About this topic
Every life lost to suicide is a tragedy for family, friends, kin and communities. Although suicide and intentional self-harm are complex issues, they can be prevented. The Australian Institute of Health and Welfare respectfully acknowledges those who have died or have been affected by suicide or intentional self-harm.
Connection to community
Connection to community is one of the 7 domains of social and emotional wellbeing for Aboriginal and Torres Strait Islander (First Nations) people.
Social and emotional wellbeing is a holistic way of looking at relationships between individuals, family, kin and community in the context of land, culture, spirituality and ancestry. Cultural groups and individuals each have their own interpretation of social and emotional wellbeing (Gee et al. 2014).
Self-governance and support networks can help build connection to community (PM&C 2017). People can be disconnected from community through a lack of meaningful support networks, disintegration of the family, lack of recognised role models, and the persistent cycle of grief due to the many deaths in communities. These factors may contribute to occurrences of suicide (Silburn et al. 2014).
Suicide and intentional self-harm behaviours arise from a complex web of personal, social and historical factors (Dudgeon et al. 2017). Experiencing the sorrow and loss of family and community members in short succession can mean being in a constant state of grief and mourning (Silburn et al. 2014).
Suicidal behaviour can appear in clusters—this is a rapid increase in the number of suicides in a few months or years, or within a certain geographical area. Exposure to suicidal behaviour may be a factor contributing to increased suicides.
Historical factors may also contribute to suicide. Suicide among First Nations people is considered a post-colonisation phenomenon that markedly increased in prevalence from the 1960s (Hunter & Milroy 2006; Silburn et al. 2014). Understanding the ongoing effects of colonisation and the importance of culture is important for individual and communal healing (Silburn et al. 2014).
Effective suicide prevention requires a multi-sector approach that includes health, education, employment, welfare agencies, law-enforcement agencies, housing providers and non-government organisations (AIHW 2020). Programs and care can be delivered to:
- a whole community (regardless of their level of suicide risk)
- those at imminent risk of suicide
- those who need follow-up after a suicide attempt (AIHW 2018).
In 2020, all Australian governments and the Coalition of Aboriginal and Torres Strait Islander Peak Organisations worked in partnership to develop the National Agreement on Closing the Gap- external site opens in new window (the National Agreement), built around 4 Priority Reforms. The National Agreement also identifies 19 targets across 17 socioeconomic outcome areas. One of these targets directly relates to suicide prevention, monitored annually by the Productivity Commission.
National Agreement on Closing the Gap: social and emotional wellbeing-related targets
Outcome area 14: Aboriginal and Torres Strait Islander people enjoy high levels of social and emotional wellbeing
- Target: Significant and sustained reduction in suicide of Aboriginal and Torres Strait Islander people towards zero.
- Status: In 2023, the suicide age-standardised rate for Aboriginal and Torres Strait Islander people was 30.8 per 100,000 people (for NSW, Victoria, Queensland, WA, SA and the NT combined). To measure progress toward this target, a trajectory of a 75% reduction is presented on the Closing the Gap information repository. The 2023 rate is above the trajectory rate of 16.8 per 100,000 people.
Postvention services support people who have been exposed to or bereaved by suicide. These services aim to help reduce distress and the risk of suicide (AHA 2014).
The Centre of Best Practice in Aboriginal and Torres Strait Islander Suicide Prevention (CBPATSISP) develops evidence for effective suicide prevention strategies for First Nations people and communities (Dudgeon et al. 2019). The CBPATSISP research shows that effective suicide response is multi-layered. It includes prevention for individuals, tailored responses for high-risk groups, and multi-level suicide prevention activities for individuals, families and communities. These activities include:
- raising community awareness of mental health and suicide
- addressing substance use and employment issues
- promoting healing in families by strengthening social and emotional wellbeing.
Suicide prevention strategies are more likely to succeed if they are co-designed and implemented with First Nations community leadership. Communities understand the lived experience of community members at risk of suicide and are best placed to design suicide responses (Dudgeon et al. 2019).
