{"id":5462,"date":"2024-10-28T09:58:36","date_gmt":"2024-10-28T09:58:36","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=5462"},"modified":"2026-04-29T09:16:44","modified_gmt":"2026-04-29T08:16:44","slug":"ncish-evidence","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/resources\/implementing-a-personalised-approach-to-risk\/ncish-evidence\/","title":{"rendered":"NCISH evidence on suicide risk assessment in UK mental health services"},"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_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;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: NCISH evidence on suicide risk assessment in UK mental health services&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1>NCISH evidence on suicide risk assessment in UK mental health services<\/h1>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-5463 alignright\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation-300x300.png\" alt=\"Icon\" width=\"51\" height=\"51\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation-300x300.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation-150x150.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation-250x250.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation-350x350.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2024\/10\/evaluation.png 512w\" sizes=\"(max-width: 51px) 100vw, 51px\" \/>Our evidence shows little consistency in the use of risk assessment tools in the UK, with most mental health trusts using locally developed tools. Most of these tools aim to predict and categorise self-harm or suicidal behaviour, against national guidance. In line with national guidance, risk assessment should not be seen to predict future behaviour and should not be used to allocate treatment.<\/p>\n<ul>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=38466\">Read our report on the assessment of clinical risk in mental health services (2018)<\/a> (PDF)<\/li>\n<li><a href=\"https:\/\/www.thelancet.com\/journals\/lanpsy\/article\/PIIS2215-0366(20)30381-3\/abstract\">Read our publication: Suicide risk assessment in UK mental health services: a national mixed methods study<\/a> (The Lancet, 2020)<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=DUmvLnAc1Lo\">Watch a discussion chaired by Dr Niall Boyce about our publication, Suicide risk assessment in UK mental health services: a national mixed-methods study<\/a> (YouTube)<\/li>\n<li><a href=\"https:\/\/www.youtube.com\/watch?v=snVfhF3ATzU\">Watch Philip Pirie speak about a relative\u2019s perspective on risk stratification<\/a> (part of Oxford Health NHS Foundation Trust\u2019s suicide prevention training) (YouTube)<\/li>\n<\/ul>\n<p>For further resources, visit the <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/the-assessment-of-clinical-risk-in-mental-health-services\/\">NCISH clinical risk assessment report page<\/a>.<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: NIHR text&#8221; _builder_version=&#8221;3.17.6&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7830\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310.png\" alt=\"\" width=\"356\" height=\"86\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310.png 1280w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-300x73.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-768x186.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-1024x248.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-150x36.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-250x61.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-350x85.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/04\/NIHR-2026_1280x310-1080x262.png 1080w\" sizes=\"(max-width: 356px) 100vw, 356px\" \/><\/p>\n<p><i><span>This work was completed as part of the\u00a0<a title=\"https:\/\/www.rcpsych.ac.uk\/improving-care\/nccmh\/culture-of-care-programme\" href=\"https:\/\/www.rcpsych.ac.uk\/improving-care\/nccmh\/culture-of-care-programme\">Culture of Care Programme<\/a>. The work was supported by\u00a0the\u00a0<a title=\"https:\/\/www.psrc-gm.nihr.ac.uk\/\" href=\"https:\/\/www.psrc-gm.nihr.ac.uk\/\">National Institute for Health and Care Research (NIHR) Greater Manchester Patient Safety Research Collaboration (GM PSRC)<\/a>\u00a0(Grant Reference Number NIHR204295). Leah Quinlivan is fully funded by the NIHR GM PSRC, Pauline Rivart was part funded by the NIHR GM PSRC, and Professor Nav Kapur is part funded by the NIHR GM PSRC. \u00a0The views expressed on this webpage are those of the authors and not necessarily those of NICE, NIHR, NHS, or the UK Department of Health and Social Care.<\/span><\/i><\/p>\n<p class=\"x_MsoNormal\">\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; 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Most of these tools aim to predict and categorise self-harm or suicidal behaviour, against national guidance. In line with [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":5435,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"class_list":["post-5462","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5462","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/users\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/comments?post=5462"}],"version-history":[{"count":16,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5462\/revisions"}],"predecessor-version":[{"id":7866,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5462\/revisions\/7866"}],"up":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5435"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/media?parent=5462"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}