{"id":3618,"date":"2019-11-04T15:21:15","date_gmt":"2019-11-04T15:21:15","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=3618"},"modified":"2020-01-21T10:11:00","modified_gmt":"2020-01-21T10:11:00","slug":"annual-report-2019-england-northern-ireland-scotland-and-wales","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2019-england-northern-ireland-scotland-and-wales\/","title":{"rendered":"Annual report 2019: England, Northern Ireland, Scotland and Wales"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;7&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;0px||0px|&#8221; custom_css_main_element=&#8221;padding-top:0px&#8221; module_class=&#8221;header-image-section&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;header-image&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_image src=&#8221;https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/ncish-annual-report-2019.jpg&#8221; show_in_lightbox=&#8221;off&#8221; url_new_window=&#8221;off&#8221; use_overlay=&#8221;off&#8221; align=&#8221;left&#8221; always_center_on_mobile=&#8221;on&#8221; use_border_color=&#8221;off&#8221; force_fullwidth=&#8221;off&#8221; custom_margin=&#8221;0px|||&#8221; animation_direction=&#8221;left&#8221; show_bottom_space=&#8221;off&#8221; border_color_all=&#8221;#ffffff&#8221; _builder_version=&#8221;3.17.6&#8243; \/][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;breadcrumbs-row&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Breadcrumbs (do not remove)&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_class=&#8221;breadcrumbs&#8221; custom_css_main_element=&#8221;border-bottom: 1px solid #ececed;&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<span><span><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/\">NCISH<\/a><\/span><\/span>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar admin_label=&#8221;Left Nav Sidebar&#8221; area=&#8221;et_pb_widget_area_1&#8243; orientation=&#8221;left&#8221; remove_border=&#8221;on&#8221; background_layout=&#8221;light&#8221; module_id=&#8221;left-nav-menu&#8221; show_border=&#8221;off&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.0.47&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Intro&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1>Annual report 2019: England, Northern Ireland, Scotland and Wales<\/h1>\n<p style=\"font-size: 0.85em\">Date of publication: December 2019<\/p>\n<p>Our 2019 report provides findings relating to people who died by suicide in 2007-2017 across all UK countries. Additional findings are presented on the number of people convicted of homicide, and those under mental health care.<\/p>\n<p>Our large and internationally unique database is a national case series of suicide by mental health patients over 20 years. This allows us to examine the circumstances surrounding these incidents and changes in trends over time, and to make recommendations for clinical practice and policy to improve safety locally, nationally, and internationally.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Title: Key messages&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 style=\"font-size: 2.3em\">Key messages<\/h2>\n<p>[\/et_pb_text][et_pb_accordion _builder_version=&#8221;3.17.6&#8243;][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;In-patient and post-discharge care&#8221;]<\/p>\n<p>Our findings show that in-patient and post-discharge care remain times of high risk for suicide. We continue to recommend an emphasis on:<\/p>\n<ul>\n<li>safer wards, including removal of low-lying ligature points;<\/li>\n<li>awareness of increased risk within the 1<sup>st<\/sup> week of admission;<\/li>\n<li>comprehensive care planning for discharge and pre-discharge leave;<\/li>\n<li>follow-up within 2-3 days of discharge from in-patient care.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3660 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge.jpg\" alt=\"Graphic representing In-patient and post-discharge care\" width=\"450\" height=\"276\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge.jpg 450w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge-300x184.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge-150x92.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge-250x153.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-in-patient-and-post-discharge-350x215.jpg 350w\" sizes=\"(max-width: 450px) 100vw, 450px\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Alcohol and drug use&#8221;]<\/p>\n<p>57% of patients who died by suicide in 2017 had a history of drug or alcohol misuse. <\/p>\n<p>Clinical measures that could help reduce risk are:<\/p>\n<ul>\n<li>substance misuse assessment skills in frontline staff;<\/li>\n<li>specialist substance misuse clinicians within mental health services;<\/li>\n<li>joint working with local drug and alcohol services.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3646 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse.jpg\" alt=\"A pie chart showing the percentage of the history of drug or alcohol misuse\" width=\"668\" height=\"394\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse.jpg 668w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse-300x177.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse-150x88.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse-250x147.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-substance-misuse-350x206.jpg 350w\" sizes=\"(max-width: 668px) 100vw, 668px\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Methods of suicide&#8221;]<\/p>\n<p>Reducing access to methods is one of the most effective ways to prevent suicide.