Key statistics
In 2023, across Australia, there were 275 registered deaths of Aboriginal and Torres Strait Islander people who died by suicide. The majority of those deaths (265) were from 6 jurisdictions, New South Wales, Victoria, Queensland, Western Australia, South Australia and the Northern Territory. These 6 jurisdictions account for the majority (96%) of the First Nations population in Australia (940,087 of 983,709) – see Social & emotional wellbeing (Table SEWB.3). Most of the data presented in this section are from New South Wales, Victoria, Queensland, Western Australia, South Australia and the Northern Territory. Data from these jurisdictions were considered to have adequate levels of Indigenous identification in mortality data at the time the data were released by the Australian Bureau of Statistics (ABS). Data for Tasmania and the Australian Capital Territory have been excluded (see the relevant Technical note on the ABS website for further information). Data from 2021 are final, data for 2022 and 2023 are not final and may be subject to revision (ABS 2024a).
In 2023, 265 First Nations people died by suicide, at an age-standardised rate of 30.8 per 100,000 population for the 6 jurisdictions. Suicide was the fifth leading cause of death among First Nations people, and the 16th leading cause of death for non-Indigenous Australians (ABS 2024a).
In 2023, suicide accounted for 5.2% of all deaths of First Nations people while the comparable proportion for non-Indigenous Australians was 1.7%. Both First Nations males and females experienced suicide deaths at a higher rate than non-Indigenous Australians. The rate of death by suicide for First Nations males was 2.9 times that of non-Indigenous males. The suicide rate for First Nations females was 2.6 times that of non-Indigenous females. Among First Nations people, males are more likely to die by suicide than other causes of death compared with females (7.1% and 3.0% respectively) (ABS 2024a).
The longer-term trends data presented here are historical and reported for 5 jurisdictions only (New South Wales, Queensland, Western Australia, South Australia and the Northern Territory) (Figure 1a; Table SP.1a). Data from Victoria, Tasmania and the Australian Capital Territory for this period were unsuitable for comparisons over time and were excluded (see the relevant on the ABS website for further information).
From 2011 to 2021, the age-standardised rate of suicide among First Nations people fluctuated, from a low of 16.9 per 100,000 population in 2012 to a high of 25.7 per 100,000 population in 2020 (Figure 1a; Table SP.1a). Overall, the rate of suicide among First Nations people has been trending upwards. This increase is likely to reflect both improvements in the identification of First Nations people in deaths data, which the ABS has been implementing since 2015 (ABS 2024a), as well as an actual increase in rates in the community.
1. All rates are presented per 100,000 population and are directly age-standardised.
2. Deaths are counted according to year of registration of death, not necessarily the year in which the death occurred.
3. Data by Indigenous status is reported by usual residence for NSW, Qld, WA, SA and NT only (including totals). Data for Vic, Tas and ACT are excluded in line with national reporting guidelines.
4. New and revised rates for Aboriginal and Torres Strait Islander people have been calculated using population estimates and projections for the relevant year based on the 2021 Census (rebased to 2011). Non-Indigenous estimates for the relevant years are based on 2021 Census and have been derived by subtracting Aboriginal and Torres Strait Islander population estimates from the total Australian estimated resident population (ERP).
5. Previous publications have used rates based on 2016 Census estimates and projections for Aboriginal and Torres Strait Islander people, and 2021 Census for other populations. Revised rates are not comparable with those previously published. For more information, refer to the ABS article: Guide to using historical estimates for comparative analysis and reporting released with the Estimates and Projections, Aboriginal and Torres Strait Islander Australians, 2011-2031.
Figure 1b below shows data for 6 jurisdictions from 2019 to 2023 (Figure 1b, Table SP.1b). Caution is advised when making comparisons of data from 2022 onwards with data from 2021 and earlier due to an improvement in methodology for deriving Indigenous status for deaths registered in New South Wales. This change resulted in an increase in the number of deaths identified as Aboriginal or Torres Strait Islander that was substantial enough to cause a break in the time series of suicide deaths among First Nations people (see the relevant Technical note on the ABS website for further information).
1. All rates are presented per 100,000 population and are directly age-standardised.
2. Deaths are counted according to year of registration of death, not necessarily the year in which the death occurred.
3. Data by Indigenous status is reported by usual residence for NSW, Vic, Qld, WA, SA and NT only (including totals). Data for Tas and ACT are excluded in line with national reporting guidelines.
