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

The initial investigation reviewed the care pathway of the woman spanning the two years before her death. The full investigation will explore the systemic safety issues highlighted around the assessment and care of adult mental health patients who present at emergency departments.

Related downloads

Interim bulletin: provision of mental health care to adults in the emergency department

Download and read the interim bulletin below