{"id":7242,"date":"2026-01-21T15:55:32","date_gmt":"2026-01-21T15:55:32","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=7242"},"modified":"2026-06-30T17:12:01","modified_gmt":"2026-06-30T16:12:01","slug":"annual-report-2026","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2026\/","title":{"rendered":"Annual report 2026"},"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 _builder_version=&#8221;3.17.6&#8243; src=&#8221;https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/ncish-report-2026-graphic.jpg&#8221; \/][\/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;#1d1d1d&#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_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Title&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1 id=\"top\">Annual report 2026: UK patient and general population data, 2013-2023<\/h1>\n<p style=\"font-size: 0.85em\">Date of publication: February 2026<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text:Intro&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"about-report\">About the report<\/h2>\n<p>The 2026 annual report from the National Confidential Inquiry into Suicide, Homicide and Safety in Mental Health (NCISH) provides findings relating to people aged 10 and above (in line with the Office for National Statistics) who died by suicide between 2013 and 2023 across the UK (England, Northern Ireland, Scotland and Wales) and Jersey.<\/p>\n<p>Additional\u00a0findings are presented on the number of people under mental health care who have been convicted of homicide, and those in the general population in the UK. Mental health care refers to care provided by both the NHS and the main private providers.\u00a0The majority of\u00a0patients are under NHS care. Complete details of our methodology are provided in our <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/\">previous reports<\/a> and on the <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/resources\/#methodology\">NCISH resources<\/a> page.<\/p>\n<p>[\/et_pb_text][et_pb_cta admin_label=&#8221;Promo: survey&#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;Help us improve our website&#8221; button_text=&#8221;Share your feedback&#8221; button_url=&#8221;https:\/\/ows.io\/qs\/d4nd2fmr&#8221; link_option_url=&#8221;https:\/\/ows.io\/qs\/d4nd2fmr&#8221;]<\/p>\n<p>\nWe\u2019re keen to understand how our visitors use the NCISH annual report. The survey takes just 5\u201310 minutes, and your feedback will inform future improvements.<\/p>\n<p>[\/et_pb_cta][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>\n<strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\"><strong>About the report<\/strong><\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH\u00a0methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Our database&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"our-database\">Our database<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text:Our database&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>The NCISH database has been\u00a0established\u00a0for more than 28 years. It\u00a0includes a national case series of suicide by patients who had been in recent (in the previous\u00a012 months) contact with mental health services.\u00a0\u00a0<\/p>\n<p>The current suicide database stands at over 178,700 deaths by suicide in the general population, including over 45,500 patients.\u00a0This internationally leading database allows NCISH to make recommendations for clinical practice and policy that will improve safety locally,\u00a0nationally\u00a0and internationally.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><strong><a href=\"#our-database\">Our database<\/a><\/strong><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH\u00a0methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: What the report covers&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"what\">What the report covers<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text:What our report covers&#8221; _builder_version=&#8221;3.17.6&#8243; link_option_url=&#8221;Text: What the cover reports&#8221;]<\/p>\n<p>The main findings are presented for the UK and Jersey\u00a0as a whole for\u00a0the baseline year of 2013 and the\u00a0subsequent\u00a010 years, including the most recent year (2023) for which comprehensive data are available. Data for individual UK countries are provided in the\u00a0additional\u00a0online information files.\u00a0\u00a0<\/p>\n<p>We adjust figures in 2021-2023 to account for lower data completeness levels in these years \u2013 further details are provided in the\u00a0additional\u00a0online information files. Estimated numbers between 2021 and 2023 are presented as dotted lines in the figures.\u00a0Where results are presented by sex, this refers to biological sex.\u00a0\u00a0<\/p>\n<p>In the report we also present data on specific topics, some of which reflect current concerns in suicide prevention or groups who may be at increasing risk. These include patients\u00a0under crisis care settings, older (\u226575 years) patients, those with a primary diagnosis of anxiety disorder, and patients who were recent migrants.\u00a0<\/p>\n<p>Our suicide figures differ from those presented by the Office for National Statistics (ONS), the National Records of Scotland (NRS) and the Northern Ireland Statistics and Research Agency (NISRA) because we base our figures on date of death rather than the date when the death was registered.\u00a0Our\u00a0<a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/resources\/frequently-asked-questions\/\">FAQs<\/a>\u00a0summarise how discrepancies may be explained.\u00a0<\/p>\n<p>Key messages from this report are also provided as an easy read report, an\u00a0infographic\u00a0and an animated video. The easy read report and infographic are also available in Welsh. We also provide\u00a0an <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78389\">Evidence Reference Guide<\/a>, linking the clinical messages directly to the underpinning evidence, and any related policy or guidance.\u00a0\u00a0<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\"><strong>What the report covers<\/strong><\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Changes in the NCISH methodology&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"changes-in-the-ncish\">Changes in the NCISH methodology<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text:Widening the NCISH definition of contact with services prior to suicide&#8221; _builder_version=&#8221;3.17.6&#8243; link_option_url=&#8221;Text: Widening the NCISH definition of contact with services prior to suicide&#8221;]<\/p>\n<h3 id=\"widening\">Widening the NCISH definition of contact with services prior to suicide<\/h3>\n<p>Management of mental health crises often takes place in the Emergency Department (ED) or in psychiatric liaison services in general hospitals. Currently, NCISH does not collect data on patients who died by suicide after contact with these services, yet more evidence is needed to inform suicide&nbsp;prevention in acute crisis care.<\/p>\n<p>NCISH will therefore&nbsp;broaden the criteria of health service contact prior to suicide to include liaison psychiatry services in general hospitals and one-off psychiatric assessments following presentation to the ED. We will monitor&nbsp;these new service contact numbers and present them in future reports.&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Reporting of suicide in older age groups&#8221; _builder_version=&#8221;3.17.6&#8243; link_option_url=&#8221;Text: Reporting of suicide in older age groups&#8221;]<\/p>\n<h3 id=\"reporting\">Reporting of suicide in older age groups<\/h3>\n<p>NCISH has previously reported data for \u2018older\u2019 age groups as people aged 65 and above. We are now changing the older age category to begin at 75 \u2013 this is to\u00a0more accurately reflect the different health experiences of older\u00a0people,\u00a0and\u00a0is in line with the minimum age group used in recent public health initiatives.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Restart of the Homicide Inquiry&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"restart\">Restart of the Homicide Inquiry<\/h3>\n<p>Homicide by patients with mental illness is one of the most sensitive subjects in mental health and we recognise how much staff, friends and families are affected by these tragic incidents.&nbsp;&nbsp;<\/p>\n<p>We have been commissioned to resume the National Confidential Inquiry into Homicide in England, to reflect current public concerns&nbsp;regarding&nbsp;patient care. Detailed data collection on homicides ended in 2018. We will restart data collection in 2026. Our aim is to obtain information to improve patient care and respond to any emerging concerns about patient safety.&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\"><strong>Changes in the NCISH methodology<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#widening\">Widening the NCISH definition of contact with services prior to suicide<\/a><\/strong><\/li>\n<li><strong><a href=\"#reporting\">Reporting of suicide in older age groups<\/a><\/strong><\/li>\n<li><strong><a href=\"#restart\">Restart of the Homicide Inquiry<\/a><\/strong><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Key findings&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"key-findings\">Key findings<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Patient suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"Patient-suicide-numbers\">Patient suicide numbers and rates<\/h3>\n<ul>\n<li>Over 2013-2023, there were 18,602 suicides by patients in the UK and Jersey, an average of 1,691 deaths per year, 26% of all general population suicides.<\/li>\n<li>The number of patient suicides increased in 2018 following a&nbsp;<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/articles\/understandingsuicideregistrationsfollowingachangetothestandardofproofinenglandandwales\/2025-10-03\">change in the standard of proof<\/a> for suicide at inquest, with lower figures since then. The rate of suicide among patients under mental health care, which takes into account the total number of people in contact with mental health services, has fallen in England.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Social and clinical characteristics &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"social-clinical-characteristics\">Social and clinical characteristics<\/h3>\n<ul>\n<li>Nearly half\u00a0of all patients who died by suicide lived alone (47%) or were unemployed (46%), and 17% had recently experienced serious financial problems.<\/li>\n<li>The majority (61%) had a history of self-harm and\u00a0nearly a\u00a0third (31%) had self-harmed in the previous 3 months. Alcohol (46%) and drug (38%) misuse,\u00a0and comorbidity (56%),\u00a0meaning\u00a0more than one mental health diagnosis, were common.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Clinical care&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"clinical\">Clinical care<\/h3>\n<ul>\n<li>There were 4,735 (27%) patients who died by suicide in acute mental health care settings, including as in-patients (5%), in post-discharge care (13%) or under crisis resolution\/home treatment teams (14%) (with overlap between the latter two groups), an average of 430 deaths per year.<\/li>\n<li>There were an estimated 66 suicides by mental health in-patients in 2023, around 4% of all patient suicides in that year. Overall, the number and rate of in-patient suicide have fallen over the report period, though figures have not decreased further in 2020-2023. The proportion of in-patients who died on the ward has increased from 36% in 2013-2016 to 47% in 2020-2023, in part driven by deaths in patients aged under 25 and by an increase in strangulation as suicide method.<\/li>\n<li>There were an estimated 205 deaths by suicide in the 3 months after discharge from mental health in-patient care in 2023, 12% of all patient suicides in that year. Based on our predicted figures, the number and rate of post-discharge suicide may have risen in 2021-2023. The highest risk was in the first 1-2 weeks after discharge, and of those who died in the first week, the highest number occurred on days 3 and 4 when taking day 1 as the day of discharge (54 and 55 patients respectively, or 18%). However, in 2020-2023, the highest number occurred later in the week, on days 4 (20, or 21%) and 6 (19, or 20%).<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide under crisis care settings &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-under\">Suicide under crisis care settings<\/h3>\n<ul>\n<li>In 2013-2023, there were an estimated 2,465 suicides by patients receiving treatment in crisis care settings, including crisis resolution\/home treatment and\u00a0other crisis care services\u00a0(e.g.such as\u00a0crisis houses), 14% of all patient suicides, an average of 224 deaths per year\u00a0with no recent change.\u00a0There were also 207\u00a0(6%) patients in 2019-2023\u00a0whose last contact was with liaison psychiatry services, an average of 41 deaths per year.