Jason White

I am Ms N J Mundy for South Yorkshire East

On 20 December 2024 I commenced an investigation into the death of Jason Ricardo White.  The investigation concluded at the end of the inquest . The conclusion of the inquest was  Suicide. The cause of death was: 1a                  [REDACTED]

CIRCUMSTANCE OF THE DEATH Jason Ricardo White developed mental health symptoms in April 2024 which were essentially  depression and psychotic episodes. Mr White engaged with both his GP and mental health  support services including the Priory hospital in Nottingham, Sheffield Teaching Hospitals NHS Trust, Sheffield Health Partnership University NHS Foundation Trust, and Sheffield City Council to manage his symptoms. He remained fixated on his symptoms being linked to serious medical complaints and appeared at no time to accept that the physical symptomology of which he complained was inextricably linked to his mental health challenges.  Mr White received  various levels of management which included medication. One of those medications was  olanzapine. This was ceased abruptly due to a belief that this was responsible for deranged  liver function tests but there was inadequate follow-up thereafter. As it was Mr White died from [REDACTED] on the 10th of December 2024 [REDACTED]                                                                                  .

During the course of the inquest the evidence revealed matters giving rise to concern. In my  opinion there is a risk that future deaths will occur unless action is taken. In the circumstances it is my statutory duty to report to you. During the course of the investigation my inquiries revealed matters giving rise to concern. In my opinion there is a risk that future deaths could occur unless action is taken. In the circumstance it is my statutory duty to report to you.

In my opinion action should be taken to prevent future deaths and I believe you, (and/or your organisation) have the power to take such action. The MATTERS OF CONCERN are as follows. –

1. Antipsychotic medication (Olanzapine) abruptly ceased and the management plan of daily  monitoring was not followed.
2. This created a risk of relapse in terms of psychotic symptoms and associated deterioration

in mental health.

1. Risks of relapse when any medication is abruptly ceased. Must be fully monitored; the  absence of full assessment and monitoring exposes patients to risk of a serious deterioration in mental health.

In my opinion action should be taken to prevent future deaths and I believe you, [REDACTED] have the power to take such action.