What Are the Experiences of Mental Health Practitioners Involved in a Coroner's Inquest and Other Inquiry Processes after an Unexpected Death of a Patient? A Systematic Review and Thematic Synthesis of the Literature.

Journal: International journal of environmental research and public health

Volume: 21

Issue: 3

Year of Publication: 2024

Affiliated Institutions:  Division of Psychiatry, University College London, London WT NK, UK.

Abstract summary 

Grief after suicide or patient-perpetrated homicide can be complex for those involved in the patient's care. Mental health practitioners with patients who die unexpectedly may be called to assist in the formal investigation processes that follow. The aim of this study was to examine the experience of mental health practitioners called to attend a coroner's inquest or other forms of formal inquiry. A protocol for a systematic review was prospectively registered on PROSPERO (CRD42023400310). A thematic synthesis of existing literature was conducted. We identified six articles for inclusion and constructed three themes from our analysis: Blame and enduring hostility, In the dark, and Limited learning. We found mental health practitioners may construct narratives of self-blame. These can be reinforced by the investigatory processes that follow. Feedback from inquiries is often delivered haphazardly and may not reflect the realities of clinical work. The support given to assist practitioners through inquiry processes varied-both in amount and how helpful it was. The research conducted on this topic is limited. More qualitative research should be conducted to understand the factors that make this experience more or less difficult as well as well as what support is needed for whom.

Authors & Co-authors:  Tamworth Tekin Billings Killaspy

Study Outcome 

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Statistics
Citations :  Gregory M.J. Managing the Homicide-Suicide Inquest the Practices of Coroners in One Region of England and Wales. Int. J. Law Crime Justice. 2014;42:237–250. doi: 10.1016/j.ijlcj.2014.01.009.
Authors :  4
Identifiers
Doi : 357
SSN : 1660-4601
Study Population
Male,Female
Mesh Terms
Humans
Other Terms
homicide;mental health practitioners;occupational trauma;psychiatrists;psychological support;qualitative research;suicide bereavement;systematic review;vicarious trauma
Study Design
Study Approach
Qualitative
Country of Study
Publication Country
Switzerland