Suicides in Haringey

Dr Nicole KlynmanAssistant Director Public Health

From epidemiology to policy

• More than 1 million deaths globally• Men are three times as likely to commit suicide, particulary

aged 30-44 years• Sustained fall in in-patient suicides

Policy OutcomeNo Health Without Mental Health (DH 2011)

6 objectives to better mental health in the population

Preventing Suicide in England (DH 2012)

Reduce suicide in key groups and support research, data collection and monitoring

The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (2012)

Provision of practical suggestions to support change management

Bounds Green

Tottenham Hale

Northumberland Park

Tottenham Green

Bruce Grove

Stroud Green

Seven Sisters

Harringay

Bounds Green

Tottenham Hale

Northumberland Park

Tottenham Green

Bruce Grove

Stroud Green

Seven Sisters

Harringay

Alexandra

Crouch End

Fortis Green

Highgate

HornseyMuswell Hill

Noel Park

St Ann's

West Green

White Hart Lane

Woodside

Life expectancy at birth for males(Compared to London 2004-2008)

Signif icantly higher than region

Higher but not signif icantly

Low er but not signif icantly

Signif icantly low er

Outcome two: Reducing gap in life expectancy

Life expectancy for males compared to London (2004-2008)

Outcome three: Improved mental health and wellbeing

MINI2000 (Mental Illness Needs Index)

Suicide audit methodology

• Office of National Statistics – Compendium of Population Health Indicators

• Data from BEHMHT• Coroners reports – database compiled• Exclusions – non-residents, individuals of no

fixed abode, suicides under 15 years• Place of birth was used as proxy indicator for

ethnicity

Audit results

Comparator boroughs

Borough Rate

Haringey 8.71

Hackney 8.84

Lambeth 6.64

Southwark 7.38

Lewisham 6.63

National 7.87

Coroners verdict – changes from previous audit

• 2001-2006• 75% open verdicts• Men 25-34• 44% born outside the UK

(37%)• 43% single• 66% no contact with MH

services

• 2008-2012• 85% open verdicts• Men 25-44• 34% born outside the UK

(42%)• 43% single• 81% employed (38% of

records)• 75% no contact with MH

services (13.5% of records)

Recommendations

• Audit and analysis

• Learning lessons

• Education and training

• Working together