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Undetermined Deaths in Leeds 2011-2013

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Deprivation does not map

Deprivation does not map neatly onto postcode districts, however the geographical distribution of deprivation tends to match areas with high numbers of suicides. This pattern is observed more strongly in the 2008-10 data then in the 2011-13 data. The number of suicides per postcode is not an ideal way to measure the distribution of suicide across the city; however we were limited in that the data from the last audit was analysed and saved by postcode district. In order to meaningfully compare the geographical distributions between the two audits, postcode district had to be used. The rate of suicide within each postcode for both audits has been calculated along with a rate ratio to assess change between them; these have been included in the appendix (see Table 28). These were not used on the maps as the very low numbers of suicides in some districts makes the figures unreliable. The rates of suicide in postcode districts with three or more deaths broadly follow the same patterns as the number of deaths per district. It is clear that there is geographical variation in the distribution of suicide across the city of Leeds. Clinical Commissioning Group Number Percentage Leeds North 42 19.7% Leeds South and East 64 30.1% Leeds West 79 37.1% Not Registered with a GP/ Unknown 28 13.15% Table 10: Number and percentage of cases per CCG GP Practice was used to determine how the cases were distributed across the Clinical Commissioning Groups (CCGs). This is shown in Table 10. Leeds West CCG had the highest number with 79 people. 32

Deprivation Decile 1 - most depreoved 10 - least deprived 10 6.90% 9 7.39% 8 5.42% 7 6 5 7.39% 8.37% 9.36% 4 3 2 1 13.30% 13.79% 14.29% 13.79% 0.00% 2.00% 4.00% 6.00% 8.00% 10.00% 12.00% 14.00% 16.00% Percentage of Audit Population Figure 9: Distribution across Leeds deprivation deciles 2011-13 Using the full postcode of each case, it is possible to determine the level of deprivation that the individual was likely to have experienced. The population of Leeds has been divided into ten ‘deprivation deciles’. These range from one (the most deprived 10% of the Leeds population) to ten (the least deprived 10%). These deciles do not refer to a specific geographical location and so the population included within a particular decile do not necessarily all live in the same area. Figure 9 shows the distribution of the cases in the audit across the deprivation deciles for Leeds. It is clear that the most four deprived deciles have a higher proportion of the audit population then the least deprived six. 55% of those who took their own life lived within the most deprived 40% of the city. This shows a clear link between deprivation and the risk of suicide. Deprivation has been repeatedly demonstrated to be a strong risk factor for suicide 16,17 . Marital and Living Status The most common marital status amongst the audit population was ‘single’. This replicates the finding from the 2008-10 audit. The majority of the cases (69%) were single, separated or divorced, compared to 28% who were married, cohabitating or in a civil partnership; this is shown in Figure 10. 33

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