Suicide in the United Kingdom

Last updated

Suicide rate per 100,000 population in the United Kingdom from 1990 to 2019 Suicide death rate per 100,000 population in the United Kingdom.svg
Suicide rate per 100,000 population in the United Kingdom from 1990 to 2019
Suicide deaths per 100,000 persons (1960–2017) in G7 countries, Russia and South Korea [1]

Suicide is a significant national social issue in the United Kingdom. In 2019 there were 5,691 registered deaths by suicide in England and Wales, equating to an average of 18 suicides per day. [2] Suicide is the single biggest killer of men under the age of 45 in the country. [3]

Contents

Governmental and other organisations have created different initiatives to attempt to prevent suicides in the country, including the establishment of a new post, Parliamentary Under Secretary of State (Mental Health, Inequalities and Suicide Prevention). [4]

Definition

The Office for National Statistics defines suicide as deaths from intentional self-harm (where a coroner has given a suicide conclusion or made it clear in the narrative conclusion that the deceased intended to end their own life) and events of undetermined intent (mainly deaths where a coroner has given an open conclusion) in people aged 15 and over, and also (since 2016) deaths from intentional self-harm in children aged 10 to 14. This definition will include more deaths than the definition used in other countries.

Dynamics

Researchers and sociologists have identified several causes for the high rate of suicide in the United Kingdom; these include recent recessions, unemployment, austerity measures and loneliness. [5] Research undertaken by Samaritans agree that socio-economic status tends to be the main cause, as it is for other groups. Relationship breakdown is another factor as they are often relying on a female partner for emotional support and are more likely to have access to their children restricted. [6] However, less attention has been paid to situational factors - the fact that opportunity is a decisive factor in many suicides. Major reductions in UK suicide resulted from the introduction of North Sea gas, replacing much more toxic coal gas, and by limiting the supply of over-the-counter painkillers like paracetamol and co-proxamol. [7]

Common methods

The most common method used in England and Wales is hanging, accounting for 59.4% of male and 45% of female suicides. [2] Other suicides reported often include self-poisoning. [8] Suicide using firearms accounts for only a very small fraction, possibly due to tight gun control, meaning very few households in the UK possess them (4 per cent). [9] Hanging is the most common method used by women, closely followed by self poisoning. [10]

Inhalation of domestic gas was the most common method of suicide during the mid-twentieth century. It was completely eliminated by the 1990s as a result of the replacement of coal gas containing toxic carbon monoxide by the non-poisonous natural gas. [11] [12] [13] Later, suicide by inhalation of carbon monoxide from car exhausts became common, but has declined since the introduction of catalytic converters. [14]

Statistics

Age-standardised rates generally fell between 1981 and 2007, with rates in subsequent years increasing to reach a peak of 11.1 deaths per 100,000 in 2013, though this was still substantially less than the rates seen in the 1980s and 1990s. [10] The highest rate of suicide was recorded as 21.4 deaths per 100,000 population in 1988. Male suicides have consistently accounted for approximately three-quarters of all suicides in the UK since the mid-1990s. [10]

6,507 people died by suicide in 2018, significantly more than in 2017. [2] In January 2013, MPs expressed concern at a rise in the number of suicides over the preceding years. [15]

The suicide rate of 11.2 deaths per 100,000 population recorded by the Office for National Statistics (ONS) in 2018 is an increase on the 10.1 per 100,000 population recorded in 2017, which was the lowest since the organisation began recording data on suicide in the United Kingdom in 1981. In 1981 the ONS recorded the UK suicide rate as 14.7 deaths per 100,000. [10]

Suicide rates within the United Kingdom per 100,000 people in 2020 Suicide rates within the United Kingdom per 100,000 people in 2020.png
Suicide rates within the United Kingdom per 100,000 people in 2020

In 2019, the 15% increase in the suicide rate in Scotland was described as "devastating," [16] with men most at risk. [17]

