What’s the bigger picture?

It’s no secret that young people are struggling with suicidality, but what’s the bigger picture?

According to the Survey of Mental Health and Wellbeing in England (2024), a quarter of adults (25.2%) reported having thoughts of taking their own life, with the highest prevalence among those aged 16–34.[1] The World Health Organisation estimates that for every adult who dies by suicide, over 20 others have made one or more attempts. A prior suicide attempt is the “single most important predictor” of death by suicide and someone who has attempted once is 25 times more likely to attempt again.[2][3]

The question of ‘Why’ is present with suicidality. There are many explanations, it can emerge from a mental health crisis, develop over years, or appear suddenly in response to acute circumstances. Two individuals struggling with suicidality may present very differently. One may be very depressed, unable to perform daily activities and openly expressing suicidal intent. Another may outwardly function normally while engaging in risk-taking behaviours, struggling with relationships or showing aggression. External stressors, poverty, abuse, unemployment, relationship breakdowns or even seasonal changes can exacerbate existing emotional dysregulation, making suicide seem like the only escape.

Suicide is complex; it cannot be understood through a one-size-fits-all approach. Each individual’s despair is unique, shaped by their circumstances and overwhelming their hope for the future.

Our You Are Not Alone (YANA) Programme a six-month DBT intensive programme for young people aged 16–35 who have attempted suicide has supported over 1,000 young people. Recognising the limitations of purely clinical care, we developed a holistic, whole person model of care. Using Dialectical Behavioural Therapy (DBT), the gold standard for suicide prevention, we address complex trauma, emotional regulation, distress tolerance and relationship skills. The programme takes a life course approach, so once you complete the six months DBT, you can go onto access the continued community model.

Outcomes so far show a 93% decrease in feelings of loneliness, 90% improvement in home or living environments and an 80% return to work or study (with 85% improved attendance). Most importantly, we have recorded zero suicides among graduates engaged in the community. These outcomes are supported by follow-up check-ins, a people-first community space and lifelong support for members.

By equipping young people with the skills, resilience and community to navigate life’s challenges, the YANA Programme enables us to reclaim agency, autonomy and the freedom to build meaningful, connected lives.