State of Mind have been cited as a positive example of what can be done to help reduce the incidence of suicide

Men aged 35-54 years are now the group with the highest suicide rate. Understanding and addressing the factors associated with suicide in men, or working to limit their negative impact, will help to reduce population suicide risks. Sinfield Round 25 2013

Key factors include depression, especially when it is untreated or undiagnosed, alcohol or drug misuse, unemployment, family and relationship problems including marital breakup and divorce, social isolation and low self-esteem.

There were 4,524 suicide deaths in 2012

• The rate of deaths from suicide and undetermined intent was 8.0 per 100,000 population in 2010-12. After 1998-2000 the general trend was a decrease in the overall rate of suicide. However, this has tailed off in recent years with a small rise in rates in the last four year. However, the figure for 2010-2012 is 17% lower than in 1998-2000. Areas where rugby league is played have higher suicide rates than the national average as there have been a number of studies demonstrating an association between the areas of England worst affected by unemployment during the recent financial crisis and increased suicide rates.

• Suicide continues to be more than three times as common in males (12.4 per 100,000 for males in 2010-12, compared to 3.7 for females).

• The numbers and rates of suicide and undetermined deaths vary between age groups, with rates among males highest for those aged 35-54 years and among females, highest for those aged 40-59 years.O2 Think Big 4

Community outreach programmes into traditional male environments can be powerful in engaging with men and women.

State of Mind is a Rugby League mental health and wellbeing initiative which aims to raise awareness and tackle stigma. The organisation aims to reach men who may not normally contact health and social care services, and signpost them to where support is available. A round of Rugby League fixtures is dedicated to State of Mind, which maximises the publicity.

The focus is on promoting player welfare and resilience for all members of local communities. Super League players act as ambassadors reaching fans and amateur players through presentations, meetings and social networking, with positive messages being specially commissioned and tweeted. Films with specific themes are available at

State of Mind continue to work with rugby league clubs, The Rugby Football League and Rugby League Cares charity to build the mental fitness and resilience of rugby players, supporters and communities

To view the full suicide prevention document click on the link