← All themes
Mental health & substance misuse pillar
Mental health crisis response
Failures in responding to mental health emergencies
439
Reports tagged with this theme
Sub-theme count: 30
PFD reports
439 reports
Grant Lowry
30 Mar 2026· Teesside & Hartlepool
Suicide (from 2015)
Robert Day
24 Mar 2026· Kent and Medway
Suicide (from 2015)
Lee Adams
20 Mar 2026· London Inner South
Mental Health
Natalie Ainsworth
17 Mar 2026· County Durham and Darlington
Suicide (from 2015)
Jardine Williams
16 Mar 2026· Cumbria
Mental Health
Taylor Maddox
9 Mar 2026· Devon, Plymouth and Torbay
Suicide (from 2015)
Mark Hughes
4 Mar 2026· Greater Manchester South
Suicide (from 2015)
Rajwinder Singh
19 Feb 2026· Inner West London
State Custody
Benjamin Websdale
17 Feb 2026· West Sussex, Brighton and Hove
Suicide (from 2015)
Josh Tarrant (1)
9 Feb 2026· Mid Kent & Medway
Alcohol drugs and medicationState Custody
Georgia Scarff
4 Feb 2026· Suffolk
Road (Highways Safety)
Mia Lucas
2 Feb 2026· South Yorkshire West
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Lucy Thornton
27 Jan 2026· Hampshire, Portsmouth Southampton
Suicide (from 2015)
Oliver Long
14 Jan 2026· East Sussex
Suicide (from 2015)
Mohammed Choudhury
6 Jan 2026· Bedfordshire and Luton
Other
Robert Gracey
6 Jan 2026· Greater Lincolnshire
Police
Suzanne Pemberton
5 Jan 2026· Essex
Hospital Death (Clinical Procedures and medical management)
Jason White
19 Dec 2025· South Yorkshire East
Suicide (from 2015)
Valerie Gibson
17 Dec 2025· Sunderland
Hospital Death (Clinical Procedures and medical management)
Mark Vidler
1 Dec 2025· Kent and Medway
Community Health and Emergency ServicesMental Health
Lewis Bates
1 Dec 2025· Manchester South
Suicide (from 2015)
Aminata Coulibaly
26 Nov 2025· Essex
Alcoholdrug and medication
Diana Grant
24 Nov 2025· Surrey
Mental HealthState Custody
Ethel Robertson
17 Nov 2025· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Andrew Dodds
17 Nov 2025· South Yorkshire West
Mental HealthSuicide (from 2015)
Suzanne Ellerby
14 Nov 2025· Surrey
Hospital Death (Clinical Procedures and medical management)
Ernest Gray
7 Nov 2025· Kent and Medway
Other
Anthony Card
7 Nov 2025· Suffolk
Suicide (from 2015)
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Gunaratnam Kannan
31 Oct 2025· Nottingham and Nottinghamshire
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Scott Berry
20 Oct 2025· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
State CustodySuicide (from 2015)
Alexander McCormack
19 Oct 2025· Northamptonshire
Suicide (from 2015)
Melanie Walker
17 Oct 2025· Manchester West
Alcoholdrug and medication
Tony Duncan
15 Oct 2025· City of London
Mental HealthSuicide (from 2015)
Malik Bunton
15 Oct 2025· North Yorkshire and York
Suicide (from 2015)
Jack Peatling
13 Oct 2025· Essex
Community health care and emergency servicesMental Health
Abigail Jelley
13 Oct 2025· Hampshire, Portsmouth and Southampton
Community health care and emergency servicesMental Health
Jillian Steedman
10 Oct 2025· Essex
Mental HealthSuicide (from 2015)
Leo Barber
9 Oct 2025· South London
Child Death (from 2015)Railway
Richard Hunt
8 Oct 2025· Rutland and North Leicestershire
State Custody
Imogen Nunn
7 Oct 2025· West Sussex, Brighton and Hove
Mental HealthSuicide (from 2015)
Naomi Aylott
29 Sep 2025· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Christopher Bird
23 Sep 2025· Wiltshire and Swindon
RailwaySuicide (from 2015)
Martin Collins
17 Sep 2025· Suffolk
State CustodySuicide (from 2015)
Christian Marsh
16 Sep 2025· West Yorkshire (East)
Suicide (from 2015)
Victoria Taylor
