WHO calls for coordinated action to reduce suicides worldwide
GENEVA, 4 September 2014 - More than 800 000 people die by suicide every year – around one person every 40 seconds, according to the World Health Organization’s first global report on suicide prevention, published today. Some 75% of suicides occur in low- and middle-income countries.
Pesticide poisoning, hanging and firearms are among the most common methods of suicide globally. Evidence from Australia, Canada, Japan, New Zealand, the United States and a number of European countries reveals that limiting access to these means can help prevent people dying by suicide. Another key to reducing deaths by suicide is a commitment by national governments to the establishment and implementation of a coordinated plan of action. Currently, only 28 countries are known to have national suicide prevention strategies.
Suicide is a global phenomenon
Suicide occurs all over the world and can take place at any age. Globally, suicide rates are highest in people aged 70 years and over. In some countries, however, the highest rates are found among the young. Notably, suicide is the second leading cause of death in 15-29 year-olds globally.
“Everyone – friends, families, the health community, and governments – need to get better at recognizing mental distress, and giving support when life gets difficult” said Dr Margaret Chan, Director-General of the World Health Organization (WHO).
Generally, more men die by suicide than women. In richer countries, three times as many men die by suicide than women. Men aged 50-69 years are particularly vulnerable.
In low- and middle-income countries, young adults and elderly women have a much higher rate of suicide than their counterparts in high-income countries.
Suicide in the Western Pacific Region
In the WHO Western Pacific Region, the estimated suicide rate in low- and middle-income countries is lower than the global average of 11.4 per 100,000 in2012. However, the Republic of Korea is the country with the third highest estimated suicide rate for 2012 globally. Suicide rates increase steadily with age, with the highest rates among the elderly. Many suicides in the world occur in the Western Pacific Region (16% in low- and middle-income countries in the Western Pacific alone) with China accounting for the second highest estimated number of suicides overall in 2012.
The number of total suicide deaths in the Western Pacific Region is approximately 180,000. Suicidal behaviour among young people has been a concern in a number of countries, particularly in countries of the Pacific. Low- and middle-income countries in the Western Pacific Region are the only region of the world where the proportion of all deaths due to suicide is greater in females than in males and the rank of suicide as a cause of death is higher in females than males. Suicide by intentional pesticide ingestion is among the most common methods of suicide globally, and of particular concern in rural agricultural areas in the Western Pacific Region.
Suicides are preventable
Reducing access to means of suicide is one way to reduce deaths. Other effective measures include responsible reporting of suicide in the media, such as avoiding language that sensationalizes suicide and avoiding explicit description of methods used, and early identification and management of mental and substance use disorders in communities and by health workers in particular.
Follow-up care by health workers through regular contact, including by phone or home visits, for people who have attempted suicide, together with provision of community support are essential, because people who have already attempted suicide are at the greatest risk of trying again.
“No matter where a country currently stands in suicide prevention”, said Dr Alexandra Fleischmann, Scientist in the Department of Mental Health and Substance Abuse at WHO, “effective measures can be taken, even just starting at local level and on a small-scale”.
WHO recommends countries involve a range of government departments in developing a comprehensive coordinated response. High-level commitment is needed not just within the health sector, but also within education, employment, social welfare and judicial departments.
“This report, the first WHO publication of its kind, presents a comprehensive overview of suicide, suicide attempts and suicide prevention efforts worldwide. We know what works. Now is the time to act,” said Dr Shekhar Saxena, Director of the Department of Mental Health and Substance Abuse at WHO.
The report’s launch comes just a week before World Suicide Prevention Day, observed on 10 September every year. The Day provides an opportunity for joint action to raise awareness about suicide and suicide prevention around the world.
Working towards a global target
In the WHO Mental Health Action Plan 2013-2020, WHO Member States have committed themselves to work towards the global target of reducing the suicide rate in countries by 10% by 2020. WHO’s Mental Health Gap Action Programme, launched in 2008, includes suicide prevention as a priority and provides evidence-based technical guidance to expand service provision in countries.
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