
Paul St John-Smith is a Consultant Psychiatrist in Hertfordshire, UK. His interests are evidence-based psychiatry, the philosophy of science, and psychiatric training. Albert Michael is a Consultant Psychiatrist at the West Suffolk Hospital. His interests include psychiatric training, affective disorders, psychopharmacology and evidence-based management. Teifion Davies is Senior Lecturer in Community Psychiatry and Director of Undergraduate Psychiatry Teaching at the Institute of Psychiatry, Kings College London. His interests include promoting multidisciplinary teamwork in mental health.
Correspondence: Correspondence Albert Michael, Wedgwood House, West Suffolk Hospital, Bury St Edmunds IP33 2QZ, UK. Email: Albert.Michael{at}smhp.nhs.uk
During the period 2000–2004 the average annual suicide rate in England and Wales was 10.2 deaths per 100 000 population over 10 years of age. About a quarter of those who take their own lives are in contact with mental health services in the year before their death. This means that an average in-patient, sector or community psychiatrist is likely to experience the death of at least one patient by suicide in most years. Suicides by patients cause considerable distress for the psychiatrist that is unlikely to resolve until after the coroners hearing. This article discusses suicide prevention and provides guidance for psychiatrists on preparing for a coroners inquest following a patients death that may have been by suicide.
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