Experimental analysis of ethnic differences in cause-specific mortality rates in England and Wales based on 2011 Census and death registrations.

Annual data on death registrations by area of usual residence in the UK. Summary tables including age-standardised mortality rates.

Total deaths, Standardised and baselined against the United Kingdom Source: Office for National Statistics (ONS): Population Estimates Unit Publisher: Office for National Statistics (ONS) Geographies: Local Authority District (LAD), County/Unitary Authority, Government Office Region (GOR), National Geographic coverage: UK Time coverage: 2001 to 2008 Type of data: Administrative data (age standardised)

Contains standardised Mortality Ratios (SMRs) calculated for wards in England and Wales for deaths under age 85, based on mortality data from 1999-2003. Source agency: Office for National Statistics Designation: Official Statistics not designated as National Statistics Language: English Alternative title: SMR

Standardised mortality ratios for deaths from all causes and from eight causes in Glasgow from 2000 to 2012 . The Glasgow ratios are a percentage of the numbers dead in Glasgow from that cause that would be expected for Glasgow City if it had the same age/sex-specific death rates as Scotland as a whole. The eight causes are: all cancers; Stomach Cancer; Large Intestine cancer; Trachea, Bronchus, Lung cancer; Female breast cancer; Ischaemic Heart Disease; CerebroVascular and Pneumonia. They were calculated using the 'rebased' mid-year population estimates for 2002 to 2011- see Births and Deaths Rates: breaks in series circa 2011 Data extracted 2014-04-09 from the General Register Office for Scotland Licence: None

Annual age-standardised mortality rates for causes considered avoidable, treatable and preventable in England and Wales for children and young people (aged 0 to 19 years), 2001 to 2023.

Quarterly release of the Hospital Standardised Mortality Ratios (HSMR's) of all hospitals participating in the Scottish Patient Safety Programme Source agency: ISD Scotland (part of NHS National Services Scotland) Designation: Official Statistics not designated as National Statistics Language: English Alternative title: Quarterly HSMR's

Deaths by local authority of usual residence, numbers and standardised mortality ratios (SMRs) by sex.

SMR measures whether the population of an area has a higher or lower number of deaths than expected based on the age profile of the population (more deaths are expected in older populations). The SMR is defined as follows: SMR = (Observed no. of deaths per year)/(Expected no. of deaths per year).

SMRs are calculated using the previous year's mid-year population estimates. Live birth figures are used for calculations involving deaths under 1 year.

The age-standardised mortality rates in this release are directly age-standardised to the European Standard Population, which cover all ages and allows comparisons between populations with different age structures, including between males and females and over time.

Note: SMR and deaths by sex data only available since 2001.

Download from ONS website

Update 2 March 2023: Following the merger of NHS Digital and NHS England on 1st February 2023 we are reviewing the future presentation of the NHS Outcomes Framework indicators. As part of this review, the annual publication which was due to be released in March 2023 has been delayed. Further announcements about this dataset will be made on this page in due course. Directly standardised mortality rate from cardiovascular disease for people aged under 75, per 100,000 population. To ensure that the NHS is held to account for doing all that it can to prevent deaths from cardiovascular disease in people under 75. Some different patterns have been observed in the 2020 mortality data which are likely to have been impacted by the coronavirus (COVID-19) pandemic. Statistics from this period should also be interpreted with care. Legacy unique identifier: P01730

Annual data on death registrations. Summary tables including age-standardised mortality rates,deaths by age and sex.

Source agency: Office for National Statistics

Designation: National Statistics

Language: English

Alternative title: Mortality Statistics: Deaths registered in England and Wales by area of usual residence

Directly Age Standardised Mortality Rates (DASR) per 100,000. Age standardised rates compensate for differing age structures by weighting them to meet the European Standard Population (2013). Rates can then be compared for different areas, or even across area types. Attention should be given to upper and lower 95% confidence intervals as a quick method of determining whether rates could overlap or are significantly different. Wide confidence intervals are indicative of small numbers in the numerator or of very skewed age structures. Rates of course cannot be summed, and because they are age standardised cannot be reverse engineered back to counts without knowing the age of every patient in the data. Source is ONS deaths extract, GP registered populations.

Table of directly (DSR) age-standardised rates of suicides per 100,000 population, and Indirectly (SMR) (Includes undetermined Injuries), all ages and age 15 plus, three year (pooled) average and annual, by sex.

Deaths from intentional self-harm and injury undetermined whether accidentally or purposely inflicted (ICD-10 X60-X84, Y10-Y34 exc Y33.9, ICD-9 E950-E959 and E980-E989 exc E988.8), registered in the respective calendar year(s).