4. 2023 Aboriginal and Torres Strait Islander deaths are influenced by the use of additional sources of information for deriving the Indigenous status of deaths. The additional sources for identifying Indigenous status have also improved reporting for Victoria for 2018-2023. For more detail, refer to the Technical Note: the impact of using multiple sources for deriving the Indigenous status of deaths in 2023 – changes for Victoria and for coroner referred deaths in Causes of Death, Australia 2023 Methodology.
5. From 2022, an increase in Aboriginal and Torres Strait Islander deaths is influenced by the use of information from the Medical Certificate of Cause of Death (MCCD) for the first time for deriving the Indigenous status of deaths registered in New South Wales. For more information, see Technical Note: The impact of using two sources for deriving the Indigenous status of deaths in NSW in 2022 in Causes of Death, Australia 2022 Methodology.
6. New and revised rates for Aboriginal and Torres Strait Islander people have been calculated using population estimates and projections for the relevant year based on the 2021 Census (rebased to 2011). Non-Indigenous estimates for the relevant years are based on 2021 Census and have been derived by subtracting Aboriginal and Torres Strait Islander population estimates from the total Australian estimated resident population (ERP).
In 2023, across six jurisdictions, the age-standardised rate for First Nations males was 3.5 times that of First Nations females (48.5 per 100,000 and 13.8 per 100,000, respectively) (Table SP.2). When looking at aggregated data for the period 2019–2023, across the 6 jurisdictions, the age-standardised rate for First Nations males was 3.0 times that of First Nations females (41.0 per 100,000 and 13.8, respectively) (Figure 2; Table SP.3).
For 2019–2023, the suicide rate for First Nations males was 2.3 times that of non-Indigenous males. The rate for First Nations females was 2.5 times that of non-Indigenous females (ABS 2024a) (Figure 2; Table SP.3).
1. Deaths are counted according to year the death was registered by the Registries of Births, Deaths and Marriages (RBDM), not necessarily the year in which the death occurred.
2. Data by Indigenous status is reported by usual residence for NSW, Vic, Qld, WA, SA and NT only (including totals). Data for Tas and ACT are excluded in line with national reporting guidelines.
3. 2023 Aboriginal and Torres Strait Islander deaths are influenced by the use of additional sources of information for deriving the Indigenous status of deaths. The additional sources for identifying Indigenous status have also improved reporting for Victoria for 2018-2023. For more detail, refer to the Technical Note: the impact of using multiple sources for deriving the Indigenous status of deaths in 2023 – changes for Victoria and for coroner referred deaths in Causes of Death, Australia 2023 Methodology.
4. From 2022, an increase in Aboriginal and Torres Strait Islander deaths is influenced by the use of information from the Medical Certificate of Cause of Death (MCCD) for the first time for deriving the Indigenous status of deaths registered in New South Wales. For more information, see Technical Note: The impact of using two sources for deriving the Indigenous status of deaths in NSW in 2022 in Causes of Death, Australia 2022 Methodology.
5. New and revised rates for Aboriginal and Torres Strait Islander people have been calculated using population estimates and projections for the relevant year based on the 2021 Census (rebased to 2011). Non-Indigenous estimates for the relevant years are based on 2021 Census and have been derived by subtracting Aboriginal and Torres Strait Islander population estimates from the total Australian estimated resident population (ERP).
Suicide contributes to premature mortality in First Nations people, especially in younger age groups. Data from 2019–2023 for 6 jurisdictions showed the suicide rate was highest among those aged 25–44 (49.3 deaths per 100,000), followed by those aged 45–64 (26.3), 0–24 (13.9) and 65 and over (7.9). Among First Nations people aged 0–24 and 25–44, suicide rates were around 3 times as high (2.8 and 3.2 respectively) as non-Indigenous Australians of the same age. The suicide rate for non-Indigenous Australians aged 65 and over was higher than First Nations people of the same age (12.7 and 7.9 per 100,000, respectively) (Figure 3; Table SP.3).
The ABS has stated that it is not aware of any recorded suicides of children under the age of 5 (ABS 2024a). In 2019-2023, suicide was the leading cause of death for Aboriginal and Torres Strait Islander children aged 5-17, with 81 deaths (6.1 deaths per 100,000 children). Three-quarters (75%) were aged 15-17 years and over half (56%) were female (ABS 2024a).
