Suicide in young people with Special Educational Needs and Disabilities (SEND) in England 2011 to 2022: A retrospective cohort study

Among 10–18-year-olds in England followed to age 25, suicide risk was higher for males with SEND support (HR 1.46, 95% CI 1.33–1.61) and for males with statements (HR 1.32, 95% CI 1.09–1.61).

• Why it matters: Evidence on suicide mortality for children and young people with SEND in England is limited, despite SEND covering a broad group identified through educational provision rather than clinical diagnosis.
• What they did: Using Growing Up in England linked to death registrations, the study analyzed 3,959,390 CYP aged 10–18, classified SEND provision as no support, support, or statement, and estimated sex-stratified, age-adjusted Cox models for suicide through 31 December 2022.
• The result: Across follow-up, 2,620 suicides occurred among 10- to 24-year-olds, with 1,190 (45.4%) among those with support and 130 (5%) among those with statements, and rates were highest for CYP with social, emotional and mental health needs.

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