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Psychiatric targets in 'Health of the Nation'

Regional suicide 1974-1990 and employment prospects in 1990-1994 in Britain: precursors of failure?

Dept Social Work Studies University of Southampton Highfield SO9 5NH

The psychiatric targets set in 'The Health of the Nation' reflect a fundamental change in auditing the psychiatric and social services, and it is argued that suicide levels have become 'Paradoxical indicators' of effectiveness. Based upon mortality rates between 1974-1990, inter-regional comparative league tables are presented. Changes in age and gender patterns, and the accumulative impact of unemployment 1990-1994, especially in the more affluent regions, suggest that the suicide targets may not be feasible. The implica tions for the community and psychiatric services are briefly discussed.

The Journal of the Royal Society for the Promotion of Health, Vol. 115, No. 2, 120-127 (1995)
DOI: 10.1177/146642409511500212


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