TUESDAY, Dec. 30, 2025 — A serious knock on the noggin might substantially increase a person’s risk of suicide, a new study says.
People who’ve sustained a head injury are 21% more likely to attempt suicide than those without such an injury, researchers recently reported in the journal Neurology .
“Our findings show that the impact of head injuries are not limited to just physical symptoms or repercussions. They can have profound psychological consequences,” said lead researcher Nicola Adderley , a professor of epidemiology and real-world evidence at the University of Birmingham in the U.K.
“Suicide risk assessments should be considered for anyone with a recent head injury, regardless of their mental health history, to improve and safeguard patient outcomes,” she said in a news release.
For the study, researchers analyzed records for more than 1.8 million adults in the United Kingdom across two decades, tracking those who had a head injury to see if they later attempted suicide.
Overall, nearly 390,000 people with a head injury were compared to about 1.5 million who didn’t have a head injury.
The rate of suicide among people with head injuries was 2.4 per 1,000 person-years, compared to 1.6 per 1,000 person-years among the uninjured, researchers said.
Results indicated that the risk of suicide was highest within 12 months of a head injury.
After that, the risk remained higher compared to those without head injuries, even though it declined over time, researchers said.
The study also did not find a significant increase in deaths by suicide, suggesting that head injuries might contribute to more non-fatal attempts.
Overall, the results suggest that people who’ve had a head injury need more mental health support as they recuperate, researchers said.
“These findings have implications for both clinical practice and health policy; highlighting the urgent need for targeted mental health and well-being support,” senior researcher G. Neil Thomas , a professor of epidemiology at the University of Birmingham, said in a news release.
“The development and testing of robust suicide risk assessment and prevention strategies for people with head injuries should be further investigated; especially within the first 12 months post-head injury and irrespective of mental health history,” Thomas added.
Erin Bigler , a retired professor of psychology and neuroscience at Brigham Young University in Utah, co-wrote an editorial that accompanied the study.
It said the link between head injuries and suicide risk likely involves damage to what has been called the brain’s “cone of vulnerability” – the brain structures critical for emotional regulation and decision-making.
“Damage or dysregulation in these regions may produce impulsivity, disinhibition and impaired judgment, thereby lowering the threshold for self-harm,” the editorial says.
Sources
University of Birmingham, news release, Dec. 22, 2025
Neurology, Dec. 22, 2025