<\/li>\n<li>Patients who died by suicide while under crisis care were older than other patients, with more aged 45-64 (45%\u00a0compared with\u00a038%).\u00a0Nearly a\u00a0third (32%) were married, 29% were employed and 44% lived alone.<\/li>\n<li>The most common primary diagnosis was depressive disorder (42%); overall, 34% had been ill for less than a year. A quarter (25%) died within 3 months of discharge from in-patient care. Self-harm in the previous 3 months was common (40%), as were adverse life events (58%) including serious financial difficulties (21%) and relationship breakup (14%).<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide by people aged 75 and above&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-by\">Suicide by people aged 75 and above<\/h3>\n<ul>\n<li>In the general population in 2013-2023, there were an estimated 5,184 suicides by those aged 75 and above, 7% of all suicides, an average of 471 deaths per year.<br \/>There was an increase overall, driven by those aged 75-79 and by men aged 90 and above. A fifth (1,029, or 20%) were mental health patients. This meant that they had been in contact with mental health services in the year before death, an average of 94 deaths per year. This is a lower proportion in contact with services than the younger age groups.<\/li>\n<li>Half (51%) of older patients were living alone. 7% were in living in a nursing\/care home. 12% had been bereaved in the previous 3 months.<\/li>\n<li>The most common primary diagnoses were depressive disorder (49%) and dementia (14%). Over half (55%) also had a major physical illness. Overall, they had lower rates of common suicide risk factors such as alcohol (12%) and drug misuse (2%). 41% had a history of self-harm and 19% had self-harmed in the previous 3 months.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide and anxiety&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-and\">Suicide and anxiety disorders<\/h3>\n<ul>\n<li>In 2013-2023, there were an estimated 1,337 suicides by patients with a primary diagnosis of anxiety disorder, 7% of all patient suicides, an average of 122 deaths per year. The average number increased from 98 in 2013-2016 to 147 in 2020-2023. The increase was seen in men and women, and in all adult age groups.<\/li>\n<li>Most patients with anxiety disorder were in the 45\u201364 age group (41%). Over a third (38%) were married. 41% were unemployed; 10% were on long-term sick leave. The majority (68%) had an additional mental illness, most often depression (39%). Three-quarters (76%) were receiving antidepressants, in line with <a href=\"https:\/\/www.nice.org.uk\/guidance\/cg113\/chapter\/Recommendations\">NICE anxiety guidance<\/a>, but only a quarter (25%) were receiving psychological therapy. Previous self-harm (54%) and alcohol (35%) and drug (29%) misuse were less common among patients with anxiety. Short-term suicide risk was viewed by clinicians as not present or low in 83%.<\/li>\n<li>Around half of the patients under 25 with anxiety disorders were female (49%). Suicide-related internet use (32%) was more common among these young patients compared to other young patients who did not have anxiety disorders (18%).<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide and recent migrants&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-and-migrants\">Suicide and recent migrants<\/h3>\n<ul>\n<li>In 2013-2023, there were 838 suicides by patients known by clinicians to have resided in the UK for less than 5 years, of whom 33 were seeking to stay in the UK (for example, asylum seekers and refugees seeking to continue living in the UK after visa expiration). These patients represented 5% of all patient suicides, an average of 76 deaths per year. The number has increased since 2017, overall and particularly in women. These figures are confirmed and not estimated; there may be a further increase in these figures as completeness of our data increases.<\/li>\n<li>Recent migrants were younger than other patients who died by suicide, with more aged 25-44 (43%). The majority (87%) were white. Almost half (46%) lived alone.<\/li>\n<li>Affective disorder (38%) was the most common diagnosis (including 28% with depressive illness and 10% with bipolar disorder); a quarter (26%) had a short (&lt;12 months) history of mental illness. Recent migrants were more likely to have died after discharge from mental health in-patient care (17%). A higher proportion were discharged to socioeconomic adversity such as housing, financial or employment problems (34%) and poor social support (28%).<\/li>\n<\/ul>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\"><strong>Key findings<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#Patient-suicide-numbers\">Patient suicide numbers and rates<\/a><\/strong><\/li>\n<li><strong><a href=\"#social-clinical-characteristics\">Social and clinical characteristics <\/a><\/strong><\/li>\n<li><strong><a href=\"#clinical\">Clinical care<\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-under\">Suicide under crisis care settings <\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-by\">Suicide by people aged 75 and above<\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-and\">Suicide and anxiety disorders<\/a><\/strong><\/li>\n<li><a href=\"#suicide-and-migrants\"><strong>Suicide and recent migrants<\/strong> <\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Clinical messages&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"clinical-messages\">Clinical messages<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Acute Mental Health&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>The following clinical messages are intended for clinicians, mental health services, Integrated Care Boards (ICBs) and Health Boards.<\/p>\n<h3 id=\"acute-mental-health\">Acute mental health care settings<\/h3>\n<p>There has been a change in the pattern of suicide among mental health in-patients, in that a rising proportion of deaths now occurs on the ward itself. This rise is particularly seen in in-patients under the age of 25. In part, it reflects an increase in strangulation as a method of suicide.\u00a0In the last two decades, wards have substantially reduced suicides by hanging. The clinical challenge now is to extend this to deaths in which ligatures, but not ligature points, are used, particularly by younger patients.<\/p>\n<p>There are also signs of a change in the pattern of suicides in the first week after in-patient discharge, with the peak risk occurring later in the week. This may reflect the recent requirement in England for follow-up within 72 hours and it raises a concern that early post-discharge suicides have been postponed rather than prevented. It is important that these early post-discharge contacts anticipate any imminent deterioration.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text:  Suicide under crisis care settings &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-under-Crisis\">Suicide under crisis care settings<\/h3>\n<p>The features of patients who die by suicide under crisis teams point to an area of future priority: depressed, a short history of illness, living alone, adverse life events and recent self-harm. Crisis services should review how well they are able to support this group. Similarly, these are the patients at risk for whom the new mental health emergency departments, as outlined in the recent <a href=\"https:\/\/assets.publishing.service.gov.uk\/media\/6888a0b1a11f859994409147\/fit-for-the-future-10-year-health-plan-for-england.pdf\">10-year health plan for England<\/a> (PDF), should be designed.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide 75&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-by-people-75\">Suicide by people aged 75 and above<\/h3>\n<p>The risk profile of older patients who die by suicide is one in which depression, physical illness, isolation and bereavement are prominent. These factors should be the target of prevention. Recent self-harm in older patients should be a warning sign for significant risk. The low rate of mental health service contact suggests the need for improvements in access for this age group.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide and anxiety disorders&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-and-anxiety-disorders\">Suicide and anxiety disorders<\/h3>\n<p>A primary diagnosis of anxiety disorder is an increasing feature of patient suicide. This contrasts with a view of anxiety in clinical practice and in the wider public, where it can be seen as a less severe condition, mainly affecting younger people. Our evidence indicates that, for some, it is a serious disorder that carries significant risk, despite fewer conventional risk factors such as self-harm and substance misuse. Services need to be alert to the risk, treat co-existing depression and make psychological therapies available.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide and recent migrants&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide-and-recent-migrants\">Suicide and recent migrants<\/h3>\n<p>Our findings highlight social adversity in mental health patients who die by suicide after living in the UK for a relatively short time. Many face economic difficulties and have insufficient social support. This may exacerbate suicide risk, requiring multi-agency care planning at key points in the clinical pathway, such as in-patient discharge.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\"><strong>Clinical messages<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#acute-mental-health\">Acute mental health care settings<\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-under-Crisis\">Suicide under crisis care settings<\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-by-people-75\">Suicide by people aged 75 and above <\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide-and-anxiety-disorders\">Suicide and anxiety disorders<\/a><\/strong><\/li>\n<li><a href=\"#suicide-and-recent-migrants\"><strong>Suicide and recent migrants&nbsp;<\/strong><\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Suicide in the general population&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"Suicide-in-the-general-population\">Suicide in the general population<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: intro&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>\nBetween 2013 and 2023, NCISH was notified of 71,519 deaths in the general population in the UK and Jersey that were registered as suicide or \u201cundetermined\u201d, an average of 6,502 deaths per year (<\/span><\/span><a class=\"Hyperlink SCXW81756309 BCX8\" href=\"#fig1\" target=\"_blank\" rel=\"noreferrer noopener\"><span class=\"TextRun Underlined SCXW81756309 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\"><span class=\"NormalTextRun SCXW81756309 BCX8\">Fig. 1<\/span><\/span><\/a><span class=\"TextRun SCXW81756309 BCX8\" lang=\"EN-GB\" xml:lang=\"EN-GB\"><span class=\"NormalTextRun SCXW81756309 BCX8\">). These are referred to as suicides throughout the report.\u00a0<\/span><\/span><span class=\"EOP SCXW81756309 BCX8\">\u00a0<\/span><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig1.&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig1\">Fig. 1: Number of suicides in the general population and by mental health patients, by UK country in 2013\u20132023.<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-1.png\" alt=\"Figure 1: Suicides in the general population and mental health patients, UK 2013\u20132023\" width=\"1092\" height=\"587\" \/><\/p>\n<p>There were:<\/p>\n<ul>\n<li>2,470 suicide deaths in Northern Ireland, 722 (29%) were by patients;<\/li>\n<li>4,087 suicide deaths in Wales, 915 (22%) were by patients;<\/li>\n<li>8,279 suicide deaths in Scotland, 2,453 (30%) were by patients;<\/li>\n<li>56,577 suicide deaths in England, 14,471 (26%) were by patients.<\/li>\n<\/ul>\n<p>Additionally, there were 106 suicide deaths in Jersey; 41 (39%) were by patients.<\/p>\n<p>In England and Wales there were higher rates of suicide following the lowering of the\u00a0<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/articles\/changeinthestandardofproofusedbycoronersandtheimpactonsuicidedeathregistrationsdatainenglandandwales\/2020-12-08\">standard of proof<\/a>\u00a0at inquest introduced in 2018, and then a plateau (<a href=\"#fig2\">Fig. 2<\/a>). However, figures in 2023 are expected to rise once late inquests are added.<\/p>\n<p>In Scotland there were higher rates from 2018 compared to those in 2014-2017. Northern Ireland rates have increased in 2021-2023 compared to lower rates in 2015-2020 following a change in how some deaths are classified (<a href=\"https:\/\/www.nisra.gov.uk\/system\/files\/statistics\/Suicide_Review_Report.pdf\">see details of the review of suicide statistics in\u00a0Northern Ireland<\/a>). In\u00a0Jersey\u00a0the rates fluctuated, being based on small numbers; the average suicide rate in Jersey in 2021-2023 was 8.9 per 100,000 population.