1. Data by Indigenous status is reported by usual residence for NSW, Vic, Qld, WA, SA and NT only (including totals). Data for Tas and ACT are excluded in line with national reporting guidelines.
2. 2023 Aboriginal and Torres Strait Islander deaths are influenced by the use of additional sources of information for deriving the Indigenous status of deaths. The additional sources for identifying Indigenous status have also improved reporting for Victoria for 2018-2023. For more detail, refer to the Technical Note: the impact of using multiple sources for deriving the Indigenous status of deaths in 2023 – changes for Victoria and for coroner referred deaths in Causes of Death, Australia 2023 Methodology.
3. From 2022, an increase in Aboriginal and Torres Strait Islander deaths is influenced by the use of information from the Medical Certificate of Cause of Death (MCCD) for the first time for deriving the Indigenous status of deaths registered in New South Wales. For more information, see Technical Note: The impact of using two sources for deriving the Indigenous status of deaths in NSW in 2022 in Causes of Death, Australia 2022 Methodology.
4. Crude age-specific rates calculated per 100,000 estimated resident population for each age group for the mid-point year. Age-specific rates cannot be compared across years. Age-specific rates cannot be compared to age-standardised rates.
5. Rates for Aboriginal and Torres Strait Islander people have been calculated using population estimates and projections for the relevant year based on the 2021 Census (rebased to 2011). Non-Indigenous estimates for the relevant years are based on 2021 Census and have been derived by subtracting Aboriginal and Torres Strait Islander population estimates from the total Australian estimated resident population (ERP).
Data from 2019–2023 by state or territory show the annual age-standardised suicide rate was highest in Western Australia (35.2 per 100,000) and lowest in New South Wales (21.7 per 100,000). For non-Indigenous Australians, suicide rates were lower than for First Nations people in all 6 states and territories (ABS 2024a ) (Figure 4; Table SP.4).
1. Deaths are counted according to year the death was registered by the Registries of Births, Deaths and Marriages (RBDM), not necessarily the year in which the death occurred.
2. Data by Indigenous status is reported by usual residence for NSW, Vic, Qld, WA, SA and NT only (including totals). Data for Tas and ACT are excluded in line with national reporting guidelines.
3. 2023 Aboriginal and Torres Strait Islander deaths are influenced by the use of additional sources of information for deriving the Indigenous status of deaths. The additional sources for identifying Indigenous status have also improved reporting for Victoria for 2018-2023. For more detail, refer to the Technical Note: the impact of using multiple sources for deriving the Indigenous status of deaths in 2023 – changes for Victoria and for coroner referred deaths in Causes of Death, Australia 2023 Methodology.
4. From 2022, an increase in Aboriginal and Torres Strait Islander deaths is influenced by the use of information from the Medical Certificate of Cause of Death (MCCD) for the first time for deriving the Indigenous status of deaths registered in New South Wales. For more information, see Technical Note: The impact of using two sources for deriving the Indigenous status of deaths in NSW in 2022 in Causes of Death, Australia 2022 Methodology.
5. Rates per 100,000 population are directly age-standardised
6. Rates for Aboriginal and Torres Strait Islander people have been calculated using population estimates and projections for the relevant year based on the 2021 Census (rebased to 2011). Non-Indigenous estimates for the relevant years are based on 2021 Census and have been derived by subtracting Aboriginal and Torres Strait Islander population estimates from the total Australian estimated resident population (ERP).
The following data refer to the annual crude suicide rates among First Nations people, in areas defined as Indigenous Regions (IREG), covering New South Wales, Queensland, Western Australia, South Australia and the Northern Territory.
Note:
- IREGs are a lower level of geography, resulting in numbers that are too small for the use of age-standardisation. As there is little age-structure variation between IREGs, crude rates have been used in this section instead.
- crude rates are not comparable with age-standardised rates
- certain IREGs in WA, NT and SA have been combined to avoid suppressing data.
