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EDITOR
Alexander et al asked Scottish consultant psychiatrists about
the helpfulness of various proceedings and events after the suicide of
patients.1 The intervention of the Mental Welfare Commission was found to be unhelpful and is referred to, along with
other enquiries, as contributing to a blame culture.
Although this undoubtedly accurately reports views expressed, it gives a misleading impression of the commission's role and practice. At one level, the statement is unexceptional; after all, the commission was not set up to be helpful to psychiatrists but to protect the welfare of patients. To associate the commission's involvement with the fostering of a blame culture, however, is a mistake.
The commission has a statutory duty to protect the welfare of those
vulnerable through mental disorder, and to enquire into possible
deficiency in care. In carrying out this duty it seeks reports on
patients who commit suicide when in contact with
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