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig2 &#8211; Image&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig2\">Fig. 2: General population suicide rates by UK country (2013-2023)<\/h3>\n<p style=\"margin-bottom: -2em\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7293\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2.png\" alt=\"Graph showing general population suicide rates by UK country (2013-2023)\" width=\"2021\" height=\"1093\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2.png 2021w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-300x162.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-768x415.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-1024x554.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-150x81.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-250x135.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-350x189.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-2-1080x584.png 1080w\" sizes=\"(max-width: 2021px) 100vw, 2021px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 2 note&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: In Northern Ireland data prior to 2015 are not directly comparable with those in 2015 onwards due to a review of suicide statistics by the Northern Ireland Statistics Agency (NISRA). Rates in Jersey not shown due to small numbers.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig2 &#8211; Description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 0 0 2em 0\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: General population suicide rates in the UK<\/summary>\n<p style=\"padding-top: 1em\"><strong>England:<\/strong> Suicide rates decreased from 10.0 (per 100,000 population) in 2013 to 9.7 in 2016, then increased to 11.2 in 2019, and fell to 10.5 in 2023.<\/p>\n<p><strong>Northern Ireland:<\/strong> Rates peaked at 19.1 in 2013, dropped to 11.1 in 2017, and were 14.5 in 2023.<\/p>\n<p><strong>Scotland:<\/strong> Rates decreased from 16.9 in 2013 to 14.2 in 2015, then increased to 16.7 in 2019, ending at 15.5 in 2023.<\/p>\n<p><strong>Wales:<\/strong> Rates decreased from 13.2 in 2013 to 11.9 in 2016, then increased to 14.2 in 2017 and remained stable, with the rate also at 14.2 in 2023.<\/p>\n<p>The footnote reads that rates in Jersey are not shown due to small numbers.\n<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Fig 2.&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>There was some variation in the peak age in England, Scotland and Wales, but overall, the pattern was equivalent, with highest suicide rates in middle-aged groups, especially the 40-44- and 45-49-year age groups. (<a href=\"#fig3\">Fig. 3<\/a>). There was also a relatively high rate in those aged 90 and above. In Northern Ireland the highest suicide rates were in younger people, especially in the 20-24- and 25-29-year age groups.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig3.&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig3\">Fig. 3: Suicide rates in the general population by age-group, by UK country (2013\u20132023)<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7295\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3.png\" alt=\"Bar chart showing suicide rates in the general population by age-group, by UK country (2013\u20132023).\" width=\"2265\" height=\"1162\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3.png 2265w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-300x154.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-768x394.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-1024x525.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-150x77.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-250x128.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-350x180.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-3-1080x554.png 1080w\" sizes=\"(max-width: 2265px) 100vw, 2265px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Note: Fig 3&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Rates in Jersey not shown due to small numbers.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 3 Description &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of bar chart: Suicide rates in the general population by age-group, by UK country (2013-2023)<\/summary>\n<p style=\"padding-top: 1em\"><strong>England:<\/strong> Suicide rates increase with age, peaking at 15.3 (per 100,000 population) for ages 45-49, then decrease, with a slight rise to 9.8 for ages 85-89 and 10.1 for ages 90+.<\/p>\n<p><strong>Northern Ireland:<\/strong> Rates are highest for ages 25-29 at 20.2 and 35-39 at 19.4, then generally decrease, with the lowest rate in adults of 2.1 for ages 90+.<\/p>\n<p><strong>Scotland:<\/strong> Rates are highest in ages 40-44 and 45-49 at 24.0 and 24.5 respectively, then decrease to 8.1 for ages 90+.<\/p>\n<p><strong>Wales:<\/strong> Rates peak at 20.2 for ages 40-44, then generally decrease, with a slight rise to 13.3 for ages 90+.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\"><strong>Suicide in the general population<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#fig1\">Number of suicides in the general population and by mental health patients, by UK country in 2013-2023<\/a><\/strong><\/li>\n<li><strong><a href=\"#fig2\">General population suicide rates by UK country (2013-2023)<\/a><\/strong><\/li>\n<li><a href=\"#fig3\"><strong>Suicide rates in the general population by age-group, by UK country (2013-2023)<\/strong> <\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Mental health patient suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"mental-health-patient-suicide\">Mental health patient suicide<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: intro&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>There were 18,602\u00a0mental health\u00a0patients who died by suicide (this means\u00a0people in contact with mental health services within 12 months of suicide) in the UK and Jersey in 2013-2023. This\u00a0represents\u00a026% of all suicide deaths, an average of 1,691 deaths per year (see\u00a0<a href=\"#fig1\">Fig. 1<\/a>: map showing number of\u00a0suicides in the general population and by mental health patients, by UK country in 2013-2023\u00a0above).<\/p>\n<p>There was an increase in the number of patient suicides occurring from 2018 in line with the change in the\u00a0<a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/articles\/understandingsuicideregistrationsfollowingachangetothestandardofproofinenglandandwales\/2025-10-03\">standard of proof<\/a>\u00a0(Office for National Statistics)\u00a0for suicide that began in 2018. We did not see an increase in 2020 when COVID-19 began but are estimating slightly higher figures in 2021-2023 (<a href=\"#fig4\">Fig. 4<\/a>), driven by an increase in England during these years (<a href=\"#fig5\">Fig. 5<\/a>). However, this increase in England was not reflected in the rate of suicide.\u00a0Taking into account\u00a0the total number of people under mental health care, which was 35.5 per 100,000 mental health service users in 2023,\u00a0this suicide rate has continued to fall long-term\u00a0(see\u00a0<a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78384\">additional\u00a0online data<\/a> for further details).\u00a0The number in Scotland has fallen since 2018 whilst recent numbers in Northern Ireland show an increase. In Wales, the numbers have\u00a0generally been\u00a0stable (<a href=\"#fig5\">Fig. 5<\/a>).<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 4&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig4\">Fig. 4: Number of mental health patients who died by suicide, by sex in the UK and Jersey (2013-2023)<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7301\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4.png\" alt=\"Graph showing number of mental health patients who died by suicide, by sex in the UK and Jersey (2013-2023)\" width=\"1884\" height=\"1121\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4.png 1884w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-300x179.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-768x457.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-1024x609.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-150x89.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-250x149.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-350x208.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-4-1080x643.png 1080w\" sizes=\"(max-width: 1884px) 100vw, 1884px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Notes Fig 4&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: The number of males and females in 2020 and 2022 do not total the overall figure due to rounding. Dashed lines&nbsp;represent&nbsp;estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig4. description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients who died by suicide, by sex in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\"><strong>Total patient suicides: <\/strong>Numbers decreased from 1770 in 2013 to 1589 in 2014, but rose again in 2018 to 1831 with lower numbers since.<\/p>\n<p><strong>Male patient suicides: <\/strong>Numbers decreased from 1212 in 2013 to 1016 in 2014, then increased to 1213 in 2018 and fell to 1081 in 2023.<\/p>\n<p><strong>Female patient suicides:<\/strong> Numbers remained relatively stable ranging 548 and 582 between 2013 and 2017, then increased, reaching 623 in 2023.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Fig5.&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig5\">Fig. 5: Number of mental health patients who died by suicide, by UK country (2013\u20132023)<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7303\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5.png\" alt=\"Graph showing number of mental health patients who died by suicide, by UK country (2013\u20132023).\" width=\"2213\" height=\"1188\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5.png 2213w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-300x161.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-768x412.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-1024x550.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-150x81.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-250x134.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-350x188.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-5-1080x580.png 1080w\" sizes=\"(max-width: 2213px) 100vw, 2213px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Notes Fig 5&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: The number of males and females in 2020 and 2022 do not total the overall figure due to rounding.<\/p>\n<p style=\"font-size: 0.9em\">Northern Ireland data prior to 2015 are not directly comparable with those in 2015 onwards due to a <a href=\"https:\/\/www.nisra.gov.uk\/system\/files\/statistics\/Suicide_Review_Report.pdf\">review of suicide statistics by Northern Ireland Statistics Agency (NISRA)<\/a>. Data from Jersey are not shown due to the low number of patient deaths by suicide.<\/p>\n<p style=\"font-size: 0.9em\">Dashed lines represent estimated numbers in 2021\u20132023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig5. description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients who died by suicide, by UK country (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\"><strong>England: <\/strong>Patient suicides decreased from 1321 in 2013 to 1259 in 2017, then increased, reaching 1337 in 2023.<\/p>\n<p><strong>Northern Island:<\/strong> The number of suicides was lowest at 43 in 2015 but increased to 84 in 2022 and ending at 73 in 2023.<\/p>\n<p><strong>Scotland:<\/strong> Patient suicide numbers decreased from 267 in 2013 to 218 in 2017 then slightly increased to 231 in 2018 but fell to 208 in 2023.<\/p>\n<p><strong>Wales:<\/strong> Numbers fluctuated, peaking at 101 in 2013 and dropping to 63 in 2014, ending at 86 in 2023.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Method of suicide by mental health patients &amp; Fig 6 &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"fig6\">Method of suicide by mental health patients<\/h3>\n<p>The most common methods of suicide were:<\/p>\n<ul>\n<li>hanging\/strangulation (9,306, or 50%)<\/li>\n<li>self-poisoning (4,022, or 22%)<\/li>\n<li>jumping\/multiple injuries (2,431, or 13%)<\/li>\n<\/ul>\n<p>Hanging\/strangulation increased by 16% during 2013\u20132023, especially after 2017 when the <a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/articles\/understandingsuicideregistrationsfollowingachangetothestandardofproofinenglandandwales\/2025-10-03\">standard of proof\u00a0<\/a>for suicide was lowered (<a href=\"#fig6\">Fig. 6<\/a>). The increase was especially seen in women, rising from an average of 41% of all female deaths in 2013\u20132016 to 47% in 2020\u20132023. Deaths by jumping or multiple injuries fell by 27% between 2013\u20132020 but estimates show an increase in 2021\u20132023.