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recurance

Thomas Kingston

7 Jan 2025 · Coroner Katy Skerrett · Gloucestershire

This report repeats 1 earlier warning. See the linked reports.

The coroner's concerns

  1. 1. inadequate communication of suicide risks associated with SSRI medications

    “Whether there is adequate communication of the risks of suicide associated with the selective serotonin reuptake inhibitor (SSRI) medications”
  2. 2. inappropriate guidance on SSRI medication continuation or switching

    “Whether the current guidance to persist with SSRI medication or switch to an alternative SSRI medication is appropriate when no benefit has been achieved and/ or especially when any adverse side effects are being experienced”

Linked reports

Repeats an earlier warningSamuel Morgan9 Dec 2020 · 4 years 1 month earlier
Identical hazardConfidence 0.85 · high

Earlier report

“However, it has been suggested that the "Black Box Warning" (as developed by the Food and Drug Administration in the USA) would have a more 1 immediate impact and capture some patient's attention highlighting any risks.”
Original on judiciary.uk ↗

This report

“Whether there is adequate communication of the risks of suicide associated with the selective serotonin reuptake inhibitor (SSRI) medications, and”
Full chain: Inadequate communication of SSRI suicide risk

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error