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

3. 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.

4. Specific groups

5. 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.

6. Trends

7. 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.

8. 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.

9. Different methodologies

10. 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.

11. 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.

12. 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.

13. Impact of service changes and policy

14. 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.

15. 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.

16. 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.

17. 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.

18. 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.

19. 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.

20. National Confidential Inquiry into Suicide and Homicide
by People with Mental Illness
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