Suicide rate[ needs update ]
By sex; United Kingdom (1981–2017), rate per 100,000 people
YearAllMaleFemale
198114.719.510.6
198214.419.310.2
19831419.19.6
19841419.29.5
198514.720.19.8
198614.220.48.9
198713.419.68.2
198814.421.48.3
198912.7197.2
199013.220.26.9
199112.819.76.6
199212.919.96.6
199312.519.26.4
199412.118.86.1
199512.118.96
199611.618.15.8
199711.417.65.8
199812.419.36
199912.219.35.8
200011.918.45.9
200111.517.95.5
200211.217.15.6
200310.916.95.5
200411.116.95.8
200510.716.45.5
200610.416.25
20071015.64.7
200810.516.35
200910.316.14.9
201010.215.84.9
201110.916.85.3
201210.716.84.9
201311.117.84.8
201410.816.85.2
201510.916.65.4
201610.4165
201710.115.54.9
201811.217.25.4
Source: Office for National Statistics, National Records of Scotland, Northern Ireland Statistics and Research Agency [10] [18]
Age standardised suicide rate[ needs update ]
By gender and age group, United Kingdom (1981–2017), rate per 100,000 people (standardised to the European Standard Population)
Males agedFemales aged
Year10–2930–4445–5960–7475+10–2930–4445–5960–7475+
19819.819.523.122.028.638.51516.213.6
19829.119.023.622.028.13.28.413.915.414.2
19839.019.722.522.528.62.9812.814.813.4
19849.520.423.021.327.92.77.713.114.413.5
198510.821.623.222.629.12.77.513.715.913.5
198611.520.922.523.531.33.2711.313.813.3
198712.321.021.121.527.73.6710.511.810.8
198814.524.021.221.833.83.57.710.211.212.5
198913.821.421.116.926.83.76.499.310.6
199015.823.021.918.025.43.36.88.29.59.5
199115.125.021.515.624.03.46.48.48.19
199215.524.321.617.222.73.86.28.18.48.3
199315.923.321.415.221.23.66.67.579.5
199415.823.018.615.424.23.46.46.77.19.3
199515.324.819.514.221.23.36.576.38.3
199614.223.718.614.221.33.76.46.85.87.5
199715.122.118.613.020.03.56.57.26.36
199816.826.020.113.617.83.96.86.76.56.9
199914.925.719.915.120.63.66.76.467
200014.924.419.313.618.73.96.47.55.66.5
200113.023.420.413.518.136.76.75.76.2
200212.424.219.113.014.23.76.16.65.46.8
200311.323.818.213.116.836.57.14.96.4
200410.623.719.112.718.23.16.67.55.97
20059.823.018.913.116.33.16.27.74.95.5
20069.622.719.613.114.92.85.27.554.7
20079.822.318.312.015.42.25.46.85.14.4
200810.723.419.312.814.32.86.17.14.44.5
200910.522.420.611.613.935.96.54.64.8
20109.421.320.712.415.035.86.84.74.3
201110.423.522.112.713.83.36.47.34.64.8
201210.623.023.012.313.22.75.77.44.24.4
20139.823.425.114.515.42.36.373.94.7
20149.921.323.913.614.43.26.17.34.64.6
201510.621.022.313.814.83.267.65.44.8
201610.520.721.812.313.43.45.57.34.63.5
20179.919.721.812.012.13.25.86.34.64.5
Source: Office for National Statistics, National Records of Scotland, Northern Ireland Statistics and Research Agency [10]

Suicide prevention

Sign promoting Samaritans near a payphone in the United Kingdom Beachy Head suicide phone.jpg
Sign promoting Samaritans near a payphone in the United Kingdom

Within the UK there are various organisations providing free mental health support.

The National Health Service (NHS) is the main provider of a range of mental health services, including 24/7 mental health crisis lines.

There are also prominent charities providing support via free helplines including Samaritans and Inner Allies (previously named Mind Allies).

The government of the United Kingdom and a number of international and national organizations have undertaken a variety of efforts and initiatives to prevent suicides. There are different associations that provide help and suggestions to suicidal people. Some notable organisations include Grassroots Suicide Prevention (who developed the first UK suicide prevention app - Stay Alive), Papyrus (a suicide prevention group founded in 1997 by Jean Kerr – who lost her son to suicide), [19] Maytree (a sanctuary for the suicidal), and U can cope. [20]

In 2012, the United Kingdom government decided to spend £1.5 million to develop planning and strategies on preventing suicides. [21] In January 2013, the social networking site Facebook started a partnership with suicide-prevention organisation "Save.org" to provide data that will be used to identify warning signs of people at risk of suicide. The service became live in the UK in 2016. [22]

On 10 October 2018, the Prime Minister, Theresa May, announced the UK's first Minister for Suicide Prevention. [23]

Terminology

There have been calls in the UK to change the language used around the topic of suicide, particularly the use of the phrase "commit suicide". The phrase is seen by some as suggesting suicide is a criminal act, thereby enforcing a notion of legal wrongdoing in the same way as "committing rape" or "committing murder".

