Near to real-time suspected suicide surveillance (nRTSSS) for England: data to July 2025
Published 30 October 2025
Applies to England
This statistical bulletin contains sensitive content which refers to details on deaths by suspected suicide.
If you are struggling to cope, please call the Samaritans for free on 116 123 (UK and the Republic of Ireland) or contact other sources of support, such as those listed on the NHS help for suicidal thoughts webpage. Support is available around the clock, every day of the year, providing a safe place for you, whoever you are and however you are feeling.
Any onward reporting of this data should consider following the Samaritans’ media guidelines on the reporting of suicide because of the potentially damaging consequences of irresponsible reporting. In particular, the guidelines advise on terminology and include links to sources of support for anyone affected by the themes in this report.
Main findings
This statistical bulletin presents data from July 2023 to July 2025. It shows that:
- there is no statistically significant difference between the suspected suicide directly standardised rate (DSR) in July 2025 (12.2 deaths per 100,000), compared to June 2025 (11.0 per 100,000) or May 2025 (9.5 per 100,000)
 - the suspected suicide rate in July 2025 in males (18.9 per 100,000) remains higher than females (5.8 per 100,000)
 - the age group with the highest rate of suspected suicide in July 2025 remains those aged 45 to 64 (16.7 per 100,000), followed by people aged 25 to 44, then those aged 65 and over, with the lowest rate in those aged 10 to 24 (6.2 per 100,000) - there is no statistically significant change compared to recent months across these age groups
 - the most common method type for deaths by suspected suicide in the latest quarter (April to June 2025) remains hanging, suffocation and strangulation (55.5%), followed by poisoning (22.4%), fall and fracture (5.5%), jumping or lying in front of a moving object (4.9%), sharp object (4.8%), drowning (2.5%) and other or unknown (4.4%)
 
