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.
Suicide prevention plans – the development of a local suicide action plan is recommended by government and supports the 2012 strategy Preventing suicide in England: A cross government outcomes strategy to save lives. As from April 2019 all local authorities in England have suicide prevention plans in place.
Important note on female suicide data - age-specific suicide rates are reported by STP only, replacing presentation of this data by region.
Sustainable Development Goals- The Sustainable Development Goals are a universal call for action to address the global challenges we face, including those related to poverty, inequality, climate, environmental degradation, prosperity, and peace and justice. There are 17 Goals with specific targets and indicators to monitor progress. Goal 3 focuses on “Good Health and Wellbeing” and one of the indicators under this goal measures suicide mortality rates. The information contained in this profile will help to report on progress towards this goal. ONS is responsible for reporting on progress and further information can be explored on the ONS reporting platform.
Supporting Documents
Indicator updates
Three indicators in the suicide data domain have been updated:
One indicator in the related risk factors domain has been updated:
One indicator (Estimated prevalence of common mental health disorders: % of population aged 16-74) has been removed from the related risk factors domain and replaced with the following indicators:
Ten indicators in the related service contacts domain have been updated:
As from April 2019 all local authorities in England have suicide prevention plans in place, following this the decision has been made to remove the 'suicide prevention plans in place' map from the introduction page of the suicide prevention profile
Indicator updates
Two indicators in the related risk factors domain have been updated:
Eight indicators in the related service contacts domain have been updated:
One indicator (Social care mental health clients receiving services: rate per 100,000 population) has been removed from the related risk factors domain.
One indicator (Alcohol-related hospital admission (Broad)) has been removed from the risk factors domain and replaced with the following indicator:
One indicator (Looked after children: rate per 10,000 population aged under 18) has been removed from the related risk factors domain and replaced with the following indicator:
One indicator (Primary care assessment of depression) has been removed from the related service contacts domain and replaced with the following indicator:
A commentary on this update is available here.
This update contains new data on female age-specific suicide rates by STP, replacing presentation of this data by region. STP is the lowest geographical level at which female age-specific suicide rates are presented in the profile.
Indicator updates
Nine indicators in the suicide data domain have been updated:
Four indicators in the related risk factors domain have been updated:
Nine indicators in the related service contacts domain have been updated:
One indicator (Long-term unemployment: percentage of working age population) has been removed from the risk factors domain and replaced with the following indicator:
The following indicator has been added to the risk factors domain which reflects an update in methodology for the ‘Domestic abuse incidents’ indicator:
The new methodology takes into consideration new categories of all domestic abuse related crimes and domestic abuse related incidents. Prior to this change, figures for domestic abuse incidents were not split into incidents and crimes but contained all incidents regardless of whether they were treated as a crime or not.
Removal of the Healthier Lives profiles
On December 4th 2018 the Healthier Lives profiles were removed and their web addresses redirected to corresponding fingertips profiles. This decision was taken based on work conducted within the Health Improvement Directorate which highlighted the significant level of duplication that existed between the two resources, but with less functionality available for users in the former.
Following the removal of the Healthier Lives profiles, from December 4th 2018 the indicator ‘suicide prevention plans in place’ can now be downloaded as a map in pdf format from the introduction page of the suicide prevention profile
Indicator updates
Two indicators in the related risk factors domain have been updated:
Eight indicators in the related service contacts domain have been updated:
Duplicate row removed from download file
A duplicate row in the download file has been identified and removed for the following indicator:
The duplicate row was for the East Midlands Region, for the period 2011-15 and had been allocated the incorrect IndicatorID.
A commentary on this update is available here
Six indicators in the suicide data domain have been updated:
Two indicators in the related risk factors domain have been updated:
One indicator (statutory homelessness: rate per 1000 households) has been removed from the risk factors domain and replaced with the following indicators:
Three indicators in the related service contacts domain have been updated:
Eight indicators in the related service contacts domain have been updated
Seven indicators in the related service contacts domain have been updated
One indicator in the related risk factors domain has been updated
Seven indicators in the related service contacts domain have been updated
Two indicators in the related risk factors domain have been updated
Seven indicators in the related service contacts domain have been updated
One indicator in the suicide domain has been updated
Opportunity for feedback: We are very interested in any feedback on the downloadable outputs which are available from the download section of the tool. The survey has now closed.
Related Service Contacts Domain
Six indicators (two IAPT, four MHSDS secondary care) have been updated to Q4 2016/17 and one Community MH team indicator hasbeen updated to Q3 2016/17 at CCG level. Admissions for self harm has been updated to 2015/16 for counties and UAs
Suicide Data Domain
Suicide crude rate by age indicators updated for 2011-2015.
For this indicator a new definition has been applied to youngest age group which now covers 10-34 years (previously 15-34 years) to bring it into line with the suicide rate age standardised rate indicator. Trends for the new definition will be updated at a later date.
Related Risk Factor Domain
Self reported wellbeing indicators updated for 2015/16
Related Service Contacts Domain
Access to IAPT and IAPT recovery indicators have been updated.
NEW: Pdf now available to download for County/ Upper tier Local Authority Geographies
Suicide Data Domain
A new indicator: Suicide age standardised rate per 100 000 population (3 year average) Persons, male and female for CCG’s
Related Risk Factor Domain:
Updated for CCG geography, and new at Upper Tier Local Authority geography:
Depression recorded prevalence (QoF): % of practice register aged 18+
Severe mental illness recorded prevalence (QoF): % of practice register (all ages)
Related Service Contacts Domain:
Updated for CCG geography:
Patients on QoF SMI register who have comprehensive care plan: % with plan
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
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.
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.
The Alcohol related hospital admission (broad) indicators have been updated for 2014/15 in the Related Risk domain.
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)
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)
Related service contacts domain
Emergency hospital admissions for intentional self harm
IAPT recovery
Contact with mental health services
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)
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
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)
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)
First version released