<\/p>\n<p>After a rise between 2015 and 2020, we estimate lower figures for self-poisoning deaths in 2021\u20132022 but a possible rise in 2023 (<a href=\"#fig6\">Fig. 6<\/a>).<\/p>\n<p>Opiates (including opioid compounds) were the most common substances used, accounting for nearly a third (1,058, or 32%) of deaths by self-poisoning; however, deaths using opiates or opioids fell by 35% between 2013 and 2023.<\/p>\n<h3 id=\"fig6\">Fig. 6: Main suicide methods by mental health patients in the UK and Jersey (2013\u20132023)<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7302\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6.png\" alt=\"Graph showing main suicide methods by mental health patients in the UK and Jersey (2013\u20132023).\" width=\"2046\" height=\"1314\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6.png 2046w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-300x193.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-768x493.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-1024x658.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-150x96.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-250x161.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-350x225.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-6-1080x694.png 1080w\" sizes=\"(max-width: 2046px) 100vw, 2046px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 6 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Dashed lines&nbsp;represent&nbsp;estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 6 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Main suicide methods by mental health patients in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\"><strong>Hanging\/strangulation:<\/strong> Numbers were relatively stable between 2013 and 2017, ranging between 755 and 791, but increased in 2018 and peaked at 968 in 2022, and fell in 2023 to 895.<\/p>\n<p><strong>Self-poisoning:<\/strong> Numbers decreased from 440 in 2013 to 331 in 2015, then increased to 398 in 2020, and fell to 368 in 2023.<\/p>\n<p><strong>Jumping\/multiple injuries: <\/strong> Numbers fell from 270 in 2013 to 191 in 2019 but increased slightly in 2020-2023 ranging between 198 and 225 deaths.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Social Characteristics&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"social-character\">Social characteristics of mental health patients who died by suicide (UK and Jersey, 2013-2023)<\/h3>\n<h5>Socio-demographic characteristics<\/h5>\n<ul>\n<li>The majority were male (12,048, or 65%), unmarried (11,739, or 73%), unemployed (7,361, or 46%) and nearly half (7,723, or 47%) lived alone (see <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information).<\/li>\n<li>1,694 (10%) were aged under 25, including 283 (2%) aged under 18, 1,411 (8%) aged 18-24 and 979 (6%) aged 75 and above. Of all patients aged under 25, 218 (14%) had a history of local authority care.<\/li>\n<\/ul>\n<p>Our report <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/suicide-by-children-and-young-people\/\">Suicide by Children and Young People<\/a> identified common themes in the lives of young people who die by suicide. Information on suicides by children is also presented by the <a href=\"https:\/\/www.ncmd.info\/publications\/child-suicide-report\/\">National Child Mortality Database (NCMD) Programme<\/a> in their annual reports, alongside recommendations for prevention<\/p>\n<ul>\n<li>In 2016-2023, 440 (5%) patients were known to identify as lesbian, gay or bisexual and 104 (1%) were within a trans (including transgender, transsexual, non-binary) group. Of all patients, 1,206 (7%) were from an ethnic minority group.<\/li>\n<\/ul>\n<h5>Financial problems<\/h5>\n<p>There were 2,229 (17%) patients who had recently (within 3 months) experienced serious financial problems.<\/p>\n<h5>Bereavement<\/h5>\n<p>1,328 (9%) patients had been recently bereaved. Overall, 1,196 (11%) patients died on or near a date of significance (e.g., the patient\u2019s birthday, on or near the anniversary of a family member of friend\u2019s death, the birthday of a deceased family member).<\/p>\n<h5>Internet use<\/h5>\n<p>Suicide-related internet use (for example, visiting &#8220;pro-suicide&#8221; websites) was reported in 875 (9%) of all patients.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Clinical characteristics&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"clinical-characteristics\">Clinical characteristics of mental health patients who died by suicide<\/h3>\n<ul>\n<li>Over half (56%) of patients who died by suicide had a comorbid (or additional) mental health diagnosis. The proportion with comorbidity increased from 52% in 2013-2016 to 59% in 2020-2023.<\/li>\n<li>Rates of alcohol misuse (46%) and drug misuse (38%) were high (see <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information); 56% of patients had a history of alcohol or drug misuse.<\/li>\n<li>The majority (10,176, or 61%) of patients had a lifetime history of self-harm \u2013 this proportion fell in 2020-2023 (59%) compared to in 2013-2016 (65%). Nearly a third (4,832, or 31%) had self-harmed in the 3 months before suicide; in 3,439 (27%) instances, the patient had been seen by the emergency department for self-harm.<\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Diagnosis &amp; Fig 7&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"diagnosis\">Diagnosis of mental health patients who died by suicide<\/h3>\n<p>The main primary mental health diagnoses are shown in (<a href=\"#fig7\">Fig. 7<\/a>). Suicide by patients with depressive illness has generally been&nbsp;falling since 2016 but estimated figures show a rise in 2021-2023 (<a href=\"#fig8\">Fig. 8<\/a>). The average number of patients with bipolar disorder increased from 121 in 2016-2019 to 144 in 2020-2023. Suicide by patients with schizophrenia or other primary psychotic disorders has not changed in 2019-2021, though the estimated number in 2022 shows a rise.<\/p>\n<p>The number of suicide deaths in patients given a diagnosis of personality disorder may have fallen in 2021-2023 after an increase in 2018-2020. Suicide by patients with anxiety disorders rose between 2013 and 2023. The number of patients with alcohol or drug dependence or misuse who died by suicide fell after 2013 and figures in 2021-2023 are the lowest over the report period.<\/p>\n<p>There were 288 (2%) patients with any diagnosis (primary or secondary) of an eating disorder. The average number increased from 21 in 2013-2016 to 30 in 2020-2023. There were 499 (3%) patients with any diagnosis of autism and 312 (2%) with attention deficit hyperactivity disorder (ADHD) who died by suicide. These numbers have increased since 2018 and estimated figures in 2021-2023 show together they account for approximately 139 deaths each year.&nbsp;There were differences in the younger age groups. In patients aged 18-24, 10% had a diagnosis of autism and in those aged under 18 this was 21%. 5% of those aged 18-24 and 8% of those under 18 had a diagnosis of ADHD.<\/p>\n<h4 id=\"fig7\">Fig. 7: Primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7353\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7.png\" alt=\"Pie chart showing primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023).\" width=\"2437\" height=\"1435\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7.png 2437w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-300x177.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-768x452.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-1024x603.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-150x88.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-250x147.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-350x206.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-7-1080x636.png 1080w\" sizes=\"(max-width: 2437px) 100vw, 2437px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Notes Fig 7&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: The sum of all diagnoses totals 101% due to rounding. ADHD = Attention Deficit Hyperactivity Disorder. *includes both primary and\/or secondary diagnosis. \u2020other diagnoses include drug induced psychosis, dementia, learning disability, conduct-dissocial disorder, somatisation disorder, organic disorder, and other specified.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 7 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of pie chart: Primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the primary diagnoses of mental health patients who died by suicide in the UK and Jersey from 2013 to 2023. Depressive illness was the most common diagnoses, accounting for 31% of cases. Schizophrenia and other delusional disorders made up 15%, while personality disorders, alcohol dependence\/misuse, anxiety disorders, drug dependence\/misuse, adjustment disorders, autism, attention deficit hyperactivity disorder, eating disorders, and other diagnoses comprised the remaining percentages.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Fig. 8: Main primary diagnoses of mental health patients &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"fig8\">Fig. 8: Main primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8.png\" alt=\"Graph showing main primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023).\" width=\"2098\" height=\"1335\" class=\"alignnone size-full wp-image-7356\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8.png 2098w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-300x191.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-768x489.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-1024x652.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-150x95.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-250x159.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-350x223.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-8-1080x687.png 1080w\" sizes=\"(max-width: 2098px) 100vw, 2098px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Notes Fig 8&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Dashed lines represent estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig. 8: description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin-bottom: 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Main primary diagnoses of mental health patients who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">From 2013 to 2023, the number of patient suicides in the UK and Jersey varied across different diagnoses. Depressive illness consistently had the highest number of suicides, peaking at 530 in 2018 but then fell to 443 in 2022, with an increase to 540 in 2023. The number with schizophrenia and other primary psychotic disorders was generally lower in 2017 to 2021 than in 2013-2016, but then peaked to 262 in 2022 and fell in 2023 to 216. The number with personality disorder increased in 2018-2020 but decreased in 2021-2023. The number with bipolar disorder fell after a peak of 158 in 2014 and continued to fall until 2019 when the number increased to 150 in 2023. The number with anxiety disorders increased between 2015 and 2023, peaking at 164 in 2023.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Contact with services by mental health patients who died by suicide &amp; Fig 9&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"Contact\">Contact with services by mental health patients who died by suicide<\/h3>\n<p>Nearly half (8,075, or 46%) of all mental health patients had been in contact with services in the week before death (<a href=\"#Fig9\">Fig. 9<\/a>). At the final service contact, the immediate risk of suicide was viewed as not present or low in the majority of patients (11,750, or 81%); this proportion has not changed over the report period. There are now initiatives to move away from stratified assessment of suicide risk towards a more personalised approach to assessment and management. These include the NHS guidance on <a href=\"https:\/\/www.england.nhs.uk\/publication\/staying-safe-from-suicide\/\">Staying Safe from Suicide<\/a> and the <a href=\"https:\/\/www.england.nhs.uk\/long-read\/culture-of-care-standards-for-mental-health-inpatient-services\/\">Culture of Care programme.<\/a><\/p>\n<h4 id=\"fig9\">Fig. 9: Timing of last contact with mental health services by patients who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7637\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised.jpg\" alt=\"Bar chart showing timing of last contact with mental health services by patients who died by suicide in the UK and Jersey (2013-2023)..\" width=\"733\" height=\"348\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised.jpg 733w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised-300x142.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised-150x71.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised-250x119.