Equitable commissioning key for future youth suicide prevention, report says

New policy recommendations from the University of Birmingham outlines how services across the UK can work together to support young people at risk of suicide.

two ladies talking

Healthcare leaders, local authorities and schools need to work together to tackle youth suicide, according to a new set of recommendations co-produced by young people, practitioners and leading mental health experts at the University of Birmingham.

The recommendations are part of a new report highlights a need for strong and equitable commissioning across voluntary, community and social enterprise organisations. Strengthening Support for Young People: A Cross-Sector Approach to Suicide Prevention, funded by the National Institute for Health and Care Research (NIHR) presents 29 best practice recommendations aimed at improving collaboration between voluntary organisations and statutory services, including the NHS, local authorities and schools.

The recommendations are the result of the ATTUNE study led by Dr Maria Michail, in collaboration with the University of Bristol and the University of Exeter. The study explored how young people seek and access support for self-harm and suicidal thoughts or behaviours, particularly through voluntary, community and social enterprise (VCSE) organisations.

Drawing on in-depth interviews and a Delphi consensus study involving 60 participants - including young people with lived experience, as well as professionals from statutory and VCSE sectors - the research identifies key gaps in how services currently work together.

Dr Maria Michail from the University of Birmingham said: "Young people have told us clearly that support services do not always reflect their realities or meet their needs. By bringing together insights from lived experience alongside those working across the voluntary and statutory sectors, our recommendations provide a practical roadmap for more coordinated and compassionate care.

"New policy recommendations from the University of Birmingham outlines how services across the UK can work together to support young people at risk of suicide."

New policy recommendations from the University of Birmingham outlines how services across the UK can work together to support young people at risk of suicide.

michail-maria
Dr Maria Michail
Associate Professor

The findings highlight that many young people, particularly those from marginalised groups, face barriers to accessing timely and appropriate support from statutory services. At the same time, they are often more willing to seek help from VCSE organisations, which can provide more accessible and identity-affirming care.

However, the study found that fragmentation between services, unclear referral pathways and inconsistent information sharing can lead to disjointed care, with young people frequently having to repeat their experiences across multiple providers.

To address these challenges, the policy booklet sets out five priority areas for action, including embedding young people’s lived experience in service design, strengthening collaboration across sectors, improving funding and capacity in the VCSE sector, and enhancing training and information-sharing systems.

The recommendations are closely aligned with the Fit for the Future: 10‑Year Health Plan for England, particularly its emphasis on prevention, early support, and more integrated, community‑based models of care for children and young people. The recommendations are designed to support stakeholders at local, regional and national level in developing more coordinated, responsive approaches to suicide prevention.

The research team is now engaging with stakeholders - including local authorities, NHS commissioning services, voluntary organisations and government departments - to support the implementation of the recommendations and understand potential barriers and facilitators to uptake.

The study was funded by the National Institute for Health and Care Research's Three NIHR Research Schools' Mental Health Programme.

ATTUNE

Find out more about the ATTUNE study by clicking this link. 

Notes for editors

About the University of Birmingham

  • The University of Birmingham is ranked amongst the world’s top 100 institutions. Its work brings people from across the world to Birmingham, including researchers, educators and more than 40,000 students from over 150 countries.
  • England’s first civic university, the University of Birmingham is proud to be rooted in of one of the most dynamic and diverse cities in the country. A member of the Russell Group and a founding member of the Universitas 21 global network of research universities, the University of Birmingham has been changing the way the world works for more than a century.

About the National Institute for Health and Care Research

The mission of the National Institute for Health and Care Research (NIHR) is to improve the health and wealth of the nation through research. We do this by:

  • Funding high quality, timely research that benefits the NHS, public health and social care;
  • Investing in world-class expertise, facilities and a skilled delivery workforce to translate discoveries into improved treatments and services;
  • Partnering with patients, service users, carers and communities, improving the relevance, quality and impact of our research;
  • Attracting, training and supporting the best researchers to tackle complex health and social care challenges;
  • Collaborating with other public funders, charities and industry to help shape a cohesive and globally competitive research system;
  • Funding applied global health research and training to meet the needs of the poorest people in low and middle income countries.

NIHR is funded by the Department of Health and Social Care. Its work in low and middle income countries is principally funded through UK international development funding from the UK government.