Suicide and the Five-year Forward View For Mental Health- Maximising the utility of local suicide audits to achieve a 10% reduction in the national suicide rate
PHE ePoster Library. Sal Culmer D. 09/13/16; 138005; 97
David Munday, Sal Culmer
David Munday, Sal Culmer
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Abstract IntroductionThe Five-year Forward View For Mental Health has set a target of reducing suicide rates by 10%. In-line with the national trend and despite having a suicide prevention group, rates in Oxfordshire are not reducing. Local patterns and risk factors for suicide are not fully understood which limits our ability to develop targeted prevention interventions.MethodsAn audit of Coroner's suicide verdicts in Oxfordshire during 2014 was performed. Data collection was undertaken by searching inquest notes, using a bespoke tool developed in collaboration with partners. Results were correlated with the Office for National Statistics national and regional trend data.Results40% of suicides were in the 45-59 year-old age group (N=24) and 77% of all suicides (N=46) were in men. Hanging was the most frequently used means of suicide 52% (N=31). A trend toward suicide being more common in winter and on Mondays was found. 38% of individuals (N=23) had consulted primary care 14 days prior to death. Nine GP surgeries had more than twice the average suicide rate. Three deaths were associated with a recent criminal charge for paedophilia. The presence of a degenerative physical disability was an apparent risk factor. Diphenhydramine was found at toxic levels in two cases.ConclusionThe results for gender, age and means were in keeping with national data. However, the audit method utilised allowed identification of specific local trends and risk factors. These will inform local recommendations and actions for the multi-agency suicide prevention group that will contribute toward the targeted 10% reduction.
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