Patient took own life after discharged with Yellow Pages
The man was 'not treated with dignity', according to a mental health watchdog.
A psychiatric patient who took his own life after being discharged from hospital was given a copy of the Yellow Pages told to find somewhere to stay.
The way the patient was dealt with was "completely unacceptable", according to a Scottish mental health watchdog.
The Mental Welfare Commission (MWC) became involved following his death in 2014.
It said the decision to diagnose him with a personality disorder was "seriously flawed".
The MWC noted his consultant had sought a second opinion from another doctor but disregarded their advice.
On the day he was discharged Mr QR was handed a copy of the Yellow Pages and told to find a bed and breakfast.
Mr QR was known to be a suicide risk by NHS Highland medics him and had attempted to take his own life before.
His primary care nurse later acknowledged in an interview with the MWC that the decision was "harsh".
"I did sit with him for a while that day of his discharged and wished him all the best and hoped he would be fine but reading back the notes I thought that was harsh.
"I could have sat with him and maybe looked at some accommodation with him."
Mr QR left hospital with no accommodation arranged and his wife later organised a room at a B&B. He took his own life two days later.
MWC executive director Mike Diamond said the case has implications for mental health treatment across Scotland.
"The question of whether Mr QR's death may have been preventable under different mental health management could not be stated with certainty," he said.
"However, after a thorough investigation, I can say we have serious concerns that Mr QR was not rigorously treated, and the manner of his discharge was completely unacceptable.
"We question the diagnosis given to Mr QR and we believe that diagnosis affected the way in which Mr QR was treated.
"Every patient, no matter their diagnosis, should be treated with dignity and respect and we do not believe that happened in this case.
"Our recommendations are not only for the health board that was involved with Mr QR, but for all mental health services throughout Scotland.
"We expect them all to reflect on this tragic case and on our recommendations. We ask that all mental health services undertake a self-assessment their own and make any necessary adjustments."