National Confidential Inquiry into Suicide and Homicide: Report 2018

Reports | Published: 08 Feb 2018

Personality disorder (PD) refers to a complex psychiatric condition characterised by emotional changeability and difficulty relating to other people. Individuals with PD are often frequent users of mental health care. However, management of PD patients is notoriously challenging and influenced by the type of PD, the degree of severity and the presence of comorbid psychiatric disorders. Problems in interpersonal functioning mean patients with PD have high levels of service disengagement and treatment refusal, and there are often difficulties in relationships between staff and patient.

The purpose of the National Confidential Inquiry into Safer Care for Patients with Personality Disorder was to:

  • analyse the characteristics of patients with PD prior to suicide and homicide to learn more about their treatment and pathways into care
  • examine whether services followed NICE guidance for PD
  • learn from patients and staff about their experiences and how they think services could be improved

Data was sourced from:

  • The National Confidential Inquiry into Suicide and Homicide by People with Mental Illness
  • Medical records and Serious Incident (SI) reports from the NHS Trusts and Health Boards
  • Patient experiences of services – collected via an online survey and focus group discussions

Click on the link below to download the full report and findings plus accompanying infographic:

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National Confidential Inquiry into Suicide and Homicide: Report 2018