Table 2.
Numbers of admissions and suicides with corresponding SMRs and summary patient demographics for people who died from suicide after discharge from hospital with physical illnesses across England and Wales
| England | Wales | |||||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Physical illness a | No. of admissions | No. of suicides at 1 year b | SMR (95% CI) | Mean (and median) age at suicide | % female | No. of admissions | No. of suicides at 1 year b | SMR (95% CI) | Mean (and median) age at suicide | % female |
| Infectious & parasitic diseases | 284 174 | 36 | 1.3 (0.9–1.7) | 48.1 (41.0) | 28 | 17 274 | c | 1.2 (0.1–3.5) | c | c |
| Septicaemia | 42 747 | 8 | 1.9 (0.8–3.5) | 60.8 (65.5) | 25 | 3260 | c | 3.3 (0.0–13.0) | c | c |
| Endocrine, nutritional & metabolic diseases | 279 099 | 71 | 2.6 (2.0–3.2) | 52.9 (52.0) | 35 | 18 347 | 7 | 3.9 (1.6–7.4) | 46.1 (47.0) | 0 |
| Diabetes mellitus | 121 531 | 31 | 2.3 (1.6–3.2) | 47.8 (45.0) | 32 | 8509 | 5 | 5.5 (1.7–11.4) | 46.6 (47.0) | 0 |
| Hypoglycaemia | 32 486 | 12 | 3.7 (1.9–6.2) | 56.9 (55.5) | 42 | 2088 | c | 4.9 (0.0–19.2) | c | c |
| Hypo-osmolality & hyponatraemia | 23 897 | 10 | 5.6 (2.5–9.9) | 66.9 (68.5) | 30 | 1371 | 0 | 0 | c | c |
| Cancers | 459 021 | 87 | 2.0 (1.6–2.4) | 67.4 (68.0) | 17 | 31 267 | 6 | 2.0 (0.7–3.9) | 75.5 (75.0) | 0 |
| Gastrointestinal cancers | 118 641 | 24 | 2.0 (1.3–3.0) | 66.5 (68.0) | 4 | 8640 | c | 2.4 (0.2–6.8) | c | c |
| Lung cancer | 65 334 | 15 | 2.4 (1.3–3.7) | 69.5 (68.0) | 20 | 4833 | c | 2.2 (0.0–8.5 | c | c |
| Lymphomas | 58 551 | 15 | 2.5 (1.4–3.9) | 67.6 (69.0) | 13 | 3311 | c | 0 | c | c |
| Disease of the nervous system | 443 852 | 98 | 2.2 (1.8–2.7) | 54.2 (54.0) | 38 | 29 206 | 9 | 3.2 (1.4–5.6) | 51.9 (47.0) | 33 |
| Parkinson's disease | 15 997 | 9 | 5.6 (2.5–9.9) | 70.3 (71.0) | 22 | 1321 | 0 | 0 | c | c |
| Epilepsy | 104 316 | 30 | 3.0 (2.0–4.1) | 42.2 (41.5) | 43 | 5845 | c | 4.7 (0.9–11.3) | c | c |
| Transient ischaemic attack | 117 949 | 15 | 1.5 (0.9–2.4) | 65.2 (67.0) | 27 | 6756 | c | 3.1 (0.3–8.9) | c | c |
| Circulatory diseases | 2 247 914 | 335 | 1.4 (1.3–1.6) | 64.2 (65.0) | 25 | 145 660 | 20 | 1.4 (0.8–2.0) | 60.9 (63.5) | 30 |
| Ischaemic heart disease | 765 742 | 107 | 1.3 (1.0–1.5) | 64.1 (63.0) | 17 | 49 508 | c | 0.4 (0.0–1.1) | c | c |
| Stroke | 337 752 | 50 | 1.5 (1.0–2.0) | 68.9 (70.0) | 22 | 21 041 | 5 | 2.5 (0.8–5.2) | 73.4 (71.0) | 0 |
