Recurring concern

Inadequate controls on access to online suicide-promoting content

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First reported 20 Nov 2013•Latest report 29 Apr 2026

Definition

What this concern includes

Includes failures of controls specifically intended to prevent, restrict, detect or respond to vulnerable people's access to online suicide-promoting or suicide-facilitating content, including accessible forums, websites, books or social-media material and inadequate platform, regulatory or enforcement arrangements.

Not included

  • Excludes general harmful online content where suicide promotion or facilitation is not the identified hazard.
  • Excludes mental-health treatment, crisis-support or safety-netting deficiencies that do not concern access to online suicide-promoting content.
  • Excludes ordinary online availability or neutral discussion of suicide where no promotion, instruction, facilitation or safety-control failure is identified.
  • Excludes harmful-content amplification concerns where the asserted unsafe condition is broader platform recommendation or dissemination and is not specifically tied to suicide-promoting content.
Reports
24

Distinct published reports

Individual concerns
32

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
43

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

Home Office10
Department for Science, Innovation and Technology5
Department of Health and Social Care5
Department for Digital, Culture, Media and Sport4
Ofcom4
Amazon UK Services Ltd.2
Google UK Limited2
National Crime Agency2
British Transport Police1
Department for Digital, Culture, Media & Sport (2017 to 2023)1
National Confidential Inquiry into Suicide and Safety in Mental Health1
National Institute for Health and Care Excellence1
National Police Chiefs’ Council1
NHS England1
Recipient name withheld1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Swansea and Neath Port Talbot

    AI-generated summary

    Rhiannon Auriol Mary Williams · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Rhiannon Auriol Mary Williams, aged 24, died by suicide following prolonged suicidal thoughts and worsening mental health. The inquest recorded the medical cause of death as asphyxia due to combined drug toxicity, neck ligature and submersion. The principal concern was that an online suicide forum and a social media platform provided information and advice about methods of suicide, concealing suicidal intentions and misleading professionals and family members.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Online availability of suicide methods and concealment advice

    Wider context from the report

    “Rhiannon accessed an online ‘suicide forum’ where she was able to access information on how to take her own life and where she obtained advice/information on misleading professionals and her family as to her thoughts and intentions. Rhiannon also accessed a social media platform to obtain information about the method Rhiannon used to take her own life. A similar concern was raised by Patricia Harding Senior Coroner for Central and South East Kent in a Prevent Future Death report of 2019 arising a similar concern in respect of ‘suicide forums’. The response from the Department for Digital, Culture, Media & Sport of 14 January 2020 referred to The Online Harms White Paper. I am aware of The Online Safety Act 2023 and also BBC reporting -https://www.bbc.co.uk/news/uk-67082224 - touching upon whether this Act is in fact sufficient to deal with the risks posed by ‘suicide websites’. I am concerned about the risk to life posed by the website and social media platform considered in this inquest and so draw them to your attention. ”

    Source location

    Rhiannon Auriol Mary Williams · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publish the Illegal Harms Statement, final Illegal Harms Codes of Practice and related guidance.

    Verbatim wording from the response

    “On 16 December 2024 we published our statement on protecting people from illegal harms online (‘Illegal Harms Statement’) which included our final Illegal Harms Codes of Practice and guidance. On the same day, the Codes were submitted to the Secretary of State who laid them in Parliament for 40 days. Concurrently, regulated service providers were required to undertake their illegal content risk assessments. Following approval by Parliament, the Codes came into force on 17 March 2025. This means the illegal harms safety duties are now enforceable, and we can take enforcement action against providers that are not complying with their illegal harms duties. We can begin investigations and – following the conclusion of those – impose sanctions if we find that services are not compliant with these duties.”

    Source location

    Response from OFCOM
    Page 3 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Operate Supervision teams that engage selected high-risk services to assess their safety measures and drive timely compliance improvements.

    Verbatim wording from the response

    “In addition to our formal powers to ensure that service providers comply with their duties under the Act, we have established Supervision teams which are already actively engaging with selected service providers to drive compliance with the Act. The providers we have chosen to supervise are those that pose particular risk, either because of their size, functionality or because of the nature of the service. This includes the largest services such as popular social media platforms, search services, messaging and gaming services, as well as smaller services that present particular risk due to the”

    Source location

    Response from OFCOM
    Page 6 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Engage TikTok on the suicide-content and child-safety issues raised in the Report.

    Verbatim wording from the response

    “Evidence, like the information included in the Report, helps inform our supervisory engagement and prioritisation, such as which providers we should be engaging with and what we should focus our engagement on. We have been actively engaging with TikTok since 2022 under the Video Sharing Platform (VSP) regime (a pre-cursor to the Online Safety Act). One of our key priorities under the VSP regime has been to ensure that children are protected from finding and viewing age-inappropriate videos. Based on the information included in the Report, we will be engaging with TikTok on some of the issues you have raised in your Report.”

    Source location

    Response from OFCOM
    Page 7 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Operate a dedicated taskforce to bring smaller, riskier online services, including suicide discussion forums, into compliance.

    Verbatim wording from the response

    “In addition to our broader supervisory programme, we have a dedicated taskforce dealing with ‘small but risky services’. The taskforce’s focus is bringing smaller, riskier services into compliance with their duties under the Act. For the purposes of this work the services in question are those which:”

    Source location

    Response from OFCOM
    Page 7 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Run three sector-wide compliance programmes monitoring providers’ illegal-content risk-assessment and record-keeping duties.

    Verbatim wording from the response

    “We expect our early enforcement action to focus on ensuring services are adequately assessing risk and putting in place the measures that will be most impactful in protecting users, especially children, from serious harms such as those relating to CSAM, pornography and illegal suicide content. To date we have launched three sector-wide compliance programmes as the illegal content duties have come into force to monitor whether providers are complying with their illegal content risk assessment duties and record keeping duties under the Act. We are also taking targeted action against specific services, the first of which is directly relevant to the matters of concern included in the Report.”

    Source location

    Response from OFCOM
    Page 7 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Investigate the identified suicide forum’s compliance with safety measures, illegal-harms risk-assessment and information-request duties, and provide regular website updates.

