{"id":4673,"date":"2022-04-05T12:20:37","date_gmt":"2022-04-05T11:20:37","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=4673"},"modified":"2022-07-13T11:00:52","modified_gmt":"2022-07-13T10:00:52","slug":"annual-report-2022","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2022\/","title":{"rendered":"Annual report 2022: UK patient and general population data 2009-2019, and real-time surveillance data"},"content":{"rendered":"

[et_pb_section bb_built=”1″ admin_label=”section” fullwidth=”on” next_background_color=”#000000″ global_module=”322″][et_pb_fullwidth_menu global_parent=”322″ _builder_version=”3.0.106″ menu_id=”7″ submenu_direction=”downwards” fullwidth_menu=”off” background_layout=”dark” module_class=”main-navigation” \/][\/et_pb_section][et_pb_section bb_built=”1″ fullwidth=”off” specialty=”off” transparent_background=”off” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”0px||0px|” custom_css_main_element=”padding-top:0px” module_class=”header-image-section” prev_background_color=”#ffffff” next_background_color=”#ffffff”][et_pb_row allow_player_pause=”off” parallax=”off” parallax_method=”on” parallax_1=”off” parallax_method_1=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” use_custom_gutter=”off” make_equal=”off” custom_margin=”||0px|” custom_padding=”||0px|” module_class=”header-image” background_position=”top_left” background_repeat=”repeat” background_size=”initial”][et_pb_column type=”4_4″][et_pb_image src=”https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2022\/04\/banner.jpg” show_in_lightbox=”off” url_new_window=”off” use_overlay=”off” align=”left” always_center_on_mobile=”on” use_border_color=”off” force_fullwidth=”off” custom_margin=”0px|||” animation_direction=”left” show_bottom_space=”off” border_color_all=”#ffffff” _builder_version=”3.17.6″ \/][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=”1″ fullwidth=”off” specialty=”off” transparent_background=”off” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”on” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”off” custom_padding=”||0px|” prev_background_color=”#ffffff” next_background_color=”#ffffff”][et_pb_row allow_player_pause=”off” parallax=”off” parallax_method=”on” parallax_1=”off” parallax_method_1=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” use_custom_gutter=”off” make_equal=”off” custom_margin=”||0px|” custom_padding=”||0px|” module_class=”breadcrumbs-row” background_position=”top_left” background_repeat=”repeat” background_size=”initial”][et_pb_column type=”4_4″][et_pb_text admin_label=”Breadcrumbs (do not remove)” background_layout=”light” text_orientation=”left” use_border_color=”off” border_color=”#ffffff” border_style=”solid” module_class=”breadcrumbs” custom_css_main_element=”border-bottom: 1px solid #ececed;” module_alignment=”left” background_position=”top_left” background_repeat=”repeat” background_size=”initial”]<\/p>\nNCISH<\/a><\/span><\/span>\n

[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=”1″ fullwidth=”off” specialty=”on” transparent_background=”off” allow_player_pause=”off” inner_shadow=”off” parallax=”off” parallax_method=”on” parallax_1=”off” parallax_method_1=”off” parallax_2=”off” parallax_method_2=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” make_equal=”off” use_custom_gutter=”on” gutter_width=”2″ prev_background_color=”#ffffff” next_background_color=”#1d1d1d”][et_pb_column type=”1_3″][et_pb_sidebar admin_label=”Left Nav Sidebar” area=”et_pb_widget_area_1″ orientation=”left” remove_border=”on” background_layout=”light” module_id=”left-nav-menu” show_border=”off” \/][\/et_pb_column][et_pb_column type=”2_3″ specialty_columns=”2″][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Intro” _builder_version=”3.17.6″]<\/p>\n

Annual report 2022: UK patient and general population data 2009-2019, and real-time surveillance data<\/h1>\n

Date of publication: April 2022<\/p>\n

Our 2022 annual report provides findings relating to people who died by suicide between 2009 and 2019 across all UK countries. Additional findings are presented on the number of people under mental health care who have been convicted of homicide, and those in the general population.<\/p>\n

Our large and internationally unique database is a national case series of suicide by patients under the care of mental health services over more than 20 years. This allows us to make recommendations for clinical practice and policy that will improve safety locally, nationally, and internationally.<\/p>\n

In this year\u2019s report, though we present data from deaths occurring between 2009 and 2019, most of the themed findings relate to groups that we now know are likely to have been particularly vulnerable during the COVID-19 pandemic: patients with economic difficulties, those who have been victims of domestic violence, and those with comorbid physical illness. \u00a0<\/p>\n

[\/et_pb_text][et_pb_text admin_label=”Title: Key messages” _builder_version=”3.17.6″]<\/p>\n

Key messages<\/h2>\n

[\/et_pb_text][et_pb_accordion admin_label=”Accordion: Key messages” _builder_version=”3.17.6″][et_pb_accordion_item _builder_version=”3.17.6″ title=”Clinical risk”]<\/p>\n

\"ScheduleOur findings show established risk factors for suicide \u2013 such as previous self-harm, alcohol or drug misuse, multiple mental health diagnoses, living alone \u2013 are common among patients who die by suicide. 1 in 10 patients were known to have died on or near an anniversary or significant date.<\/p>\n

We suggest clinicians assessing risk enquire about significant dates and anniversaries which may then form part of safety planning.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”Acute care”]<\/p>\n

During 2009-2019, over a quarter (29%) of patients died by suicide in acute care settings, including in-patients, post-discharge care and crisis resolution\/home treatment. Of the estimated 67 suicides by mental health in-patients in 2019, half were on agreed leave. The highest number of post-discharge deaths occurred 3 days after discharge from psychiatric in-patient care.<\/p>\n