| Pulmonary embolism | 87 602 | 15 | 1.8 (1.0–2.8) | 51.3 (55.0) | 33 | 5079 | 0 | 0 | c | c |
| Atrial fibrillation | 274 179 | 35 | 1.3 (0.9–1.8) | 72.7 (74.0) | 31 | 19 050 | c | 1.6 (0.3–4.0) | c | c |
| Heart failure | 170 924 | 18 | 1.1 (0.7–1.7) | 76.9 (79.0) | 33 | 12 223 | c | 0.8 (0.0–3.4) | c | c |
| Phlebitis & thrombophlebitis | 115 605 | 19 | 1.6 (1.0–2.4) | 50.2 (50.0) | 16 | 4879 | c | 2.0 (0.0–8.0) | c | c |
| Haemorrhoids | 35 192 | 9 | 2.1 (0.9–3.7) | 54.0 (53.0) | 22 | 2796 | 0 | 0 | c | c |
| Hypotension | 57 460 | 15 | 2.9 (1.6–4.5) | 71.0 (77.0) | 47 | 3794 | c | 2.9 (0.0–11.5) | c | c |
| Respiratory diseases | 1 530 397 | 273 | 2.0 (1.7–2.2) | 61.5 (63.0) | 33 | 105 950 | 20 | 2.0 (1.3–3.0) | 56.0 (56.5) | 20 |
| Pneumonia | 396 821 | 54 | 1.4 (1.1–1.8) | 61.8 (61.0) | 28 | 25 488 | 8 | 3.1 (1.3–5.7) | 63.9 (67.0) | 38 |
| Acute lower respiratory infections | 289 857 | 42 | 1.5 (1.1–2.0) | 65.9 (71.5) | 31 | 22 236 | c | 1.0 (0.1–2.7) | c | c |
| COPD | 326 051 | 79 | 2.8 (2.2–3.5) | 68.0 (68.0) | 42 | 25 273 | c | 1.8 (0.5–3.9) | c | c |
| Asthma | 177 629 | 21 | 1.3 (0.8–2.0) | 48.8 (48.0) | 43 | 10 911 | 0 | 2.2 (0.2–6.2) | c | c |
| Acute tonsillitis | 57 472 | 11 | 2.1 (1.0–3.4) | 34.1 (35.0) | 18 | 3862 | c | 2.9 (0.0–11.4) | c | c |
| Pleural effusion | 46 274 | 13 | 2.8 (1.5–4.5) | 72.5 (69.0) | 8 | 2698 | 0 | 0 | c | c |
| Gastrointestinal diseases | 1 918 700 | 425 | 2.2 (2.0–2.4) | 53.6 (52.0) | 28 | 130 016 | 31 | 2.4 (1.6–3.3) | 48.7 (42.0) | 29 |
| Gastro-oesophageal reflux disease | 46 786 | 11 | 2.2 (1.1–3.7) | 53.2 (57.0) | 46 | 3808 | 0 | 0 | c | c |
| Peptic ulcer | 75 321 | 13 | 1.4 (0.7–2.4) | 56.8 (56.0) | 8 | 4305 | 0 | 0 | c | c |
| Gastritis | 71 561 | 33 | 4.4 (3.0–6.0) | 50.0 (49.0) | 24 | 5872 | c | 4.9 (1.0–12.4) | c | c |
| Acute appendicitis | 156 380 | 17 | 1.0 (0.6–1.5) | 37.1 (37.0) | 18 | 8733 | c | 2.1 (0.2–6.0) | c | c |
| Herniae | 85 714 | 17 | 1.8 (1.0–2.7) | 60.8 (62.0) | 6 | 6119 | c | 2.9 (0.3–8.4) | c | c |
| Non-infective gastroenteritis | 209 855 | 42 | 2.2 (1.6–2.9) | 55.9 (51.5) | 48 | 13 943 | c | 0.8 (0.0–3.1) | c | c |
| Intestinal obstruction | 69 249 | 11 | 1.7 (0.8–2.8) | 66.8 (65.0) | 36 | 3969 | 0 | 0 | c | c |
| Diverticular disease | 99 882 | 20 | 2.2 (1.3–3.3) | 62.0 (63.5) | 50 | 7782 | c | 2.9 (0.3–8.3) | c | c |
| Alcoholic liver disease | 31 347 | 20 | 4.8 (2.9–7.1) | 46.4 (47.5) | 10 | 2535 | c | 6.0 (0.6–17.2) | c | c |