5 Sep 2025· North Yorkshire and York
Mental HealthSuicide (from 2015)
Nicholas Murphy
21 Aug 2025· Hampshire, Portsmouth and Southampton
Alcoholdrug and medication
Charles Stonley
20 Aug 2025· Liverpool and Wirral
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Resmije Ahmetaj
12 Aug 2025· Essex
Mental Health
Jessica Smithson
8 Aug 2025· Manchester
Suicide (from 2015)
Tracey Ostler
7 Aug 2025· Surrey
Emergency services related deaths (2019 onwards)Hospital Death (Clinical Procedures and medical management)
Simon Moore
5 Aug 2025· Dorset
Suicide (from 2015)
Sidi Bojang
1 Aug 2025· North London
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Azroy Dawes-Clarke
29 Jul 2025· Kent and Medway
State Custody
Leia Sampson-Grimbly
25 Jul 2025· North London
Child Death (from 2015)Suicide (from 2015)
Sheldon Jeans
25 Jul 2025· Dorset
Alcoholdrug and medication
Jairus Earl
10 Jul 2025· Dorset
Child Death (from 2015)Suicide (from 2015)
Sarah Lewis
7 Jul 2025· Avon
Alcoholdrug and medication
Daniel Hatchett
4 Jul 2025· East London
Suicide (from 2015)
Callan Atkins
26 Jun 2025· Gloucestershire
Suicide (from 2015)
Andrew Connolly
10 Jun 2025· South Manchester
Suicide (from 2015)
Charlotte Werner
2 Jun 2025· Inner London North
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Callum Hargreaves
29 May 2025· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Dean Bradley
28 May 2025· Teesside and Hartlepool Coroner’s Service
PoliceSuicide (from 2015)
Callum Hargreaves
28 May 2025· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Callum Hargreaves
28 May 2025· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Sophie Cotton
27 May 2025· County Durham and Darlington
Emergency services related deaths (2019 onwards)Mental Health
Kelly Walsh
23 May 2025· Manchester West
Alcoholdrug and medication
Andrew Brown
23 May 2025· Manchester West
Alcoholdrug and medication
Joseph Powell
17 May 2025· Cheshire
Community health care and emergency servicesSuicide (from 2015)
Margaret Reeves
13 May 2025· West Sussex, Brighton and Hove
Alcoholdrug and medication
James Sheppard
8 May 2025· Gloucestershire
Suicide (from 2015)
Robert Smith
10 Apr 2025· Manchester South
Alcoholdrug and medication
James Masheter
3 Apr 2025· Lancashire and Blackburn with Darwen
Alcoholdrug and medication
Imogen Nunn
24 Mar 2025· West Sussex, Brighton and Hove
Suicide (from 2015)
Leanne Carroll
19 Mar 2025· North Wales
Mental HealthWales prevention of future deaths reports (2019 onwards)
Darren Turner
17 Mar 2025· Essex
Mental HealthSuicide (from 2015)
Henok Gebrsslasie
6 Mar 2025· Coventry
Hospital Death (Clinical Procedures and medical management)Mental Health
John McLoughlin
6 Mar 2025· West Sussex, Brighton and Hove
Mental HealthSuicide (from 2015)
Amy Padley
24 Feb 2025· SWANSEA & NEATH PORT TALBOT
Hospital Death (Clinical Procedures and medical management)Mental Health
Hayley Beavington
20 Feb 2025· Inner London North
Hospital Death (Clinical Procedures and medical management)Mental Health
Ronald Bainborough
18 Feb 2025· Inner North London
Mental HealthSuicide (from 2015)
Zahra Mohamed
18 Feb 2025· Inner North London
Mental HealthPolice
David Bennett
17 Feb 2025· Essex
Mental HealthSuicide (from 2015)
Ella Murray
7 Feb 2025· Mid Kent and Medway
Child Death (from 2015)Suicide (from 2015)
Alexander Channing
31 Jan 2025· Dorset
Mental HealthSuicide (from 2015)
Aeran Taylor
31 Jan 2025· West Sussex, Brighton and Hove
Alcoholdrug and medication
Paul Williams
21 Jan 2025· Manchester South
Suicide (from 2015)
Harry Southern
20 Jan 2025· West Sussex and Brighton and Hove
Mental HealthSuicide (from 2015)
