Social Factors and Suicide

Suicide is the leading cause of death in men under 49 and women under 35. With a rise in mental ill-health and suicide, there is an ever increasing need for all individuals to understand how to spot signs of distress, effectively respond, and support a person in need. 

Mental Health Learning was founded in 2018 as a consultancy and training provider to support places of education and workplaces to help people to acquire this potentially life-saving knowledge. Our mission is to ensure that skills continue to grow amongst those who are most likely to see the signs of mental ill-health, self-harm, and thoughts of suicide. Our motivation is that our trainees can recognise these signs, then intervene to reduce harm in your place of education or workplace. 

In this post, we’ll be discussing how these factors can contribute to suicide risk, and we’ll be sharing resources and training, both for those in need of support, and for those who are working or living with people who may be at risk. 

Every life lost to suicide is a profound tragedy that sends ripples through families, communities, and society as a whole. Behind each statistic lies a human story — often shaped by social, economic, and environmental factors that go far beyond individual mental health. 

In March 2025, the Johns Hopkins Bloomberg School of Public Health published a review of the social determinants of suicide, and this highlighted a number of factors that could contribute to a risk of suicide

This review challenges the idea that suicide risk is solely related to a persons mental health, and fills in the gaps in knowledge around other risk factors of suicide. Previous research has highlighted the role of social determinants of health on mental health, but their impact on suicide is less understood. 

The aim of the review was to look at the link between ten social determinants of health (as defined by the World Health Organisation) and suicide mortality. It found the following associations:

  • Unemployment, low income, debt, and economic downturns are significantly associated with increased suicide risk.
  • Generous social protection policies (e.g., unemployment benefits) may reduce suicide rates.
  • Low education and adverse working conditions (e.g., workplace violence, low job control) are associated with higher suicide risk.
  • Environmental factors such as high temperatures, air pollution, natural disasters, and rural residence can elevate suicide risk.
  • Childhood adversity (e.g., neglect or abuse) is also a notable contributor.

Suicide Prevention Advice & Help

 ⚠️If you’re worried about yourself, or if the content of this newsletter is distressing – you can access help using the resources below ⚠️

If you’re worried about someone in your community

Your intuition is the most powerful tool that could tell you if someone needs help. Even if you can’t put your finger on it but something is telling you that you ought to be concerned about someone, trust your instinct. 
You might not know what to say and you may be worried about what you should do if there is something serious, but reaching out to someone doesn’t mean you have to be the only one helping them. Quite often it’s the case that we just need someone to listen and talk to.
Some of the things you’ve noticed that might be causing you concern could be: 

Emotional outbursts 

A change in appearance

Withdrawing from you or others 

Isolating themselves where they previously didn’t 

A change in mood

Seemingly hopeless talk such as “there’s no point anymore”, “i feel so low”, or “nothing is getting any better” 

We all react to emotional distress in different ways so there could be other things you’ve noticed. 

Start a conversation – share what you’ve noticed and ask how they are. The most important thing you can do is listen. 

Empathise with their feelings, acknowledge their struggles. Don’t feel you have to try and fix what’s going on for them – showing you understand their problems will be more helpful. 

It’s important for them – and you – that they have a support network of individuals and services if needed. Explore who else they can share their feelings with and support them to talk to others if they don’t feel able to do this alone. 

Thoughts of suicide are not uncommon and can affect one in five adults in a lifetime. Ask about suicide clearly and directly: “Are you having thoughts of suicide?” You will not create feelings of suicide by doing this.

If you’d like further information or training in suicide prevention, don’t hesitate to reach out: Training@mentalhealthlearning.co.uk

Alice and the Mental Health Learning Team 🧠

On October 10th, it is World Mental Health Day, and the theme this year is;

“It is time to prioritize mental health in the workplace”.

We don’t usually mark specific days to raise awareness, as we work to do this every day, but the theme of this year rings true with our goals, and we wanted to use this opportunity to speak about why it is so important to prioritise mental health in the workplace. 

According to a recent report from Deloitte on mental health and employment, 59% of people who left their job or are planning to leave their job said it was ‘somewhat, largely or entirely due to personal mental health and well-being related issues’. 

