The National Confidential Inquiry: 20 years of suicide research Nav Kapur Head of Suicide Research & Professor of Psychiatry & Population Health

Suicide in mental health patients 92% response rate 24% of all people dying by suicide had contact with mental health services 21% of the clinical sample were inpatients Prevention: improved compliance, better supervision Appleby et al 1999 © 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.

Specific groups

Suicide and ethnicity Hunt et al 2003 © 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.

Trends

Trends: Scotland vs England and Wales Mok et 2012 © 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.

Inpatient suicide Kapur et al 2013 © 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.

Different methodologies

Case-control studies Bickley et al 2013 © 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.

Suicide in primary care patients Windfuhr et al 2016 © 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.

Suicide in children & young people Bereavement, physical health problems Exam pressures, bullying Suicide-related internet use in 23% No service contact in 43% Rodway et al 2016 © 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.

Impact of service changes and policy

Service recommendations and suicide rates Safety First, 2001 12 Steps to a Safer Service Removal of ligature points Assertive outreach 24-hour crisis team 7-day follow-up Non-compliance Dual diagnosis Criminal justice information sharing Multi-disciplinary review Training in suicide risk management While et al 2012 © 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.

Service recommendations and suicide rates While et al 2012 © 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.

Suicide and organisational factors Kapur et al 2016 © 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.

Suicide and 7-day working Kapur et al 2016 © 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.

Key findings and recommendations © 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.

NCISH outputs © 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.

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