If a previously healthy man recognises that he is a huge risk to himself. If he takes himself to a mental health facility and pleads for help. If they admit him and then classify him as ‘low risk’ and leave him unsupervised. If he then goes on to end his life in the hospital within hours of being there. This has got to be wrong. One would think this to be nearly impossible. It isn’t. It happens.
A Canadian study published in 2014 on inpatient suicides concluded that “It is possible to reduce suicide risk on the ward by having a safe environment, optimising patient visibility, supervising patients appropriately, careful assessment, awareness of and respect for suicide risk, good teamwork and communication, and adequate clinical treatment.”
Recently, a Coroner’s report on an inpatient suicide found the same things that came out in Saagar’s case:
-Risk of suicide was not properly and adequately assessed and reviewed
-Transfer of verbal and written information was poor
-Risk assessment and quality of observation was poor
-Adequate and appropriate precautions were not taken to manage the risk of suicide
In addition, they found that previous recommendations on risk and environmental factors were not implemented adequately. This means that similar deaths had occurred before but nothing had changed.
How many people need to be sacrificed before something changes?
Ed Mallen, 18, died while he was on a waiting list.
Many thousands are still waiting!
Ruby is a lovely young lady who shares the joys of being on a waiting list, among other things. Here’s the link. This time it’s 18 minutes.
Thank you Ruby! We wish you well!!!