The report states that the cost of sickness absence has increased by 20% in the last year to £7billion and presenteeism costing £24billion. 

It also found that 63% of respondents had experienced at least one characteristic of burnout, which it defines as ‘feeling of exhaustion, mental distance from their job, or decline in performance at work.’ 

This report makes a clear case that mental health is having a profound and detrimental impact on the workplace. These statistics show that it is not just employers that are suffering losses, but that employees are losing out on their ability and motivation to find and keep work due to their mental health struggles. 

It is abundantly clear how important and necessary it is for employers to invest in supporting workers and creating a mentally healthy workplace, and we strongly believe that training is an effective way for employers to begin to make impactful change. 

In 2023, we delivered courses to around 1,000 participants seeking to increase their awareness of mental health and suicide prevention, and this year has been equally busy.  We are seeing first hand that employers are investing more to make positive change for their workforce and we hope that this year’s WMHD theme helps to inspire more to do the same.

Our Courses

We offer a range of courses that can be beneficial to employers, and can also create bespoke courses that are tailored to your company. We know it can be a bit overwhelming to know where to start, so we have some great courses to get you going on the path to creating a mentally healthy workplace.

This course teaches a greater understanding of mental health. You will gain knowledge of what it means to have good or poor mental health, increased alertness to the signs of mental ill health in the workplace, and an increased confidence to address them and put support in place.

In this training you will learn why we need to be alert to suicide. Understand what to look out for among employees, how to ask about suicide, and learn about the legal obligations as an employer. 

We offer a range of courses to suit your needs, whether you are an organisation seeking support, or an individual seeking a more in-depth knowledge, our courses are for everyone. If you can’t find what you’re looking for in our Training Guide, please contact us as we are always happy to create bespoke courses tailored to you.

It’s always the ones you don’t hear about, never the ones you do. Or is it?

Actually, not always.

Yes we must acknowledge there are suicides that appear to happen ‘out of the blue’, with seemingly no verbal indicators or behavioural changes noticed by others.

But, there are also, individuals who die by suicide, having attempted to end their life multiple times before.

It is these individuals, that are too often not taken seriously. Labelled as ‘attention seekers’, ‘time wasters’.

Prior suicide behaviour, is one of the biggest predictors of future suicide attempts and death by suicide.

Individuals with thoughts of suicide, are stuck in between feelings of wanting to live and wanting to die. They can be pulled back and forth between the reasons for deciding on either of these options, and therefore there are different reasons behind the intended outcome of suicide behaviour.

Example 1. An individual has tried to verbalise their suicidal thoughts several times but they have been ignored, dismissed, or deliberately avoided by others.

This individual now feels they have to act on their thoughts of suicide because they feel they have to show those around them just how serious they are about suicide, in order to get the help they need. But if their actions too are not taken seriously, it could end in death.

All individuals with suicidal thoughts and/or behaviours must be taken seriously.

Example 2. An individual’s thoughts have progressed to suicide planning. They attempt to end their live, but survive this attempt with the help of their Support Worker*. When thoughts of suicide overwhelm them again, and they take steps to end their life, they contact the same person/service, because that person/service helped them stay alive last time.

*or Teacher, Social Worker, neighbour, friend, Police Officer, Residential Care Worker etc

It makes sense doesn’t it? When an individual, torn between wanting to live and wanting to die is helped to stay alive, by a person (or service), it’s only natural they would go back to the same person again because they helped them! It means that person did something right. So when a person with thoughts of suicide, comes to you for the 2nd time or the 77th time, we need to respond with respect and compassion.

All individuals with suicidal thoughts and/or behaviours must be taken seriously.

When individuals with thoughts of suicide aren’t taken seriously, when they are ignored, dismissed or avoided, sadly it can, and does end in suicide.

We need to change the narrative.

All individuals with suicidal thoughts and/or behaviours must be taken seriously.

What does your experience tell you?

What are the messages around suicide behaviour within your workplace?

Do you receive clinical supervision or reflective practice to support you when working with individuals with thoughts of suicide?