The mainstream UK media currently observes the practice of avoiding the phrase "commit suicide" in line with the media reporting guidelines published by suicide prevention charity Samaritans, who refer to it as "inappropriate language". [24]

On 10 September 2018 (World Suicide Prevention Day) more than 130 British celebrities and campaigners called for an end to the phrase "commit suicide", instead preferring the term "die by suicide". The letter was backed by Samaritans, mental health charity Mind, Members of Parliament from all political parties, London Mayor Sadiq Khan, June Sarpong, Stephen Fry, Zoe Ball and others. [25] [26]

See also

General

Related Research Articles

Samaritans is a registered charity aimed at providing emotional support to anyone in emotional distress, struggling to cope or at risk of suicide throughout the United Kingdom and the Republic of Ireland, often through its telephone helpline. Its name derives from the biblical Parable of the Good Samaritan although the organisation itself is not religious.

Suicide is the second leading cause of death for people in the United States from the ages of 9 to 56.

A crisis hotline is a phone number people can call to get immediate emergency telephone counseling, usually by trained volunteers. The first such service was founded in England in 1951 and such hotlines have existed in most major cities of the English speaking world at least since the mid-1970s. Initially set up to help those contemplating suicide, many have expanded their mandate to deal more generally with emotional crises. Similar hotlines operate to help people in other circumstances, including rape, bullying, self-harm, runaway children, human trafficking, and people who identify as LGBT or intersex. Despite crisis hotlines being common, their effectiveness in reducing suicides is not clear.

<span class="mw-page-title-main">Suicide methods</span> Means by which a person dies by suicide

A suicide method is any means by which a person may choose to end their life. Suicide attempts do not always result in death, and a non-fatal suicide attempt can leave the person with serious physical injuries, long-term health problems, and brain damage.

<span class="mw-page-title-main">Suicide prevention</span> Collective efforts to reduce the incidence of suicide

Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change.

There are more than 700,000 estimated suicide deaths every year. Suicide affects every demographic, yet there are some populations that are more impacted than others. For example, among 15–29 year olds, suicide is much more prominent; this being the fourth leading cause of death within this age group.

Youth suicide is when a young person, generally categorized as someone below the legal age of majority, deliberately ends their own life. Rates of youth suicide and attempted youth suicide in Western societies and other countries are high. Youth suicide attempts are more common among girls, but adolescent males are the ones who usually carry out suicide. Suicide rates in youths have nearly tripled between the 1960s and 1980s. For example, in Australia suicide is second only to motor vehicle accidents as its leading cause of death for people aged 15 to 25.

<span class="mw-page-title-main">Suicide</span> Intentional act of causing ones own death

Suicide is the act of intentionally causing one's own death. Mental disorders, physical disorders, and substance abuse are risk factors. Some suicides are impulsive acts due to stress, relationship problems, or harassment and bullying. Those who have previously attempted suicide are at a higher risk for future attempts. Effective suicide prevention efforts include limiting access to methods of suicide such as firearms, drugs, and poisons; treating mental disorders and substance abuse; careful media reporting about suicide; improving economic conditions; and dialectical behaviour therapy (DBT). Although crisis hotlines are common resources, their effectiveness has not been well studied.

<span class="mw-page-title-main">Suicide in South Korea</span> Statistics and causes of suicide

Suicide in South Korea occurs at the 12th highest rate in the world. South Korea has the highest recorded suicide rate in the OECD. In South Korea, it is estimated to affect 0.02 percent of the population by the WHO. In 2012, suicide was the fourth-highest cause of death. The suicide rate has consistently declined between 2012 and 2019, the year when the latest data are available.

