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Suicides in Haringey. Dr Nicole Klynman Assistant 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.
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Suicides in Haringey Dr Nicole Klynman Assistant 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
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
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