Reports
- Mental disorders and deaths in custody: Making the case for mental health literacy -University of Greenwich & The Runnymede Trust
- INQUEST: Deaths in mental health detention -an investigation framework fit for purpose? – February 2015 (link opens as PDF in a new window)
- Independent review of deaths of people with a Learning Disability or Mental Health problem in contact with Southern Health NHS Foundation Trust April 2011 to March 2015 – December 2015 (link opens as PDF in a new window)
- CQC: Monitoring the Mental Health Act 2013/14 – 2015 (link opens as PDF in a new window)
- CQC: Learning, candour and accountability – December 2016 (link opens as PDF in a new window)
- National Quality Board: National Guidance on Learning from Deaths – March 2017 (link opens as PDF in a new window)
- CQC: Opening the door to change: NHS safety culture and the need for change – December 2018 (link opens as PDF in a new window)
- CQC: Learning from deaths: A review of the first year of NHS trusts implementing the national guidance – 15 March 2019 (link opens as PDF in a new window)
- Parliamentary and Health Service Ombudsman, Missed opportunities: What lessons can be learned from failings at the North Essex Partnership University NHS Foundation Trust – June 2019 (link opens as PDF in a new window)
- Rethink: Adult Secure Service User, Family and Carer Feedback Survey during the Coronavirus (COVID-19) pandemic – March-June 2020 (link opens as PDF in a new window)
- CQC: Out of sight – who cares? Restraint, segregation and seclusion review – October 2020 (link opens as PDF in a new window)
- INQUEST: Westminster Hall debate -“Deaths within mental health care” – 30 November 2020 (link opens as PDF in a new window)
- Centre for Mental Health: The future of prison mental health care in England (Dr. Graham Durcan) – June 2021 (link opens as PDF in a new window)
Research
- National Confidential Inquiry into Suicide and Homicide: Ligature points and ligature types used by psychiatric inpatients who die by hanging: a national study – January 2012 (opens as a PDF in a new window)
- Independent review of deaths of people with a Learning Disability or Mental Health problem in contact with Southern Health NHS Foundation Trust – April 2011 to March 2015 (“the Mazars Review”) – December 2015 (opens as a PDF in a new window)
- British Journal of Psychiatry: Patient outcomes following discharge from secure psychiatric hospitals: systematic review and meta-analysis – Seena Fazel, Zuzanna Fiminska, Christopher Cocks and Jeremy Coid, 2016
Guidance
- INQUEST: Deaths in Mental Health Detention: an investigation framework fit for purpose? (opens as a PDF in a new window)
- INQUEST: Deaths in Mental Health Detention: an investigation framework fit for purpose? (opens as a PDF in a new window)
- NHS: National Guidance on Learning from Deaths: A framework for NHS Trusts and NHS Foundation Trusts on Identifying, Reporting, Investigating and Learning from Deaths in Care – March 2017 (opens as a PDF in a new window)
- National confidential inquiry into suicide and mental health, Annual report – 2019 (opens as a PDF in a new window)