if that had been remotely on the cards I would have disengaged from the system as much as possible, not answered questions honestly and tried my best to avoid any possible referrals.
Same thing here. I was granted my ELCS with ease, with one of the reasonings behind it was about building a relationship with me. They told me they were willing to do it, because they wanted to fully engage with me and gain my trust because they had cases in the past where mothers have been so scared that they had completely stepped away from all ante-natal care and had given birth alone without medical supervision. Which is a damn sight more dangerous for both mother and child than having an ELCS. Its a different scenario, but I think the principle is one that applies to wider mental health issues quite closely.
I have to be honest in say, I'm not convinced about 'being checked on' more than half hourly being the solution here either though, because the unspoken suggestion with that is an underlying lack of trust which creates the whole vicious cycle. I found it intrusive enough being checked hourly for physical reasons. When I'd just got to sleep, I'd be disturbed again. And again. And again. And that was in a private room not on the ward, which would have been my hell on earth.
For me, having my husband there to support me throughout was brilliant, and that's the way I think it should be framed. It need not be a partner, it could be something like a dedicated midwife or a post natal carer or doula of some description with the focus being on help rather than this more sinister idea of observing in a big brother fashion.
Women need 'support' after birth, rather than being 'checked on' otherwise the whole structure of services creates this atmosphere of mistrust and fear.
If this concept isn't grasped then this isn't going to stop another tragedy. Its going to merely shift the problem and create new tragedies from women avoiding health services altogether, or being condemned to being viewed as prisoners along with all the trauma that causes.