Overview

• Thomas Kingston, husband of Lady Gabriella Windsor, died by suicide after being prescribed the antidepressants sertraline and citalopram, as well as a sleep aid.
• Coroners have flagged these medications in at least 40 prevention of future deaths (PFD) reports since 2016, citing inadequate communication of suicide risks and failures in patient monitoring.
• Instances include young adults and others who took their own lives shortly after starting or adjusting doses of these drugs, often without being warned of potential side effects.
• Experts and coroners have called for clearer warnings, such as a 'black box' label, to better inform patients about the risks of suicidal ideation associated with these medications.
• Calls have been made for systemic reforms to address gaps in acting on coroners’ PFD reports, which often go unheeded, leaving preventable risks unaddressed.