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-9-revised-350x166.jpg 350w\" sizes=\"(max-width: 733px) 100vw, 733px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 9 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of bar chart: Timing of last contact with mental health services by patients who died by suicide in the UK and Jersey (2013-2023)<\/summary>\n<p style=\"padding-top: 1em\">The data shows the timing of the last contact with mental health services by patients who died by suicide in the UK and Jersey from 2013 to 2023. 46% had been seen either 24 hours before death (2676 patients) or within 1-7 days before death (5399 patients). Nearly a quarter were seen more than 1 week to 4 weeks before death (3998 patients). The last contact was more than 4 weeks to 13 weeks for 2534 patients and more than 13 weeks before death for 2902 patients.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Clinical settings of mental health patients who died by suicide &amp; Fig 10&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"Clinical\">Clinical settings of mental health patients who died by suicide<\/h3>\n<p>During 2013-2023, there were 4,735 patients (27%) who died by suicide in acute care settings (in-patients, under crisis resolution\/home treatment, recently discharged from in-patient care), an average of 430 deaths per year (<a href=\"#fig10\">Fig. 10<\/a>). The proportion under acute care has fallen in 2020-2023 (26%) compared to 2013-2016 (29%). There was a fall in the number of patients who missed their last service contact, from an average of 350 in 2013-2016 to 322 in 2020-2023; the number of patients who were non-adherent with medication has not changed over the report period.<\/p>\n<h4 id=\"fig10\">Fig. 10: Service characteristics of mental health patients who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10.png\" alt=\"Bar chart showing service characteristics of mental health patients who died by suicide in the UK and Jersey (2013-2023).\" width=\"2104\" height=\"1217\" class=\"alignnone size-full wp-image-7359\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10.png 2104w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-300x174.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-768x444.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-1024x592.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-150x87.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-250x145.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-350x202.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-10-1080x625.png 1080w\" sizes=\"(max-width: 2104px) 100vw, 2104px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 10 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: These categories are not mutually exclusive.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 10 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of bar chart: Service characteristics of mental health patients who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data from 2013 to 2023 shows that 5% of mental health patients who died by suicide were in-patients. 14% were under crisis resolution or home treatment, and another 13% had been recently discharged within the last three months. Additionally, 22% missed their last appointment, and 12% were non-adherent with their medication.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: CTO text&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>There were 248 patients who died by suicide having been subject to a Community or Compulsory Treatment Order (CTO) at some time in 2013-2023. This accounts for 1% of all patient suicides, an average of 23 deaths per year. Two-thirds of these patients (157,&nbsp;or&nbsp;65%) were under a CTO at the time of suicide. Overall, there were 299 patients under the care of an assertive outreach service, 2% of all patient suicides, an average of 27 deaths per year.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: In-patient suicide &amp; Fig 11&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"in-patient\">In-patient suicide<\/h3>\n<p>In-patient deaths include those that occur physically on the ward and those that occur off the ward (e.g. during authorised or unauthorised leave).<\/p>\n<p>There were 953 in-patient deaths by suicide in 2013-2023, representing 5% of patient suicides overall during this time period. This percentage has decreased since 2016, dropping to 4% in 2023. 22 (2%) were aged under 18, representing 2% of all in-patients or 8% of all patients aged under 18; and 91 were aged 18-24, representing 10% of all in-patients or 7% of all patients aged 18-24. The average rate of in-patient deaths over the report period was 5.7 per 10,000 admissions.<\/p>\n<p>There was a 45% fall in the number of in-patients who died by suicide between 2013 and 2023, although figures in 2020-2023 have not fallen (<a href=\"#fig11\">Fig. 11<\/a>). We also found rates of in-patient suicide per 10,000 admissions fell by 35% in 2013-2023, considering the total number of in-patient admissions in the UK, but recent rates have not changed (<a href=\"#fig11\">Fig. 11<\/a>).<\/p>\n<p>343 (41%) died on the ward, half (413, or 49%) had left the ward with staff agreement, and 79 (9%) had left the ward without staff agreement or left with agreement but failed to return. Overall, a third (306, or 35%) had been detained under Mental Health Act (MHA) powers and 128 (14%) died within 7 days of admission.<\/p>\n<p>There was an increase in the proportion of in-patients who died on the ward in 2020-2023 compared to in 2013-2016 (47% compared to 36%). The increase over these time periods was seen in men (57, or 48% compared to 78, or 32%) and in those aged under 25 (19, or 66% compared to 15, or 38%), especially women and girls aged under 25 (14, or 74% compared to 10, or 43%).<\/p>\n<p>The majority (311, or 91%) of deaths on the ward were by hanging\/strangulation\/asphyxia. The number of these deaths fell in 2015-2017 but have since not changed, and account for an average of 28 deaths per year in 2020-2023. When separating hanging\/strangulation\/asphyxia, there has been a rise in deaths by strangulation on the ward over the report period, from 25 in 2013-2016 to 32 in 2020-2023.<\/p>\n<h4>Fig. 11: Number and rate of mental health in-patients who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7346\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11.png\" alt=\"Graph showing number and rate of mental health in-patients who died by suicide in the UK and Jersey (2013-2023).\" width=\"2188\" height=\"1171\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11.png 2188w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-300x161.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-768x411.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-1024x548.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-150x80.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-250x134.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-350x187.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-11-1080x578.png 1080w\" sizes=\"(max-width: 2188px) 100vw, 2188px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 11 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: Rates of suicide exclude Jersey due to unavailable denominator data. Dashed lines represent estimated figures in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 11 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number and rate of mental health in-patients who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of mental health in-patient suicides in the UK and Jersey from 2013 to 2023 and the rate of in-patient suicide in the UK only. In-patient suicides decreased from 120 in 2013 to 68 in 2020 but have not significantly changed since. The rate of in-patient suicide has fallen from 7.7 (per 10,000 admissions) in 2013 to 4.6 in 2020 but increased slightly to 5.0 in 2023. The footnote states that rates of suicide exclude Jersey due to unavailable denominator data.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text:Mental health patients who died by suicide after recent discharge &amp; Fig 12&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"mental-health-pat\">Mental health patients who died by suicide after recent discharge<\/h3>\n<p>There were 2,250 patients who died by suicide within 3 months of discharge from in-patient care, 13% of all patient suicide deaths, an average of 205 deaths per year. 13 (1%) were aged under 18 and 172 (8%) were aged 18-24. The number and rate of suicides by patients within 3 months of discharge have risen in 2021-2023 (<a href=\"#fig12\">Fig. 12<\/a>) In the UK, the average rate of suicide over the report period was 13.9 per 10,000 discharges.<\/p>\n<p>Post-discharge suicide deaths were most frequent in the first 1-2 weeks after leaving hospital (<a href=\"#fig13\">Fig. 13<\/a>). Of patients who died in the first week after discharge, the highest number occurred on days 3 (54, or 18%) and 4 (55, or 18%) after leaving hospital (day one = day of discharge) (<a href=\"#fig14\">Fig. 14<\/a>). Over the report period, the peak days of suicide after discharge have become later in the week, e.g. in 2013-2016 the highest number were on days three (30, or 24%) and five (22, or 17%) and in 2020-2023 they were on days four (20, or 21%) and six (19, or 20%).<\/p>\n<p>Of all post-discharge suicides, 190 (10%) died before the first follow-up appointment.<\/p>\n<p>There were 311 (23%) patients known to have been discharged to housing, financial or employment problems. 255 (19%) were reportedly discharged to poor social support.<\/p>\n<p>Overall, 188 (9%) had initiated their own discharge. This figure was higher in those who died within a week of discharge (43, or 14%). 247 (12%) died after being discharged from an in-patient unit which was out of their local area.<\/p>\n<h4>Fig. 12: Number and rate of mental health patients who died by suicide within 3 months of in-patient discharge in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7347\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12.png\" alt=\"Graph showing number and rate of mental health patients who died by suicide within 3 months of in-patient discharge in the UK and Jersey (2013-2023).\" width=\"1990\" height=\"1168\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12.png 1990w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-300x176.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-768x451.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-1024x601.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-150x88.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-250x147.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-350x205.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-12-1080x634.png 1080w\" sizes=\"(max-width: 1990px) 100vw, 1990px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 12 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Rates of suicide exclude Jersey due to unavailable denominator data. Dashed lines represent estimated figures in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 12 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number and rate of mental health patients who died by suicide within 3 months of in-patient discharge in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number and rate of post-discharge suicides in the UK from 2013 to 2023. The number of suicides ranged from a high of 230 in 2013 and 2014 to a low of 178 in 2017 but with higher numbers since. The rate of suicides per 10,000 discharges varied, falling between 2013 and 2017 when it was the lowest rate at 11.8 but then increased to 16.0 in 2023. Both the number and rate have risen since 2020.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Fig 13&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"fig13\">Fig. 13: Number of mental health patient deaths by suicide per week following discharge in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7620 size-full\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised.jpg\" alt=\"Bar chart showing number of mental health patient deaths by suicide per week following discharge in the UK and Jersey (2013-2023).\" width=\"743\" height=\"450\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised.jpg 743w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised-300x182.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised-150x91.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised-250x151.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-13-revised-350x212.jpg 350w\" sizes=\"(max-width: 743px) 100vw, 743px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 13 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of bar chart: Number of mental health patient deaths by suicide per week following discharge in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of patient suicides per week following discharge in the UK and Jersey from 2013 to 2023. The highest number of suicides occurred in the first week after discharge, with 301 cases, and the numbers generally decreased over the following weeks, reaching 87 cases by the tenth week. There were slight fluctuations in the numbers, but the overall trend was a decline in suicides as more time passed since discharge.