    Verbatim wording from the response

    “In line with the approach outlined above, on 9 April 2025, we opened an investigation into ████████. The investigation will examine whether there are reasonable grounds to believe that this service provider has failed, or is failing, to comply with its duties to:”

    Source location

    Response from OFCOM
    Page 8 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work with Ofcom to implement the Online Safety Act quickly and effectively.

    Verbatim wording from the response

    “As you reference in your report, the Online Safety Act (the ‘Act’) received Royal Assent in October 2023. The Act lays the foundation for strong protections against illegal content for all users and harmful material for children, and the government is committed to working with Ofcom, the independent regulator, to ensure it is implemented quickly and effectively.”

    Source location

    Response from Department for Science, Innovation and Technology
    Page 1 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue examining ways to extend protections under the Online Safety Act while maintaining focus on swift implementation.

    Verbatim wording from the response

    “This government has committed to tackling suicide and will continue to look at ways we can extend protections under the Act, while maintaining our focus on swift implementation. Alongside this, officials from my department continue to work closely with officials from The Department of Health and Social Care (DHSC), who coordinate the government’s approach to preventing suicides and improving people’s mental health, and lead on the Suicide Prevention Strategy for England. The Strategy identified online safety as a priority area for action and committed to tackling harmful suicide and self-harm content. In addition, the Strategy proposes targeted support for priority groups such as children and young people.”

    Source location

    Response from Department for Science, Innovation and Technology
    Page 3 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Online services, rather than Ofcom, are legally responsible for assessing and mitigating risks and removing illegal suicide content under the Act.

    Verbatim wording from the response

    “• Duties on user-to-user and search service providers to assess the risks their services pose to users in relation to illegal content (including illegal suicide content); and content that is harmful to children (including content that encourages, promotes or provides instructions for suicide), and take steps to mitigate and manage those risks;”

    Source location

    Response from OFCOM
    Page 2 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Criminal law concerning encouraging or assisting suicide is the responsibility of the Ministry of Justice.

    Verbatim wording from the response

    “As the Act is a regulatory framework, I turn first to the relevant criminal law in this area (which is the responsibility of the Ministry of Justice). As you will be aware, under section 2(1) of the Suicide Act 1961 (the responsibility of the Ministry of Justice) it is an offence for a person to do an act capable of encouraging or assisting the suicide or attempted suicide of another person, with the intention that their act will encourage or assist suicide or an attempt at suicide. The criminal offence has a high threshold to avoid criminalising people who are expressing suicidal feelings and those offering them support, by, for example, sharing their own experiences. Whether a prosecution for encouraging or assisting suicide can be brought is a matter for the Crown Prosecution Service following a police investigation.”

    Source location

    Response from Department for Science, Innovation and Technology
    Page 1 · response
    Published 12 March 2025

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Prosecution decisions for encouraging or assisting suicide belong to the Crown Prosecution Service after police investigation.

    Verbatim wording from the response

    “As the Act is a regulatory framework, I turn first to the relevant criminal law in this area (which is the responsibility of the Ministry of Justice). As you will be aware, under section 2(1) of the Suicide Act 1961 (the responsibility of the Ministry of Justice) it is an offence for a person to do an act capable of encouraging or assisting the suicide or attempted suicide of another person, with the intention that their act will encourage or assist suicide or an attempt at suicide. The criminal offence has a high threshold to avoid criminalising people who are expressing suicidal feelings and those offering them support, by, for example, sharing their own experiences. Whether a prosecution for encouraging or assisting suicide can be brought is a matter for the Crown Prosecution Service following a police investigation.”

    Source location

    Response from Department for Science, Innovation and Technology
    Page 1 · response
    Published 12 March 2025

    Open published response
  2. Inner North London

    AI-generated summary

    Miranda Emilia Avanzi · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Miranda Emilia Avanzi was found unresponsive at home on 9 July 2024, partially suspended by a ligature, and her death was verified shortly afterwards. The principal concern was the ready availability online of detailed guides, including pictures and diagrams, giving instructions on ending one’s life by partial hanging, with limited age verification on some sites.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Ready availability of information providing instructions for ending one’s own life

    Wider context from the report

    “The police found a printout from a blog post close to Ms Avanzi, while investigating the initial circumstances of her death. That 10-page document contains a step-by-step guide (with the inclusion of pictures and diagrams) on how to ‘succeed’ in ending one’s life by ‘partial hanging’. It was clear that this guide had been followed in the circumstances of this case. While it is not obvious which website or forum this particular guide came from, it does cite numerous sources including ████████ and ████████. Just a basic search on Google or other search engines, reveals a significant number of forums and blogs, where users are able to obtain all manner of guides to completing suicide. Many of these sites have no, or no useful requirement for any type of age verification. The search engine suggests, at the top of the page, that help is available by dialling 999, which would appear to be an acknowledgement that the content resulting from the search is likely to be concerning and that person undertaking the search is likely already highly vulnerable. I am concerned that the ready availability of such information, that provides clear instructions and advice for individuals wanting to end their own life at their own hands is of the utmost concern. ”

    Source location

    Miranda Emilia Avanzi · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of useful age verification on websites providing suicide guides

    Wider context from the report

    “The police found a printout from a blog post close to Ms Avanzi, while investigating the initial circumstances of her death. That 10-page document contains a step-by-step guide (with the inclusion of pictures and diagrams) on how to ‘succeed’ in ending one’s life by ‘partial hanging’. It was clear that this guide had been followed in the circumstances of this case. While it is not obvious which website or forum this particular guide came from, it does cite numerous sources including ████████ and ████████. Just a basic search on Google or other search engines, reveals a significant number of forums and blogs, where users are able to obtain all manner of guides to completing suicide. Many of these sites have no, or no useful requirement for any type of age verification. The search engine suggests, at the top of the page, that help is available by dialling 999, which would appear to be an acknowledgement that the content resulting from the search is likely to be concerning and that person undertaking the search is likely already highly vulnerable. I am concerned that the ready availability of such information, that provides clear instructions and advice for individuals wanting to end their own life at their own hands is of the utmost concern. ”

    Source location

    Miranda Emilia Avanzi · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publish the final Illegal Harms Statement, including the Illegal Harms Codes of Practice and guidance.

