Suicide: Reducing the Stigma Debate
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Sojan Joseph (Ashford) (Lab)
It is a pleasure to serve under your chairship, Mr Mundell. I congratulate the hon. Member for Richmond Park (Sarah Olney) on securing this important debate, and I pay tribute to her constituent, who is in the Gallery to support this campaign.
It is important to reflect on the progress that has been made in this country to remove some of the stigma around suicide, but more progress still has to be made. The more we discuss this issue in this House and in our constituencies, the greater the impact we can have in removing the stigma completely.
This Government inherited a mental health crisis—there are nearly 1.8 million people on NHS waiting lists for mental health treatment. At the same time, after decades of decline, suicide rates have increased since 2007. Worryingly, the suicide rate is now higher than at any time in the 21st century. In my local area of Kent, although the suicide rate has been coming down in recent years, it is still higher than the national average.
As is the case in the rest of the UK, suicide rates in Kent are significantly higher among men than among women. Across the country, 100 men die by suicide each week and men account for approximately three quarters of all suicide deaths in the UK. This trend has been consistent since the mid-1990s. While men are more likely than women to die by suicide in all age groups, that difference is most pronounced among middle-aged men—suicide is the biggest killer of men aged under 50. I welcome initiatives such as Movember, Andy’s Man Club, the Campaign Against Living Miserably and other similar schemes for the work that they do to help men. I particularly welcome the fact that today the Government published the first ever men’s health strategy, as part of which they will be working with the Premier League’s Together Against Suicide initiative. I would be grateful if the Minister could say a bit more about that, and about what will be done to remove the stigma around men’s mental health.
Suicide rates among young people are the lowest of all age groups, but over the past decade there has been a concerning 22% increase. A rise in the number of young people feeling disconnected and isolated after the pandemic lockdowns and an escalation in online bullying are reported to be contributing factors.
Another sector in which the silent tragedy of suicide is all too prevalent is the farming and agriculture industry, in which an average of three people die by suicide every week. Mental Health First Aid England reports that, between 2021 and 2023, suicide deaths among farmers increased year on year.
Edward Morello (West Dorset) (LD)
The hon. Gentleman is talking about young people and farming. Those two issues overlap in rural areas such as mine. Our child and adolescent mental health services are centralised in Dorchester, so someone living in the extremities of Lyme Regis, Beaminster or the surrounding villages could be looking at a 30-mile round trip to access them. Given that our part of the country is famous for its unreliable bus network, that is pretty difficult for a lot of young people and for those living in isolated communities. Does the hon. Gentleman agree that improving access to things like CAMHS is vital if we are to protect young people in rural communities?
Sojan Joseph
As someone who worked in mental health services for 22 years, I absolutely agree. We need access to mental health services, and not just for young people; everyone is important. Getting help early is key to preventing suicide among young people.
The situation is worse among men working in the farming industry. The likelihood that a male farm worker will die by suicide is three times higher than the national average for men. Earlier this year, a Farm Safety Foundation report revealed that over 90% of farmers said that poor mental health is the biggest hidden problem in the industry.
What is contributing to that poor mental health and the increased risk of suicide among those working in the agricultural sector? It is driven by a combination of isolation—many work alone in remote areas—and financial pressure from market volatility, debt and rising costs. Long working hours, often exceeding 60 hours per week, lead to exhaustion and poor mental health. There is also a strong stigma around seeking help, which means that many farmers suffer in silence.
The connection between suicide and mental illness is well documented, but reducing the stigma of suicide should not be viewed solely as a mental health issue. Many individuals who die by suicide have never engaged with mental health services or displayed obvious symptoms, and not all have a diagnosed condition. People at risk often face a complex mix of personal, relational, community and societal factors. As the suicide prevention strategy highlights, common risk factors include physical illness, financial hardship, gambling, substance misuse, social isolation, loneliness and domestic abuse. Although mental health support is important, the strategy stresses that reducing stigma extends far beyond that. Focusing only on mental health risks overlooking those in acute distress who do not meet the diagnostic criteria. It also places the burden on mental health services, when in reality reducing the stigma of suicide requires a collective effort from local authorities, employers, schools, the justice system and society at large.
Tom Gordon (Harrogate and Knaresborough) (LD)
One of my constituents, Steve, founded the Jordan Legacy after he lost his son to suicide. Its work involves outreach to schools, universities, employers and community groups. I echo the point that the hon. Gentleman is making. Does he, like me, think that there should be more support for the fantastic work of such charities and organisations?
Sojan Joseph
I absolutely agree. Charities do a brilliant job. Youth groups in our communities used to be very good places for young people to go, and I would love to see them coming back into our communities.
