{"id":5724,"date":"2025-02-03T14:24:46","date_gmt":"2025-02-03T14:24:46","guid":{"rendered":"https:\/\/sites.manchester.ac.uk\/ncish\/?page_id=5724"},"modified":"2025-02-13T09:49:07","modified_gmt":"2025-02-13T09:49:07","slug":"clinical-messages","status":"publish","type":"page","link":"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/clinical-messages\/","title":{"rendered":"Clinical messages"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; fullwidth=&#8221;on&#8221; next_background_color=&#8221;#000000&#8243; global_module=&#8221;322&#8243;][et_pb_fullwidth_menu global_parent=&#8221;322&#8243; _builder_version=&#8221;3.0.106&#8243; menu_id=&#8221;7&#8243; submenu_direction=&#8221;downwards&#8221; fullwidth_menu=&#8221;off&#8221; background_layout=&#8221;dark&#8221; module_class=&#8221;main-navigation&#8221; \/][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;off&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;off&#8221; custom_padding=&#8221;||0px|&#8221; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#ffffff&#8221;][et_pb_row allow_player_pause=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; use_custom_gutter=&#8221;off&#8221; make_equal=&#8221;off&#8221; custom_margin=&#8221;||0px|&#8221; custom_padding=&#8221;||0px|&#8221; module_class=&#8221;breadcrumbs-row&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Breadcrumbs (do not remove)&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_class=&#8221;breadcrumbs&#8221; custom_css_main_element=&#8221;border-bottom: 1px solid #ececed;&#8221; module_alignment=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<span><span><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/\">NCISH<\/a><\/span><\/span>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; fullwidth=&#8221;off&#8221; specialty=&#8221;on&#8221; transparent_background=&#8221;off&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;on&#8221; parallax_1=&#8221;off&#8221; parallax_method_1=&#8221;off&#8221; parallax_2=&#8221;off&#8221; parallax_method_2=&#8221;off&#8221; make_fullwidth=&#8221;off&#8221; use_custom_width=&#8221;off&#8221; width_unit=&#8221;on&#8221; make_equal=&#8221;off&#8221; use_custom_gutter=&#8221;on&#8221; gutter_width=&#8221;2&#8243; prev_background_color=&#8221;#ffffff&#8221; next_background_color=&#8221;#1d1d1d&#8221;][et_pb_column type=&#8221;1_3&#8243;][et_pb_sidebar admin_label=&#8221;Left Nav Sidebar&#8221; area=&#8221;et_pb_widget_area_1&#8243; orientation=&#8221;left&#8221; remove_border=&#8221;on&#8221; background_layout=&#8221;light&#8221; module_id=&#8221;left-nav-menu&#8221; show_border=&#8221;off&#8221; \/][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243; specialty_columns=&#8221;2&#8243;][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Text: Title and jump links&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h1 id=\"top\">Clinical messages<\/h1>\n<p style=\"padding-top: 1em\"><strong>On this page:<\/strong><\/p>\n<ul>\n<li><a href=\"#settings\">Clinical care and acute mental health care settings<\/a><\/li>\n<li><a href=\"#realtime\">Real-time surveillance<\/a><\/li>\n<li><a href=\"#bipolar\">Suicide and bipolar disorder<\/a><\/li>\n<li><a href=\"#service\">Suicide after missed service contact and\/or non-adherence<\/a><\/li>\n<li><a href=\"#bereavement\">Suicide after recent bereavement<\/a><\/li>\n<\/ul>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Messages&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<p style=\"padding-bottom: 1.65em\">The following clinical messages are intended for clinicians, mental health services, Integrated Care Boards (ICBs) and Health Boards.<\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Clinical care and acute mental health care settings&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"settings\">Clinical care and acute mental health care settings<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5714\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/clinical-care.png\" alt=\"\" width=\"139\" height=\"139\" srcset=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/clinical-care.png 200w, https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/clinical-care-150x150.png 150w\" sizes=\"(max-width: 139px) 100vw, 139px\" \/>Our findings on patient suicide highlight acute mental health settings where there appear to be changing patterns of suicide risk important to prevention. Specifically, the findings call for a greater focus on ward safety, on reversing the apparent increase in suicide amongst people recently discharged from in-patient care, and on recognition of risk after self-harm.<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:Real-time&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"realtime\">Real-time surveillance<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5715\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/surveillance.png\" alt=\"An icon representing a medical facility.\" width=\"138\" height=\"144\" \/>Real-time surveillance of suspected in-patient and post-discharge suicides is being established nationally. We are asking all mental health trusts and clinical staff to take part. This new safety initiative will provide early warning of safety concerns.<\/p>\n<ul>\n<li>Visit: <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/real-time-surveillance-of-mental-health-patient-suicide\/\">Real-time surveillance of mental health patient suicide<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text:Suicide and..&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"bipolar\">Suicide and bipolar disorder<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5717\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/bipolar.png\" alt=\"An icon showing two overlapping heads, representing bipolar disorder.