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  • Chapter 5 - Using Evidence in Suicide Prevention

  • from Section 2 - Specific Challenges in Preventing Suicide
  • Edited by Rob Poole, Bangor University, Murad M. Khan, Aga Khan University, Catherine A. Robinson, University of Manchester
  • Book:
    Preventing Suicide
    Published online:
    18 December 2025
    Print publication:
    22 January 2026, pp 49-62

  • Summary

    Evidence is essential to suicide prevention. Delay until the evidence base is complete is not possible, so cautious advice must be given to policy makers on imperfect evidence. This means recognising uncertainty, including the risk that the advice may cause more harm than good. Evaluation during implementation is critical but frequently neglected. The UK has a system of nationwide statistics, supplemented by a National Confidential Inquiry into Suicide and Safety in Mental Health (NCISH) into all apparently suicidal deaths during or after mental health care. In addition, there are recently devised real-time statistics of suspicious deaths. There is a system of self-harm registers, independent of official systems. These systems have generated unusually good information on suicidal deaths and self-harm, leading to tangible improvements. However, like all evidence, it is still imperfect.