To ensure rates are based on as up-to-date populations as possible, each summer a switch is made to the latest available mid-year population estimates (2024), see the accompanying methodology document. Because of this change, in the current report, rates presented from June 2025 onwards are based on a larger population than the rates for May 2025 and earlier. This population increase has led to fewer police force areas (PFAs) being included in DSR reporting for those months. Which means that less of England’s population is covered in reporting - around 63% from June 2025 compared to around 80% in the months prior to June 2025.
These statistics use between 60% and 80% of records received from the police forces to calculate monthly rates of deaths by suspected suicide. However, as the data is not exhaustive and due to wider data quality factors, this report should not be used as a measure of absolute numbers of deaths by suspected suicide in England. For further details on inclusion criteria and approach used to calculate rates, see the accompanying methodology document.
Introduction
This statistical bulletin is based on suspected suicides reported by date of death by local police. It complements, but does not replace, officially registered deaths by suicide (certified by a coroner) reported by the Office of National Statistics (ONS). ONS also present some suicide statistics based on date of occurrence, but these are less up-to-date than nRTSSS reporting.
The purpose of this work is to provide an early warning system for indications of changes in trends in suicide through analysis of data on suspected suicide. This data can inform and enable a more timely and targeted prevention response to changing patterns in suspected suicides at a local and national level.
This statistical bulletin draws upon suspected suicide data from across England supplied by PFAs submitting to the National Police Chiefs’ Council (NPCC) Suicide Prevention Portfolio. The designation ‘suspected suicide’ is provided by the police and the term is used because the cause of death has not yet been confirmed by coroner’s inquest. When sudden and unexpected death occurs, the suspected cause of death is allocated by the attending police officer. There is then a review, based on guidance from NPCC, before a death is reported as a suspected suicide.
This bulletin presents data at England level. It includes rates of death by suspected suicide and breaks the data down by age group and sex. This data is presented as monthly DSRs. Monthly rates are presented for the most recent available 25 months, to enable a comparison of the latest months with the same month in previous years.
The bulletin also includes suspected suicide method, grouped by category. This too has not been confirmed by coroner’s inquest and should be viewed as provisional. This data is shown as proportions of all suspected suicides and is presented as a snapshot figure for the latest available quarter.
The data outputs from the near to real-time suspected suicide surveillance (nRTSSS) work programme are primarily for national and local organisations working on suicide prevention.
About these statistics
To enhance understanding of this bulletin, some important terms and aspects of the work are explained below. For further details on how these terms are defined and used, and on how results were generated, see the accompanying methodology document.
Data presented in this bulletin is based on month and year of death occurrence, which allows monitoring of monthly and seasonal variation.
Not all PFAs submit records each month and some PFA submissions are not used in monthly rates reporting. For records from a PFA to be included, there must be a submission for that month, and it must meet the ‘observed compared to expected’ criteria. This means the number of deaths by suspected suicide are comparable (within a tolerance range) with the number that would be expected, based on recent deaths by suicide for that area (as collected by ONS). These inclusion criteria are used for the purpose of calculating population-based statistics only. This is because sensitivity analysis indicated that inclusion of PFAs below the expected level may result in an underestimation of monthly suspected suicide rates.
The monthly data is presented as DSRs to enable comparison between groups and over time while accounting for differences in the age structure of populations.
Due to relatively small numbers, identified trends in deaths may not have statistical significance. Within this bulletin, where a change is viewed as potentially important, comments are included in the text accompanying the figure.
It is important to note that as rates of death by suicide and suspected suicide vary across the country, while this surveillance is not yet based on all of England, figures will be affected by which PFAs are included. For example, if data from some areas where rates are lower are included, while data from other areas with higher rates are excluded, the effect will be that the England rates may appear low.
There may be some change in the contributing PFAs between months, and therefore some variation in the population that figures are based on. This should be considered when interpreting the changes over time presented in figures 1 to 7. This is recognised in reporting by showing the trend with a dotted rather than solid line. Further details to help with interpretation of trends are available in the ‘Monthly and quarterly reporting explained’ section of this bulletin and the accompanying methodology document.
Data about method of suspected suicide is presented by quarter, because the number of method groups would lead to small number suppression if presented monthly. All records received are included in quarterly presentation.
Production of this statistical bulletin is based on best available data. However, there is a risk of some missing cases, particularly in the most recent months. Any delayed records are included and estimates updated in the earliest possible publication.
Publication updates
This statistical bulletin is published every 3 months. Each new publication includes data for the most recent time period and any delayed records for previously reported months.
The October 2025 report includes:
- new monthly suspected suicide rates for May 2025 to July 2025
 - recalculated monthly rates based on changes to the inclusion criteria due to ONS released revisions to 2022 and 2023 populations
 - additional data for the months prior to May 2025, due to delayed submissions by some PFAs
 - recalculated monthly rates for the months affected by delayed submissions
 - new data on proportions by method type for quarter 2 (April to June) 2025
 
This statistical bulletin includes a change to presentation. To help interpretation of monthly rates, a range has been added based on upper and lower confidence intervals (CIs) for a 6-month rolling DSR (explained in the methodology document).
The data tables associated with this report are provided as an accessible spreadsheet.
Further analysis
Data in this section is presented for persons aged 10 and over.
Monthly rates
This section presents monthly rates of death by suspected suicide in England for the period July 2023 to July 2025. The rates are presented as DSRs per 100,000 population.
Monthly rates are presented for:
- persons
 - sex as female or male
 - age groups as follows:
    
- 10 to 24 years
 - 25 to 44 years
 - 45 to 64 years
 - 65 years and over
 
 
Between July 2023 and July 2025, out of 8,717 deaths by suspected suicide:
- 6,534 (75.0%) were in males
 - 2,183 (25.0%) in females
 - 887 (10.2%) in people aged 10 to 24
 - 3,209 (36.8%) in people aged 25 to 44
 - 3,340 (38.3%) in people aged 45 to 64
 - 1,281 (14.7%) in people aged 65 and over
 
In July 2025, out of 333 deaths:
- 251 (75.4%) were in males
 - 82 (24.6%) in females
 - 34 (10.2%) in people aged 10 to 24
 - 120 (36.0%) in people aged 25 to 44
 - 130 (39.0%) in people aged 45 to 64
 - 49 (14.7%) in people aged 65 and over
 
Figure 1: suspected suicide rates in England, persons, July 2023 to July 2025
Source: NPCC.
Figure 1 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (12.2 deaths per 100,000 population) followed by June 2025 (10.1) and May 2025 (9.5)
 - when comparing the most recent 3 months to the same period in the previous years, July 2025 is 15% higher than in 2024 and similar to 2023, June is the same in 2025 and 2024, whereas May in 2025 is 12% lower than in 2024 - these differences are not statistically significant
 - within the reporting period, January 2024 (12.6) has the highest rate followed by July 2023 (12.5) and July 2025 (12.2)
 - the 6-month DSR range shows some indication of a decreasing trend in the first half of the reporting period - this will be monitored
 
