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Trends in suicidal ideation in England: the National Psychiatric Morbidity Surveys of 2000 and 2007

  • N. Spiers (a1), P. E. Bebbington (a2), M. S. Dennis (a3), T. S. Brugha (a1), S. McManus (a4), R. Jenkins (a5) and H. Meltzer (a1)
  • DOI:
  • Published online: 28 March 2013

Recent falls in suicide rates should be accompanied by a decline in the prevalence of suicidal ideation.


We used a pseudo-cohort analytic strategy to examine trends in suicidal ideation measured identically in 2000 and 2007, in nationally representative English probability samples of adults aged ⩾ 16 years. Suicidal ideation included tiredness of life, death wishes and thoughts of suicide. Logistic regression models were fitted to estimate trends in age-specific prevalence of suicidal ideation in the past year and past week between 2000 and 2007.


There were 6799 participants aged 16–71 years in 2000, and 6815 participants aged 16–78 years in 2007. There was little evidence of trends in prevalence of suicidal ideation, with the exception of women aged 44–50 years in 2007, whose prevalence was unusually high. Prevalence of suicidal ideation in the past year followed a W-shaped profile with age, with peaks at the transition to adulthood, in the forties, and in the oldest participants.


Despite falling suicide rates, suicidal ideation did not decline overall between 2000 and 2007. This may indicate the success of the National Suicide Prevention Strategy. Women aged 44–50 years in 2007 were, however, particularly prone to suicidal ideation. As they also have the highest age-adjusted prevalence of common mental disorders and the highest female suicide rate, there are clear implications for treatment access, availability and delivery in primary care.

Corresponding author
*Address for correspondence: Dr N. Spiers, Department of Health Sciences, University of Leicester, 22–28 Princess Rd West, Leicester LE1 6TP, UK. (Email:
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PE Bebbington , S Minot , C Cooper , M Dennis , H Meltzer , R Jenkins , T Brugha (2010). Suicidal ideation, self-harm and attempted suicide: results from the British psychiatric morbidity survey 2000. European Psychiatry 25, 427431.

H Bergen , K Hawton , K Waters , J Cooper , N Kapur (2010). Epidemiology and trends in non-fatal self-harm in three centres in England: 2000–2007. British Journal of Psychiatry 197, 493498.

L Biddle , A Brock , S Brookes , D Gunnell (2008). Suicide rates in young men in England and Wales in the 21st century: time trend study. British Medical Journal 336, 539542.

R Carroll , K Hawton , N Kapur , O Bennewith , D Gunnell (2012). Impact of the growing use of narrative verdicts by coroners on geographic variations in suicide: analysis of coroners' inquest data. Journal of Public Health (Oxford, England) 34, 447453.

D Clayton , E Schifflers (1987). Models for temporal variation in cancer rates. I: Age-period and age-cohort models. Statistics in Medicine 6, 449467.

AF de Winter , AJ Oldehinkel , R Veenstra , JA Brunnekreef , FC Verhulst , J Ormel (2005). Evaluation of non-response bias in mental health determinants and outcomes in a large sample of pre-adolescents. European Journal of Epidemiology 20, 173181.

D Gunnell , S Platt , K Hawton (2009). The influence of the economic crisis on suicide. Evidence suggests consequences may be serious and warrant early attention [Editorial]. British Medical Journal 338, b1891.

K Hawton , H Bergen , S Simkin , C Wells , N Kapur , D Gunnell (2012). Six-year follow-up of impact of co-proxamol withdrawal in England and Wales on prescribing deaths: time series study. PLOS Medicine 9, e1001213.

R Jenkins , H Meltzer , P Bebbington , T Brugha , M Farrell , S McManus , N Singleton (2009). The British Mental Health Survey Programme: achievements and latest findings. Social Psychiatry and Psychiatric Epidemiology 44, 899904.

RC Kessler , G Borges , EE Walters (1999). Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Archives of General Psychiatry 56, 617626.

K Korkeila , S Suominen , J Ahvenainen , A Ojanlatva , P Rautava , H Helenius , M Koskenvuo (2001). Non-response and related factors in a nation-wide health survey. European Journal of Epidemiology 17, 9831057.

MK Nock , G Borges , EJ Bromet , J Alonso , M Angermeyer , A Beautrais , R Bruffaerts , WT Chiu , G de Girolamo , S Gluzman , R de Graaf , O Gureje , JM Haro , Y Huang , E Karam , RC Kessler , JP Lepine , D Levinson , ME Medina-Mora , Y Ono , J Posada-Villa , D Williams (2008). Cross-national prevalence and risk factors for suicidal ideation, plans and attempts. British Journal of Psychiatry 192, 98105.

A Shah (2009). Attempted suicide in the elderly in England: age-associated rates, time trends and methods. International Psychogeriatrics 21, 889895.

HL Smith (2008). Advances in age–period–cohort analysis. Sociological Methods and Research 36, 287296.

N Spiers , P Bebbington , S McManus , TS Brugha , R Jenkins , H Meltzer (2011). Age and birth cohort differences in the prevalence of common mental disorder in England: National Psychiatric Morbidity Surveys 1993–2007. British Journal of Psychiatry 198, 479484.

A Värnik , K Kõlves , J Allik , E Arensman , E Aromaa , C van Audenhove , JH Bouleau , CM van der Feltz-Cornelis , G Giupponi , R Gusmão , M Kopp , A Marusic , M Maxwell , H Oskarsson , A Palmer , C Pull , A Realo , T Reisch , A Schmidtke , V Pérez Sola , L Wittenburg , U Hegerl (2009). Gender issues in suicide rates, trends and methods among youths aged 15–24 in 15 European countries. Journal of Affective Disorders 113, 216226.

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Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
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