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The national confidential inquiry into suicide and homicide by people with mental illness: lessons for mental health care in Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2008
- Pagination:
- 160p.
- Place of publication:
- Manchester
This report by the National Confidential Inquiry examines the details of individual cases of suicide and homicide by people with mental illness. In the time covered by the report (six years for suicides, five years for homicides) there were around 5,000 suicides and around 500 homicides in Scotland. However, the Inquiry found that only 28% of the people who died by suicide and 12% of those who committed a homicide had recently been mental health patients. The report highlights the key areas of clinical practice where improvement is needed and suggests what changes could be made. Two points are emphasised. One is the low risk to the general public from mental health patients; the other is that people who need mental health care are at times imprisoned by the courts. Recommendations are made.
The national confidential inquiry into suicide and homicide by people with mental illness: lessons for mental health care in Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2008
- Pagination:
- 9p.
- Place of publication:
- Manchester
A summary of a report by the National Confidential Inquiry examines the details of individual cases of suicide and homicide by people with mental illness. Scotland has high rates of both suicide and homicide, in the general population and in patients. The report highlights the key areas of clinical practice, and includes suggestions to strengthen training and services for the management of drug and alcohol misuse.
Suicide among young people in Scotland: a report from the Scottish Suicide Information Database
- Author:
- Public Health Scotland
- Publisher:
- Public Health Scotland
- Publication year:
- 2022
- Pagination:
- 65
- Place of publication:
- Edinburgh
This report presents data on deaths from probable suicide among persons aged 5-24 years, registered with the National Records of Scotland (NRS) during the calendar years 2011 to 2020. The data reveals that a quarter (25.7%) of all deaths among 5-24-year-olds were probable suicides. This compares to 1.2% of all deaths among those aged 25 and over. The average suicide rate among 5-24-year-olds was 6.6 deaths per 100,000 people over the period 2011 to 2020. This was significantly lower than the average suicide rate of 17.5 deaths per 100,000 people among those aged 25 and over. There is a significantly increasing linear trend in suicides in 5-24-year-olds as a proportion of all suicides across the period 2011 to 2020. The suicide rate among 5-24-year-olds decreased in the first half of the 10- year period from 8.1 per 100,000 people in 2011 to a low of 4.4 per 100,000 people in 2015, before increasing to a high of 9.2 per 100,000 people in 2019. The suicide rate in the 25+ age group followed a similar pattern. Hanging, strangulation and suffocation was the most commonly used method overall, and among males in both age groups and women aged 15-24 years. The use of this method was significantly more prevalent among 5-24-year-olds (63.9% of deaths) than among people aged 25 and over (45.9% of deaths). In contrast, deaths from self-poisoning were significantly less prevalent (18.2% and 31.0%, respectively). 5-24-year-olds were significantly less likely to have had contact with a healthcare service in the period before death than people aged 25 and over. Overall, 65.6% of 5-24-year-olds had contact compared to 79.8% of those aged 25+. Across the 5-24 age group, suicide was the leading cause of death, accounting for a greater proportion of lives lost (25.7%) than accidental poisonings (14.1%) and land transport accidents (10.1%). Suicide was also the leading cause of death in the 10-14, 15-19 and 20-24 age groups, considered separately. (Edited publisher abstract)
Death in detention monitoring: visit and monitoring report
- Author:
- MENTAL WELFARE COMMISSION FOR SCOTLAND
- Publisher:
- Mental Welfare Commission for Scotland
- Publication year:
- 2014
- Pagination:
- 11
- Place of publication:
- Edinburgh
In the year 2012-13, 78 deaths of individuals subject to compulsory treatment were notified to Mental Welfare Commission for Scotland. During this period, a total of 6721 individuals were, at some point, subject to compulsory treatment. This paper gives an analysis of these deaths and also sets this number in context of the total number of individuals subject to the Mental Health (Care and Treatment) (Scotland) Act 2003 and the higher mortality rate among individuals known to mental health services. The report includes examples of the deaths reported to the Commission and categorises them according to their causes, including death by natural causes, sudden death with no direct relation to mental health, sudden death with no explanation or possible relation to mental illness or learning disability (or treatment), suicide and death associated to delirium. The data show that individuals who are subject to compulsory treatment are no more likely to die than anyone else who is, or has been, treated for mental illness, learning disability or related conditions. While the death rate in general of individuals with a history of mental health admission is higher, it is not compulsory treatment that is associated with death: it is the presence of mental illness, learning disability and related conditions. (Edited publisher abstract)
The national confidential inquiry into suicide and homicide by people with mental illness: annual report: England, Wales, and Scotland
- Authors:
- APPLEBY Louis, et al
- Publisher:
- University of Manchester
- Publication year:
- 2011
- Pagination:
- 91p., bibliog.