This data is available in table 1 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 2: suspected suicide rates in England, males, July 2023 to July 2025
Source: NPCC.
Figure 2 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (18.9 deaths per 100,000 males) followed by June 2025 (17.2) and May 2025 (15.1)
 - when comparing the most recent 3 months to the same period in the previous years, July 2025 is 10% higher than 2024 and similar to 2023, June is a little lower in 2025 than 2024, and May 2025 is 11% lower than in 2024 - these differences are not statistically significant
 - within the reporting period, rates are highest in July 2023 (19.7) followed by January 2024 (19.0) and July 2025 (18.9)
 
This data is available in table 2 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 3: suspected suicide rates in England, females, July 2023 to July 2025
Source: NPCC.
Figure 3 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (5.8 deaths per 100,000 females) followed by June 2025 (5.1) and May 2025 (4.1)
 - when comparing the most recent 3 months to the same period in the previous years, July 2025 is 32% higher than in 2024 and similar to 2023, June is similar in 2025 and 2024, whereas May in 2025 is 20% lower than in 2024 - these differences are not statistically significant
 - the highest rates in the reporting period are in January 2024 (6.6), followed by September and October 2023 (6.1)
 - the 6-month DSR range shows some indications of a decreasing trend - this will be monitored
 
This data is available in table 3 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 4: suspected suicide rates in England, persons aged 10 to 24, July 2023 to July 2025
Source: NPCC.
Figure 4 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (6.2 deaths per 100,000 population), followed by June 2025 (5.6) and May 2025 (3.6)
 - the rate for May 2025 is the lowest rate in the 25-month period - but is generally not statistically significantly different to any other reported month
 - when comparing the most recent 3 months to the same period in previous years, July 2025 is 10% lower than 2024 but 13% higher than 2023, June is similar in 2025 and 2024, whereas May 2025 is 27% lower than 2024 - these differences are not statistically significant
 - within the reporting period, high rates are seen in March 2025 (7.4) January 2024 (7.3), and July 2024 (6.9)
 
This data is available in table 4 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 5: suspected suicide rates in England, persons aged 25 to 44, July 2023 to July 2025
Source: NPCC.
Figure 5 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (14.1 deaths per 100,000 population), followed by June 2025 (13.2) and May 2025 (12.0)
 - when comparing the most recent 3 months to the same period in previous years, July 2025 is 24% higher than 2024 but 18% lower than 2023, June 2025 is 8% higher than 2024, whereas May 2025 is 12% lower than 2024 - these differences are not statistically significant
 - the highest rates in the reporting period are in July 2023 (17.3), October 2023 (15.1) and January 2024 (15.1)
 - the 6-month DSR range shows some indications of a decreasing trend - this will be monitored
 
This data is available in table 5 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 6: suspected suicide rates in England, persons aged 45 to 64, July 2023 to July 2025
Source: NPCC.
Figure 6 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (16.7 deaths per 100,000 population), followed by June 2025 (15.2) and May 2025 (12.2)
 - the rate for July 2025 is the highest in the reporting period, whereas the rate for May 2025 is one of the lowest - however, these rates are generally not significantly different to other months
 - when comparing the most recent 3 months to the same period in the previous years, July 2025 is 26% higher than 2024 and 15% higher than 2023, June 2025 is similar to 2024, and May 2025 is 10% lower than 2024 - these differences are not statistically significant
 - within the reporting period the highest rates were seen in July 2025 (16.7), January 2025 (16.5), and January 2024 (16.4)
 
This data is available in table 6 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Figure 7: suspected suicide rates in England, persons aged 65 and over, July 2023 to July 2025
Source: NPCC.
Figure 7 shows that:
- of the 3 months added to reporting, the highest rate is for July 2025 (8.5 deaths per 100,000 population), followed by May 2025 (7.5) and June 2025 (6.8)
 - when comparing the most recent 3 months to the same period in the previous years, July 2025 is a little lower than 2024 and 10% lower than 2023, June 2025 is 17% lower than 2024, and May 2025 is 10% lower than 2024 - these differences are not statistically significant
 - the highest rates in the reporting period are seen in July 2023 (9.4), July 2024 (9.0), January 2024 (8.8) and January 2025 (8.6)
 
