Scotland's story is one of progress in this field and we want the Action Plan to support continuous improvement especially in the following areas: the NHS, the general population, and health inequalities.
Within NHS settings, the overall risk of a patient in contact with any particular healthcare service dying from suicide is very low. The Scottish Suicide Information Database ( ScotSID) has shown that 70% (3583) of those who completed suicide in the period 2009 to 2015 had some contact with NHS healthcare services in the 12 months prior to death  .
Regarding the general population, the ScotSID report refers to a 30% (1536) "…sizeable minority of the 'at risk' population who are not in contact with healthcare services prior to death but who have unmet mental health (and other) needs"  .
The high rates of suicide among males, people in their 'middle years', people who are not married/partnered and people who live in areas of socioeconomic disadvantage point to the challenging areas of health inequalities and groups "at risk" of suicide   . A research briefing suggests that those who identify as gay, lesbian or bisexual have a greater risk of suicidal ideation and suicide attempts  .
We want to ensure that wider transformation in health, including mental health, takes full account of suicide prevention and provides a mechanism to use resources to continue the downward trend in suicides that we all want to see.