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Suicide and homicide rates in mental health patients revealed

Press release: 19 July 2011

Louis Appleby

Suicide rates among people with mental illness in England and Wales have fallen over the last decade, latest figures show.

The 2011 Annual Report published today (Tuesday, 19 July) by The University of Manchester’s National Confidential Inquiry (NCI) into Suicide and Homicide by People with Mental Illness reveals:

The NCI reported a slight increase in patient suicide rates in England between 2007 and 2008 but the study's authors say the long-term trend is still downwards.

In Wales, patient suicide rates fell to their lowest rate since the NCI first began collecting data in 1997 with 2.0 suicides per 100,000 of the population being recorded in 2008 compared to a peak of 3.6 per 100,000 in 1999. The number of in-patient suicides has fallen from a peak of 17 in 2001 to just two in 2008.

Patient suicide rates in Scotland also fell in the latest year – from a high of 6.0 suicides per 100,000 of the population in 2007 to 5.0 in 2008 – but the authors say that suicide rates have remained relatively stable over the decade.

Alcohol and drug dependence among patients – defined as individuals that have had contact with mental health services in the 12 months prior to death – were significantly greater in Scotland than in England and Wales, as they were in suicides among the general population.

The publication of the NCI Annual Report, which also examines homicide rates by people with mental illness in England, Wales and Scotland, coincides with the launch of the government proposals to consult on the Suicide Prevention Strategy for England. The NCI provides data on patient deaths to the strategy.

Professor Louis Appleby, NCI Director and the Government's National Clinical Director for Health and Criminal Justice, said: "We have seen a welcome improvement in patient safety over the last decade, particularly among patients in in-patient care and for those patients who are reluctant to accept treatment. However, every suicide is a tragedy and we must continue to be vigilant and improve safety for individuals in mental health care."

- Ends -

Notes to editors:

A PDF copy of the report is available on request, or it can be viewed here:

A report looking at suicide and homicide rates among people with mental illness in Northern Ireland was published last month.

For further information contact:

Aeron Haworth
Media Relations
Faculty of Medical and Human Sciences
The University of Manchester
Tel: +44 (0)161 275 8383
Mob: +44 (0)7717 881563
Email: aeron.haworth@manchester.ac.uk