\" width=\"128\" height=\"104\" \/>Many patients with bipolar disorder who die by suicide appear not to be receiving optimal treatment. This should be provided in line with NICE guidance, including lithium treatment and consideration of psychological interventions, as a key suicide prevention measure.<\/p>\n<ul>\n<li>Visit: <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/themes-in-this-report\/suicide-in-mental-health-patients-with-bipolar-disorder\/\">Suicide in mental health patients with bipolar disorder<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Suicide after..&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"service\">Suicide after missed service contact and\/or non-adherence<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5718\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/clipboard.png\" alt=\"An icon of a clipboard and a pencil marking off checkboxes.\" width=\"140\" height=\"144\" \/>Non-receipt of planned care is a crucial precursor of patient suicide. Services should place priority on follow-up efforts for patients losing contact with services or who are non-adherent with medication. These patients have multiple clinical and social problems that are likely to add to risk and that need to be addressed in their care plan. Involvement of the patient\u2019s family or carers should form part of engagement efforts.<\/p>\n<ul>\n<li>Visit: <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/themes-in-this-report\/suicide-following-missed-contact-and-or-non-adherence-with-medication\/\">Suicide following missed contact and\/or non-adherence with medication<\/a><\/li>\n<\/ul>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_text admin_label=&#8221;Text: Suicide and recent..&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<h2 id=\"bereavement\">Suicide and recent bereavement<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright wp-image-5719\" src=\"https:\/\/sites.manchester.ac.uk\/ncish\/wp-content\/uploads\/sites\/31\/2025\/01\/candle.png\" alt=\"An icon of a candle with a flower beside it.\" width=\"140\" height=\"140\" \/>Clinicians should be aware that bereavement may add to suicide risk and be alert to symptoms such as insomnia and alcohol misuse. Enquiring about significant dates such as anniversaries of deaths should be a routine part of assessment. Services should make personalised bereavement support available.<\/p>\n<ul>\n<li>Visit: <a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/themes-in-this-report\/suicide-and-recent-bereavement-in-mental-health-patients\/\">Suicide and recent bereavement in mental health patients<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p style=\"text-align: right\"><a href=\"#top\">&lt; Back to top<\/a><\/p>\n<p>[\/et_pb_text][et_pb_button _builder_version=&#8221;3.17.6&#8243; \/][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;4_4&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_divider _builder_version=&#8221;3.17.6&#8243; \/][et_pb_cta admin_label=&#8221;Promo: Download full report PDF&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; use_border_color=&#8221;off&#8221; border_color=&#8221;#ffffff&#8221; border_style=&#8221;solid&#8221; module_class=&#8221;content_box content_box_grey_bg&#8221; _builder_version=&#8221;3.17.6&#8243; title=&#8221;Read the full report&#8221; button_text=&#8221;Download a PDF of the full report&#8221; button_url=&#8221;https:\/\/documents.manchester.ac.uk\/display.aspx?DocID=75346&#8243; saved_tabs=&#8221;all&#8221;]<\/p>\n<p>Prefer to read the full report? Download it as a PDF.<\/p>\n<p>[\/et_pb_cta][\/et_pb_column_inner][\/et_pb_row_inner][et_pb_row_inner admin_label=&#8221;Row&#8221;][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Previous button&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div class='one_fourth'>\n\t\t\t\t\t<p style=\"font-size: 2em\"><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/key-findings\/\">?<\/a><\/p>\n\t\t\t\t<\/div><div class='three_fourth et_column_last'>\n\t\t\t\t\t<p><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/key-findings\/\">Previous: Key findings<\/a><\/p>\n\t\t\t\t<\/div><div class='clear'><\/div><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][et_pb_column_inner type=&#8221;1_2&#8243; saved_specialty_column_type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Next button&#8221; _builder_version=&#8221;3.17.6&#8243;]<\/p>\n<div class='three_fourth'>\n\t\t\t\t\t<p><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/suicide-in-the-general-population\/\">Next: Suicide in the general population<\/a><\/p>\n\t\t\t\t<\/div><div class='one_fourth et_column_last'>\n\t\t\t\t\t<p style=\"font-size: 2em\"><a href=\"https:\/\/sites.manchester.ac.uk\/ncish\/reports\/annual-report-2025\/suicide-in-the-general-population\/\">?<\/a><\/p>\n\t\t\t\t<\/div><div class='clear'><\/div><\/p>\n<p>[\/et_pb_text][\/et_pb_column_inner][\/et_pb_row_inner][\/et_pb_column][\/et_pb_section][et_pb_section bb_built=&#8221;1&#8243; 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Clinical care and acute mental health [&hellip;]<\/p>\n","protected":false},"author":11,"featured_media":0,"parent":5689,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_exactmetrics_skip_tracking":false,"footnotes":""},"class_list":["post-5724","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5724","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/comments?post=5724"}],"version-history":[{"count":33,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5724\/revisions"}],"predecessor-version":[{"id":6486,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5724\/revisions\/6486"}],"up":[{"embeddable":true,"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/pages\/5689"}],"wp:attachment":[{"href":"https:\/\/sites.manchester.ac.uk\/ncish\/wp-json\/wp\/v2\/media?parent=5724"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}