Department of Health and Social Care
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National suicide rate at an all time low
But suicides by mental health patients could be prevented by Supervised Community Treatment
A progress report published by the National Institute for Mental Health in England today shows that good progress is being made towards meeting the Government target to reduce suicide by 20 per cent by 2010, but more can be done to bring down the suicide rate further. The report sets out the achievements of the last 12 months and shows:
the lowest overall rate of suicide amongst the general population on record;
a fall in suicide rates amongst young men - continuing the downward trend since the problem of suicides in this group first escalated some 30 years ago;
a fall in the rate of self-inflicted deaths in prisons to 70 in 2005/6, a 17 per cent reduction compared with last year; and
a fall in the number of suicides amongst mental health in-patients from 217 in 1997 to 154 in 2004.
The report also says that more needs to be done to reduce the number of people in contact with mental health services who take their own lives. The Avoidable Deaths report published last year estimated that 56 mental health patients discharged from hospital die every year following non-compliance with medication or loss of contact with services. Supervised Community Treatment (SCT), a measure to improve clinical risk management that the Government is introducing in its Mental Health Bill, has the potential to help prevent those deaths.
Having a severe mental illness is a known risk factor of suicide and a significant number of suicides occur during in-patient care or shortly after discharge. Avoidable Deaths showed around 200 suicides a year - or 14 per cent of all suicides - follow non-compliance with treatment. Better compliance with treatment and closer supervision were highlighted by clinicians as the main ways of reducing suicide risk.
National Clinical Director for Mental Health Professor Louis Appleby said:
"The overall rate of suicide amongst the general population is continuing to fall and is the lowest on record. We are seeing encouraging progress towards the target to reduce suicide by 20 per cent by 2010 but is important that we maintain the momentum.
"I am very encouraged to see a further fall in the suicide rate for young men. There is now clear evidence of a sustained fall in suicide amongst this group.
"We are also seeing a reduction in the number of suicides amongst mental health in-patients. However, areas of clinical practice need to be strengthened if suicides in metal health care are to be prevented. Two important areas are the management of risk in patients discharged from hospital, and in patients who are non-compliant with their treatment.
"Good clinical care needs to be backed by legal powers, and this is why the Government is introducing Supervised Community Treatment in the Mental Health Bill currently being debated in Parliament. SCT will ensure that patients in the community who are at risk of suicide will receive the treatment they need."
The report includes a number of regional examples of the National Institute for Mental Health in England, part of the Care Services Improvement Partnership (CSIP), working with partner agencies to deliver on the extensive work outlined in the National Suicide Prevention Strategy for England. They include:
Durham and Darlington's Multi-Agency Suicide Prevention Task Force's research into the frequency and nature of contact with a number of agencies, including the criminal justice system, to develop information sharing protocols and pathways;
Barnsley PCT working with the Highways Agency on a study of bridge related suicides following a number of incidents around a junction of the M1. In partnership with the local council, and the Samaritans, signage has been erected on six local motorway bridges and one reservoir;
In the West Midlands, work with small non-statutory organisations in the promotion of health has been identified as an important factor in suicide prevention in rural communities; and
In London, the heightened risk of suicide amongst young men and those from ethnic minority groups is being addressed by the development of new outreach services targeted on specific ethnic groups. Local community groups are being engaged in order to increase local understanding of where people can access help.
NOTES TO EDITORS
The first was launched in September 2002 to support the target set in the White Paper Saving Lives: Our Healthier Nation to reduce the death rate from suicide and undetermined injury by at least 20 per cent by 2010. This is the fourth annual report outlining progress made in implementing the strategy.
Suicide rates, whilst fluctuating year on year, show a downward trend since the early 1980s. The target detailed above is to reduce the death rate from suicide and injury (and poisoning) of undetermined intent by at least a fifth by 2010 from a baseline rate of 9.2 deaths per 100,000 population in 1995/6/7 to 7.3 deaths per 100,000 in 2009/10/11.
The latest available data for the three years 2003/4/5 show a rate of 8.5 deaths per 1000,000 population - a reduction of 7.4 per cent from the 1995/6/7 baseline.
CSIP, with its eight regional development centres, works at a local and regional level to help implement the objectives of the strategy.
The National Suicide Prevention Strategy for England Annual report on progress 2006 is available to view online at http://www.nimhe.csip.org.uk
Avoidable Deaths: Five year report of the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness, published in December 2006, is available online at http://kc.csip.org.uk/viewresource.php?
More information on the Mental Health Bill is at http://www.dh.gov.uk/en/Policyandguidance/Healthandsocialcaretopics/Mentalhealth/DH_073490
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