Investigating sudden unexpected deaths in infancy and childhood and caring for bereaved families: an integrated multiagency approach

The sudden unexpected death of an infant or child is one of the worst events to happen to any family. Bereaved parents expect and should receive appropriate, thorough, and sensitive investigations to identify the medical causes of such deaths. As a result, several parallel needs must be fulfilled. Firstly, the needs of the family must be recognised-including the need for information and support. 2] Limitations in the present coronial system have led to delays or failures to detect deaths caused by relatives, carers, or health professionals. 6 w1 w2 w3 Several recent, highly publicised trials have highlighted the possibilities of parents facing such accusations. As a result of this the whole process of death certification has come under intense scrutiny. 7-9 w1 w2 w3 We review the medical, forensic, and sociological literature on the optimal investigation and care of families after the sudden death of a child. We describe the implementation in the former county of Avon of a structured multiagency approach and the potential benefits for families and professionals.