<\/p>\n<p>Services could take the following measures to reduce risk:<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3662 alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/medicine.png\" alt=\"Graphic of a hand holding a bottle of tablets.\" width=\"64\" height=\"64\">safer prescribing in primary and secondary care, particularly opiates\/opioids prescribed to people with long-term physical illness;<br \/>\n&nbsp;<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3663 alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/bridge.png\" alt=\"Graphic of a bridge spanning a river\" width=\"64\" height=\"64\">working with local authorities to reduce risk at frequently used locations, such as high places and railways;<br \/>\n&nbsp;<br \/>\n<img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3661 alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/domain.png\" alt=\"Graphic of a globe indicating the world wide web\" width=\"64\" height=\"64\">ensuring clinical staff are aware of suicide methods associated with internet use, as a result of information available online or by online purchase.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Patients aged 75 and over&#8221;]<\/p>\n<p>During 2007-2017, the number of deaths in patients aged 75 and over in the UK increased, but the suicide rate (which takes into account the rising patient numbers) has fallen.<\/p>\n<p>We ask clinical services to be aware of:<\/p>\n<ul>\n<li>the lower rate of contact with specialist mental health care in this age group and the need to work with other community services;<\/li>\n<li>different patterns of clinical risk, with more depression, bereavement and physical illness, and lower rates of self-harm and substance misuse.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-3664 size-full\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75.png\" alt=\"Graph showing the number of suicides in patients aged 75 and over.\" width=\"525\" height=\"244\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75.png 525w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75-300x139.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75-150x70.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75-250x116.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-patients-over-75-350x163.png 350w\" sizes=\"(max-width: 525px) 100vw, 525px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Female patients under 25&#8243;]<\/p>\n<p>We have previously identified a distinct risk profile for female patients who died by suicide. Our findings now show the clinical complexity of young women who die by suicide was often not reflected in risk assessment, with the majority being seen as low risk.<\/p>\n<p>We recommend that clinical services should:<\/p>\n<ul>\n<li>have the breadth of skills to respond to clinical complexity and comorbidities in this group, often including depression, a diagnosis of personality disorder, eating disorders, self-harm, and substance misuse;<\/li>\n<li>offer self-harm care that meets current quality standards;<\/li>\n<li>be aware of the recommendations of the <a href=\"https:\/\/www.gov.uk\/government\/publications\/the-womens-mental-health-taskforce-report\">Women\u2019s Mental Health Taskforce<\/a> report.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3665 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk.jpg\" alt=\"Pie chart showing the suicide risk in female patients under 25.\" width=\"475\" height=\"301\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk.jpg 475w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk-300x190.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk-150x95.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk-250x158.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-female-patients-suicide-risk-350x222.jpg 350w\" sizes=\"(max-width: 475px) 100vw, 475px\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Homeless patients&#8221;]<\/p>\n<p>There were 40 suicides per year in patients who were homeless, though this has been lower in the last three years. These patients were more often male and unemployed, and we found age-related differences \u2013 younger people with self-harm and substance misuse (including new psychoactive substances), and older men who were more likely to have depression and financial problems.<\/p>\n<p>We suggest clinical services should be aware of:<\/p>\n<ul>\n<li>different patterns of risk among homeless patients;<\/li>\n<li>the need for specialist expertise in working with homeless people in areas where homelessness is a severe problem.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3666 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients.jpg\" alt=\"Graphic showing the age-related differences for suicide by homeless patients.\" width=\"575\" height=\"230\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients.jpg 575w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients-300x120.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients-150x60.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients-250x100.