| Other liver disease | 22 200 | 13 | 5.6 (3.0–9.0) | 43.0 (45.0) | 23 | 1479 | c | 6.6 (0.0–25.8) | c | c |
| Gallstone disease | 233 627 | 16 | 0.8 (0.5–1.3) | 56.1 (60.0) | 63 | 19 326 | 0 | 0 | c | c |
| Acute pancreatitis | 68 649 | 18 | 2.4 (1.4–3.6) | 45.3 (39.5) | 33 | 4197 | c | 4.3 (0.4–12.5) | c | c |
| Chronic pancreatitis | 11 716 | 13 | 7.7 (4.1–12.4) | 43.5 (44.0) | 8 | 833 | c | 8.3 (0.0–32.4) | c | c |
| Upper gastrointestinal bleeding | 134 706 | 52 | 3.4 (2.5–4.4) | 49.3 (48.0) | 16 | 7988 | c | 4.5 (1.2–10.0) | c | c |
| Constipation | 115 470 | 43 | 4.1 (2.9–5.4) | 66.1 (68.0) | 33 | 9139 | 6 | 7.5 (2.7–14.2) | 62.2 (65.5) | 67 |
| Chronic anal fissure | 67 090 | 10 | 1.1 (0.5–1.8) | 36.4 (37.0) | 10 | 4085 | c | 1.8 (0.0–7.0) | c | c |
| Anal haemorrhage | 63 386 | 13 | 2.1 (1.1–3.4) | 61.7 (59.0) | 23 | 1703 | 0 | 0 | c | c |
| Skin diseases | 558 074 | 96 | 1.5 (1.3–1.9) | 48.7 (44.0) | 23 | 33 158 | 9 | 2.5 (1.1–4.4) | 57.0 (51.0) | 22 |
| Cellulitis | 252 877 | 46 | 1.6 (1.2–2.2) | 49.0 (43.5) | 17 | 15 405 | c | 2.3 (0.6–5.2) | c | c |
| Cutaneous abscess, furuncle & carbuncle | 129 863 | 29 | 1.9 (1.3–2.7) | 42.8 (41.0) | 21 | 6536 | c | 4.1 (0.8–10.0) | c | c |
| Musculoskeletal diseases | 877 248 | 146 | 1.7 (1.5–2.0) | 56.4 (54.0) | 34 | 47 243 | 9 | 2.0 (0.9–3.4) | 53.0 (54.0) | 33 |
| Back pain | 179 564 | 46 | 2.5 (1.8–3.3) | 42.8 (49.0) | 48 | 10 053 | c | 3.9 (1.0–8.8) | c | c |
| Genitourinary diseases | 1 172 753 | 130 | 1.2 (1.0–1.4) | 50.8 (45.0) | 39 | 74 484 | 15 | 2.3 (1.3–3.6) | 56.0 (57.0) | 47 |
| Acute renal failure | 58 879 | 10 | 1.7 (0.8–2.9) | 59.4 (58.5) | 30 | 3255 | c | 3.1 (0.0–12.3) | c | c |
| Urinary tract infections | 399 831 | 41 | 1.3 (0.9–1.7) | 58.2 (60.0) | 54 | 26 004 | 7 | 3.5 (1.4–6.5) | 60.9 (64.0) | 71 |
| Orchitis & epididymitis | 38 399 | 8 | 1.3 (0.5–2.3) | 44.9 (37.0) | 0 | 3143 | c | 2.0 (0.0–7.7) | c | 0 |
| Diseases of the blood | 180 963 | 29 | 1.8 (1.2–2.6) | 58.7 (54.0) | 24 | 11 693 | c | 2.0 (0.2–5.8) | c | c |
| Anaemias | 134 796 | 21 | 1.7 (1.1–2.6) | 62.2 (57.0) | 33 | 8796 | c | 2.3 (0.3–7.8) | c | c |
| All physical illnesses | 11 004 389 | 1781 | 1.7 (1.6–1.8) | 57.0 (56.0) | 30 | 713 496 | 131 | 2.0 (1.7–2.3) | 55.1 (53.0) | 28 |
a
Includes illnesses which led to at least eight suicides within 1 year of discharge from hospital.
b
Includes suicides or injury & poisoning of undetermined intent, recorded as the underlying cause of death.
c
Denotes less than five suicides.