Psychiatric targets in “Health of the nation”: Regional suicide 1974–1990 and unemployment prospects in 1990–1994 in Britain: Precursors or failure

Summary The psychiatric targets set in ’The Health of the Nation ’ reflect a fundamental change in auditing the psychiatric and social services, and it is argued that suicide levels have become ’Paradoxical indicators ’ of effectiveness. Based upon mortality rates between 1974-1990, inter-regional comparative league tables are presented. Changes in age and gender patterns, and the accumulative impact of unemployment 1990-1994, especially in the more affluent regions, suggest that the suicide targets may not be feasible. The implica-tions for the community and psychiatric services are briefly discussed