Mark-Anthony Summersett
10 Jan 2025· West Sussex, Brighton and Hove
Suicide (from 2015)
Alexandra Roberts
2 Jan 2025· Cheshire
Alcoholdrug and medication
Paul Taylor
24 Dec 2024· Nottingham and Nottinghamshire
PoliceSuicide (from 2015)
Antony Williamson
20 Dec 2024· Greater Manchester South
Mental HealthSuicide (from 2015)
Matthew Sheldrick
16 Dec 2024· West Sussex and Brighton and Hove
Hospital Death (Clinical Procedures and medical management)Mental Health
Timothy De Boos
13 Dec 2024· Suffolk
Mental HealthSuicide (from 2015)
Charlie Owen
29 Nov 2024· Berkshire
Service PersonnelSuicide (from 2015)
Jaipreet Panesar
25 Nov 2024· Berkshire
Community health care and emergency servicesMental Health
Colin Wiles
24 Nov 2024· East Riding of Yorkshire and City of Kingston Upon Hull
Emergency services related deaths (2019 onwards)Hospital Death (Clinical Procedures and medical management)
Richard Brookes
18 Nov 2024· Greater Manchester South
Suicide (from 2015)
Alison Binyon
11 Nov 2024· Derby and Derbyshire
Hospital Death (Clinical Procedures and medical management)Mental Health
Alexander Rogers
8 Nov 2024· Oxfordshire
Suicide (from 2015)
Martin Stubbs
25 Oct 2024· West Yorkshire (Eastern)
PoliceSuicide (from 2015)
Aran Bradbury
24 Oct 2024· Greater Norfolk
Emergency services related deaths (2019 onwards)
Paul Chase
14 Oct 2024· Liverpool and Wirral
Service PersonnelSuicide (from 2015)
Nigel Hammond
9 Oct 2024· Suffolk
Mental HealthSuicide (from 2015)
Sean Heath
2 Oct 2024· Manchester
Mental HealthSuicide (from 2015)
Charne Petit
26 Sep 2024· Surrey
Mental HealthSuicide (from 2015)
Helen Kerr
18 Sep 2024· Surrey
Mental HealthSuicide (from 2015)
Amanda Richardson
9 Sep 2024· West Yorkshire (Eastern)
Alcoholdrug and medication
Carol Guest
5 Sep 2024· South Yorkshire (Eastern)
Community health care and emergency servicesMental Health
Elise Walsh
22 Aug 2024· North Northumberland
Suicide (from 2015)
Martyn Stringer
7 Aug 2024· Oxfordshire
Suicide (from 2015)
Sophie Wilson
2 Aug 2024· Durham and Darlington
Emergency services related deaths (2019 onwards)Mental Health
Lee Purkis
1 Aug 2024· West Sussex Brighton & Hove
Other
Nathan Scantlebury
23 Jul 2024· Cheshire
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Paul Roberts
18 Jul 2024· North Wales (East & Central)
Hospital Death (Clinical Procedures and medical management)Mental Health
Deborah Cooper
18 Jul 2024· Wiltshire & Swindon
Suicide (from 2015)
Megan Davison
15 Jul 2024· Hertfordshire
Suicide (from 2015)
Benjamin Faux
10 Jul 2024· Berkshire
Suicide (from 2015)
Debra Bates
28 Jun 2024· Derby and Derbyshire
Care Home Health
Michelle Moore
26 Jun 2024· Somerset
Suicide (from 2015)
Isobel Stapleton
25 Jun 2024· South Wales Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Liam McCarlie
24 Jun 2024· Northamptonshire
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Kevin Cashin
21 Jun 2024· Manchester North
Other
Shelemiah Peterkin
20 Jun 2024· Birmingham and Solihull
Mental HealthSuicide (from 2015)
Yasmin Adams
20 Jun 2024· Derby and Derbyshire
State Custody
Chloe Hunt
19 Jun 2024· Essex
Hospital Death (Clinical Procedures and medical management)
Amina Ismail
14 Jun 2024· Manchester South
Suicide (from 2015)
Harry Vass
13 Jun 2024· Avon
Hospital Death (Clinical Procedures and medical management)
Sailor Court
10 Jun 2024· South London
Child Death (from 2015)Suicide (from 2015)
Fern Foster
7 Jun 2024· Buckinghamshire
Suicide (from 2015)
James Furlong, Joseph Ritchie-Bennett and David Wails
20 May 2024· Central Criminal Court
Other
Brandon Turner
9 May 2024· Cornwall and the Isles of Scilly
