Suicide rate - ICP Outcomes Framework - Resident Locality

This dataset provides the age-standardised rate of deaths from suicide and injury of undetermined intent. It includes deaths registered in calendar years and classified using specific ICD-10 codes. The data is aggregated into quinary age bands starting from age 10 and is expressed per 100,000 population. Age standardisation ensures comparability across different population groups and time periods.

Rationale

Reducing the suicide rate is a critical public health goal. Monitoring this indicator helps identify trends, assess the effectiveness of mental health interventions, and inform policy decisions aimed at preventing suicide and supporting at-risk populations.

Numerator

The numerator is the number of deaths from suicide and injury of undetermined intent. These are classified by underlying cause of death using ICD-10 codes X60–X84 (ages 10+ only) and Y10–Y34 (ages 15+ only), and are registered in the respective calendar years. The data is grouped into quinary age bands.

Denominator

The denominator is the aggregated population-years for individuals aged 10 and over, also grouped into quinary age bands. These population estimates are based on the 2021 Census.

Caveats

Rates for the period 2001 to 2006 were revised in March 2015. Prior to this revision, ICD code Y33.9 was incorrectly included, which resulted in inflated rates for those years. Users should be cautious when comparing data across this time span.

External References

Further details and related indicators can be accessed on the Fingertips Public Health Profiles website.

Localities Explained

This dataset contains data based on either the resident locality or registered locality of the patient, a distinction is made between resident locality and registered locality populations:

• Resident Locality refers to individuals who live within the defined geographic boundaries of the locality. These boundaries are aligned with official administrative areas such as wards and Lower Layer Super Output Areas (LSOAs).
• Registered Locality refers to individuals who are registered with GP practices that are assigned to a locality based on the Primary Care Network (PCN) they belong to. These assignments are approximate—PCNs are mapped to a locality based on the location of most of their GP surgeries. As a result, locality-registered patients may live outside the locality, sometimes even in different towns or cities.

This distinction is important because some health indicators are only available at GP practice level, without information on where patients actually reside. In such cases, data is attributed to the locality based on GP registration, not residential address.

Click here to explore more from the Birmingham and Solihull Integrated Care Partnerships Outcome Framework.