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Fig 14&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"fig14\">Fig. 14: Number of mental health patient deaths by suicide per day in the week following discharge in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-7621 size-full\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised.jpg\" alt=\"Bar chart showing number of mental health patient deaths by suicide per day in the week following discharge in the UK and Jersey (2013-2023).\" width=\"799\" height=\"412\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised.jpg 799w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised-300x155.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised-768x396.jpg 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised-150x77.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised-250x129.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-14-revised-350x180.jpg 350w\" sizes=\"(max-width: 799px) 100vw, 799px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 14 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of bar chart: Number of mental health patient deaths by suicide per day in the week following discharge in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of mental health patient deaths by suicide per day in the week following discharge in the UK and Jersey from 2013 to 2023. The highest number of suicides occurred on the third and fourth day after discharge, with 54 and 55 deaths, followed by the sixth day with 50 deaths. The lowest number of suicides was on the first day after discharge, with 24 deaths.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\"><strong>Mental health patient suicide<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#fig4\">Number of mental health patients who died by suicide, by sex in the UK and Jersey (2013-2023) <\/a><\/strong><\/li>\n<li><strong><a href=\"#fig5\">Number of mental health patients who died by suicide, by UK country (2013-2023) <\/a><\/strong><\/li>\n<li><strong><a href=\"#fig6\">Methods of suicide by mental health patients<\/a><\/strong><\/li>\n<li><strong><a href=\"#social-character\">Social and clinical characteristics of mental health patients who died by suicide <\/a><\/strong><\/li>\n<li><strong><a href=\"#diagnosis\">Diagnosis of mental health patients who died by suicide <\/a><\/strong><\/li>\n<li><strong><a href=\"#Contact\">Contact with services by mental health patients who died by suicide <\/a><\/strong><\/li>\n<li><strong><a href=\"#Clinical\">Clinical settings of mental health patients who died by suicide<\/a><\/strong><\/li>\n<li><strong><a href=\"#in-patient\">In-patient suicide <\/a><\/strong><\/li>\n<li><a href=\"#mental-health-pat\"><strong>Mental health patients who died by suicide after recent discharge<\/strong> <\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Real-time surveillance of mental health patient suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"real-time\">Real-time surveillance of mental health patient suicide<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: intro&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>We have been developing a national real-time surveillance (RTS) of suspected suicide deaths (which were\u00a0submitted\u00a0before confirmation by inquest) of patients under the recent care of mental health services in England.\u00a0<\/p>\n<p>Our\u00a0initial\u00a0focus is on in-patients and those who died within 2 weeks of discharge\u00a0&#8211;\u00a0patients\u00a0in close proximity to\u00a0services.\u00a0<\/p>\n<p>The aim is to collect information early to support suicide prevention efforts.<\/p>\n<p>This includes information about:\u00a0<\/p>\n<ul>\n<li>emerging novel suicide methods\u00a0<\/li>\n<li>suicide-related internet use\u00a0\u00a0<\/li>\n<li>travelling to a specific location\u00a0<\/li>\n<li>potential clusters\u00a0<\/li>\n<li>systemic problems in care, and\u00a0specific problems that patients face.\u00a0<\/li>\n<\/ul>\n<p>We are taking a staged approach to\u00a0establishing\u00a0this real-time data collection. First,\u00a0we piloted the data collection in 8 NHS trusts in\u00a0south-east\u00a0England. In April 2024,\u00a0we expanded the data collection to all mental health trusts across England, asking for clinicians to\u00a0notify us\u00a0of 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 therefore complete an online questionnaire without waiting for the inquest or a request from us.\u00a0<\/p>\n<p>[\/et_pb_text][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<h3 id=\"numbers-of-suspected\">Numbers of suspected suicide deaths by mental health patients\u00a0<\/h3>\n<p>To date,\u00a0we have been notified of 104 suspected suicide deaths by patients under mental health care in England, the majority (66, or 63%) by in-patients.\u00a0\u00a0<\/p>\n<p>We were notified of 47 suspected suicide deaths which occurred between\u00a01\u00a0January\u00a02025 and\u00a02\u00a0December\u00a02025. Of these,\u00a0over half (27, or 57%) were men and most were aged between 25 and 44 (14, or 30%) and 45-64 (18, or 38%). 89% were white.\u00a0\u00a0<\/p>\n<p>The most common method of death was hanging\/strangulation (17, or 36%), followed by jumping\/multiple injuries (9, or 19%). Adverse experiences in the 3 months prior to death included isolation or loneliness (7, or 15%) and workplace and\/or financial problems (11, or 23%)\u200b.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Clinical Characteristics&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"clinical-character\">Clinical characteristics \u00a0<\/h3>\n<p>Of the 47 patients we were told about, most were in-patients (25, or 53%) with the remaining 22 (47%) patients dying within 2 weeks of discharge from in-patient care. The most common diagnoses were affective disorder (19, or 40%) and schizophrenia\u00a0or other primary psychotic disorders\u00a0(9, or 19%).\u00a0<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: In-patient deaths&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"in-patient2\">In-patient deaths<\/h3>\n<p>Most patients (23, or 92%) were admitted locally. At the time of death, two-thirds (15, or 60%) had been detained under Mental Health Act (MHA) powers and 10 (40%) had been admitted voluntarily. 6 (24%) patients self-harmed within 24 hours prior to death. 10 (40%) patients died on the ward itself, and over half (13, or 52%) were on agreed leave at the time of death.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Post-discharge patient death&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"post-discharge\">Post-discharge patient deaths<\/h3>\n<p>For 9 (47%) 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 (16, or 76%) of patients had their first follow-up within 3 days of discharge; in most cases (11, or 52%) this was face-to-face contact. 6 (29%) patients had experienced financial and\/or housing problems following discharge.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\"><strong>Real-time surveillance of mental health patient suicide<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#numbers-of-suspected\">Numbers of suspected suicide deaths by mental health patients <\/a><\/strong><\/li>\n<li><strong><a href=\"#clinical-character\">Clinical characteristics <\/a><\/strong><\/li>\n<li><strong><a href=\"#in-patient2\">In-patient deaths<\/a><\/strong><\/li>\n<li><a href=\"#post-discharge\"><strong>Post-discharge patient deaths<\/strong><\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Themes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"themes\">Themes in this report<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Suicide in crisis care settings &amp; Fig 15&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>In this section we provide more detailed data on specific topics, reflecting high or increasing risk. In this year&#8217;s report the themes are: those in crisis care settings, older (\u226575 years) patients, those with a primary diagnosis of anxiety disorders, and those who were recent migrants to the UK.<\/p>\n<h3 id=\"crisis\">Suicide in crisis care settings<\/h3>\n<p>In 2013-2023, there were an estimated 2,465 suicides by patients receiving treatment in crisis care settings. This represents 14% of all patient suicides, an average of 224 deaths per year.<\/p>\n<p>These included 2,377 (14%) patients under crisis resolution\/home treatment services (CRHT), an average of 216 deaths per year, and 88 (1%) whose last contact was with other crisis care teams (for example, crisis houses), an average of 8 deaths per year.<\/p>\n<p>The number of patients under crisis care has not changed in recent years following a peak in 2018 and a subsequent fall (<a href=\"#fig15\">Fig. 15<\/a>). There were also 207 (6%) patients whose last contact was with the related setting of liaison psychiatry services (data from 2019 onwards), an average of 41 deaths per year &#8211; these patients are not included in the following sections.<\/p>\n<h4>Fig. 15: Suicide by patients under crisis care settings in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15.png\" alt=\"Graph showing suicide by patients under crisis care settings in the UK and Jersey (2013-2023).\" width=\"1836\" height=\"1038\" class=\"alignnone size-full wp-image-7383\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15.png 1836w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-300x170.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-768x434.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-1024x579.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-150x85.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-250x141.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-350x198.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-15-1080x611.png 1080w\" sizes=\"(max-width: 1836px) 100vw, 1836px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 15 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Dashed lines represent estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 15 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients under crisis care settings who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of mental health patients receiving treatment in crisis care settings who died by suicide in the UK and Jersey from 2013 to 2023, broken down by sex. The total number of deaths fell between 2013 and 2016, but have since increased. The number increased for male patients from 129 in 2016 to 156 in 2022, but fell in 2023 to 139 deaths. The number also increased for female patients, from 66 in 2016 to 88 in 2023.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Suicide in crisis care settings &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"box3\">Characteristics of patients who were under crisis care settings and died by suicide (UK and Jersey, 2013-2023)<\/h4>\n<p>The majority (1,605, or 65%) of patients under crisis care were male.\u00a0More were aged 45-64 compared to other patients who died by suicide (1,079, or 45%, compared with\u00a05,589, or 38%); 181 (8%) were aged under 25, including 30 (1%) aged under 18. Around a third were married (736, or 32%) and 655 (29%) were employed (see:\u00a0<a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information).<\/p>\n<p>1,006 (44%) patients under CRHT lived alone. Although for most (1,116,\u00a0or\u00a060%), the care plan included\u00a0additional\u00a0social support from outside the home, such as from a relative, friend or neighbour, those living alone were less likely to receive\u00a0additional\u00a0support (368, or 47%\u00a0compared with\u00a0729, or 70%).<\/p>\n<p>Patients under crisis care were more likely to have depressive disorder (982, or 42%, compared with\u00a04,166,\u00a0or\u00a029%); fewer had schizophrenia or other primary psychotic disorders (246, or 10%, compared with\u00a02,159, or 15%). Over half (1,310,\u00a0or\u00a056%) had a comorbid (additional) mental illness and almost a quarter (537, or 23%) a comorbid physical illness.\u00a0A third had been ill for less than a year\u00a0(729, or 34%, compared with\u00a02,309,\u00a0or\u00a019%)\u00a0including 245 (12%) who had been ill for less than 3 months, more than in other patients in other settings (518, or 4%).<\/p>\n<p>Recent (previous 3 months) self-harm was more common among patients under crisis care (925, or 40%, compared with\u00a03,693,\u00a0or\u00a029%\u00a0for those in other settings); 617 (70%) had been seen by services (mostly an emergency department) for this episode of self-harm. Overall, 1,362 (58%) had experienced recent adverse life events, including serious financial difficulties (416, or 21%, compared with\u00a01,735,\u00a0or\u00a016%), relationship breakup (284, or 14%, compared with\u00a01,093,\u00a0or\u00a010%) and bereavement (228, or 10%\u00a0compared with\u00a01,076,\u00a0or\u00a09%). In 2020-2023,\u00a0nearly half\u00a0(214, or 48%) had reported insomnia, more than other patients (646, or 33%).