RT @SamaritansCymru: Just a few days left to apply! @ProfAnnJohn @ResearchWales.

Thankyou- very much looking forward to working with you.

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RT @annaphillipsfn: 🟥Do you have lived experience of self-harm or #suicide? Do you want to shape research into early ⏳#SuicidePrevention ?….

Please come join us at the @ResearchWales funded National Centre for Suicide Prevention and Self-harm Research. .

I co-authored chapter on suicidal thoughts, suicide attempts and non-suicidal self-harm. P 8 Butt, S., Randall, E., Morris, S., Appleby, L., Hassiotis, A., John, A., McCabe, R., & McManus, S. (2025). Suicidal thoughts, suicide attempts and non-suicidal self-harm.

There were demographic and socioeconomic inequalities. Younger people, those of White British or ‘Mixed, multiple or other’ ethnicity, and those in problem debt or who were unemployed or economically inactive, were more likely to report lifetime suicidal thoughts, SA, SH.

Strong associations with physical and mental health. Over a third (35.8%) of people with a physical health condition that limited their activities had had suicidal thoughts in their life, 14.4% had made a suicide attempt, and 16.0% had self-harmed.

3.1% of those who had self-harmed reported doing so to relieve unpleasant feelings of anger, tension, anxiety or depression.

Suicidal thoughts in the past year has increased from 3.8% in 2000 to 6.7% in 2023/4. Made a past year suicide attempt, from 0.5% in 2000 to 1.0% (95% CI 0.7, 1.4) in 2023/4.

Self-harm has increased in 16-74 yr olds. Lifetime SH was reported by 2.4% in 2000, 3.8% in 2007, rising to 6.4% in 2014 and 10.3% in 2023/4. This increase was evident in men and women and across age-groups.

There may be some change in peoples willingness to report or recognition that they self-harmed but it's likely that trends over these surveys since 2000 reflect a real increase in thoughts and behaviours.

This century has seen a sustained rise in the proportion of the adult England population reporting having thought about suicide or having made a suicide attempt, and a steeper increase in having self-harmed without suicidal intent.

2023/24 Adult Psychiatric Morbidity Survey just published. great work as ever from @sallymcmanus and co. this was the first dataset I ever worked on. and for self-harm tells us about what's happening in the community, I work with health care records, we need both.

RT @ProfLAppleby: There are some research findings so embedded in healthcare that we forget someone had to actually do the studies. The fa….

Well done to Margare Diogu, her first paper with us! @ADR_Wales @wolfsoncentre.

The association between suicide and persistent absence was significant in unadjusted analyses but not significant in the adjusted analysis. It may be about numbers in a smaller effect.

8.6 % and 4.3 % of pupils had records of persistent absence or exclusion from school. The higher risk of suicide associated with exclusion is independent of some other risk factors such as history of self-harm and existing mental health issues.

We linked population-level routinely collected education, health and mortality data at an individual level for 580, 000 pupils in Wales (2012–2019). We assessed death by suicide up to December 2021 and controlled for absence, exclusion, sociodemographic, clinical risk factors.

Long-term strategies to support those excluded from school, addressing social, emotional and medical needs, needed given their heightened risk of future suicide. Attendance data, routinely collected by schools, has potential to be developed as an indicator of unmet need.