Tuesday 21 June 2022 | 15:00-16:00

Format: Workshop
Stream: Safety
Content filters: Co-presented with patients, service users or carers

This session shares learning and results from the process of the creation of a new model for investigation and learning from suicide cases, and include the aspects of patients.

The investigation model is based on the understanding of patient safety as risk management over time. The perspectives of the patients are seen as essential, and the model was co-produced with patients, family and professionals.

The outcomes of the investigations using this new model should improve the possibilities for healthcare providers to make the suicide prevention strategies more powerful.

After this session, participants will be able to:

• Understand patient safety as risk management over time with suicide as an example


• Understand the importance and benefits of involving patients and family in the work with improving patient safety at several levels


• Have a better understanding of the complexity of incidents of severe patient harm


• Understand how studying suicide can lead to improvements in the care of people with serious mental health problems

Elin Fröding, Region Jönköpings County, Jönköping University; Sweden

Charles Vincent, Department of Experimental Psychology, University of Oxford;  England

Fredrik Tjulander, Suicide Zero; Sweden

Axel Ros, Region Jönköping County; Sweden