<\/p>\n<p>A quarter died within 3 months of discharge from in-patient care (594, or 25%, compared with\u00a01,534, or 11%);\u00a0248 (10%) died within 2 weeks of discharge; 144 (6%) within a week. Of the patients specifically under CRHT, 813 (39%) had been receiving this care for less than a week, 217 (27%) of whom died within 3 months of discharge.\u00a0Immediate (61%\u00a0compared with\u00a084%) and long-term risk (40%\u00a0compared with\u00a060%) of suicide were less likely to be viewed as not present or low in patients under crisis care settings compared to other patients.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide in people aged 75 and over  &amp; Fig 16&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"suicide75\">Suicide in people aged 75 and over<\/h3>\n<p>Age categories for defining older adults have varied across settings and over time. In this report, we have chosen to describe people aged 75 and over, because they have a different clinical profile to those aged 65-74 years (who, for example, are less likely to have a physical illness or dementia).<\/p>\n<p>In 2013-2023, there were 5,184 suicides in the general population in those aged 75 and over, 7% of all suicides, an average of 471 deaths per year. The number increased overall and specifically in men and women aged 75-79, and in men aged 90 and above.<\/p>\n<p>An estimated 1,029 (20%) were suicides by mental health patients &#8211; people who had been in contact with mental health services in the previous 12 months &#8211; indicating an average of 94 deaths per year. This group represented 6% of all patients who died by suicide:<\/p>\n<ul>\n<li>479 (3% of all patients who died by suicide) were aged 75-79<\/li>\n<li>291 (2%) were aged 80-84<\/li>\n<li>174 (1%) were aged 85-89<\/li>\n<li>78 (0.4%) were aged 90 and over.<\/li>\n<\/ul>\n<p>The number of patients aged 75 and over fell after a peak in 2018, but has since been increasing overall and in men (<a href=\"#fig16\">Fig. 16<\/a>).<\/p>\n<h4 id=\"fig16\">Fig. 16: Suicide by patients aged 75 and over in the UK and\u00a0Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7622\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised.jpg\" alt=\"Graph showing suicide by patients aged 75 and over in the UK and Jersey (2013-2023).\" width=\"694\" height=\"410\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised.jpg 694w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised-300x177.jpg 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised-150x89.jpg 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised-250x148.jpg 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/02\/fig-16-revised-350x207.jpg 350w\" sizes=\"(max-width: 694px) 100vw, 694px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 16 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: The number of men and women in 2021 and 2023 do not total the overall figure due to rounding. Dashed lines represent estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 16 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients aged 75 and over who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of mental health patients aged 75 and over who died by suicide in the UK and Jersey from 2013 to 2023, broken down by sex. The total number of deaths fell in 2019 after a peak in 2018, but has since increased overall and in men. The number of female patients aged 75 and over has remained stable between 2013 and 2023.<\/p>\n<p>Note: Male and female numbers in 2021 and 2023 do not total the overall figure due to rounding.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Characteristics of patients aged 75 and over who died by suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"box4\">Characteristics of patients aged 75 and over who died by suicide (UK and Jersey, 2013-2023)<\/h4>\n<p>The majority (654, or 64%) of patients aged 75 and above were men. Most were married\/co-habiting (383, or 42%) or widowed (340, or 37%) (see <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information). Around half were living alone (489, or 51%) and 67 (7%) were in a nursing\/care home. Fewer older patients were from an ethnic minority group compared to younger patients (33, or 4%, compared with 1,173, or 7%).<\/p>\n<p>The most common primary diagnoses were depressive disorder (457, or 49%) and dementia (130, or 14%). Two-thirds (605, or 66%) were receiving care under older people\u2019s mental health services. Older patients were more likely to have had a short (&lt;1 year) history of mental illness compared to younger patients (262, or 32% compared with 2,888, or 20%).<\/p>\n<p>Over half had major physical illness (488, or 55% compared with 3,699, or 24% for younger patients); the most common were cardiovascular disease (50%), impaired mobility (28%), musculoskeletal disease (27%), diabetes (19%) and respiratory disease (18%).<\/p>\n<p>384 (41%) had a history of self-harm and 171 (19%) had self-harmed in the previous 3 months. 101 (12%) had experienced a recent bereavement. Factors commonly associated with suicide were less common in older patients, including alcohol misuse (111, or 12% compared with 7,520, or 48%, for younger patients), drug misuse (19, or 2% compared with 6,277, or 40%) or recent adverse life events (including financial difficulties) (392, or 43% compared with 7,671, or 51%).<\/p>\n<p>A quarter died by self-poisoning (246, or 25%) and, of the drug types used in self-poisoning, paracetamol and paracetamol\/opiate compounds were the most common (28%).<\/p>\n<p>Both short-term (716, or 85% compared with 11,034, or 80%) and long-term (508, or 65% compared with 7,277, or 56%) risk of suicide were more often viewed as not present or low compared to younger patients.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide in mental health patients with anxiety disorders &amp; Fig 17&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"anxiety\">Suicide in mental health patients with anxiety disorders<\/h3>\n<p>In 2013-2023, there were an estimated 1,337 patients who died by suicide who had received a primary diagnosis of anxiety disorder (includes anxiety, phobia, obsessive compulsive disorder, panic disorder and post-traumatic stress disorder). This represents 7% of all patient suicides, an average of 122 deaths per year. The average annual number increased from 98 in 2013-2016 to an estimated 147 in 2020-2023 (<a href=\"#fig17\">Fig. 17<\/a>). The increase was seen in men and women, and in all age groups except those aged under 18.<\/p>\n<h4 id=\"fig17\">Fig. 17: Number of mental health patients with a primary diagnosis of anxiety disorder who died by suicide in the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17.png\" alt=\"Graph showing number of mental health patients with a primary diagnosis of anxiety disorder who died by suicide in the UK and Jersey (2013-2023).\" width=\"1966\" height=\"1131\" class=\"alignnone size-full wp-image-7395\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17.png 1966w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-300x173.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-768x442.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-1024x589.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-150x86.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-250x144.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-350x201.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-17-1080x621.png 1080w\" sizes=\"(max-width: 1966px) 100vw, 1966px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 17 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Notes: Male and female numbers in 2019 and 2022 do not total the overall figure due to rounding. Dashed lines represent estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 17 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients with a primary diagnosis of anxiety disorder who died by suicide in the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of mental health patients with a primary diagnosis of anxiety who died by suicide in the UK and Jersey from 2013 to 2023, broken down by sex. The total number of deaths fell in 2014 and 2015, but has increased to a peak of 164 deaths in 2023. The number of male patients with anxiety disorder increased from 51 in 2014 to 100 in 2023. The number of female patients with anxiety disorder fell in 2015 to 26, but increased to 64 in 2023.<\/p>\n<p>Note: Male and female numbers in 2019 and 2022 do not total the overall figure due to rounding.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Characteristics of patients with a primary diagnosis of anxiety disorder who died by suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"box5\">Characteristics of patients with a primary diagnosis of anxiety disorder who died by suicide (UK and Jersey, 2013-2023)<\/h4>\n<p>832 (62%) patients with anxiety disorder were male (see <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information). Most patients (514, or 41%) were in the 45\u201364\u00a0age group; 110 (9%) were aged under 25, including 26 (2%) aged under 18. More patients with anxiety disorder were married (442, or 38%\u00a0compared with\u00a03,871,\u00a0or\u00a026%). 465 (41%) were unemployed and 112 (10%) were on long-term sick leave. 469 (40%) were living alone.<\/p>\n<p>They were more likely to have a comorbid (additional) psychiatric illness (853, or 68%\u00a0compared with\u00a08,672,\u00a0or\u00a055%\u00a0of those without a\u00a0primary\u00a0diagnosis of\u00a0anxiety disorder), most commonly depressive illness (488, or 39%).\u00a0Nearly a\u00a0quarter (266, or 23%) had been ill for less than a year.<\/p>\n<p>Fewer patients with anxiety disorder had a history of common risk factors, including self-harm (654, 54%\u00a0compared with\u00a09,327,or\u00a0\u00a061%), and alcohol (423, or 35%, compared with\u00a07,047,\u00a0or\u00a047%) or drug (353, or 29%, compared with\u00a05,801,\u00a0or\u00a038%) misuse.<\/p>\n<p>The majority (898, or 76%) were receiving antidepressants, in line with NICE guidance on the management of anxiety, but only a quarter were receiving psychological therapy (278, or 25%).\u00a0A\u00a0third (296, or 34%) were receiving benzodiazepines.<\/p>\n<p>Short-term risk of suicide was viewed as not present or low in 83%.<\/p>\n<h5>Patients aged under 25 with anxiety disorders<\/h5>\n<p>Of the 110 patients aged under 25 with anxiety, around half (54, or 49%) were female. Over a third were full-time students (34, or 37%), 20 (19%) were from an ethnic minority group, and a fifth (12, or 20%) identified as LGBT.\u00a0Suicide-related internet use (such as\u00a0visiting pro-suicide websites) was reported in more younger patients with anxiety compared to other patients aged under 25 (17, or 32%\u00a0compared with\u00a0148, or 18%).<\/p>\n<p>A similar proportion had a history of self-harm (78, or 73%, compared with\u00a01,126,\u00a0or\u00a077%) and alcohol and\/or drug misuse (54, or 51%, compared with\u00a0879, or 61%).\u00a0Over a third were receiving psychological therapy (38, or 38%).\u00a0Long-term risk of suicide was more likely to be viewed as not present or low in young patients with anxiety\u00a0disorder compared to other young patients\u00a0(64%\u00a0compared with\u00a050%).<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Suicide in mental health patients who were recent migrants to the UK &amp; Fig 18&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"migrant\">Suicide in mental health patients who were recent migrants to the UK<\/h3>\n<p>In 2013-2023, there were 838 patients known by clinicians to have resided in the UK for less than 5 years, of whom 33 were seeking to stay in the UK (for example, an asylum seeker, a refugee, or a patient seeking to continue living in the UK after their visa had expired). This group represented 5% of all patient suicides, an average of 76 deaths per year. The number has increased since 2017, especially in women (<a href=\"#fig18\">Fig. 18<\/a>). These figures are confirmed and not estimated, and may increase substantially further in 2021-2023 as NCISH figures become more complete.<\/p>\n<h4 id=\"fig18\">Fig. 18: Number of mental health patients who died by suicide and were recent migrants to the UK and Jersey (2013-2023)<\/h4>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18.png\" alt=\"Graph showing number of mental health patients who died by suicide and were recent migrants to the UK and Jersey (2013-2023).\" width=\"2033\" height=\"1101\" class=\"alignnone size-full wp-image-7399\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18.png 2033w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-300x162.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-768x416.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-1024x555.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-150x81.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-250x135.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-350x190.