Effective prevention means prioritising early intervention in schools, universities, workplaces and community settings, which are also important. Every suicide is a tragic event that has a devastating impact on the family and loved ones, and this impact can be felt across the community. That is why we must break the silence and dismantle the stigma around suicide. Every conversation matters. When people feel safe to speak, they are far more likely to seek help, and that can make all the difference.
Absolutely—we believe the sky is the limit. As I mentioned to my hon. Friend the Member for Caerphilly, we are clear that we see this as the first step. Clearly, premier league clubs are high profile, so hopefully people will look at the partnership, learn from it and say, “Yes, that is something that we can do.” Fingers crossed that it takes off.
As part of the men’s health strategy launch, we also announced the suicide prevention support pathfinders programme for middle-aged men. The programme will invest up to £3.6 million over three years in areas of England where middle-aged men face the greatest risk of suicide. It will support new ways of embedding effective, tailored support for middle-aged men and create clearer, more joined-up pathways into existing local suicide prevention systems. For over a decade, middle-aged men have faced the highest suicide rates of any age group. They account for around a quarter of all deaths by suicide in England. That is a shocking statistic, and it is why middle-aged men are identified as a priority group in the suicide prevention strategy for England.
It is important that we do not simplify the picture. The national confidential inquiry into suicide and safety in mental health found that of men aged 40 to 54 who died by suicide, 67% had been in contact with health and partner agencies in the three months before they took their own life, and 43% had been in contact with primary care services in the three months before they died. That tells us something vital: a significant proportion of men do reach out, presenting an opportunity to make the most of every interaction with men who may be at risk of suicide. Our responsibility as a Government is to ensure that when men take that step, the services they encounter are accessible, joined up and genuinely equipped to meet their needs. That is what the pathfinders programme will do.
By improving engagement with healthcare and improving access to the right support, we can begin to dismantle the stigma that continues to cost too many men their lives. In April this year, NHS England published its “Staying safe from suicide” guidance, which strengthens the approach to suicide prevention across mental health settings. It promotes a holistic, person-centred approach, rather than using stratification tools to determine risk. The guidance directly aligns with the aim of our suicide prevention strategy and reflects our commitment to continually improving mental health services, particularly by identifying risk assessment as an area where we must go further.
The implementation of the guidance has been supported by a new NHS England e-learning module, which launched in September, to help ensure that staff across services are confident and equipped to apply the guidance in practice. The NHS medium-term planning framework, published last month, states that in 2026-27, integrated care boards must
“ensure that mental health practitioners across all providers”
undertake the e-learning
“and deliver care in line with the Staying safe from suicide guidance.”
The Minister with responsibility for women’s health and mental health, who sits in the other place, wrote directly to crucial stakeholders across the sector—including the chief coroner, the Charity Commission, the Professional Standards Authority for Health and Social Care, and the British Psychological Society—to promote the guidance and the e-learning module, and I am pleased to say that the response has been overwhelmingly positive. By way of example, the Charity Commission circulated information about the e-learning to around 5,000 charities involved in suicide prevention or mental health support—an encouraging demonstration of the sector’s commitment to improving safety and support for those at risk.
More widely, we are improving mental health services so that people are met with the right support. We recognise that expanding and equipping the workforce will take time, but I am pleased to say that we have hired almost 7,000 extra mental health workers since July 2024. Mental health remains a core priority for the NHS. That is why we are investing £688 million to transform services, including £26 million to support people in mental health crisis.
As part of the 10-year health plan’s commitment to transforming how the whole health and care system works, we are introducing neighbourhood mental health care for adults, which will bring community, crisis and in-patient care together in a single, seamless offer. Six neighbourhood mental health centres are already operating 24 hours a day, seven days a week, offering open-access support to anyone who needs it. Co-delivered with primary care, the voluntary and faith sectors, and local specialist services, the centres make it easier for people to seek help in their own communities, without judgment or barriers.
I am very tight on time, but I will give way briefly before wrapping up.
Sojan Joseph
A recent study shows that many people are reaching out to artificial intelligence chatbots to seek mental health support. The Government are putting so many new initiatives in place; does the Minister agree that we need to publicise them more, so that people do not seek incorrect information from AI chatbots?
I absolutely agree. This is a human challenge, and humans need to take it on. That is what we will do. There is nothing more human that going to a premier league football match, so I hope that that will be a good way of raising awareness, just as my hon. Friend says.
As we reflect on the lives lost and the families forever changed, we reaffirm our commitment to tackling stigma, improving support and ensuring that everyone feels able to speak up, ask for help and be heard. I thank the hon. Member for Richmond Park again for raising this crucial issue.