Notification of investigation 

The Healthcare Safety Investigation Branch (HSIB) was made aware of a woman who, having presented to her general practitioner, ambulance service and the emergency department of her local hospital, subsequently took her own life.

After a preliminary investigation with the full cooperation of local care providers, HSIB has decided to launch a full investigation.  The focus of the HSIB investigation will be on the provision of care to patients who present at emergency departments with mental health problems; specifically, how psychological needs can be recognised and assessed alongside physical symptoms and how timely access to psychiatric liaison services can improve the management of care and patient safety.

Completion of investigation 

The full report and summary including the recommendations are available below

The news release is available here