Root cause analyses of suicides of mental health clients.

Donna Gillies; David Chicop; Paul O'Halloran

Study

Root cause analyses of suicides of mental health clients.

November 18, 2015

Gillies D, Chicop D, O'Halloran P. Crisis. 2015;36(5):316-324.

View more articles from the same authors.

This study used root cause analysis to identify underlying causes of suicide among mental health service clients. Researchers found that most patients had denied suicidal ideation and had missed follow-up in their mental health care. Their results underscore the challenge of preventing suicide in patients with mental illness.

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Discontinuities, Gaps, and Hand-Off Problems

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