Data from 2013–2022 combined show that the rate of suicide among First Nations people varied greatly between IREGs. Kununurra in Western Australia had the highest rate of suicide, with 64.3 per 100,000 persons. The lowest suicide rate was recorded in Torres Strait, with 6.7 per 100,000 (Figure 5; Table SP.5).
The rate of suicide among First Nations males was higher than the rate among First Nations females in all IREGs covered here. The IREG with the highest suicide rate among First Nations males was Kununurra (79.1 per 100,000), and the IREG with the lowest reportable suicide rate among First Nations males was Dubbo (20.8 per 100,000 males) (Figure 5; Table SP.5).
Among First Nations females, Kununurra was the IREG with the highest rate of suicide (51.3 per 100,000), and Dubbo and New South Wales Central and North Coast were the IREGs with the lowest reportable rate (both 6.1 per 100,000 females) (Figure 5; Table SP.5).
The male and female rates are not shown for the Torres Strait IREG and the combined Port Augusta | Port Lincoln – Ceduna IREGS because of confidentiality concerns related to the small numbers of recorded suicides (Figure 5; Table SP.5).
1. IREGs based on Australian Statistical Geography Standard (ASGS) 2016 (second edition) boundaries.
2. Certain IREGs in WA, NT and SA have been combined to avoid suppressing data.
3. Analysis is based on deaths registered from 2013 to 2022. Deaths registered in 2019 or earlier are based on the final version of cause of death data; deaths registered in 2020 are based on the revised version; and deaths registered in 2021 and 2022 are based on the preliminary version. Revised and preliminary versions are subject to further revision by the Australian Bureau of Statistics (ABS).
4. Numbers and rates are reported for 5 jurisdictions – New South Wales, Queensland, Western Australia, South Australia and the Northern Territory. These jurisdictions are considered to have adequate levels of First Nations identification in mortality data. Numbers of deaths are also reported for Victoria, Tasmania, and the Australian Capital Territory, however these data should be interpreted with caution due to concerns around the quality of First Nations identification in those 3 jurisdictions.
5. The crude rates in this table are presented on a per 100,000 population basis, using AIHW-derived estimates of the mid-year population from 2013 to 2022 (2016 Census-based). As is standard practice, all age groups are included in the denominator even though suicides are not normally recorded in very young children. Crude rates are not directly comparable with age-standardised rates presented elsewhere. Some rates can be volatile due to the small numbers of deaths over the reference period.
6. Data are likely to underestimate the Aboriginal and Torres Strait Islander mortality rate. See the Deaths of Aboriginal and Torres Strait Islander people section of the Causes of Death methodology on the ABS website for further information.
7. Deaths were concorded from SA2 of usual residence to IREG based on First Nations-weighted correspondence files. Deaths that could not be concorded to IREG were not included in this table.
Archived content
Data tables
Table number and title | Source | Reference year |
---|---|---|
Table SP.1a: Age-standardised suicide rates by Indigenous status (NSW, Qld, WA, SA and NT), 2011 to 2021 | AIHW National Mortality Database and Australian Bureau of Statistics (Causes of Death, Australia, 2023) | 2011–2021 |
Table SP.1b: Age-standardised suicide rates by Indigenous status (NSW, Vic, Qld, WA, SA and NT), 2019 to 2023 | AIHW National Mortality Database and Australian Bureau of Statistics (Causes of Death, Australia, 2023) | 2019–2023 |
Table SP.2: Age-standardised suicide rates by Indigenous status and sex, 2023 |
AIHW National Mortality Database and Australian Bureau of Statistics (Causes of Death, Australia, 2023) |
2023 |
Table SP.3: Age-specific suicide rates by Indigenous status, age and sex, 2019–2023 |
AIHW National Mortality Database and Australian Bureau of Statistics (Causes of Death, Australia, 2023) |
2019–2023 |
Table SP.4: Age-standardised suicide rates among First Nations people by state or territory, 2019–2023 | AIHW National Mortality Database and Australian Bureau of Statistics (Causes of Death, Australia, 2023) | 2019–2023 |
Table SP.5: Suicide rates among First Nations people by sex and Indigenous Region (IREG), crude rates, 2011–2020 |
AIHW analysis of ABS Causes of Death, Australia AIHW analysis of ABS population data |
2013–2022 |