PFD report

Rhiannon Auriol Mary Williams · Prevention of Future Deaths report

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Issued 12 Mar 2025•Swansea and Neath Port Talbot

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
12

Described in responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Report evidence summary

Concerns raised1

  1. Online availability of suicide methods and concealment advice
    Part of recurring concern: Inadequate controls on access to online suicide-promoting content
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.8

  1. Action

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

    Stated by OfcomStated in progressThe respondent said that this action was in progress when they made their response on 12 March 2025.
  2. Action

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

    Stated by OfcomStated plannedThe respondent said that this action was planned when they made their response on 12 March 2025.
  3. Action

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

    Stated by OfcomStated in progressThe respondent said that this action was in progress when they made their response on 12 March 2025.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. Position

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

    Stated by OfcomRedirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

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. ”

Is this part of a recurring concern?

Yes — Inadequate controls on access to online suicide-promoting content.

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

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

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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

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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

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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

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

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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

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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

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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 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

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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

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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

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. 1

    Publish the Protection of Children statement and final Protection of Children Codes of Practice.

    Stated by OfcomStated completedThe respondent said that this action was complete when they made their response on 12 March 2025.
  2. 2

    Publish final Children’s Access Assessments Guidance.

    Stated by OfcomStated completedThe respondent said that this action was complete when they made their response on 12 March 2025.
  3. 3

    Engage expert stakeholders and commission research to strengthen Ofcom’s suicide-related expertise and evidence base.

    Stated by OfcomStated in progressThe respondent said that this action was in progress when they made their response on 12 March 2025.
  4. 4

    Continue close departmental collaboration with the Department of Health and Social Care on suicide prevention and mental-health improvement.

    Stated by Department for Science, Innovation and TechnologyStated in progressThe respondent said that this action was in progress when they made their response on 12 March 2025.

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 Protection of Children statement and final Protection of Children Codes of Practice.

Verbatim wording from the response

“Services that are likely to be accessed by children have additional duties to protect children’s online safety. Our Protection of Children statement where we set out our final decisions in relation to children’s risk assessments and safety measures was published on 24 April 2025. The Government laid the Codes in Parliament on the same day, and subject to Parliamentary approval they will become enforceable from 25 July 2025.”

Source location

Response from OFCOM
Page 4 · 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

Publish final Children’s Access Assessments Guidance.

Verbatim wording from the response

“We published our final Children’s Access Assessments Guidance in January 2025 and all user-to-user and search services were required to carry out Children’s Access Assessments by 16 April 2025. A children’s access assessment is a process for establishing whether a service is ‘likely to be accessed by children’ within the meaning of the Act.⁶ If they concluded that their service is likely to be accessed by children, they now (following the publication of our Protection of Children Statement) need to carry out a children’s risk assessment by 24 July 2025 and comply with the children’s safety duties in the Act.”

Source location

Response from OFCOM
Page 4 · 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 expert stakeholders and commission research to strengthen Ofcom’s suicide-related expertise and evidence base.

Verbatim wording from the response

“As part of our preparatory work for implementation, we actively engaged with a range of expert stakeholders including government, law enforcement, and charities to develop our understanding, expertise and evidence base in relation to suicide, and to ensure that we are aware of developing areas of risk. We have also commissioned research to grow internal expertise and develop our evidence base in this complex and important harms area.³ We will continue our engagement with relevant experts as the programme evolves.”

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

Continue close departmental collaboration with the Department of Health and Social Care on suicide prevention and mental-health improvement.

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
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
2/2

Data last updated 7 September 2026