{"id":5738,"date":"2025-01-23T12:06:14","date_gmt":"2025-01-23T12:06:14","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=5738"},"modified":"2025-02-13T09:54:52","modified_gmt":"2025-02-13T09:54:52","slug":"real-time-surveillance-of-mental-health-patient-suicide","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/real-time-surveillance-of-mental-health-patient-suicide\/","title":{"rendered":"Real-time surveillance of mental health patient suicide"},"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; 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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: Title and jump links&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1 id=\"top\">Real-time surveillance of mental health patient suicide<\/h1>\n<p style=\"padding-top: 1em\"><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#what\">What we\u2019re doing<\/a><\/li>\n<li><a href=\"#our\">Our approach to data collection<\/a><\/li>\n<li><a href=\"#numbers\">Numbers of suspected suicide deaths by mental health patients<\/a><\/li>\n<li><a href=\"#clinical\">Clinical characteristics<\/a><\/li>\n<li><a href=\"#inpatient\">In-patient deaths<\/a><\/li>\n<li><a href=\"#post\">Post-discharge patient deaths<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: What we&#8217;re doing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"what\">What we&#8217;re doing<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5820\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image027.png\" alt=\"Hands health icon\" width=\"143\" height=\"143\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image027.png 173w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image027-150x150.png 150w\" sizes=\"(max-width: 143px) 100vw, 143px\" \/>We are currently developing a national real-time surveillance (RTS) of suspected suicide deaths (i.e. unconfirmed by inquest) by patients under the recent care of mental health services in England.<\/p>\n<p>Our initial focus is on in-patients and those who died within 2 weeks of discharge, i.e. patients in close proximity to services.<\/p>\n<p>The aim is to collect information early to support suicide prevention efforts. This includes information about:<\/p>\n<ul>\n<li>emerging novel suicide methods<\/li>\n<li>suicide related internet use<\/li>\n<li>travelling to a specific location<\/li>\n<li>potential clusters<\/li>\n<li>systemic problems in care, and<\/li>\n<li>particular problems that patients face.<\/li>\n<\/ul>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Our approach to data collection&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"our\">Our approach to data collection<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-6171\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/02\/green-map-england.png\" alt=\"Map of England.\" width=\"120\" height=\"154\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/02\/green-map-england.png 200w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/02\/green-map-england-150x192.png 150w\" sizes=\"(max-width: 120px) 100vw, 120px\" \/>We are taking a staged approach to establishing this real-time data collection. First we piloted the data collection in eight NHS trusts in South East England. In April 2024 we expanded the data collection to all mental health trusts across England. We asked clinicians to notify us of any suspected suicide death of an in-patient or a patient recently (within 14 days) discharged from in-patient care, where the death occurred from 1 January 2024. Clinicians can complete an online questionnaire without waiting for the inquest or a request from us.<\/p>\n<p style=\"clear: both;text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Numbers of suspected suicide deaths by mental health patients&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"numbers\">Numbers of suspected suicide deaths by mental health patients<\/h2>\n<p>To date we have been notified of 67 suspected suicide deaths by patients under mental health care in England, the majority (44, 67%) by in-patients.<\/p>\n<p>Between January 1 2024 and December 31 2024 we were notified of 42 suspected suicide deaths. Of these, around two-thirds (24, 65%) were men and most were aged between 25 and 44 (23, 55%) and 45-64 (10, 24%). The majority (28, 76%) were white.<\/p>\n<p>The most common method of death was hanging\/strangulation (21, 52%), followed by jumping\/multiple injuries (7, 18%). Adverse experiences in the 3 months prior to death included isolation or loneliness (13, 31%) and workplace and\/or financial problems (8, 19%)\u200b.<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Clinical characteristics&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"clinical\">Clinical characteristics<\/h2>\n<p>Most patients we were told about were psychiatric in-patients (32, 76%) with the remaining 10 (24%) patients dying within 2 weeks of discharge from in-patient care. The most common diagnoses were schizophrenia and other delusional disorders (11, 26%) and affective disorder (10, 24%).<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: In-patient deaths&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"inpatient\">In-patient deaths<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5715\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/surveillance.png\" alt=\"An icon representing a medical facility.\" width=\"142\" height=\"148\">6 patients (19%) waited up to 7 days in the community for an admission. Most patients (20, 65%) were admitted locally. At the time of death, over half (17, 55%) had been detained under Mental Health Act (MHA) powers and 14 (45%) had been admitted voluntarily. 15 (48%) patients self-harmed within a week prior to death. 12 (39%) patients died on the ward itself, and nearly half (15, 48%) were on agreed leave at the time of death. There was evidence of risk associated with internet use.<\/p>\n<p style=\"clear: both;text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Post-discharge patient deaths&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"post\">Post-discharge patient deaths<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5822\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image030.png\" alt=\"House Icon representing post discharge deaths\" width=\"130\" height=\"130\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image030.png 173w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/image030-150x150.png 150w\" sizes=\"(max-width: 130px) 100vw, 130px\" \/>For 6 (67%) patients who had been recently discharged, the last admission lasted less than a week. 4 patients had been detained under the MHA during this last admission. The majority (9, 89%) of patients had their first follow-up within 3 days of discharge; in most cases (6, 67%) this was face-to-face contact. 4 (40%) patients had experienced relationship problems following discharge.<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_cta admin_label=&#8221;Promo: Download full report PDF&#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;content_box content_box_grey_bg&#8221; _builder_version=&#8221;3.17.6&#8243; title=&#8221;Read the full report&#8221; button_text=&#8221;Download a PDF of the full report&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=75346&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>Prefer to read the full report? Download it as a PDF.<\/p>\n<p>[\/et_pb_cta][\/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: Previous&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div class='one_fourth'>\n\t\t\t\t\t<p style=\"font-size: 2em\"><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/mental-health-patient-suicide\/diagnosis-and-care\/\">?<\/a><\/p>\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\t<p><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/mental-health-patient-suicide\/diagnosis-and-service-contact\/\">Previous: Diagnosis and service contact of mental health patients who died by suicide<\/a><\/p>\n\t\t\t\t<\/div><div class='clear'><\/div><\/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: Next&#8221; 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