This data is available in table 7 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Method of death by suspected suicide
This section of the bulletin presents quarterly proportions of deaths by suspected suicide in England by method group for quarter 2 (Q2) 2025 covering April, May and June.
In Q2 2025, there were 1,244 suspected suicides, with the following numbers recorded for each method group:
- hanging, suffocation and strangulation (701 deaths)
 - poisoning (283 deaths)
 - fall and fracture (70 deaths)
 - jumping or lying in front of a moving object (62 deaths)
 - sharp object (61 deaths)
 - other or unknown (56 deaths)
 - drowning (31 deaths)
 
Please note that for some suspected suicides more than one method is recorded.
Figure 8: proportion of deaths by suspected suicide method group in England, persons, Q2 2025
Source: NPCC.
Figure 8 shows that for Q2 2025:
- hanging, suffocation and strangulation is the most common method type, accounting for more than half of all deaths (55.5%) - the proportion for the latest quarter is similar to the previous quarter (Q1, 2025)
 - the second highest method type is poisoning (22.4%) followed by fall and fracture (5.5%)
 - sharp object (4.8%) shows an increase from the previous quarter (Q1, 2025) where it was 3.3%
 
The number of deaths by method group and reporting quarter are available in table 8 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Monthly and quarterly reporting explained
Although from the same source, the basis for monthly suspected suicide rates and quarterly figures for methods of suspected suicide in this bulletin are different. This reflects data quality and approach to data presentation.
Monthly suspected suicide rate reporting is based on the 25 months from July 2023 to July 2025. Reporting for July 2025 is based on data from 24 of 39 PFAs in England. The data points for the 24 months prior to July 2025 are based on between 23 and 32 PFAs.
The PFAs, and the populations within them, that are excluded from monthly reporting may affect the monthly rates. To help understand this, missing PFAs are categorised as having low, medium or high rates based on historical suicides. Knowing this helps understand if missing data is likely to lead to the reported figures skewing high, low or being broadly representative of England.
For July 2025, excluded PFAs accounted for 36.8% of England’s population. Of this population, 9.5% were categorised as low, 14.5% as medium and 12.7% as high. An overview of populations excluded for each month covered in this report is available in table 9 of the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Reporting for July 2025 is based on 333 records. Overall, there were 480 suspected suicide records received. However, due to data quality issues, 147 could not be included. The data points for the 24 months prior to July 2025 are based on between 287 and 439 suspected suicide records, drawn from between 378 and 515 received records. The overall 25-month period is based on 8,817 records.
Reporting for the month July 2025 is based on PFAs that cover 63.2% of the population in England aged 10 and over. The data points for the 24 months prior to July 2025 are based on between 61.6% and 86.9% of this population. Lower coverage can result in potential bias in the data. In this instance the distribution of the excluded PFAs usual suicide rates does not indicate a potential skew of the data.
Quarterly reporting is based on the 3 months from April 2025 to June 2025. Quarterly reporting is based on all records received, but it is not based on all suspected suicide cases in England during the period. This is due to delayed reporting or under reporting by some PFAs.
Further detail on suspected suicide records and proportions of the English population covered for each month are available in the accompanying data tables on the Near to real-time suspected suicide surveillance for England: data to July 2025 page.
Acknowledgements
This report draws upon data from across England supplied by local PFAs submitting to NPCC. Without their collaboration this work would not have been possible.
This work is supported and enhanced by continuing feedback and input from:
- members of the nRTSSS System Leadership Group
 - local suicide prevention teams and PFAs
 
The responsible statistician is the Head of Intelligence, Mental Health Intelligence Team, Office for Health Improvement and Disparities (OHID)
The product leads are the:
- Programme Lead, Mental Health Intelligence Team, OHID
 - Deputy Director, Clinical Epidemiology, OHID
 
This report complies with:
- the Samaritans’ media guidelines for reporting suicide
 - the Code of Practice for Statistics
 
If you have any questions relating to this publication, contact mhit@dhsc.gov.uk.