This review looks at the actions of the agencies involved in supporting ‘Ian’ a gentleman who died in 2017 after taking his own life. The review looked specifically at the multi-agency response to Ian’s needs in the period prior to his death. We thank Ian’s family for their help with this review during this difficult time for them.
The report makes a number of recommendations to the individual agencies involved and the SAB as a whole, all of which are accepted by the SAB in full. As agreed with his family, the pseudonym of ‘Ian’ has been used for this review.