1. Professor Louis Appleby Director, National Confidential Inquiry Chair, National Suicide Prevention Strategy (England)

2. Suicide rate, England 1995-2013 Source: ONS ICD 10 codes X60-X84 (for 10 year olds and over), Y10-Y34 (for 15 year olds and over), excluding Y33.9 - where the coroner's verdict was pending up to 2006. ICD 9 codes E950-E959 (for 10 year olds and over) and E980- E989 (for 15 year olds and over), excluding E988.8. Record low in 2006-7 Rise from 2008, linked to recession

3. Suicide rates in NHS areas 2011-13 Colour-coded, highest rates = darkest

4. Suicide rates in England, by age and gender Source: ONS ICD10 X60-X84 (for 10 year olds and over) and Y10-Y34 (for 15 year olds and over) Rates in men 3 x higher Highest rates in men 40-54 years Higher in over 75s

5. Age-specific male suicide rates Eng & Wales, 2000-2014 Source: ONS (derived)

6. National Suicide Prevention Strategy 2012: Reduce risk in high risk groups Tailor approaches to improve mental health in specific groups Reduce access to the means of suicide Support for those bereaved by suicide Support media in delivering sensitive approaches to suicide Support research, data collection and monitoring Six actions

7. Patient suicide, UK //

8. Suicide in inpatients and under crisis resolution/home treatment Suicide under CRHT now 3 x in- patient care 37% within a week 43% living alone Source: NCI, 2015

9. Mental health patient suicide: contact with other services/agencies Patient was also under: Substance misuse services12% Social care 12% Probation/diversion 2% Employment services 2% And in the 3m before suicide: Left in-patient care 17% A&E for self-harm15% Section 136 MHA 2% Source: NCI

10. Rates of self-harm in persons aged 15+, 2000-2012 Source: The Multicentre study of self-harm in England, 2015 Rising self-harm rate in males Female to male difference narrowing

11. Self-harm and suicide 50% of people who die by suicide have history of self-harm Risk of suicide increased up to 50-fold in year after self-harm 1 in 50 of people seen in A&E after self-harm have died within a year

12. Suicide risk & number of GP consultations in previous 12 months 12.3 7.8 1.67 Suicide linked to frequent GP consultation 12-fold increase with attendance x 2 per month Risk also high in non- attenders

13. APPG survey found that: 30% of LAs do no suicide audit work 30% of LAs have no suicide prevention action plan (+ 24% “in development”) 40% of LAs have no multi-agency suicide prevention group Local suicide prevention plans

14. Suicide prevention local action plans Services that men will access Plan to reduce heavy drinking Prevent suicide clusters

15. Suicide prevention at hotspots Barriers Helplines Intervention/patrols Local media Source: PHE

16. UK_SUICIDE © National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. All rights reserved. Not to be reproduced in whole or part without the permission of the copyright holder. Sensationalising and romanticising suicide

17. Local variation in male suicide rates

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