"Due to his mental health he should have had counselling"

My brother was admitted to Queen Elizabeth University Hospital at the end of December 2022. In early January 2023 he had an amputation to above his knee. A few weeks later I was informed that rehab was not progressing and due to the level of care he needed he would need to go into a care home. My brother was informed of this.

Throughout his 3 weeks I was told he was in low mood, withdrawn, I asked if he could be given a little more time but this was not an option. A couple of days later, I was informed that my brother was now refusing food, drink and medication. I visited him but he passed away very soon after.

I feel that due to his mental health he should have had counselling and when informed about the care home I should have been present. He obviously decided to end his life as to him it wasn't worth living. I thought hospitals considered mental health as well as the physical side and feel he was let down. I am still in shock at having lost my brother in such a way. I can only consider this suicide, as he really took his own life. 

The nurse in the ICU was very helpful and caring as was the nurse in ward 11a.

I feel a counsellor could have spent time with him to see why he was in a bad place mentally to consider ending his life in this way. Also perhaps it can take longer than 3 weeks for someone who is trying to cope with the shock of losing his leg.