 population

Related service contacts domain

Patients on QoF SMI register who have a comprehensive care plan: % with care plan

People in contact with Adult Mental Health Services: rate per 100 000 population (end of quarter snap shot)

Mental Health Service users with crisis plans: % of people in contact with services with a crisis plan in place (end of quarter snap shot)

People on care programme approach: Rate per 100 000 population (end of quarter snap shot)

CPA adults in employment: % of people aged 16-69 on CPA in employment (end of quarter snap shot)

CPA adults in settled accommodation: % of people aged 18-69 on CPA in settled accommodation (end of quarter snap shot)

Follow up after discharge: % of patients on CPA who are followed up within 7 days after discharge from psychiatric inpatient care (in quarter)

November 2015 updates

A number of local authority indicators have been updated:

Suicide data domain

Suicide age-standardised rate: per 100 000 (3 year average) – persons, males, females

 

Related risk factors domain

Unemployment: % of working age population

 

Related service contacts domain

Successful completion of drug treatment – opiate users: % who do not re-present within 6 months

Successful completion of drug treatment – non-opiate users: % who do not re-present within 6 months

October 2015 updates

A number of indicators were updated in the Related Service Contacts domain:

Access to IAPT services: People entering IAPT as % of those estimated to have anxiety/depression (in month) (CCG)

IAPT recovery: % of people who completed treatment who are 'moving to recovery' (in month) (CGG)

Follow up after discharge: % of patients on CPA who are followed up within 7 days after discharge from psychiatric inpatient care (in quarter) (CCG)

July 2015 updates

A number of indicators were updated in the Related Risk Factors and Related Service Contacts domains:

Children in the Youth Justice System: rate per 1,000 aged 10-18 years (County and UA)

Emergency Hospital Admissions for Intentional Self-harm: Directly age/sex standardised rate per 100, 000 (County and UA)

Access to IAPT services: People entering IAPT as % of those estimated to have anxiety/depression (in month) (CCG)

IAPT recovery: % of people who completed treatment who are 'moving to recovery' (in month) (CGG)

March 2015

First version released