Almost 38,000 Mental Health Patients Missed Critical 72-Hour Follow-Ups

The Royal College of Psychiatrists is sounding the alarm over thousands of discharged mental health patients slipping through the cracks. Urgent action is needed to ensure vulnerable individuals receive follow-up care within 72 hours – a crucial window where suicide risk peaks.

Suicide Risk Peaks Days After Discharge

Data shows suicide risk is highest during the second and third days after leaving a mental health ward. Yet, between April 2020 and May 2022, a staggering 37,999 follow-up appointments weren’t scheduled in England. Out of 160,430 cases where patients were eligible for follow-up within 72 hours, only 76% actually got it.

“We simply can’t afford to let people fall through the cracks at a time when they are so vulnerable,” said Dr Adrian James, president of the Royal College of Psychiatrists. “It is critical that our mental health services are properly staffed and funded to provide proper follow-up care and help prevent suicides.”

Staff Shortages and Funding Gaps Blamed

The 72-hour follow-up target was set back in 2019 but has never been met. Experts blame staffing shortages and underfunding for the shortfall. Dr James added: “Staff are working as hard as they can, but current resources are clearly insufficient. Immediate action is needed to tackle the workforce crisis and boost suicide prevention efforts.”

According to Office for National Statistics data, 4,912 suicides were recorded in England in 2020, with a male suicide rate over three times higher than females.

NHS Promises More Support and Funding

An NHS spokesperson insisted mental health services are improving, with follow-up appointments now set at 72 hours, down from a week. Around-the-clock crisis lines and other support are also in place.

“We are improving mental health services, with over £2.3 billion in extra annual funding by 2024,” said a Department of Health and Social Care representative. “This will help two million more people across England get the support they need.”

The government has also launched a call for evidence to plan long-term mental health and suicide prevention strategies, aiming to reduce disparities nationwide.

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