    Verbatim wording from the response

    “As set out above, we published our statement on protecting people from illegal harms online (‘Illegal Harms Statement’) which includes our final Illegal Harms Codes of Practice and guidance, on 16 December 2024. The Codes have been submitted to the Secretary of State who has laid them in Parliament for 40 days. Concurrently, regulated service providers have until 16 March 2025 to undertake their illegal content risk assessments which we explain in more detail below. Following approval by Parliament, the Codes will come into force 21 days after they have been issued, which we expect to be from 17 March 2025. At this time, the illegal harms safety duties become enforceable, and we can begin investigations and – following the conclusion of those – impose sanctions if we find that services are not compliant with these duties.”

    Source location

    Response from OFCOM
    Page 4 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publish Illegal Content Judgements Guidance explaining how services can identify illegal suicide content.

    Verbatim wording from the response

    “We also published Ofcom’s Illegal Content Judgements Guidance (ICJG) on how services can identify illegal suicide content, as discussed further below. The ICJG provides guidance to user-to-user and search service providers on how they may identify illegal content (i.e. content which may reasonably be inferred to amount to a relevant offence) including under Section 2 of the Suicide Act 1961 (‘the suicide offence’). The offence of encouraging or assisting suicide is a priority offence under the Act.”

    Source location

    Response from OFCOM
    Page 5 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Produce the Illegal Harms Register of Risks, risk profiles and risk-assessment guidance for regulated services.

    Verbatim wording from the response

    “Illegal Harms – Assessing risks”

    Source location

    Response from OFCOM
    Page 4 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Continue regulatory supervision and direct work with high-risk services to promote compliance and improve protection from illegal or child-harmful suicide material.

    Verbatim wording from the response

    “The duties in the Act are not yet enforceable, however we have already been encouraging service providers in scope of the Act to take meaningful steps to improve safety on their platforms. To this end, we are committed to driving industry improvements by engaging with the riskiest services via ongoing ‘regulatory supervision.’ We also have a dedicated team for identifying, prioritising and escalating emerging issues, particularly on services where we do not have an existing supervisory relationship, which we call the Triage team. The purpose of the Triage team is to ensure Ofcom responds effectively, promptly, and proportionately to new or growing harms and risks, focusing our reactive work on the most harmful issues.”

    Source location

    Response from OFCOM
    Page 3 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Implement the Online Safety Act with Ofcom to regulate illegal and harmful suicide and self-harm content online.

    Verbatim wording from the response

    “As you may know, the ‘Act’ is a regulatory framework which gained Royal Assent in October 2023, and the government has since been working with Ofcom, the independent regulator, to implement it as quickly and effectively as possible. The Act tackles illegal and legal forms of online suicide content in a number of ways.”

    Source location

    Response from DSIT
    Page 1 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Introduce a communications offence covering intentional encouragement or assistance of serious self-harm.

    Verbatim wording from the response

    “We expect the illegal content duties to be fully in effect from Spring 2025. The Act also introduced a new communications offence of encouraging or assisting serious self-harm. This criminalises relevant acts capable of intentionally encouraging or assisting serious self-harm of another person, and was commenced on 31 January 2024.”

    Source location

    Response from DSIT
    Page 1 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Regulated online services are responsible for assessing and mitigating suicide-content risks and removing or reducing illegal content.

    Verbatim wording from the response

    “• Imposes a number of duties on those regulated services, in order to improve their systems and processes to ensure the safety of their users. These include: o Duties on search services and user-to-user services to assess the risks their services pose to users in relation to illegal content (including illegal suicide content, which we address in more detail below), and content that is harmful to children (including content that encourages, promotes or provides instruction for suicide), and take steps to mitigate and manage those risks. o Duties on search services to minimise the risk of individuals encountering illegal content (including illegal suicide content) and children from encountering content”

    Source location

    Response from OFCOM
    Page 2 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Ofcom cannot yet enforce the new online-safety duties because required implementation steps and Parliamentary approval remain outstanding.

    Verbatim wording from the response

    “Although the Act is now law, there are numerous procedural steps needed for the new regime to be fully implemented, and these steps need to be completed before services’ legal duties under the regime – and Ofcom’s ability to enforce those duties – come into force. These steps include:”

    Source location

    Response from OFCOM
    Page 3 · response
    Published 14 November 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Act does not restrict adults’ access to legal suicide content, limiting protection available through that legislation.

    Verbatim wording from the response

    “As you highlight in your report, users are able to access harmful suicide content via search engines. Under the Act, search services have targeted duties which require them to minimise the risk of all users encountering illegal content, including illegal suicide and self-harm content. In practice, this could look like removing results for sites that are known to host illegal suicide and self-harm content. Search services must also take or use, where proportionate, user support measures which might for example, signpost users towards sources of support. You state in your letter that you have already seen a source of support being offered by a search engine and that this indicates that the content being viewed is harmful. Whilst the Act does not restrict adult users’ access to legal content, as noted above, search services must provide children with additional protections from PPC.”

    Source location

    Response from DSIT
    Page 2 · response
    Published 14 November 2024

    Open published response
  3. Nottinghamshire

    AI-generated summary

    Bethany Paige Langton · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Bethany Paige Langton, aged 22, was discovered deceased in her bedroom on 18 February 2023 after deliberately ingesting a substance sourced online with the intention of causing her death. The principal concerns were the substance’s easy online availability, limited awareness among businesses that it could be obtained for suicide, and the continued availability of online guidance about sourcing and using it for that purpose.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Continued public availability of online guidance on sourcing and using the substance for suicide

    Wider context from the report

    “3. Beth used the internet to research how to source and use ████████ to bring about her death. She followed that guidance meticulously. That same guidance was still readily available on the internet at the time of her inquest, although I believe it might now have been removed. What system is in place to ensure that such websites are detected promptly and made unavailable to the public in a timely fashion? ”

    Source location

    Bethany Paige Langton · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of a system for prompt detection and removal of websites providing guidance on sourcing and using the substance for suicide

    Wider context from the report

    “3. Beth used the internet to research how to source and use ████████ to bring about her death. She followed that guidance meticulously. That same guidance was still readily available on the internet at the time of her inquest, although I believe it might now have been removed. What system is in place to ensure that such websites are detected promptly and made unavailable to the public in a timely fashion? ”

    Source location

    Bethany Paige Langton · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Coordinate cross-sector work through an emerging methods working group to reduce public access to and awareness of suicide methods.

