Suicide is death resulting from an intentional, self-inflicted act.
Suicidal behaviour comprises both completed suicide attempts and acts of self-harm that do not have a fatal outcome, but which have suicidal intent.
Non-fatal self-harm is self-poisoning or self-injury, irrespective of motivation or extent of suicide intent (excluding accidents, substance misuse and eating disorders).
Probable suicide: The National Records of Scotland ( NRS) define probable suicides as deaths resulting from:
- intentional self-harm (codes X60–X84, Y87.0 of the International Classification of Diseases, Tenth Revision ( ICD10)); and
- events of undetermined intent ( ICD10 codes Y10-Y34, Y87.2).
'Events of undetermined intent': These are cases where it is not clear whether the death was the result of intentional self-harm, an accident or an assault. NRS combines intentional self-harm and undetermined deaths in their operational definition of 'probable suicide'. It should be noted that some 'undetermined intent' deaths may not have been suicides; inclusion of these cases, therefore, probably leads to an over-estimation of the 'true' (but unknowable) number of suicide deaths.
Useful Publications and Sources of Information
- A profile of deaths by suicide in Scotland 2009-2015 - report from the Scottish Suicide Information Database ( ScotSID) https://www.isdscotland.org/Health-Topics/Public-Health/Publications/2017-11-14/2017-11-14-ScotSID-Report.pdf
- National Confidential Inquiry into Suicide and Homicide by People with Mental Illness http://research.bmh.manchester.ac.uk/cmhs/research/centreforsuicideprevention/nci
- Best practice self-evaluation checklist for suicide prevention at sub-national (regional/local) level http://www.chooselife.net/Publications/publication.aspx?id=197
- Guidance on action to reduce suicides at locations of concern http://www.chooselife.net/uploads/documents/187-Guidance%20on%20Action%20to%20Reduce%20Suicides%20at%20Locations%20of%20Concern.pdf May 2016
- National guide on Suicide Prevention in Rural Areas http://www.chooselife.net/Publications/publication.aspx?id=74
- "Prevention of suicide and self-harm: Research Briefing Teuton, Platt and Atkinson; NHS Health Scotland May 2014: http://www.chooselife.net/uploads/documents/135-23356-Research%20briefing%20on%20prevention%20of%20suicide%20and%20self-harm.pdf
- Samaritans' Media Guidelines for the reporting of suicide: http://www.samaritans.org/media-centre/media-guidelines-reporting-suicide
- National Union of Journalists' guidelines on responsible reporting of mental health and suicide: https://www.nuj.org.uk/news/mental-health-and-suicide-reporting-guidelines/
- The Art of Conversation http://www.healthscotland.com/uploads/documents/6021-Art%20of%20Conversation.pdf
- After a Suicide - guidance https://www.samh.org.uk/documents/After_a_suicide.pdf
Sources of Support or Advice
- Local General Practitioner / Primary Care Practices
- NHS24 – shortcode 111
- Breathing Space – free, 0800 83 85 87 6pm to 2am Monday to Thursday; and 6pm Friday through the weekend to 6am Monday www.breathingspace.scot
- Samaritans 116 123 - free, 24 hours http://www.samaritans.org/your-community/samaritans-work-scotland
- Childline – free 0800 1111
57 Albion Road,
The Scottish Association for Mental HealthBrunswick House,
51 Wilson Street,
Mental Health Foundation Scotland30 George Square,