Suicide (from 2015)
Zarah Ravn
8 May 2024· Surrey
Alcoholdrug and medication
Harry Hall
1 May 2024· Northumberland
Mental Health
Nicholas Harrison
24 Apr 2024· Swansea Neath and Port Talbot
Mental HealthOther
Axel Price
15 Apr 2024· West Sussex, Brighton and Hove
Suicide (from 2015)
Darren Docherty
14 Apr 2024· Staffordshire and Stoke on Trent
State CustodySuicide (from 2015)
Scott Rider
12 Apr 2024· Milton Keynes
Suicide (from 2015)
Paul Dow
10 Apr 2024· Manchester North
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Ellen Woolnough
28 Mar 2024· Suffolk
Mental HealthSuicide (from 2015)
Nicola Rayner
7 Mar 2024· Suffolk
Suicide (from 2015)
Vanessa Ford
4 Mar 2024· Inner North London
Railway
Oliver Beswetherick
21 Feb 2024· London Inner (South)
Hospital Death (Clinical Procedures and medical management)
Paz Ogbe-Millar
5 Feb 2024· North London
Railway
Georgia Dehaney-Perkins
5 Feb 2024· Essex
Alcoholdrug and medication
Samuel Jordan
2 Feb 2024· Exeter and Devon
Suicide (from 2015)
Nicolas Gerasimidis
30 Jan 2024· Cornwall and the Isles of Scilly
Suicide (from 2015)
Tom Sweeting
9 Jan 2024· West London
Suicide (from 2015)
Sarah Mitchell
8 Jan 2024· Suffolk
Alcoholdrug and medication
Meghan Chrismas
29 Dec 2023· Surrey
Suicide (from 2015)
Adrian Gallagher
28 Dec 2023· Cheshire
Suicide (from 2015)
Denise Porter
21 Dec 2023· West London
Suicide (from 2015)
Wyndham Thomas
21 Dec 2023· Nottingham City and Nottinghamshire
State CustodySuicide (from 2015)
James Campion
20 Dec 2023· Liverpool and Wirral
Alcoholdrugs medication
Ryan Evans
20 Dec 2023· Hampshire, Portsmouth and Southampton
Mental HealthSuicide (from 2015)
Linda Banks
19 Dec 2023· County Durham and Darlington
Alcoholdrugs medication
John Taylor
15 Dec 2023· Teesside and Hartlepool
Emergency services related deaths (2019 onwards)
Jessica Eastland-Seares
10 Dec 2023· West Sussex, Brighton and Hove
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Philip Malone
23 Nov 2023· Birmingham and Solihull
Suicide (from 2015)
Gareth Etchells-Height
20 Nov 2023· South Yorkshire (Western)
Hospital Death (Clinical Procedures and medical management)
Roger Stevenson
13 Nov 2023· Mid Kent and Medway
Alcoholdrugs medication
Elizabeth Watson
10 Nov 2023· East Riding and Hull
Suicide (from 2015)
Federica Cavenati
25 Oct 2023· Inner West London
Suicide (from 2015)
Kirandip Bharaj
9 Oct 2023· Blackpool & Fylde
Other
Leighton Dickens
29 Sep 2023· South Wales Central
Child Death (from 2015)Mental Health
Benjamin Hazelden
26 Sep 2023· North East Kent
RailwaySuicide (from 2015)
Melvyn Blount
21 Sep 2023· Derby and Derbyshire
Alcoholdrugs medication related death
Richard Griffiths
14 Sep 2023· North Wales East and Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards
Allison Aules
30 Aug 2023· East London
Child Death (from 2015)Suicide (from 2015)
Jacqueline Smith
21 Aug 2023· West London
Alcoholdrugs medication
Barry Lall
15 Aug 2023· Central and South East Kent
Other
Leah Barber
3 Aug 2023· West Yorkshire (Western)
Child Death (from 2015)Suicide (from 2015)
Peter Fleming
14 Jul 2023· Birmingham and Solihull
OtherSuicide (from 2015)
[REDACTED]
5 Jul 2023· Inner North London
Alcoholdrugs medication
Rachel Garrett
27 Jun 2023· West Sussex
Mental HealthSuicide (from 2015)
David Wood
7 Jun 2023· Milton Keynes
Mental HealthSuicide (from 2015)
Anthony Smith
7 Jun 2023· Lancashire and Blackburn with Darwen
State Custody
Nigel Harper
2 Jun 2023· Worcestershire
Suicide (from 2015)
Michael Bray
22 May 2023· Suffolk
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Samuel Howes
