A network and thematic analysis of mental health-related Prevention of Future Death reports from 2013 to 2025 in England and Wales
Mental health-related deaths examined by coroners arise within complex, evolving multi-sector contexts and do not frequently identify single errors. Minimising such deaths may require coordinated strategies across healthcare, social care and justice systems. Analysis of PFDRs allows identification of patterns that may inform such actions. PFDRs should be analysed routinely and patterns followed over time.
Authors
- Chineze Ivenso (ORCID: https://orcid.org/0009-0003-3690-2698)
- Benjamin R. Underwood (ORCID: https://orcid.org/0000-0003-3427-9487)
- Hongyi Qin (ORCID: https://orcid.org/0000-0002-5201-9905)
- Josie Jenkinson (ORCID: https://orcid.org/0000-0003-0168-9383)
- Mohan Bhat (ORCID: https://orcid.org/0009-0005-5032-3101)
- Mani Santhanakrishnan (ORCID: https://orcid.org/0000-0003-1207-072X)
- Robert Barber
Institutions
- Cumbria Northumberland Tyne and Wear NHS Foundation Trust (GB)
- University of Cambridge (GB)
- Aneurin Bevan University Health Board (GB)
- Kent and Medway NHS and Social Care Partnership Trust (GB)
- Cambridgeshire and Peterborough NHS Foundation Trust (GB)
- Tees, Esk and Wear Valleys NHS Foundation Trust (GB)
- Surrey and Borders Partnership NHS Foundation Trust (GB)
- Royal College of Psychiatrists (GB)
- Zhejiang University (CN)
Publication Details
- Journal
- The British Journal of Psychiatry
- Published
- 2026-02-05
- DOI
- https://doi.org/10.1192/bjp.2025.10528
- Primary Topic
- Autopsy Techniques and Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institute for Health and Care Research
- Department of Health and Social Care
- NIHR Cambridge Biomedical Research Centre