<span class="mw-page-title-main">Gender differences in suicide</span>

Gender differences in suicide rates have been shown to be significant. There are different rates of suicides and suicidal behavior between males and females. While females more often have suicidal thoughts, males die by suicide more frequently. This discrepancy is also known as the gender paradox in suicide.

World Suicide Prevention Day (WSPD) is an awareness day always observed on 10 September every year, in order to provide worldwide commitment and action to prevent suicides, with various activities around the world since 2003. The International Association for Suicide Prevention (IASP) collaborates with the World Health Organization (WHO) and the World Federation for Mental Health (WFMH) to host World Suicide Prevention Day. In 2011 an estimated 40 countries held awareness events to mark the occasion. According to WHO's Mental Health Atlas released in 2014, no low-income country reported having a national suicide prevention strategy, while less than 10% of lower-middle income countries, and almost a third of upper-middle and high-income countries had.

<span class="mw-page-title-main">Suicide in the United States</span> Statistics and causes of suicide in the U.S.

Suicide is a major national public health issue in the United States. The country has one of the highest suicide rates among wealthy nations. In 2020, there were 45,799 recorded suicides, up from 42,773 in 2014, according to the CDC's National Center for Health Statistics (NCHS). On average, adjusted for age, the annual U.S. suicide rate increased 30% between 2000 and 2020, from 10.4 to 13.5 suicides per 100,000 people. In 2018, 14.2 people per 100,000 died by suicide, the highest rate recorded in more than 30 years. Due to the stigma surrounding suicide, it is suspected that suicide is generally underreported. In April 2016, the CDC released data showing that the suicide rate in the United States had hit a 30-year high, and later in June 2018, released further data showing that the rate has continued to increase and has increased in every U.S. state except Nevada since 1999. From 2000 to 2020, more than 800,000 people died by suicide in the United States, with males representing 78.7% of all suicides that happened between 2000 and 2020. In 2022, around 49,500 people died by suicide according to the CDC, which is the highest number ever recorded. Surging death rates from suicide, drug overdoses and alcoholism, what researchers refer to as "deaths of despair", are largely responsible for a consecutive three year decline of life expectancy in the U.S. This constitutes the first three-year drop in life expectancy in the U.S. since the years 1915–1918.

Researchers study Social media and suicide to find if a correlation exists between the two. Some research has shown that there may be a correlation.

<span class="mw-page-title-main">Suicide in Canada</span>

According to the latest available data, Statistics Canada estimates 4,157 suicides took place in Canada in 2017, making it the 9th leading cause of death, between Alzheimer's disease (8th) and cirrhosis and other liver diseases (10th). In 2009, there were an estimated 3,890 suicide deaths.

<span class="mw-page-title-main">Suicide in Greenland</span> Statistics and causes of suicide in Greenland

Suicide in Greenland, an autonomous country within the Kingdom of Denmark, is a significant national social issue. Greenland has the highest suicide rate in the world: reports between 1985 and 2012 showed that an average of 83 people in 100,000 died by suicide yearly.

Historically, suicide terminology has been rife with issues of nomenclature, connotation, and outcomes, and terminology describing suicide has often been defined differently depending on the purpose of the definition. A lack of agreed-upon nomenclature and operational definitions has complicated understanding. In 2007, attempts were made to reach some consensus. There is also opposition to the phrase "to commit suicide" as implying negative moral judgment and association with criminal or sinful activity.

<span class="mw-page-title-main">United States military veteran suicide</span> Suicide among veterans of the United States armed forces

United States military veteran suicide is an ongoing phenomenon regarding the high rate of suicide among U.S. military veterans in comparison to the general civilian public. A focus on preventing veteran suicide began in 1958 with the opening of the first suicide prevention center in the United States. During the mid-1990s, a paradigm shift in addressing veteran suicide occurred with the development of a national strategy which included several Congressional Resolutions. More advancements were made in 2007, when the Joshua Omvig Veterans Suicide Prevention Act created a comprehensive program including outreach at each Veterans Affairs Office (VA) and the implementation of a 24-hour crisis hotline. PTSD, depression, and combat-related guilt in veterans are often related to suicide as it can be difficult for veterans to transition to civilian life.