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-homeless-patients-350x140.jpg 350w\" sizes=\"(max-width: 575px) 100vw, 575px\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Patients with anxiety disorders&#8221;]<\/p>\n<p>Our findings show the number of people who died by suicide with a primary diagnosis of anxiety disorder has risen &#8211; this might reflect a change in patterns of referral or diagnosis, or an increase in risk. Most were receiving drug treatment and around a third were taking benzodiazepines. A quarter were receiving some kind of psychological therapy and 8% were accessing Improving Access to Psychological Therapies (IAPT) services at the time of death.<\/p>\n<p>We suggest measures to help suicide&nbsp;prevention in this group are:<\/p>\n<ul>\n<li>an awareness of the rise in suicide in patients with anxiety disorders, despite fewer conventional risk factors;<\/li>\n<li>reduced prescribing of benzodiazepines, and access to IAPT services.<\/li>\n<\/ul>\n<p>&nbsp;<img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3669 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders.jpg\" alt=\"Graph showing the number of suicides by patients with anxiety disorders.\" width=\"525\" height=\"245\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders.jpg 525w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders-300x140.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders-150x70.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders-250x117.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2-anxiety-disorders-350x163.jpg 350w\" sizes=\"(max-width: 525px) 100vw, 525px\" \/><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=&#8221;3.17.6&#8243; title=&#8221;Internet risks&#8221;]<\/p>\n<p>We found that the most common type of suicide-related internet use was searching for information about suicide method. The methods used by this group were different from other patients, with more deaths by gas inhalation and self-poisoning. Although they were more likely to be young, the patients in this group were diverse in age and diagnosis.<\/p>\n<p>Clinicians need to be aware that:<\/p>\n<ul>\n<li>suicide-related internet use is a potential risk for all patients;<\/li>\n<li>there is a need to enquire about online behaviour as part of assessing risk.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-3670 aligncenter\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1.jpg\" alt=\"Pie charts showing percentages of patients with or without suicide-related internet use.\" width=\"525\" height=\"256\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1.jpg 525w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1-300x146.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1-150x73.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1-250x122.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2019\/11\/annual-report-2019-internet-risks-1-350x171.jpg 350w\" sizes=\"(max-width: 525px) 100vw, 525px\" \/><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.0.47&#8243;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Find out more title&#8221; _builder_version=&#8221;3.3.1&#8243;]<\/p>\n<h2 style=\"font-size: 2.3em\">Find out more<\/h2>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221; _builder_version=&#8221;3.0.47&#8243;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Full PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>\n<a style=\"font-size: 16px\" href=\"http:\/\/documents.manchester.ac.uk\/display.aspx?DocID=46558\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1621\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Download icon\" width=\"45\" height=\"45\" \/>\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tDownload full report (PDF)\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Executive summary&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a style=\"font-size: 16px\" href=\"http:\/\/documents.manchester.ac.uk\/display.aspx?DocID=46559\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1712\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Download icon\" width=\"44\" height=\"44\">\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tDownload executive summary (PDF)\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Download supplementary information&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a style=\"font-size: 16px\" href=\"http:\/\/documents.manchester.ac.uk\/display.aspx?DocID=46224\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1712\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Download icon\" width=\"44\" height=\"44\">\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tDownload supplementary information (PDF)\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Key messages sheet for service users&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>\n<a style=\"font-size: 16px\" href=\"http:\/\/documents.manchester.ac.uk\/display.aspx?DocID=46702\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1711\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Info-list_blue.jpg\" alt=\"Infographic icon\" width=\"44\" height=\"44\">\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tDownload key messages sheet for service users (PDF)\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Video &#8211; findings for older people, young women, homeless people and internet use&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a style=\"font-size: 16px\" href=\"https:\/\/youtu.be\/AZLIMojUCwg\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1622\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Video_blue.jpg\" alt=\"Video icon\" width=\"45\" height=\"45\">\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tWatch a video of Professor Louis