Homicide in the UK
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In 2012-2022, NCISH was notified of 5,794 homicide convictions in the general population, an average of 527 per year. There were 6,165 victims, an average of 560 per year.
Contact with mental health services
There were an estimated 637 patients in recent (<12 months) contact with mental health services convicted of a homicide offence, an average of 58 per year; these are referred to as patient homicides.
Patient homicides and convictions
The number of homicide convictions fell after 2013 and remained steady in 2014-2019. Estimated figures in 2021-2022 show an increase which seems most likely due to delays in court prosecutions and outcomes due to COVID-19 in 2020 when there was a fall. However, these estimated figures should be treated with caution.
There were 658 victims of patient homicide, an average of 60 per year.
Around 1 in 5 patients convicted of homicide were aged under 25 (127, 22%) and 29 (5%) were under 18.
Across the UK, patients represented 11% of people convicted of homicide. This figure continues to be higher in Scotland (17%) and Wales (14%) and where the general population homicide rates are also higher.
NHS England independent investigation
More information taken from independent investigations following homicides committed while perpetrators were under the care of mental health services can be found in An Independent Review of the Independent Investigations for Mental Health Homicides in England (NHS England).
Homicide by patients in recent (<12 month) contact with mental health services in the UK, by year of conviction and year of offence

Number of homicide offenders in the general population and by patients in recent (<12 month) contact with mental health services, by UK country (2012-2022)
England N (%) |
Northern Ireland* N (%) |
Scotland N (%) |
Wales N (%) |
UK N (%) |
|
---|---|---|---|---|---|
General population homicide | 4,967 | 56 | 522 | 249 | 5,794 |
Patient homicide | 508 (10%) | 6 (11%) | 89 (17%) | 34 (14%) | 637 (11%) |
* Northern Ireland data between 2012-2014
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