    Verbatim wording from the response

    “The Government has taken steps to reduce access to and awareness of this substance and therefore reduce the risks of further deaths by suicide. The Department of Health and Social Care leads an emerging methods working group to prevent awareness and access to substances such as this one. The working group involves representatives from the voluntary, community and social enterprises sector, police, academics, and the NHS, as well as government departments including the Home Office and the Department for Science, Innovation and Technology. The group ensures rapid targeted actions to collectively reduce public access to emerging methods, including this particular substance. This includes reducing the sale and importation of methods where appropriate as well as reducing references to, and limiting awareness of, them.”

    Source location

    Response from DHSC
    Page 1 · response
    Published 14 October 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work with internet service providers, technology companies, social media platforms and expert advisers to tackle harmful pro-suicide forums.

    Verbatim wording from the response

    “The Act provides Ofcom with a robust suite of enforcement powers, including business disruptions measures and significant fines for use in the case of non-compliance. The Government has also worked with internet service providers, tech companies and social media platforms, as well as expert advisors such as the Samaritans, to tackle harmful pro-suicide forums.”

    Source location

    Response from DHSC
    Page 2 · response
    Published 14 October 2024

    Open published response
  4. Wiltshire and Swindon

    AI-generated summary

    Deborah Jane Cooper · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Deborah Jane Cooper, aged 61, was found dead at her home after apparatus apparently constructed using instructions from an internet publication was found at the scene, alongside notes indicating an intention to end her life. The principal concern was that the publication, which provided instructions for making the apparatus, was available for direct sale by Amazon UK, with an apparent legislative gap regarding the effectiveness of measures to prevent such material being marketed to the public and children.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Exclusion of provider content from online safety legislation when Amazon UK directly offers suicide-instruction publications through its own marketplace

    Wider context from the report

    “There are 2 issues that are of concern to me both of which leave me with the concern that there appears to be nothing in the legislative arsenal to substantively dissuade Amazon UK from marketing this publication to members of the public and children, if supplied direct from their warehouse. Those concerns are based on :- a. whilst there may be an offence under the Suicide Act 1961 as amended by the Coroners’ and Justice Act 2009 to include a limited company the penalty for such an offence was not changed and it remains as imprisonment, and you cannot imprison a limited company; b. Having regard to the response from Ofcom (copy attached for ease of reference), they have made it clear in paragraph 4 that where “Amazon UK itself directly offers a product for sale via its own marketplace, that will be provider content (which is not in scope of the OSA) ….. I have additionally enclosed with this letter a copy taken today from the Amazon website which clearly shows that Amazon UK are directly offering this particular book for sale via its own marketplace. There therefore seems to be a significant gap in the legislation to stop material like this being directly marketed by an organisation, in this case by Amazon UK, utilising its own marketplace. I fully acknowledge that if Amazon were marketing this on behalf of a third party seller, then that would be covered by the online safety legislation but that does not appear to be the case here and this book is being provided directly by the Amazon UK Warehouse. ”

    Source location

    Deborah Jane Cooper · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure of criminal penalties to substantively dissuade limited companies from marketing suicide-instruction publications

    Wider context from the report

    “There are 2 issues that are of concern to me both of which leave me with the concern that there appears to be nothing in the legislative arsenal to substantively dissuade Amazon UK from marketing this publication to members of the public and children, if supplied direct from their warehouse. Those concerns are based on :- a. whilst there may be an offence under the Suicide Act 1961 as amended by the Coroners’ and Justice Act 2009 to include a limited company the penalty for such an offence was not changed and it remains as imprisonment, and you cannot imprison a limited company; b. Having regard to the response from Ofcom (copy attached for ease of reference), they have made it clear in paragraph 4 that where “Amazon UK itself directly offers a product for sale via its own marketplace, that will be provider content (which is not in scope of the OSA) ….. I have additionally enclosed with this letter a copy taken today from the Amazon website which clearly shows that Amazon UK are directly offering this particular book for sale via its own marketplace. There therefore seems to be a significant gap in the legislation to stop material like this being directly marketed by an organisation, in this case by Amazon UK, utilising its own marketplace. I fully acknowledge that if Amazon were marketing this on behalf of a third party seller, then that would be covered by the online safety legislation but that does not appear to be the case here and this book is being provided directly by the Amazon UK Warehouse. ”

    Source location

    Deborah Jane Cooper · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Online Safety Act does not prevent adults accessing legal suicide and self-harm content because some content may provide support.

    Verbatim wording from the response

    “The Online Safety Act does not prevent adult users from accessing legal suicide and self-harm content, regardless of whether it is user generated content or provider content. In some cases, such content may be trying to provide support to those in need and this is therefore a complicated area to regulate. To be clear, I am not saying that ████████ is such a book.”

    Source location

    Response from Science Innovation and Technology
    Page 2 · response
    Published 1 August 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    There is no legislative sentencing gap because the Crown Court can impose a fine on a company convicted under the Suicide Act 1961.

    Verbatim wording from the response

    “Now I will address the two specific issues you raise in your letter, the first of which sets out your concern that a limited company cannot be imprisoned under the Suicide Act 1961 as amended by the Coroners’ and Justice Act 2009. Whilst the Suicide Act 1961 does not itself provide for a penalty other than imprisonment, under section 120 of the Sentencing Act 2020 the Crown Court has a general power to impose a fine on an offender convicted on indictment so there is no legislative gap in terms of sentencing if a company were to be convicted of an offence under the 1961 Act. The Suicide Act 1961 falls within the remit of the Ministry of Justice, should you have any further questions on this.”