DSR stands for Directly age-Standardised Rates.

Mortality rates are age standardised using the European Standard Population as defined by the World Health Organisation.

3 year average rates are calculated as the average of single year rates for 3 successive years.

Standardised Mortality Ratio (SMR), England = 100.

The annual rates at borough level are likely to be subject to relatively high levels of variability of numbers of suicides from year to year because of the relatively small numebrs of suicides that occur within boroughs. When comparing boroughs against each other, the three-year combined rate would provide a higher level of confidence.

NHS mental health information can be found here.

Various other suicide indicators are available from IC NHS website, including years of life lost, crude death rates, and indirectly standardised ratios (SMR). Follow: Compendium of population health indicators > Illness and Condition > Mental health and behavioural disorders

A summary of the trends in age-standardised mortality rates in the UK and constituent countries, 1980 to 2010. Source agency: Office for National Statistics Designation: National Statistics Language: English Alternative title: Summary of mortality rates by age and sex in the UK, 2010

Mortality from bronchitis and emphysema (ICD-10 J40-J43 equivalent to ICD-9 490-492). This indicator is included for continuity with previous Compendia. However, it is recommended that the indicator ‘mortality from bronchitis, emphysema and other chronic obstructive pulmonary disease’ be used instead, especially when analysing trend data. To reduce deaths from bronchitis and emphysema. Legacy unique identifier: P00170

Directly standardised mortality rate from cardiovascular disease for people aged under 75, per 100,000 population. Purpose To ensure that the NHS is held to account for doing all that it can to prevent deaths from cardiovascular disease in people under 75. Current version updated: Feb-17 Next version due: Nov-17

The directly age and sex standardised mortality rate per 100,000 population, from all causes at all ages. Deaths include all causes classified by underlying cause of death (ICD-10 A00-Y99, equivalent to ICD-9 001-999), registered in the respective calendar year(s). Neonatal deaths are included in the age groups that contain those aged less than 1 year. 2001 Census based mid-year population estimates for the respective calendar years.

BackgroundThere are comparatively few international studies investigating suicide in military veterans and no recent UK–wide studies. This is important because the wider context of being a UK Armed Forces (UKAF) veteran has changed in recent years following a period of intensive operations. We aimed to investigate the rate, timing, and risk factors for suicide in personnel who left the UKAF over a 23–year period.Methods and findingsWe carried out a retrospective cohort study of suicide in personnel who left the regular UKAF between 1996 and 2018 linking national databases of discharged personnel and suicide deaths, using survival analysis to examine the risk of suicide in veterans compared to the general population and conditional logistic regression to investigate factors most strongly associated with suicide after discharge. The 458,058 individuals who left the UKAF accumulated over 5,852,100 person years at risk, with a median length of follow–up of 13 years, were mostly male (91%), and had a median age of 26 years at discharge. 1,086 (0.2%) died by suicide. The overall rate of suicide in veterans was slightly lower than the general population (standardised mortality ratio, SMR [95% confidence interval, CI] 94 [88 to 99]). However, suicide risk was 2 to 3 times higher in male and female veterans aged under 25 years than in the same age groups in the general population (age–specific mortality ratios ranging from 160 to 409). Male veterans aged 35 years and older were at reduced risk of suicide (age–specific mortality ratios 47 to 80). Male sex, Army service, discharge between the ages of 16 and 34 years, being untrained on discharge, and length of service under 10 years were associated with higher suicide risk. Factors associated with reduced risk included being married, a higher rank, and deployment on combat operations. The rate of contact with specialist NHS mental health services (273/1,086, 25%) was lowest in the youngest age groups (10% for 16– to 19–year–olds; 23% for 20– to 24–year–olds). Study limitations include the fact that information on veterans was obtained from administrative databases and the role of pre–service vulnerabilities and other factors that may have influenced later suicide risk could not be explored. In addition, information on contact with support services was only available for veterans in contact with specialist NHS mental health services and not for those in contact with other health and social care services.ConclusionsIn this study, we found suicide risk in personnel leaving the UKAF was not high but there are important differences according to age, with higher risk in young men and women. We found a number of factors which elevated the risk of suicide but deployment was associated with lower risk. The focus should be on improving and maintaining access to mental health care and social support for young service leavers, as well as implementing general suicide prevention measures for all veterans regardless of age.

Age standardised mortality rates and age standardised fertility rates projections by age groups, sex and local authorities in England

Directly standardised mortality rate from cancer for people aged under 75, per 100,000 population. Purpose To ensure that the NHS is held to account for doing all that it can to prevent deaths from cancer in people under 75. Current version updated: Feb-17 Next version due: Nov-17