“…Staff may develop prolonged and complicated grief (Roulston et al, 2021), involving 'absent, excessive, distorted, or unending' responses, delayed grief reactions and 'masked' symptoms or behaviours that are not easily recognisable as grief (Joy and Baron, 2008: 136). This is significant, as complicated grief may lead to suicidal ideation, depression and Post-Traumatic Stress Disorder (PTSD) (Ricciardelli et al, 2021;Vaswani, 2014). The risks of developing complicated grief, stress and trauma are heightened for staff with high levels of involvement in the death, who have experienced prior or concurrent losses, and who perceive that the death could have been prevented (Joy and Baron, 2008;McKendy et al, 2021;Wright et al, stimulate change risks producing secondary victimisation, prolonged and complicated grief, trauma and frustration in bereaved families (Roulston et al, 2021;Shapland et al, 1985; Author, forthcoming).…”