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louis appleby Profile picture
@ProfLAppleby
Apr 11 • 6 tweets • 2 min read Twitter logo Read on Twitter
New figures from @ONS show 5,275 suicides registered in England in 2022, a tragic total.

This means the national suicide rate is unchanged since 2018.

But in the detail there are important new figures on young people.

Short 🧵 & TW.
First, your regular reminder that these statistics & graphs represent real lives lost.

And that no suicide rate, high or low, rising or falling, is acceptable.
The new figs show a small ⬇️ in 2022 in youth suicide. However, 2021 is probably an unreliable baseline, inflated by inquests catching up after Covid disruption in 2020.

Better to look not at dates when deaths were registered but when they occurred. ONS has published them too.
Here are the ONS figures as a graph. It shows suicide in under 20s, the group whose rising rate post-2010 has caused such concern. Blue line = M & F combined.

The teenage suicide rate seems to have peaked in 2017. Or, to put it more cautiously, there has been no further rise. Image
We are a long way from where we need to be on suicide in <20s - 184 deaths were registered in 2022.

But a levelling off after the previous rise would be welcome. And a tribute to campaigning families & many in #suicideprevention who have made this age group their priority.
Here is the new @ONS report, containing links to the data in this thread.

ons.gov.uk/peoplepopulati…

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More from @ProfLAppleby

louis appleby Profile picture
Apr 12
New @ONS data give us, for first time, national suicide rates month by month for Covid years 2020 & 2021, compared to earlier years.

Graph shows no rise in these years overall, or any month, or any period of pandemic, including lockdown.

What can we learn from this? Image
It may tell us something about the protective power of social cohesion, of looking out for each other, of community, with its message of acceptance & concern.

If so, we need to hang on to it. It hasn’t looked in strong supply lately.
It may confirm something we saw after the 2008 recession, the life-saving impact of economic support - for people on benefits or in debt or fearing for their jobs & homes.

Particularly important as we head further into the cost of living crisis.
Read 6 tweets
louis appleby Profile picture
Nov 4, 2022
Manston, “invasion”, turning back boats, Rwanda. Complex issues like migration, involving vulnerable people, are rarely solved by getting tough, let alone talking tough.

Example from #mentalhealth. 10yrs ago prison policy was made more severe (remember the ban on books?). 1/6
This was meant to appeal to a section of the electorate who, misled by the media, saw prisons as too soft.

“Privileges” were curtailed.

What happened next may not have been cause & effect. Other factors may have played a part. But the timing was exact. 2/6
The number of suicides by prisoners doubled from 2012-16. Just 4 years. 135 “extra” deaths, which by the previous trend would not have occurred.

Self-harm too. A fall in self-harm by female prisoners over several years was reversed. 3/6
Read 6 tweets
louis appleby Profile picture
Nov 1, 2022
How can students & families tell how well a university is doing on suicide safety?

Does it talk credibly about a mentally healthy campus?

Check student/staff surveys: does experience match rhetoric on bullying, disability, international students, management style?

Short 🧵 1/5
Are all staff - academic & admin - trained in mental health & #suicideprevention?

So that if a student doesn’t hand in an essay, will they be seen as under-performing or will someone check they’re ok?

Is the physical environment safe?

2/5
Is mental health promoted, on exam stress, drugs & alcohol, financial worries & loneliness?

Is it clear how to get help if anxious or distressed - starting with practical advice, then counselling & if needed, referral to NHS?

3/5
Read 5 tweets
louis appleby Profile picture
Oct 1, 2022
Plenty of justified outrage following #BBCPanorama’s film of staff abusing patients in a secure mental health unit.

It made headline news. Investigations are under way. Staff have been suspended.

But outrage alone will not prevent a repeat.

Short 🧵 & TW.
Many felt weary over a too-familiar story.

That was my reaction. 5y ago I wrote about how my mother was assaulted in a care home - the perpetrator was erased from their professional register thanks to evidence from other staff.

No action was taken against the care home itself.
Individual responsibility is important here. No-one should excuse the member of staff who treats a patient cruelly.

But abuse takes place in a wider system that can be complacent & culpable. And that is where prevention lies.
Read 21 tweets
louis appleby Profile picture
Jun 22, 2022
Been asked for data sources re my #suicideprevention talk at #RCPsychIC. Mainly @ONS & my research unit @NCISH_UK - link to our website.

Short 🧵 on our research findings.

sites.manchester.ac.uk/ncish/
First, important reminder that graphs & data represent real lives lost, families devastated.
Our national study of suicide in CYP, almost 600 deaths over 3 yrs, based on data from inquests & other official sources.

Shows rapid rate rise in late teens & important stresses such as bullying, suicide bereavement & exams.

cambridge.org/core/journals/…
Read 10 tweets
louis appleby Profile picture
May 4, 2022
Discussion on Twitter this week of suicide rate in doctors, after widely-reposted tweet claiming rate in this country to be several times higher than in general population.

This is untrue in England (UK data not available).

It’s worth looking at the figures.

Short 🧵 & TW.
First, a reminder that suicide statistics are real people, lives cut short, preventable deaths not prevented.

No figure, high or low, is acceptable.
Key source of data is @ONS. 5yrs ago they reported on suicide in occupations.

Jobs at high risk tended to be low pay, low skill.

Risk in medics was not high. In male doctors, it was low (SMR 63). In females, average for general population (SMR 101).

ons.gov.uk/peoplepopulati…
Read 13 tweets

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