This UK wide study  led by the National Confidential Inquiry into Suicide and Homicide by People with Mental Illness explores evidence for how services can reduce suicide.
This study extends previous findings as it is UK wide, examines a wider range of service changes and explores patient suicide rates over a longer time period.
The recommendations and service changes examined include:
- ward safety
- specialist community mental health teams
- information sharing
- multi-disciplinary review of suicides, and
- NICE guidance of self-harm, depression and schizophrenia
To improve safety, mental health services should:
- provide specialist community services such as crisis resolution/home treatment, assertive outreach and services for patients with dual diagnosis
- implement NICE guidance on depression
- share information with criminal justice agencies
- ensure physical safety, and reduce absconding on in-patient wards
- create a learning culture based on multi-disciplinary review.
1. National Confidential Inquiry into Suicide and Homicide by People with Mental Illness (NCISH) (2013) Patient suicide: the impact of service changes. A UK wide study. Manchester: University of Manchester.