<span class="mw-page-title-main">Suicide in Hong Kong</span>

In 2017, the suicide rate in Hong Kong was around 12 deaths per 100,000 people and ranked 32 in the world standing, which was its lowest rate in four years. The suicide rate for males was nearly double that for females, as it was 16.2 deaths per 100,000 males, and 8.8 deaths per 100,000 females. Although it has decreased slightly compared to previous years, for those aged 19 or younger it has risen by 50%. The Samaritans Hong Kong charity has described the issues as worthy of attention.

Suicide in Ireland has the 17th highest rate in Europe and the 4th highest for the males aged 15–25 years old which was a main contributing factor to the improvement of suicides in Ireland.

References

  1. "Health status - Suicide rates - OECD Data". Organisation for Economic Co-operation and Development (OECD). Retrieved 7 May 2020.
  2. 1 2 3 "Suicides in the UK - Office for National Statistics". www.ons.gov.uk. Retrieved 22 June 2020.
  3. Male suicide: 'His death was the missing piece of the jigsaw'. BBC News. Published 28 March 2018. Retrieved 23 September 2018.
  4. "Parliamentary Under Secretary of State for Mental Health, Inequalities and Suicide Prevention - GOV.UK". www.gov.uk. Retrieved 30 January 2020.
  5. "UK Suicide Rate Amongst Males Reaches 10-Year High In 2011 And Overall Number Rises 'Significantly'". The Huffington Post. Retrieved 19 March 2013.
  6. "Middle-aged men and suicide".
  7. "Crime". Biteback, 2013.
  8. "Suicide methods". University of Oxford (Centre for Suicide Research). Retrieved 19 March 2013.
  9. Professor of Health and Mental Health Columbia University Barbara Berkman Helen Rehr/Ruth Fizdale Chair (11 January 2006). Handbook of Social Work in Health and Aging. Oxford University Press. p. 151. ISBN   978-0-19-803873-3 . Retrieved 23 March 2013.
  10. 1 2 3 4 5 6 Suicides in the UK: 2017 registrations. Office for National Statistics. Published 4 September 2018. Retrieved 4 October 2018.
  11. Nancy J. Osgood (1992). Suicide in Later Life: Recognizing the Warning Signs. Lexington Books. p. 135. ISBN   978-0-669-21214-3 . Retrieved 23 March 2013.
  12. J. Mark G. Williams (2001). Suicide and Attempted Suicide: Understanding the Cry of Pain. Mark Williams. p. 188. ISBN   978-0-14-100561-4 . Retrieved 23 March 2013.
  13. N Kreitman (June 1976). "The coal gas story. United Kingdom suicide rates, 1960-71". Br J Prev Soc Med. 30 (2): 86–93. doi:10.1136/jech.30.2.86. PMC   478945 . PMID   953381.
  14. International Association for Suicide Prevention. Congress (1 January 2004). Suicide Prevention: Meeting the Challenge Together. Orient Blackswan. p. 66. ISBN   978-81-250-2553-5 . Retrieved 23 March 2013.
  15. Meikle, James (22 January 2013). "Alarm at rise in UK suicide rate". The Guardian. London. Retrieved 18 March 2013.
  16. "'Devastating' increase in Scotland's suicide rate". BBC News. 26 June 2019.
  17. "The men most at risk from suicide in Scotland". BBC News. 9 September 2019.
  18. Suicides in the UK: 2018 registrations. Office for National Statistics. Published 4 September 2018. Retrieved 2019-09-29.
  19. "Who We Are". Papyrus. Retrieved 12 October 2018.
  20. "Suicide prevention groups". patient.info. Retrieved 19 March 2013.
  21. "Suicide prevention strategy backed by £1.5m". The Guardian. London. 10 September 2012. Retrieved 19 March 2013.
  22. "Facebook partners with suicide prevention project". Wired.
  23. "PM pledges action on suicide to mark World Mental Health Day". GOV.UK. Retrieved 10 October 2018.
  24. "Best practice suicide reporting tips". Samaritans.
  25. "We Need To Stop Using This Word When Talking About Suicide". Refinery29. Retrieved 14 October 2018.
  26. "Stop saying 'commit suicide', urge celebrities and campaigners" . Independent. 10 September 2018. Archived from the original on 25 May 2022. Retrieved 14 October 2018.