Mental health services failing to consider impact of menopause, putting women at risk of suicide

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Mental health services failing to consider impact of menopause, putting women at risk of suicide
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A study examining the suicide of a 56-year-old NHS worker found menopause is not routinely considered a contributing factor among women with low mood who need help.

Frances Wellburn, referred to in the report as Ms A, was diagnosed with psychotic depression and became increasingly paranoid that people were out to cause her harm.

Patient safety investigators said midlife is a point when mental health can deteriorate, putting women at increased risk of suicide as they have a higher chance of developing schizophrenia, or other psychotic disorders, around menopause. "In the last 10 months of my sister's life she was thrown into unknown territory as she experienced a first episode of psychosis," her sister wrote."She became convinced that people close to her were trying to harm her and she lost all trust in everything that had previously given her life meaning. This frightening world became her reality and she lost the ability to see what was happening to her as an illness she could recover from.

Ms Wellburn had a history of depression, which had been managed by her GP with medication, and had no contact with mental health services until September 2019 when she had suicidal thoughts and was admitted to hospital. She was discharged and remained in contact with the service, but the COVID lockdown led to gaps in her care.

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