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Undetermined Deaths in Leeds 2011-2013

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Last Contact with A and

Last Contact with A and E / Secondary Care Number Percentage Cumulative Percentage Within previous week 18 8.5% 8.5% 1 week to 1 month 7 3.3% 11.8% 1-3 months 14 6.6% 18.4% 3 months to one year 7 3.3% 21.7% More than a year ago 8 3.8% 25.5% None/ not known 159 74.6% - Table 19: Last Contact with A and E/ Secondary Care – Numbers and Percentages 180 160 140 120 100 80 60 40 20 0 90 15 Physical Health Problem 58 25 Mental Health Problem 31 34 12 Both mental and physical health problem 161 Unknown Primary Care Accident and Emergency/ Secondary Care Figure 15: Reason for last contact with General Practice and with Accident and Emergency/ Secondary Care – Number of cases. 24.9% of people had current contact with mental health services. This means that three quarters of those who took their own life were not in contact with mental health services at the time of their death. 8 of the cases (3.8%) were current inpatients in a mental health facility at the time of their death. Number Percentage Current use 53 24.9% Within past year 10 4.7% Over one year ago 30 14.1% 44

No previous contact 120 56.3% Table 20: Contact with Mental Health Services – Numbers and Percentages 70% of the audit population had a history of mental illness. Over half (54.9%) of the cases had a history of depression. The high level of those with a history of mental illness, particularly depression, shows that in Leeds this is a risk factor for suicide. 60% 54.90% 50% 40% 30% 20% 23% 30% 10% 5.16% 3.80% 0% Anxiety Depression Bipolar Disorder Percentage Schizophrenia/ psychosis No history of Mental Illness Figure 16: History of mental illness – percentages of cases with specific disorders Alcohol and Drug Use 2011-2013 Audit Number Percentage Alcohol – Not within Past 12 Months 5 2.3% Alcohol – Within past 12 months 34 16.0% Both within past 12 months 19 8.9% Both – Not within past 12 months 6 2.8% Drugs – Not within past 12 months 5 2.3% Drugs – Within past 12 months 20 9.4% None/Not known 125 58.7% Table 21: Alcohol/ Drug Misuse – Numbers and Percentages 16% of those included in the audit were misusing alcohol and 9.3% of people were misusing drugs. 8.9% were abusing both alcohol and drugs at the time of their death. 45

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