Mental health services and suicide reviews: learning, improving and reducing risks

Sadly, some people in contact with mental health services do complete suicide. The numbers are small but the effects are devastating for relatives, friends and the staff involved. When a suicide takes place, NHS boards need to understand what happened and learn from any lessons identified. The lessons learnt are important to improve services and help staff recognise where risk exists.

Suicide reviews are the way that NHS boards, and their mental health services, analyse what happened and recognise where anything can be done to make things safer for other people at risk.

We want to provide you with useful information in this resource, whether you are looking for guidance or tools to assist you through the review process or some further information on our organisation and other organisations we work closely with.

Families and carers – if you are a family member or carer who has been affected by suicide this section explains the NHS board’s suicide review process, the role of other organisations, and provides links to other information you may find useful.

Community of Practice – a space to promote learning through the sharing of experiences and provide peer support for NHS staff involved in suicide reviews.

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