suicides in haringey dr nicole klynman assistant director public health
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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