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-18-1080x585.png 1080w\" sizes=\"(max-width: 2033px) 100vw, 2033px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 18 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: The numbers shown are confirmed and not projected. As data collection is not yet complete for 2021-2023, it is likely that these numbers will increase.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 18 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Number of mental health patients who died by suicide and were recent migrants to the UK and Jersey (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of recent migrants to the UK and Jersey who were mental health patients and died by suicide from 2013 to 2023, broken down by sex. The total number of suicides fell after 2013 to a low of 51 in 2017, but then increased to 76 in 2018 and was 87 in 2023. The increase in suicides was seen in both men and women who were recent migrants.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Characteristics of patients who were recent migrants and died by suicide&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4 id=\"box6\">Characteristics of patients who were recent migrants and died by suicide (UK and Jersey, 2013-2023)<\/h4>\n<p>548 (65%) patients who were recent migrants were male. Overall, they were younger than other patients, with most aged 25-44 (362, or 43%, compared with 5,955, or 36%); 95 (11%) were aged under 25 and 11 (1%) were aged under 18. In 678 (87%), their ethnicity was reported as white (see <a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">additional online data<\/a> for further information). Of those from an ethnic minority, the most common groups were South Asian (Indian, Pakistani, Bangladeshi) (23, or 3% of recent migrants) and Black African (19, or 2%). Overall, half were unemployed (371, or 50%) and 355 (46%) were living alone.<\/p>\n<p>A history of self-harm (58%), alcohol (47%) and drug (39%) misuse were common. More recent migrants had a history of childhood abuse compared to other patients (230, or 40%, compared with 4, 156, or 34%).<\/p>\n<p>The most common primary diagnoses were affective disorders (308, or 38%, including depressive illness (225, or 28%) and bipolar disorder (83, or 10%)) and schizophrenia or other primary psychotic disorders (137, or 17%). Over half (54%) had a comorbid (additional) mental illness and a quarter had a recent (&lt;12 months) history of illness (177, or 26%). 175 (23%) had missed their last contact with services.<\/p>\n<p>A higher proportion died after recent (past 3 months) discharge from in-patient care (133, or 17%, compared with 1,977, or 13%), including within a week of discharge (26, or 14%, compared with 271, or 8%). Around a third had been discharged to housing, financial or employment problems (27, or 34%, compared with 275, or 22%) and a quarter discharged to poor social support (22, or 28%, compared with 228, or 18%).<\/p>\n<p>Overall, half had experienced recent adverse life events (404, or 53%), including serious financial problems (21%), workplace problems (8%) and legal problems (4%). Clinicians estimated short-term suicide risk to be not present or low in 81%.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\"><strong>Themes in this report<\/strong><\/a>\n<ul>\n<li><strong><a href=\"#crisis\">Suicide in crisis care settings <\/a><\/strong><\/li>\n<li><strong><a href=\"#suicide75\">Suicide in people aged 75 and over <\/a><\/strong><\/li>\n<li><strong><a href=\"#anxiety\">Suicide in mental health patients with anxiety disorders <\/a><\/strong><\/li>\n<li><a href=\"#migrant\"><strong>Suicide in mental health patients who were recent migrants to the UK<\/strong> <\/a><\/li>\n<\/ul>\n<\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Homicide in the UK  &#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"homicide_in_the_uk\">Homicide in the UK <\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Homicide intro &amp; Fig 19&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>In 2013-2023, NCISH was notified of 5,733 homicide convictions in England, Wales and Scotland, an average of 521 per year. There were 6,097 victims, an average of 554 per year.<\/p>\n<p>There were an estimated 622 patients in recent (&lt;12 months) contact with mental health services who were convicted of a homicide offence, 11% of general population homicides, an average of 57 per year. There were 642 victims, an average of 58 per year. Around 1 in 4 patients convicted of homicide were under 25 (151, or 25%), and 41 (7%) were under 18.<\/p>\n<p>The number of convictions fell after 2013 and remained similar in 2014-2019 (<a href=\"#fig19\">Fig. 19<\/a>), but estimated figures in 2021-2023 show an increase. Figures in 2020 may be low because of delays in court prosecutions and outcomes due to COVID-19. These estimated figures should be treated with caution. Homicides by people in contact with mental health services based on year of offence showed no increase (<a href=\"#fig19\">Fig. 19<\/a>).<\/p>\n<p>Across the UK, patients represented 11% of people convicted of homicide (<a href=\"#table1\">Table 1<\/a>). This figure continues to be higher in Scotland (15%) and Wales (15%), and where the general population homicide rates are also higher.<\/p>\n<p>Northern Ireland homicide convictions data were available only until 2014. There were 39 homicide convictions in 2013-2014, and fewer than 3 homicides were by patients.<\/p>\n<h3 id=\"fig19\">Fig. 19: Homicide by patients in recent (&lt;12 month) contact with mental health services in England, Wales and Scotland, by year of conviction and year of offence (2013-2023)<\/h3>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-7378\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19.png\" alt=\"Graph showing homicide by patients in recent (\" width=\"1939\" height=\"1148\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19.png 1939w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-300x178.png 300w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-768x455.png 768w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-1024x606.png 1024w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-150x89.png 150w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-250x148.png 250w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-350x207.png 350w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2026\/01\/Fig-19-1080x639.png 1080w\" sizes=\"(max-width: 1939px) 100vw, 1939px\" \/><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 19 notes&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"font-size: 0.9em\">Note: Dashed lines represent estimated numbers in 2021-2023.<\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Fig 19 description&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div style=\"background-color: #ececed;padding: 10px 20px;margin: 1.2em 0 2em\">\n<details>\n<summary style=\"font-size: 1.3em\">Click for description of graph: Homicide by patients in recent (&lt;12 month) contact with mental health services in England, Wales and Scotland, by year of conviction and year of offence (2013-2023).<\/summary>\n<p style=\"padding-top: 1em\">The data shows the number of homicide offences and convictions by patients in contact with mental health services in the UK from 2013 to 2023. The number of convictions fell after 2013, and remained similar in 2014-2019 but increased in 2021-2023. Homicides based on year of offence showed no increase after a peak in 2017.<\/p>\n<\/details>\n<\/div>\n<p>[\/et_pb_text][et_pb_button admin_label=&#8221;Button: Download data&#8221; _builder_version=&#8221;3.17.6&#8243; button_text=&#8221;Download a spreadsheet of all data (.xlsx)&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78471&#8243; \/][et_pb_text admin_label=&#8221;Text: Table 1&#8243; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h3 id=\"table1\" style=\"padding-bottom: 1.25em\">Table 1: Number of homicide offenders in the general population and by patients in recent (&lt;12 month) contact with mental health services, by UK country excluding Northern Ireland (2013-2023)<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\"><strong>Homicide in the UK<\/strong><\/a><\/li>\n<li><a href=\"#links\">Links to additional online data by UK country<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Text: General population (N)&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4>General population (N)<\/h4>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Text: Patients under mental health care&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h4>Patients under mental health care (N%)<\/h4>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;1_3&#8243;][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Figs general population (N%)&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>England:<\/strong>\u00a04,996<\/p>\n<p><strong>Scotland:<\/strong>\u00a0492<\/p>\n<p><strong>Wales:<\/strong>\u00a0245<\/p>\n<p><strong>UK (excluding NI):<\/strong>\u00a05,733<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Figs patients under mental health care&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>England:<\/strong>\u00a0509 (10%)<\/p>\n<p><strong>Scotland:<\/strong>\u00a076 (15%)<\/p>\n<p><strong>Wales:<\/strong>\u00a037 (15%)<\/p>\n<p><strong>UK (excluding NI):<\/strong>\u00a0622 (11%)<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Spacing&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:  Links&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"links\">Links to additional online data by UK country<\/h2>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: links&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>Further data can be found by using the links below:<\/strong><\/p>\n<ol>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78383\">UK additional online data<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78384\">England additional online data<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78385\">Northern Ireland additional online data<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78386\">Scotland additional online data<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78387\">Wales additional online data<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78388\">Projecting suicide figures<\/a><\/li>\n<li><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78389\">Evidence reference guide<\/a><\/li>\n<\/ol>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][et_pb_text admin_label=&#8221;Jumplinks&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#about-report\">About the report<\/a><\/li>\n<li><a href=\"#our-database\">Our database<\/a><\/li>\n<li><a href=\"#what\">What the report covers<\/a><\/li>\n<li><a href=\"#changes-in-the-ncish\">Changes in the NCISH&nbsp;methodology<\/a><\/li>\n<li><a href=\"#key-findings\">Key findings<\/a><\/li>\n<li><a href=\"#clinical-messages\">Clinical messages<\/a><\/li>\n<li><a href=\"#Suicide-in-the-general-population\">Suicide in the general population<\/a><\/li>\n<li><a href=\"#mental-health-patient-suicide\">Mental health patient suicide<\/a><\/li>\n<li><a href=\"#real-time\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<li><a href=\"#themes\">Themes in this report<\/a><\/li>\n<li><a href=\"#homicide_in_the_uk\">Homicide in the UK<\/a><\/li>\n<li><a href=\"#links\"><strong>Links to additional online data by UK country<\/strong><\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text: Download PDF&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-1712 size-full alignleft\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2018\/06\/Icon__Download_blue.jpg\" alt=\"Down-pointing arrow.\" width=\"44\" height=\"44\" \/><a href=\"https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=78594\">Download the full report (PDF)<\/a><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Back to top&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Spacer&#8221; _builder_version=&#8221;3.17.6&#8243; \/][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;Connect Title&#8221; 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<div class=\"et_pb_row et_pb_row_1 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> About the reportThe 2026 annual report from the National Confidential Inquiry into Suicide, Homicide and Safety in Mental Health (NCISH) provides findings relating to people aged 10 and above (in line with the Office for National [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":0,"parent":1479,"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-7242","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/7242","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=7242"}],"version-history":[{"count":266,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/7242\/revisions"}],"predecessor-version":[{"id":7645,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/7242\/revisions\/7645"}],"up":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/1479"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/media?parent=7242"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}