    Source location

    Response from Science Innovation and Technology
    Page 1 · response
    Published 1 August 2024

    Open published response
  5. Cheshire

    AI-generated summary

    Mary JONES · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Mary Jones was found dead at home on 7 November 2023 after deliberately overdosing on medication with the intent to end her own life. In calculating a fatal dose, she consulted a book advising on suicide methods. The concern was that the book was readily available on Amazon.co.uk, including through expedited delivery, and that this availability could make suicide attempts more effective.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to restrict sale and expedited delivery of a harmful suicide book

    Wider context from the report

    “The “well known suicide book” I refer to in Box 3 is ████████ (redact on publication). As part of my investigations, I have received evidence that this book is readily available on Amazon.co.uk following a simple search for the same. Furthermore, it is available on Amazon Prime – so is available for expedited delivery. It is the first item shown when a search is made. Amazon, or the algorithms, are clearly aware of the potential for harm that this book can cause as there is a banner at the top giving contact numbers for the Samaritans. Despite this, the book is still on sale. I am aware that the Area Coroner for Cheshire wrote to Amazon in December 2023 raising this same issue, but has not yet had a response. I am concerned that the ready availability of this book will lead to people being more effective in any attempts to take their own lives. ”

    Source location

    Mary JONES · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Existing content guidelines and the freedom-of-expression approach are considered sufficient, so the book will not be removed from sale.

    Verbatim wording from the response

    “We have carefully considered the contents of the Report. As a bookseller, we believe that providing access to written speech and a variety of viewpoints is important, including books that some may find objectionable. We have content guidelines governing which books can be listed for sale and promptly investigate when a concern is raised. We have reviewed the Book against our content guidelines, taking account of your comments, and have decided not to remove it from sale.”

    Source location

    Response from Amazon
    Page 1 · response
    Published 25 March 2024

    Open published response
  6. Cornwall and Isles of Scilly

    AI-generated summary

    Guy Douglas Scotcheford · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Guy Scotcheford had a long history of mental health problems and chronic suicidal ideation. He was found deceased at home in a bath on 1 July 2023, and the cause of death was recorded as asphyxiation, with the conclusion of suicide. The report raised concern that an active website provided practical instructions for ending life, including a link to a company supplying relevant equipment for home delivery.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Online facilitation of UK home delivery of equipment for ending life

    Wider context from the report

    “It was clear from the evidence of the investigating officer that the website (████████) is still active and from this website a████████████████████████████████" can be downloaded. This document gives a direct link to a company from which ████████ can be purchased in the UK and home delivered. The police investigation determined that this named company did receive and supply that order. The downloaded document provides step by step instruction on how to end your life with specific advice and direction on the use of certain equipment. The investigating officer made a recent internet search of this website which states that it provides practical DIY information to enable readers to take control over their own life and death. This website is available to anyone to access online. ”

    Source location

    Guy Douglas Scotcheford · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Raise nitrogen-related concerns with the Concerning Methods Working Group and suggest engaging UK sellers to minimise harm.

    Verbatim wording from the response

    “As leaders of the Suicide Prevention Strategy, officials from the Department for Health & Social Care (DHSC) lead a Concerning Methods Working Group to raise awareness of and tackle access to emerging methods of suicide. Deaths using nitrogen are monitored routinely as part of this. The working group involves representatives from the voluntary community and social enterprise sector, police, academics and the NHS, as well as government departments including Department of Science, Innovation and Technology. DSIT officials will raise the concerns in your letter around Nitrogen with this group and suggest that engagement with UK sellers is undertaken to raise awareness of and minimise the risk of harm to individuals.”

    Source location

    Response from Department for Science, Innovation & Technology
    Page 3 · response
    Published 12 February 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Enforcement of existing suicide-related offences falls outside the government's functions.

    Verbatim wording from the response

    “The issue therefore is whether the authors or distributors of ████████ or similar books are committing an offence. However, the enforcement of existing offences is not for the government, but for the police and the Crown Prosecution Service and it is ultimately for the courts to decide if an offence has been committed. As you are aware, relevant criminal offences have a high threshold to avoid criminalising people who are expressing suicidal feelings and those offering them”

    Source location

    Response from Department for Science, Innovation & Technology
    Page 2 · response
    Published 12 February 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Police investigations, CPS prosecution decisions and courts determine whether authors or distributors have committed an offence.

    Verbatim wording from the response

    “Whether a prosecution for encouraging or assisting suicide can be brought is a matter for the Crown Prosecution Service following a police investigation. The CPS policy on assisted suicide¹ sets out the factors which prosecutors in England and Wales will consider, in addition to those already outlined in the Code for Crown Prosecutors, when deciding whether it is in the public interest to prosecute in cases of encouraging or assisting suicide.”

    Source location

    Response from Department for Science, Innovation & Technology
    Page 2 · response
    Published 12 February 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The sale of nitrogen and other inert gases is not prohibited because they have many legitimate industrial and commercial uses.

    Verbatim wording from the response

    “The NCA recognise that the sale of nitrogen and other inert gasses is not in itself prohibited due to their many uses, primarily in industry, which include within hydraulic systems, cooling applications, creation of various beverages, and food packaging. The Health and Safety Executive sets out and enforces regulations in respect of the safety standards of gas canisters but this does not extend to who can purchase the canisters.”

    Source location

    Response from National Crime Agency
    Page 1 · response
    Published 12 February 2024

    Open published response
  7. Cheshire

    AI-generated summary

    Adrian Brendan GALLAGHER · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Adrian Gallagher was found deceased in bed on 10 November 2017 after being admitted to Hollins Park Hospital and receiving periods of unsupervised leave. His death was due to an intentional overdose and the inquest concluded that it was suicide. Concerns included the online availability of materials and drugs that could assist suicide, limited age and identity checks, and access by vulnerable mental health patients.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Availability of suicide-assistance material online

    Wider context from the report

    “████████ is available to anyone to purchase online, directly from the company. The company appears to have some link to the UK as there is a UK helpline number. The ████████ appears to provide step by step instruction on how to end your life using certain methods, including how to make the death appear to be due to natural causes and therefore avoid referral to the coroner. Whilst the introduction suggests it is aimed at those who are elderly and long-term suffering, there is also reference to suicide for other reasons within the book and is likely to appear to vulnerable mental health patients. According to the evidence of the police officer, you can also buy drugs to end your life through this website. The only check on age and ID appears to be after a purchase, to allow you access to online forums where you can get further advice on best methods. The ████████ has been banned in Australia (and possibly other countries) as it is deemed to encourage/ assist in suicide. The ████████, in some format, is also available on Amazon (and I am writing to Amazon directly to flag this). ”

    Source location

    Adrian Brendan GALLAGHER · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work with other government departments to tackle vulnerable users’ access to harmful online content.