- Place of publication:
- Manchester
The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness is a UK-wide research project established at the University of Manchester which examine all incidences of suicide and homicide by people in contact with mental health services in the UK, and also examine cases of sudden death in the psychiatric in-patient population. This annual report presents findings for: suicides in England and Wales for 1997-2008; suicides in Scotland 1998-2008; homicide convictions in England and Wales from 1997-2007; homicide convictions in Scotland from 1998-2008; and sudden unexplained deaths in England and Wales from 1999-2007. It includes statistics on the rates of suicide in the general population and in mental health service patients, by age group, sex, Strategic Health Authority, and by method of suicide. It also includes statistics on the rates of homicide in the general population, mentally ill people in the general population, and mental health service patients by various criteria including age and sex. For both suicides and homicides, the statistics include the number of mental health service patients who refused drug treatment and who missed their last appointment with services.
Lessons from down under
- Author:
- CHRISTIE Bryan
- Journal article citation:
- Care and Health Magazine, 45, 24.9.03, 2003, pp.28-29.
- Publisher:
- Care and Health
Looks at the Mental Health First Aid Programme which has been adopted in Scotland following it's success in Australia. The programme trains health professionals, social workers, carers, teachers and members of the public to recognise the signs of mental health and applying strategies to help the person concerned, and guide them towards professional help.
National Confidential Inquiry into Suicide and Homicide by People with Mental Illness. Annual report: England, Northern Ireland, Scotland and Wales. October 2017
- Author:
- NATIONAL CONFIDENTIAL INQUIRY INTO SUICIDE AND HOMICIDE BY PEOPLE WITH MENTAL ILLNESS
- Publisher:
- University of Manchester
- Publication year:
- 2017
- Pagination:
- 132
- Place of publication:
- Manchester
Presents data and analysis on suicide, homicides and sudden unexplained deaths in the UK between 2005 and 2015, focusing on mental health. As well as providing data for the individual countries of the UK, it also provides UK-wide data for suicide in people with eating disorders, autism spectrum disorders, people living with dementia, carers and members of the armed forces. The report also makes recommendations for clinical practice to improve safety in mental health care. Key findings show that there were 1,538 patient suicides in the UK in 2015. Northern Ireland has the highest general population suicide rate, while the rates in the other countries have fallen. There have also been downward trends in the number of suicides by patients recently discharged from hospital in England and Scotland; and suicide by mental health in-patients. Messages to improve mental health care include a renewed emphasis on suicide prevention on in-patient wards; for services to build on the recent fall in suicide following discharge from in-patient care; and for a greater focus on alcohol and drug misuse as a key component of risk management in mental health care. (Edited publisher abstract)
Well Scotland
- Publisher:
- NHS Scotland
The website wellscotland.info provides information for professionals working in the field of mental health improvement. It was re-launched in May 2010 to bring it up to date with the current policy and action plan for mental health improvement in Scotland: Towards a mentally flourishing Scotland (TAMFS). The site provides a wide range of guidance documents, policy updates and a range of useful resources. Members of the public may be interested in the Your mental health section.
The skill of an inside job
- Author:
- WRIGHT Colin
- Journal article citation:
- Nursing Times, 3.12.97, 1997, pp.14-15.
- Publisher:
- Nursing Times
Reports on how prison nurses are rising to the challenge of improving mental health care for inmates.
Delivering for mental health
- Author:
- SCOTLAND. Scottish Executive
- Publisher:
- Scotland. Scottish Executive
- Publication year:
- 2006
- Pagination:
- 24p.
- Place of publication:
- Edinburgh
A delivery plan for mental health in Scotland is presented. A functional approach is used that focuses on the key elements of services that need to be in place at each point in a journey of care so that clinicians, service users and carers can be clear about what needs to be delivered. In any service there should be a description of the purpose of the service, the target population, as well as arrangements for standardised joint assessment, referral, admission and discharge, and a range of interventions and therapies which meet the range of needs within the community. The document covers: improvement of the patient and carer experience of mental health services, how to respond better to depression, anxiety and stress, improving the physical health of people with mental illness, better management of long-term mental health conditions, early detection and intervention in self-harm and suicide prevention, better management of admission to, and discharge from, hospital, and child and adolescent mental health services.