24 Apr 2023· South London
Child Death (from 2015)Railway
Benjamin Hart
31 Mar 2023· Central and South East Kent
Suicide (from 2015)
Twm Bryn
17 Feb 2023· North West Wales
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Hannah Warren
13 Feb 2023· Swansea Neath Port Talbot
OtherWales prevention of future deaths reports (2019 onwards)
Andrew Bowles
31 Jan 2023· Birmingham and Solihull
Other
Andrew Shirley
27 Jan 2023· Worcestershire
Mental HealthState Custody
Zachary Klement
26 Jan 2023· Surrey
Suicide (from 2015)
Sean Duignan
16 Jan 2023· Bedfordshire and Luton
Accident at Work and Health and SafetySuicide (from 2015)
Gary Cooper
12 Jan 2023· Cumbria
Suicide (from 2015)
Leroy Hamilton
11 Jan 2023· Birmingham and Solihull
Other
Carl Ellson
20 Dec 2022· Birmingham and Solihull
Suicide (from 2015)
Lewis Johnson
12 Dec 2022· West Yorkshire (Eastern)
State CustodySuicide (from 2015)
Leanne Dunn
8 Dec 2022· County Durham and Darlington
Suicide (from 2015)
Philip Battle
25 Nov 2022· Liverpool and Wirral
Suicide (from 2015)
Keith Weston
24 Nov 2022· North Yorkshire and York
Suicide (from 2015)
Michael Smith
10 Nov 2022· County Durham and Darlington
State CustodySuicide (from 2015)
Daniel O’Sullivan
21 Oct 2022· Inner South London
Alcoholdrug and medication
Charley Patterson
19 Oct 2022· North and South Northumberland
Suicide (from 2015)
Max Turbutt
18 Oct 2022· Inner North London
Suicide (from 2015)
Katherine Tyrer
30 Sep 2022· Liverpool and Wirral
Suicide (from 2015)
Gary McDonald
20 Sep 2022· Worcestshire
State CustodySuicide (from 2015)
Robert Brown
20 Sep 2022· North East Kent
Suicide (from 2015)
Adam Gallagher
14 Sep 2022· Newcastle and North Tyneside
Alcoholdrug and medication
James Tice
5 Sep 2022· Manchester North
Community health care and emergency servicesMental Health
David Honnor
30 Aug 2022· Dorset
Suicide (from 2015)
Christopher Lloyd
26 Aug 2022· Manchester South
Mental HealthSuicide (from 2015)
Chelsea Mooney
18 Aug 2022· South Yorkshire Western
Community health care and emergency servicesMental Health
Allan Waddup
10 Aug 2022· North Northumberland and South Northumberland
State CustodySuicide (from 2015)
Stanislav Mucha
4 Aug 2022· Manchester North
Mental Health
Lewis Powter
21 Jul 2022· Cambridgeshire and Peterborough
Alcoholdrug and medication
James Booth
17 Jul 2022· Manchester South
Mental HealthSuicide (from 2015)
Kieran Crimmins
14 Jul 2022· Carmarthenshire and Pembrokeshire
Mental HealthSuicide (from 2015)
Daniel Clements
13 Jul 2022· West Yorkshire Western
Mental HealthSuicide (from 2015)
Louise Allen
12 Jul 2022· East London
Mental HealthSuicide (from 2015)
Shona Campbell
1 Jul 2022· Manchester City
Community health care and emergency servicesMental Health
Jessica Laverack
27 Jun 2022· East Riding and Hull
Alcoholdrug and medication
Alun Davies
23 Jun 2022· Hampshire, Portsmouth and Southampton
Mental HealthRailway
Khalid Yousef
23 Jun 2022· Birmingham and Solihull
Mental HealthOther
Andrew Nixon
6 Jun 2022· Dorset
Mental HealthSuicide (from 2015)
Cynthia Finlay
12 May 2022· Surrey
Hospital Death (Clinical Procedures and medical management)Mental Health
Faizan Nazar
26 Apr 2022· West Yorkshire Western
Hospital Death (Clinical Procedures and medical management)Mental Health
REDACTED
31 Mar 2022· Warwickshire
Hospital Death (Clinical Procedures and medical management)Mental Health
Joshua Rennard
23 Mar 2022· South Yorkshire (West)
Mental HealthSuicide (from 2015)
James Forryan
22 Mar 2022· Inner North London
Alcoholdrug and medication
Jack Ritchie
8 Mar 2022· South Yorkshire West
Community health careOther
Jane Shilton