    Verbatim wording from the response

    “Every suicide is a tragedy, and my department is working with other departments to tackle the deeply concerning issue of vulnerable users gaining access to harmful content online, whether on services that are in scope of the act or otherwise. The act introduces much needed protections for users and we are working closely with Ofcom to ensure that the implementation of the framework is as quick as possible.”

    Source location

    Response from Department for Science, Innovation and Techonology
    Page 2 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work closely with Ofcom to accelerate implementation of the Online Safety Act framework.

    Verbatim wording from the response

    “Every suicide is a tragedy, and my department is working with other departments to tackle the deeply concerning issue of vulnerable users gaining access to harmful content online, whether on services that are in scope of the act or otherwise. The act introduces much needed protections for users and we are working closely with Ofcom to ensure that the implementation of the framework is as quick as possible.”

    Source location

    Response from Department for Science, Innovation and Techonology
    Page 2 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Review measures to reduce harm from harmful suicide and self-harm publications, monitor their impact, and learn from relevant international examples.

    Verbatim wording from the response

    “We keep under constant review what the most appropriate actions are to take to reduce the harm caused by publications like the ████████. In doing this, we work closely with other government departments, charities and experts to review actions regularly and continue to monitor the impact. This includes learning lessons from international examples where these are relevant.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Revisit discussions with online marketplaces about selling harmful publications, working with police and suicide prevention charities.

    Verbatim wording from the response

    “I welcome your decision to write to Amazon to flag these concerns. My officials continue to work with the police and suicide prevention charities to revisit the conversations they have had with online marketplaces on the sale of harmful publications. I would be interested to see a copy of Amazon’s response to you should they reply, to support those conversations.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Operate measures to reduce awareness of and limit access to suicide methods, including the method involved in the death.

    Verbatim wording from the response

    “The Department of Health and Social Care leads a cross-sector, cross-government working group to tackle emerging methods, working with those partners. As a result of this group, there are now very active actions in place to reduce awareness and limit access to methods of suicide, including the one used by Mr Gallagher. The group meets regularly and remains vigilant to any further methods that we receive intelligence on, and will not hesitate to act should it be required.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work closely with DSIT and Ofcom to support work addressing illegal and harmful online suicide and self-harm content.

    Verbatim wording from the response

    “The Department for Science, Innovation and Technology (DSIT) will respond outlining how the Online Safety Act will address illegal and harmful self-harm and suicide content. The Department of Health and Social Care will continue to work closely with DSIT and Ofcom to support this work. We will also continue our support of programmes such as the Samaritans’ Online Excellence Programme, which provides support and guidance for some of the biggest online platforms.”

    Source location

    Response from Department of Health and Social Care
    Page 2 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Ofcom and regulated online services are responsible for enforcing and meeting legal duties concerning illegal suicide content online.

    Verbatim wording from the response

    “As a result of your letter we have been engaging with Ofcom, the online safety regulator under the Online Safety Act, to scope out how we can work effectively together, within our respective roles, to combat illegal suicide content online. The NCA understands that Ofcom is in the process of consulting on its draft codes of practice and guidance that will explain the steps regulated online services will need to take to meet their legal duties under the Act to protect their users in the UK from this sort of content.”

    Source location

    Response from National Crime Agency
    Page 1 · response
    Published 11 January 2024

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    DSIT is responsible for explaining how the Online Safety Act will address illegal and harmful suicide and self-harm content.

    Verbatim wording from the response

    “The Department for Science, Innovation and Technology (DSIT) will respond outlining how the Online Safety Act will address illegal and harmful self-harm and suicide content. The Department of Health and Social Care will continue to work closely with DSIT and Ofcom to support this work. We will also continue our support of programmes such as the Samaritans’ Online Excellence Programme, which provides support and guidance for some of the biggest online platforms.”

    Source location

    Response from Department of Health and Social Care
    Page 2 · response
    Published 11 January 2024

    Open published response
  8. Inner West London

    AI-generated summary

    Chloe Elizabeth MACDERMOTT · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Chloe Elizabeth MACDERMOTT died at home in the early hours of 23 May 2021 after ingesting a substance purchased through Amazon US. The report identifies concerns about online forums encouraging, assisting and counselling suicide, inadequate age restrictions and signposting to help, harmful content not being effectively removed, and the availability and delivery of the product to UK users without effective border or customs controls.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Open chatrooms permitting the exchange of information and methods that encourage, assist, counsel or procure suicide

    Wider context from the report

    “(3) ████████ is a forum that permits material to be exchanged and reviewed within its open chatrooms whereby suicide is encouraged, assisted, counselled and procured through the provision and exchange of information and methods. ”

    Source location

    Chloe Elizabeth MACDERMOTT · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to effectively remove posts containing details of suicide methods

    Wider context from the report

    “(7) Posts are made by users containing details of methods of suicide without any effective administration to remove such harmful content. ”

    Source location

    Chloe Elizabeth MACDERMOTT · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work with Government colleagues to create and implement actions restricting access to online pro-suicide and self-harm content.

    Verbatim wording from the response

    “ACC ████████ is aware of and remains concerned of the number of on line suicide and self harm content sites. Sites such as Sanctioned-Suicide are incredibly concerning and as a result the NPCC have been working closely with Government colleagues to create and implement actions of which there are many to reduce and restrict access to such websites. The Government’s new five-year Suicide Prevention Strategy for England, recently launched last year, contains numerous actions that will enable all relevant and influential organisations to support and achieve Government ambition. Whilst the Government is taking the lead in Suicide Prevention across England, working in collaboration with partners including law enforcement to limit access, share research and evidence and lessons learnt including responding to and managing suppliers we will deliver on the actions outlined in the Strategy.”

