Suicide in South Africa is apublic health andsocial problem that contributes to premature mortality anddisability . National estimates and international modelling show thatSouth Africa experiences tens of thousands of deaths from intentionalself-harm each year. In 2021, the country recorded anage standardised suicide rate of about 22.3 per 100,000 people, ranking it the sixth highest globally.[ 1] [ 2] [ 3] [ 4] [ 5] [ 6]
Suicide is among the leadingcauses of death foradolescents andyoung adults in South Africa, and has been highlighted in multiple national and regional reports as a priority formental health policy andprevention efforts. National registration data are used byStatistics South Africa to report deaths due to intentional self-harm (suicide) and related external causes.[ 7] [ 8]
In 2019, South Africa recorded an estimated 13,774 suicide deaths (10,861 males and 2,913 females).[ 5] [ 14] WHO reported South Africa's 2019 age standardisedsuicide rate at about 11 per 100,000.[ 3] [ 7] National data from Statistics South Africa show that suicide has consistently been among the top 20 causes of non-natural deaths in the country.[ 8] [ 15] Men in South Africa die by suicide at a rate of 75% higher than women.Women , however, are more likely to attempt suicide or present with non-fatal self-harm.[ 5] [ 14] [ 8]
Urban–rural differences[ edit ] Rural areas often report higher suicide rates thanurban centres , partly linked tosocial isolation , firearm access, and lower availability ofmental health services .[ 8] [ 16]
Alcohol and substance use [ edit ] Post-mortem andepidemiological studies show a strong correlation betweenalcohol consumption and suicide in South Africa, particularly among young adults.[ 16] [ 17]
Adolescents and young adults (15–29) are at higher risk, but suicide also affects middle-aged and older men disproportionately.[ 18]
Periods of highunemployment andpoverty have been linked with elevated suicide rates, especially among working-age men.[ 8] [ 16]
South Africa has introduced suicide-prevention and mental-health policies, including proposed national strategies.[ 5] [ 8] [ 19]
These focus on:
Improving access to mental-health care Community-based prevention programs Reducingstigma Restricting access tolethal means ^ "16BBF41" .datadot . Retrieved23 September 2025 .^ Ndebele, Lenin (5 June 2023)."Research finds that Lesotho has the highest suicide rate in the world" .News24 . Retrieved23 September 2025 . ^a b "South Africa" .datadot . 22 November 2022. Retrieved23 September 2025 .^ Theron, PD (20 November 2023)."Mortality Rates in South Africa" .EBnet . Retrieved23 September 2025 . ^a b c d Deane, Tameshnie."A Proposed National Strategy for Suicide Prevention in South Africa" (PDF) . Retrieved23 September 2025 . ^ "South Africa Suicides" .TheGlobalEconomy.com . 31 December 2000. Retrieved23 September 2025 .^a b "STATISTICAL RELEASE P0309.3" (PDF) . Retrieved23 September 2025 .^a b c d e f Kootbodien, Tahira; Naicker, Nisha; Wilson, Kerry S.; Ramesar, Raj; London, Leslie (12 March 2020)."Trends in Suicide Mortality in South Africa, 1997 to 2016" .International Journal of Environmental Research and Public Health .17 (6). MDPI AG: 1850.doi :10.3390/ijerph17061850 .ISSN 1660-4601 .PMC 7142470 . ^ "About Us" .LifeLine South Africa . Retrieved23 September 2025 .^ Petersen, Carlo (10 September 2025)."SADAG urges South Africans to talk about depression & suicide" .EWN . Retrieved23 September 2025 . ^ "South African Depression and Anxiety Group" .www.sadag.org . Retrieved23 September 2025 .^ "Netcare Akeso crisis line" . Retrieved23 September 2025 .^ "Home Page" .Childline South Africa . Retrieved23 September 2025 .^a b Alabi, Adeyinka A. (26 April 2022)."Management of self-harm, suicidal ideation and suicide attempts" .South African Family Practice .64 (1).ISSN 2078-6204 . Retrieved23 September 2025 . ^ Hodgson, Anthony Fish; Bantjes, Jason; Pirkis, Jane; Hawton, Keith; Basera, Wisdom; Matzopoulos, Richard (2025)."Alcohol restrictions and suicide rates in South Africa during the COVID-19 pandemic: results of a natural experiment" .BMJ Global Health .10 (1) e017171. BMJ.doi :10.1136/bmjgh-2024-017171 .ISSN 2059-7908 .PMC 11749723 . ^a b c Mngoma, Nomusa F.; Ayonrinde, Oyedeji A. (2023)."Mental distress and substance use among rural Black South African youth who are not in employment, education or training (NEET)" .International Journal of Social Psychiatry .69 (3):532– 542.doi :10.1177/00207640221114252 .ISSN 0020-7640 .PMC 10152210 .PMID 35903872 . ^ Tindimwebwa, Linda; Ajayi, Anthony Idowu; Adeniyi, Oladele Vincent (19 May 2021)."Prevalence and Demographic Correlates of Substance Use among Adults with Mental Illness in Eastern Cape, South Africa: A Cross-Sectional Study" .International Journal of Environmental Research and Public Health .18 (10). MDPI AG: 5428.doi :10.3390/ijerph18105428 .ISSN 1660-4601 .PMC 8161045 . ^ Mkhwanazi, Smanga; Sikweyiya, Yandisa; Gibbs, Andrew (2025)."Exploratory analysis of risk factors for suicidal ideation among young men in urban informal settlements in durban, South Africa: A cross-sectional study" .SSM - Mental Health .7 100417. Elsevier BV.doi :10.1016/j.ssmmh.2025.100417 .ISSN 2666-5603 . ^ "CMScript 7 of 2024: Focus on Attempted Suicide" . Retrieved23 September 2025 .