Caution: Some people may find parts of this content confronting or distressing.
Please carefully consider your needs when reading the following information about suicide and self-harm. If this material raises concerns for you contact Lifeline on 13 11 14, or see other ways you can seek help.
The information included here places an emphasis on data, and as such, can appear to depersonalise the pain and loss behind the statistics. The AIHW acknowledges the individuals, families and communities affected by suicide each year in Australia.
Aboriginal and Torres Strait Islander readers are advised that information relating to Indigenous suicide and self-harm is included.
The AIHW supports the use of the Mindframe guidelines on responsible, accurate and safe suicide and self-harm reporting. Please consider these guidelines when reporting on statistics on the monitoring of suicide and self-harm.
The complete extent of non-fatal suicidal and self-harming behaviours in the community is unknown in Australia. Surveys suggest that many people do not seek medical treatment for self-harm injuries. In addition, suicidal ideation and self-harm can be difficult to identify in national administrative data sets, due to the classifications used. Data on hospitalisations due to intentional self-harm under-report the true incidence of these behaviours in the community, as only those with serious physical or mental health issues are admitted to hospital for further treatment. It is not possible to identify those presenting to Emergency Departments with intentional self-harm and suicide ideation in the national data, though some states and territories have developed methodologies to do so, such as algorithms using information from free-text fields and local codes.
Clinical data from ambulance attendances have the potential to provide a more complete picture of suicidal and self-harm behaviours in Australia, and to identify opportunities for improved intervention or postvention—importantly—at a stage when further harm may be prevented.
The National Ambulance Surveillance System (NASS) is a world-first public health monitoring system providing timely and comprehensive data on ambulance attendances in Australia. The NASS is a partnership between Turning Point, Monash University and jurisdictional ambulance services across Australia. The NASS is funded by the AIHW as a component of the National Suicide and Self-harm Monitoring Project to collate and code monthly ambulance attendances data for participating states and territories for self-harm behaviours (suicidal ideation, suicide attempt, death by suicide, self-injury).
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