    Source location

    Response from British Transport Police
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Engage with in-scope services through ongoing regulatory supervision and support them toward compliance.

    Verbatim wording from the response

    “In the meantime, we are already encouraging in-scope service providers to take meaningful steps to improve safety on their platforms. To this end, we are committed to driving industry improvements by engaging with the largest and riskiest services via continuous ‘regulatory supervision.’”

    Source location

    Response from Ofcom
    Page 3 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publish and consult on illegal-harms risk guidance, risk profiles, draft Codes of Practice and illegal-content judgements guidance.

    Verbatim wording from the response

    “Phase One: The first step in this was the publication of the Consultation: Protecting people from illegal harms online (‘illegal harms consultation’) on 9 November 2023. As part of this consultation, we published proposals for Codes of Practice which set out how services can comply with their illegal content duties in the Act.⁵ We also published draft Illegal Content Judgements Guidance on how services can identify illegal suicide and illegal self-harm content.”

    Source location

    Response from Ofcom
    Page 4 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Publish the final illegal-harms statement and associated guidance after completing the consultation.

    Verbatim wording from the response

    “After Ofcom’s illegal harms consultation and statement”

    Source location

    Response from Ofcom
    Page 6 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Submit the illegal-harms Codes of Practice to the Secretary of State and progress them through the statutory approval process.

    Verbatim wording from the response

    “The Online Safety Act requires Ofcom to submit our Codes of Practice on illegal harms to the Secretary of State and to publish associated guidance within 18 months of Royal Assent. Once we issue our statement, services will have three months to undertake their illegal content risk assessments. At this point we will also submit the Codes of Practice to the Secretary of State, which, subject to their approval, are to be laid in Parliament for 40 days.”

    Source location

    Response from Ofcom
    Page 6 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Collaborate with international and domestic partners to limit access to suicide methods, share evidence, and tackle suppliers of harmful substances.

    Verbatim wording from the response

    “I would like to assure you that the Government remains concerned about the prevalence of suicide and self-harm content online. The Government is taking a leading role in tackling methods of suicide, collaborating with partners across the world in policy, law enforcement and society more broadly to limit access, and share research, evidence and lessons learned. There are multiple actions in place to reduce and restrict access to this website, and others like it. This will include seeking to tackle at source the suppliers of harmful substances for the purposes of suicide.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Enact the Online Safety Act, establishing illegal-content, child-safety and search-service duties covering suicide and self-harm material.

    Verbatim wording from the response

    “First and foremost, I would like to extend my deepest condolences to the family and friends of Chloe. The government recognises that the internet can, in some cases, be used to share and access appalling content with devastating consequences. As you may know, the act received Royal Assent in October last year. This legislation will force companies to take more accountability for the safety of their users. I will address matters (2)-(8) from the report in my response, as per my department's remit and having engaged with the Ministry of Justice on the areas which fall into their remit.”

    Source location

    Response from DSIT
    Page 1 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work closely with Ofcom to accelerate implementation of the online safety regulatory framework.

    Verbatim wording from the response

    “Every suicide is a tragedy, and it is essential that the vital protections delivered for users by the act come into force as soon as possible. My department is working closely with Ofcom to ensure that the implementation of the framework is as short as possible and all users, especially vulnerable users, get the online protections they so greatly need and deserve.”

    Source location

    Response from DSIT
    Page 3 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    National monitoring of online pro-suicide forums is not undertaken because it is resource-intensive, lacks a clear legal basis, and raises data-processing concerns.

    Verbatim wording from the response

    “ACC ████████ has engaged with various Law Enforcement partners in UK Law Enforcement regarding the monitoring of on-line pro-suicide forums. However, this is resource-intensive and at present there is no national agency charged with this responsibility and in any event we believe there is no legal basis for a police force to pursue such an initiative. Such monitoring would involve a large number of forums, many of which do not facilitate crime, raising significant lawful data processing issues, including whether it amounts to a Bulk Personal Dataset or would require a Directed Surveillance Authority and a potential disproportionate interference under Article 8.”

    Source location

    Response from British Transport Police
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The National Crime Agency considers monitoring online pro-suicide forums outside its mission and strategic priorities.

    Verbatim wording from the response

    “In fact the National Crime Agency (NCA) have stated that this type of activity is not consistent with the NCA’s overall mission of combatting serious and organised crime or the significant submissions of the NCA strategy in particular in respect of degrading the most harmful organised crime groups. There is also a lack of fit with the Strategic Priorities set for the NCA by the Home Secretary.”

    Source location

    Response from British Transport Police
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Government, led by the Home Office and Department of Health and Social Care, is responsible for cross-government suicide-prevention work.

    Verbatim wording from the response

    “ACC ████████ is aware of and remains concerned of the number of on line suicide and self harm content sites. Sites such as Sanctioned-Suicide are incredibly concerning and as a result the NPCC have been working closely with Government colleagues to create and implement actions of which there are many to reduce and restrict access to such websites. The Government’s new five-year Suicide Prevention Strategy for England, recently launched last year, contains numerous actions that will enable all relevant and influential organisations to support and achieve Government ambition. Whilst the Government is taking the lead in Suicide Prevention across England, working in collaboration with partners including law enforcement to limit access, share research and evidence and lessons learnt including responding to and managing suppliers we will deliver on the actions outlined in the Strategy.”

    Source location

    Response from British Transport Police
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Ofcom is responsible for regulating online services and enforcing Online Safety Act duties concerning suicide and self-harm content.

    Verbatim wording from the response

    “OFCOM is the regulator of the new Online Safety Act with responsibility to make online services safer for the people who use them. Services that fall under their remit will have to follow certain rules including protecting users from illegal content and activity online as well as protecting children from harmful content. This includes encouraging self harm and/or suicide. The Act covers over 130 ‘priority offences’ with main duties in regards to the Act relating to illegal content for services to assess risk of harm arising from our activity on the service taking proportionate steps to manage and mitigate risk. This includes preventing users from encountering content amounting to one of the offences and search services minimising risk of users encountering content amounting to an offence. Services also have duties to swiftly take down certain types of non priority legal content.”

    Source location

    Response from British Transport Police
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Ofcom cannot enforce regulated services’ new duties until required consultations, Codes of Practice, parliamentary approval and other implementation steps are completed.