We recommend clinical services address the ward environment (both physical and emotional), vigilance and the safety of leave arrangements before discharge. After hospital discharge, patients should be followed up within 72 hours of discharge. These recommendations are highlighted in our \u201c10 ways to improve safety<\/a>\u201d toolkit.<\/p>\n

\"10<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”People aged under 18″]<\/p>\n

\"GroupDuring 2009-2019 there were 213 suicides by patients aged under 18, an average of 19 deaths per year. This represents 19% of general population suicides in this age group, a lower proportion than in older groups (27%). Recent numbers appear to be higher, reflecting the increase in general population suicides by people aged under 18.<\/p>\n

We recommend that suicide prevention in young people should focus on access to services, with services ensuring they have the skills to address multiple co-existing difficulties, preventing and responding to self-harm, and specific diagnoses such as autism and eating disorders. We also suggest clinicians assessing risk consider enquiring about online experience.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”Patients with recent economic adversity”]<\/p>\n

\"PoundThere were 281 deaths per year in patients who had experienced recent economic adversity, i.e. financial problems, workplace problems or homelessness. These patients were more likely to be middle-aged men, unemployed, divorced or separated, and were more likely to have recent illness onset, especially depression, and alcohol and drug misuse than other patients.<\/p>\n

We suggest clinical services should be aware of the features of those at suicide risk in the context of economic adversity and should work with organisations that support people facing debt or other financial problems.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”Patients with physical illness”]<\/p>\n

Our findings show an increase in the number of patients with a comorbid physical illness since 2014, accounting for 25% of all patient suicides in 2009-2019 overall. The risk profile of these patients is not the same as for patients generally \u2013 they are older, common risk factors such as self-harm or alcohol\/drug misuse are less often present, and a higher proportion are women.<\/p>\n

We recommend clinical services should be aware of the risk from opioids prescribed for pain and we suggest clinicians assessing risk enquire about access to opioids available at home, particularly among older patients.<\/p>\n

\"Chart<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”Patients with a history of domestic violence”]<\/p>\n

\"PurpleThe majority of patients with a history of domestic violence were female. They were more often younger, single or divorced, living alone and unemployed than other women. Self-harm, previous alcohol or drug misuse and personality disorder diagnosis were more common in this group, potentially reflecting previous trauma or abuse.<\/p>\n

We ask clinical services to be aware of the risk associated with domestic violence, especially in female patients, but also in men. We suggest clinicians assessing suicide risk should include experience or threat of domestic violence.<\/p>\n

[\/et_pb_accordion_item][et_pb_accordion_item _builder_version=”3.17.6″ title=”Suicide prevention during COVID-19″]<\/p>\n

\"IconFindings from our real-time data collection of suspected suicide deaths in England during the pandemic show experiences such as anxiety, isolation, or disruption to care may have contributed to some suspected suicide deaths by mental health patients.<\/p>\n

We suggest clinical services be aware of the need to maintain support for patients under the care of mental health services, particularly for patients who are anxious or isolated, or have experienced disruption to care.<\/p>\n

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Find out more<\/h2>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row” _builder_version=”3.0.47″][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Full PDF” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload full report (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Executive summary” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload executive summary (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download easy read version” _builder_version=”3.17.6″]<\/p>\n

\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload easy read version (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Key messages sheet” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Infographic\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload key messages sheet (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Key messages sheet for service users” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Infographic\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload key messages sheet for service users (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Video – key findings from this year’s report” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Video\n\t\t\t\t<\/div>
\n\t\t\t\t\tWatch an animated video of key findings and recommendations\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Video – Watch a recording of NCISH\u2019s 8th Annual conference” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Video\n\t\t\t\t<\/div>
\n\t\t\t\t\tWatch a recording of NCISH\u2019s 8th<\/sup> Annual conference\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”4_4″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Supplementary info” _builder_version=”3.17.6″]<\/p>\n

Supplementary information<\/h3>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download UK supplementary data” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload UK supplementary data (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download England supplementary data” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload England supplementary data (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download Northern Ireland supplementary data” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload Northern Ireland supplementary data (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download Scotland supplementary data” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload Scotland supplementary data (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=”Row”][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][et_pb_text admin_label=”Text: Download Wales supplementary data” _builder_version=”3.17.6″]<\/p>\n

\n\t\t\t\t\t\"Download\n\t\t\t\t<\/div>
\n\t\t\t\t\tDownload Wales supplementary data (PDF)\n\t\t\t\t<\/div>
<\/div><\/a><\/p>\n

[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=”1_2″ saved_specialty_column_type=”2_3″][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=”1″ admin_label=”Connect Title” module_class=”footer-section” _builder_version=”3.0.90″ background_color=”#1d1d1d” custom_padding=”0px||0px|” prev_background_color=”#ffffff” global_module=”380″][et_pb_row admin_label=”row” global_parent=”380″ parallax_method_1=”off” parallax_method_2=”off” parallax_method_3=”off” module_id=”footer-row” _builder_version=”3.0.89″ locked=”off”][et_pb_column type=”1_3″][et_pb_text admin_label=”Contact Us Title” global_parent=”380″ _builder_version=”3.0.74″ text_text_color=”#ffffff” background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark”]<\/p>\n

Contact Us<\/h4>\n

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+44 (0) 161 306 6000<\/p>\n

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Find Us<\/h4>\n

[\/et_pb_text][et_pb_text admin_label=”Address” global_parent=”380″ module_id=”address” _builder_version=”3.0.87″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” background_layout=”dark” use_border_color=”off” border_color=”#ffffff” border_style=”solid”]<\/p>\n

The University of Manchester
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Manchester
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UK<\/a><\/p>\n

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Connect With Us<\/h4>\n

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