Appleby talking about the messages for older people, young women, homeless people and internet use\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Key messages sheet&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a style=\"font-size: 16px\" href=\"http:\/\/documents.manchester.ac.uk\/display.aspx?DocID=46636\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1711\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Info-list_blue.jpg\" alt=\"Infographic icon\" width=\"44\" height=\"44\" \/>\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tDownload key messages sheet\u00a0(PDF)\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Video &#8211; key findings from this year&#8217;s report&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a style=\"font-size: 16px\" href=\"https:\/\/youtu.be\/d2enMGIRDhU\"><div class='one_fourth'>\n\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-1622\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Video_blue.jpg\" alt=\"Video icon\" width=\"45\" height=\"45\" \/>\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\tWatch a video of Professor Louis Appleby talking about the key findings from this year\u2019s report\n\t\t\t\t<\/div><div class='clear'><\/div><\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Connect Title&#8221; module_class=&#8221;footer-section&#8221; _builder_version=&#8221;3.0.90&#8243; background_color=&#8221;#1d1d1d&#8221; custom_padding=&#8221;0px||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; global_module=&#8221;380&#8243;][et_pb_row admin_label=&#8221;row&#8221; global_parent=&#8221;380&#8243; parallax_method_1=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; parallax_method_3=&#8221;off&#8221; module_id=&#8221;footer-row&#8221; _builder_version=&#8221;3.0.89&#8243; locked=&#8221;off&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Contact Us Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Contact Us<\/h4>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Contact Us&#8221; global_parent=&#8221;380&#8243; module_class=&#8221;contact-us&#8221; _builder_version=&#8221;3.0.87&#8243; text_text_color=&#8221;#aaaaaa&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p>+44 (0) 161 306 6000<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Find Us Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Find Us<\/h4>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Address&#8221; global_parent=&#8221;380&#8243; module_id=&#8221;address&#8221; _builder_version=&#8221;3.0.87&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221;]<\/p>\n<p><a href=\"http:\/\/www.manchester.ac.uk\/discover\/maps\/interactive-map\/\">The University of Manchester<br \/>Oxford Rd<br \/>Manchester<br \/>M13 9PL<br \/>UK<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Connect Title&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.0.74&#8243; text_text_color=&#8221;#ffffff&#8221; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_layout=&#8221;dark&#8221;]<\/p>\n<h4>Connect With Us<\/h4>\n<p>[\/et_pb_text][et_pb_code admin_label=&#8221;Social Media&#8221; global_parent=&#8221;380&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<ul class=\"inlineList footer-socialIcons\"><!-- [et_pb_line_break_holder] --> <\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- 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[et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><\/p>\n<li><!-- [et_pb_line_break_holder] --> <a href=\"https:\/\/www.facebook.com\/TheUniversityOfManchester\"><!-- [et_pb_line_break_holder] -->  <img loading=\"lazy\" decoding=\"async\" src=\"\/\/assets.manchester.ac.uk\/phase1\/templates\/images\/icon-facebook-50.png\" width=\"40\" height=\"40\" alt=\"Facebook page for The University of Manchester\" \/><!-- [et_pb_line_break_holder] --> <\/a><!-- [et_pb_line_break_holder] --> <\/li>\n<p><!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- 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--> <a href=\"https:\/\/twitter.com\/OfficialUoM\"><!-- [et_pb_line_break_holder] -->  <img loading=\"lazy\" decoding=\"async\" src=\"\/\/assets.manchester.ac.uk\/phase1\/templates\/images\/icon-twitter-50.png\" width=\"40\" height=\"40\" alt=\"Twitter page for The University of Manchester\" \/><!-- [et_pb_line_break_holder] --> <\/a><!-- [et_pb_line_break_holder] --> <\/li>\n<p><!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- 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[et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><\/p>\n<li><!-- [et_pb_line_break_holder] --> <a href=\"http:\/\/www.youtube.com\/universitymanchester\"><!-- [et_pb_line_break_holder] -->  <img loading=\"lazy\" decoding=\"async\" src=\"\/\/assets.manchester.ac.uk\/phase1\/templates\/images\/icon-youtube-50.png\" width=\"40\" height=\"40\" alt=\"YouTube page for The University of Manchester\" \/><!-- [et_pb_line_break_holder] --> <\/a><!-- [et_pb_line_break_holder] --> <\/li>\n<p><!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                   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[et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee><!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>                                                                                                  <!-- [et_pb_line_break_holder] --><\/pee>             <!-- [et_pb_line_break_holder] --><pee>  <!-- [et_pb_line_break_holder] --><\/pee>             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