    Verbatim wording from the response

    “Although the Act is now law, there are numerous procedural steps needed for the new regime to be fully implemented, and these steps need to be completed before services’ legal duties under the regime – and Ofcom’s ability to enforce those duties – come into force. These steps include, for example, the completion of public consultations (the first is currently open for illegal harms); services understanding and managing the risks of harm to their users; and Parliament approving Ofcom’s final Codes of Practices. We explain our plans to implement the regime below.”

    Source location

    Response from Ofcom
    Page 3 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Detailed information on how the Online Safety Act addresses illegal and harmful suicide content should be obtained from DSIT.

    Verbatim wording from the response

    “To address your concerns about unfettered access to harmful content and restricting such content, we have made enquiries with the Department for Science, Innovation and Technology (DSIT). Under the Online Safety Act 2023 (OSA) all in-scope services such as user-to-user platforms and Search services will have new duties to prevent users being harmed by illegal content that they encounter via their services. User-to-user platforms will also need to take steps to reduce risks that their services are used to perpetrate offences. These duties extend to the unlawful supply, or offer to supply, of controlled drugs. Platforms and Search services will need to take steps to prevent users encountering illegal sale of drugs content via their services. Platforms will need to remove this content when it does appear.”

    Source location

    Response from Department of Health and Social Care
    Page 2 · response
    Published 28 December 2023

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Forums hosted outside the UK may prevent successful prosecution because of jurisdiction and enforcement issues.

    Verbatim wording from the response

    “As you will be aware, under section 2(1) of the Suicide Act 1961 (as amended by section 59 of the Coroners and Justice Act 2009) it is an offence for a person to do an act capable of encouraging or assisting the suicide or attempted suicide of another person, with the intention that their act will encourage or assist the other person to commit or attempt to commit suicide. The person committing the offence need not know the other person or even be able to identify them. An offence may be committed whether or not a suicide or attempted suicide takes place. Section 2(1) of the Suicide Act 1961 applies when the act of encouraging or assisting suicide is committed in England or Wales. Forums causing concern, such as the one mentioned in your report, are often hosted outside the UK, which may prevent successful prosecution due to issues related to jurisdiction and enforcement.”

    Source location

    Response from DSIT
    Page 1 · response
    Published 28 December 2023

    Open published response
  9. South Wales Central

    AI-generated summary

    Bronwen Grace MORGAN (BM) · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Bronwen Morgan, who was under the care of local mental health services, travelled to a hotel on 27 August 2020 and was later found there by emergency services. She was conveyed to hospital, where she died from the toxic consequences of a substance after resuscitation attempts failed. The principal concern was that an online forum and potentially similar sites enabled vulnerable people to discuss, obtain information about, and acquire means for self-harm or suicide.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to restrict vulnerable individuals' access to self-harm and suicide-facilitating websites

    Wider context from the report

    “The evidence revealed that as from at least February 2020, BM had registered with, & was engaging in discussion forums ████████ This website was mentioned in an earlier PFD Report dated 3.12.19 (copy annexed). The engagement that BM had with the website encompassed her discussing & seeking advice from fellow users in respect of, methods of self-harm/suicide including the purchasing & use of the substance ████████. This was the substance used by BM which led to her death. The concern here is that this site & potentially similar self-harm & suicide “facilitating or promoting” sites are accessible/available to those, such as BM who are vulnerable, due to their diagnosed, or otherwise mental illness & provided with an outlet/forum to source & acquire information that potentially equips them with the knowledge & means to either complete suicide, or place them in grave/greater danger of doing so. I believe that consideration ought to be given to the impact such access/availability has upon those vulnerable individuals researching/contemplating acts of self-harm & whether, & what action(s) may be taken to remove/limit/mitigate/educate such access/availability. ”

    Source location

    Bronwen Grace MORGAN (BM) · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  10. Inner North London

    AI-generated summary

    James Forryan · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    James Forryan died aged 29 after deliberately taking a poisonous quantity of pentobarbital medication at a London hotel. Evidence indicated that he had accessed an internet forum promoting suicide, which provided information about drugs, methods and obtaining medication. The principal concerns were the accessibility of suicide-promoting websites and forums and the apparent lack of sufficient regulation or enforcement action against them.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Easy accessibility of websites and forums openly promoting and advertising suicide methods

    Wider context from the report

    “I am concerned that: (a) There are websites and forums which openly promote and advertise methods of suicide which are easily accessible; (b) Suicide is the largest cause of death for individuals in the UK under the age of 35 and James Forryan is within that age bracket; (c) There does not appear to be sufficient regulation or enforcement action against such websites which promote criminal offences and/or harmful content. ”

    Source location

    James Forryan · Prevention of Future Deaths report
    Page 3 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Work with online platforms to encourage removal or reduced access to harmful suicide and self-harm material before legislation comes into force.

    Verbatim wording from the response

    “be exposed to extremely harmful and inciting online content. In advance of the legislation coming into force, we are working with online platforms to encourage action to remove or reduce access to harmful suicide and self-harm material.”

    Source location

    Response from Department of Health and Social Care
    Page 2 · response
    Published 22 March 2022

    Open published response

    Source evidence

    How this respondent action was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Confirm encouraging or assisting suicide as a priority illegal offence under the Online Safety Bill.

    Verbatim wording from the response

    “To address your concern around websites promoting criminal offences and/or harmful content, we are taking urgent steps to protect users, and particularly vulnerable users, online. The Government is committed to tackling this and making the UK the safest place in the world to be online. Under the Online Safety Bill, in-scope companies that allow users to post content online or to interact with each other – including social media platforms and online forums – will need to remove and limit the spread of illegal content and activity online.”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 22 March 2022

    Open published response

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The Online Safety Bill cannot be implemented immediately because legislation takes time to come into force.

    Verbatim wording from the response

    “However, I am also aware that the implementation of legislation takes time, during which individuals, some of whom may be experiencing harmful thoughts, will potentially”

    Source location

    Response from Department of Health and Social Care
    Page 1 · response
    Published 22 March 2022

    Open published response
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Data last updated 7 September 2026