Sacha ends experimental research he had invested his own money into. Then his daughter cancels plans to go on holiday. He then develops feelings for his friend Patricia Ghraoui (Sirine Saba). After he operates on her hernia, Sacha asks her to date him but Patricia refuses. This puts Sacha in a bad mood and he tells hospital porter Jason Haynes (Jules Robertson) that being a parent will eventually make him feel pointless. Following Sacha's mood swings viewers began to speculate that Sacha would try to commit suicide. On 10 August 2018, a special episode of Holby City focusing on Sacha's mental health was announced. It was revealed that during the episode the character would become an emotionally unstable attempt to commit suicide from the hospital roof. The episode includes old scenes which are played out with a new perspective revealing insight into Sacha's depressive thoughts. Michelle Lipton wrote the episode which aims to raise awareness of male mental health and the way it affects men who chose to ignore symptoms so they are not perceived as weak. The show's executive producer Simon Harper said that the episode was "incredibly important" and focused on "one troubled year in the life of one beloved, vulnerable character." Series producer Kate Hall described Barrett's performance as "absolutely heartbreaking". Holby City worked alongside the British mental health charity Mind, their advice service helped the show create a really dramatic depiction of male depression. Jenni Regan from Mind said that "using such a well-loved and popular character" had the potential to change negative attitudes towards mental health. Producers later hired the actor's daughter Francesca Barrett to play his on-screen daughter Beka Levy. She is reintroduced into the series to help Sacha deal with his depression. By December 2018, Sacha still had not told Beka about his condition. Barrett told Laura-Jayne Tyler from Inside Soap that his character was dealing with depression the best he could but finds it tough at different times. Sacha had unresolved issues with Beka that dated back to the day he attempted suicide. He had never sorted through their differences following the angry voice mail he had left her. After advice from Henrik Hanssen (Guy Henry), Sacha reconnects with Beka and tells her the truth about his depression. Barrett added that by the end of the conversation both characters are in "floods of tears". He also enjoyed the opportunity to work on