{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:48:18Z","timestamp":1791866898225,"version":"4.3.4"},"reference-count":32,"publisher":"Royal College of Psychiatrists","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["BJPsych Bull"],"abstract":"<jats:sec id=\"S2056469426102976_as1\">\n                    <jats:title>Aims and method<\/jats:title>\n                    <jats:p>An analysis of coronial inquest data provides contextual information rarely available in routine surveillance systems, including a nuanced understanding of proximal circumstances preceding death of value to mental health services. Inquest records of more than 750 suicides occurring within the South Wales Central Coroner\u2019s jurisdiction between 2016 and 2023 were reviewed, including the COVID-19 pandemic years, to assess the effects of lockdown and social isolation. Detailed information was extracted, including medical records, toxicology, police reports, witness statements and suicide notes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056469426102976_as2\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Several patterns emerged relating to age, gender, method of death, trigger factors, local authority area, and engagement with mental health services. Hanging was the predominant method, particularly among men. Depression was the most common trigger factor, followed by relationship problems, alcohol\/drug misuse, health concerns, psychotic illness and bereavement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S2056469426102976_as3\">\n                    <jats:title>Clinical implications<\/jats:title>\n                    <jats:p>Key structural and psychosocial risk factors identified highlighted the need for tailored, context-specific suicide-prevention strategies, with circumstances preceding suicide integrated into public health planning.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1192\/bjb.2026.10297","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:26:32Z","timestamp":1791865592000},"page":"1-9","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Suicide in South Wales: comprehensive review of suicides reported to the South Wales Central Coroner\u2019s Service, 2016\u20132023"],"prefix":"10.1192","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3469-3588","authenticated-orcid":false,"given":"Sarah-Jane","family":"Richards","sequence":"first","affiliation":[{"name":"South Wales Central Coroner\u2019s Office"},{"id":[{"id":"https:\/\/ror.org\/03kk7td41","id-type":"ROR","asserted-by":"publisher"}],"name":"Cardiff University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen B.","family":"Dunnett","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03kk7td41","id-type":"ROR","asserted-by":"publisher"}],"name":"Cardiff University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graeme D.","family":"Hughes","sequence":"additional","affiliation":[{"name":"South Wales Central Coroner\u2019s Office"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"170","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"key":"S2056469426102976_ref24","doi-asserted-by":"publisher","DOI":"10.1038\/s41380-024-02465-0"},{"key":"S2056469426102976_ref18","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0071713"},{"key":"S2056469426102976_ref22","doi-asserted-by":"publisher","DOI":"10.1111\/sltb.12874"},{"key":"S2056469426102976_ref12","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)70222-6"},{"key":"S2056469426102976_ref15","doi-asserted-by":"publisher","DOI":"10.12968\/hmed.2011.72.3.172"},{"key":"S2056469426102976_ref29","volume-title":"LIVE LIFE: An Implementation Guide for Suicide Prevention in Countries","year":"2021"},{"key":"S2056469426102976_ref32","article-title":"Antidepressant linked to suicide risk in adults","author":"Boseley","year":"2006","journal-title":"Guardian"},{"key":"S2056469426102976_ref3","volume-title":"Suicides in England and Wales: 2023","year":"2024"},{"key":"S2056469426102976_ref27","doi-asserted-by":"publisher","DOI":"10.1027\/0227-5910\/a000731"},{"key":"S2056469426102976_ref30","first-page":"483","article-title":"Antidepressants and the FDA\u2019s Black Box warning determining a rational public policy in the absence of sufficient evidence","volume":"14","author":"Ho","year":"2012","journal-title":"Virtual Mentor"},{"key":"S2056469426102976_ref13","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(24)01121-8"},{"key":"S2056469426102976_ref31","article-title":"Drugs for depressed children banned","author":"Boseley","year":"2003","journal-title":"Guardian"},{"key":"S2056469426102976_ref10","unstructured":"10 Royal College of Psychiatrists. Self-harm and Suicide in Adults: Final Report of the Patient Safety Committee (College Report CR229) . RCPsych, 2020."},{"key":"S2056469426102976_ref23","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-019-2020-z"},{"key":"S2056469426102976_ref17","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2002.00158.x"},{"key":"S2056469426102976_ref26","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.160416"},{"key":"S2056469426102976_ref8","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2022.101573"},{"key":"S2056469426102976_ref25","doi-asserted-by":"publisher","DOI":"10.1017\/S1041610217001430"},{"key":"S2056469426102976_ref9","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(20)30171-1"},{"key":"S2056469426102976_ref4","volume-title":"Profile of Deaths by Suicide in Scotland 2011\u20132024: A Report from the Scottish Suicide Information Database","year":"2025"},{"key":"S2056469426102976_ref21","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2024.1372974"},{"key":"S2056469426102976_ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.m4352"},{"key":"S2056469426102976_ref14","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2024.23"},{"key":"S2056469426102976_ref1","volume-title":"Deaths by Suspected Suicide 2023\u201324: Annual Report","year":"2024"},{"key":"S2056469426102976_ref28","unstructured":"28 National Institute for Health and Care Excellence. Suicide Prevention (Quality Standard QS189) . NICE, 2019 (https:\/\/www.nice.org.uk\/guidance\/qs189)."},{"key":"S2056469426102976_ref2","article-title":"Suicide leading cause of death for under-35s in Wales","year":"2025","journal-title":"South Wales Argus"},{"key":"S2056469426102976_ref6","volume-title":"Domestic Homicides and Suspected Victim Suicides 2020\u20132025: Year 5 Report","author":"Hoeger","year":"2026"},{"key":"S2056469426102976_ref16","doi-asserted-by":"publisher","DOI":"10.1016\/0091-3057(91)90222-N"},{"key":"S2056469426102976_ref19","doi-asserted-by":"publisher","DOI":"10.1016\/j.lanepe.2025.101517"},{"key":"S2056469426102976_ref5","year":"2025","journal-title":"Annual Suicide Figures 2016\u20132023"},{"key":"S2056469426102976_ref20","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(14)70224-X"},{"key":"S2056469426102976_ref11","doi-asserted-by":"publisher","DOI":"10.1080\/08039488.2023.2231918"}],"container-title":["BJPsych Bulletin"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S2056469426102976","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T04:26:35Z","timestamp":1791865595000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S2056469426102976\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,13]]},"references-count":32,"alternative-id":["S2056469426102976"],"URL":"https:\/\/doi.org\/10.1192\/bjb.2026.10297","relation":{},"ISSN":["2056-4694","2056-4708"],"issn-type":[{"value":"2056-4694","type":"print"},{"value":"2056-4708","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,13]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press on behalf of Royal College of Psychiatrists","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}