Abstract
AIMS AND METHOD: This study explored the root causes of deaths by suicide among patients under the care of a mental health trust. Thematic analysis was carried out to identify themes from the serious incident reports for patients between 1 January 2017 and 31 July 2018.
RESULTS: In total, 48 cases were reviewed. Three main themes emerged from this study: patient-, professional- and organisation-related factors. The majority of the deaths were caused by patient-related factors, particularly exacerbation of the patient's mental health condition.
CLINICAL IMPLICATIONS: This study provides insight into perceived causes of death by suicide among mental health patients. It is hoped that this will, in turn, influence the manner in which decisions, policies and resource allocation are carried out to further prevent and reduce the incidence of suicide, particularly among mental health patients.
Original language | English |
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Pages (from-to) | 140-145 |
Number of pages | 6 |
Journal | BJPsych Bulletin |
Volume | 45 |
Issue number | 3 |
Early online date | 13 Nov 2020 |
DOIs | |
Publication status | Published - Jun 2021 |
Bibliographical note
© The Author(s), 2020. Published byCambridge University Press on behalf of
the Royal College of Psychiatrists. This is
an Open Access article, distributed
under the terms of the Creative
Commons Attribution licence (http://
creativecommons.org/licenses/by/
4.0/), which permits unrestricted
re-use, distribution, and reproduction in
any medium, provided the original work
is properly cited.
Keywords
- Root causes
- mental health service
- serious incidents
- suicide
- suicide prevention