24 Feb 2022· Leicester City and South Leicestershire
AlcoholCare Home Health
Daniel France
21 Feb 2022· Cambridgeshire and Peterborough
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Kaja Spiewak
21 Feb 2022· West Sussex
Child Death (from 2015)Railway
Sarah Gilbert-Jones
7 Feb 2022· South Wales Central
Alcoholdrug and medication
Ketheeswaren Kunarathnam
3 Feb 2022· West London
Mental HealthOther
Oskar Nash
3 Feb 2022· Surrey
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Finnian Kitson
31 Jan 2022· Manchester City
Mental HealthOther
Luke Wilden
24 Jan 2022· Bedfordshire and Luton
AlcoholChild Death (from 2015)
Terance Radford
20 Jan 2022· Nottingham City and Nottinghamshire
Other
Maziellie Mackenzie
10 Jan 2022· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management)Mental Health
James Emmerson
10 Jan 2022· Bedfordshire and Luton
Community health careHospital Death (Clinical Procedures and medical management)
Saul Thomas
22 Dec 2021· Worcestershire
Mental HealthState Custody
Rebecca Begg
16 Dec 2021· Nottinghamshire
Care Home HealthMental Health
Robert Hammond
8 Dec 2021· Warwickshire
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Connor Hoult
30 Nov 2021· West Yorkshire (Eastern)
State CustodySuicide (from 2015)
Joel Robinson
29 Nov 2021· Berkshire
Mental HealthService Personnel
Katrina Makunova
19 Nov 2021· London Inner South
Community health careOther
Mared Foulkes
16 Nov 2021· North West Wales
OtherSuicide (from 2015)
David Walker
22 Oct 2021· East London
Hospital Death (Clinical Procedures and medical management)Mental Health
Donna Constantine
21 Oct 2021· Greater Manchester South
Mental HealthPolice
Sky Rollings
21 Oct 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Alexandra Tolley
18 Oct 2021· West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management)Mental Health
Anthony Preston
5 Oct 2021· Essex
Mental HealthPolice
Bituin Pimlott
9 Sep 2021· Greater Manchester South
Community health careMental Health
Fadhia Seguleh
2 Sep 2021· Greater Manchester South
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Hadley Savory
19 Aug 2021· North East Kent
Alcoholdrug and medication
Steven Regoli
19 Aug 2021· Essex
Hospital Death (Clinical Procedures and medical management)Mental Health
Rebecca Pykett
9 Aug 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Hospital Death (Clinical Procedures and medical management)Mental Health
Eleanor Rose Murphy-Richards
15 Jul 2021· Mid Kent and Medway
Child Death (from 2015)Mental Health
Alan Griffin
15 Jul 2021· Inner North London
Catholic Standards Safeguarding AgencyOther
Maria Stancliffe-Cook
9 Jul 2021· Avon
Hospital Death (Clinical Procedures and medical management)Mental Health
Sarah Brady
8 Jul 2021· Black Country
AlcoholCommunity health care
Fiona Humberstone
28 Jun 2021· Essex
AlcoholCommunity health care
Kesia Waller
4 Jun 2021· Hampshire, Portsmouth and Southampton
Care Home HealthChild Death (from 2015)
Dyllon Milburn
24 May 2021· Manchester City
Community health careMental Health
Rohan Singh
5 May 2021· East London
Alcoholdrug and medication
Joanna Leven
4 May 2021· Greater Manchester (South)
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Alan Massam
29 Apr 2021· Manchester South
Care Home HealthCommunity health care
Susan Adams
23 Apr 2021· Staffordshire South
Alcoholdrug and medication
Guy Paget
23 Apr 2021· West Yorkshire (East)
State Custody
Grazyna Walczak
8 Mar 2021· Inner North London
Hospital Death (Clinical Procedures and medical management)Mental Health
Paula Speirs
8 Mar 2021· Inner North London
Alcoholdrug and medication
Jaden Francois-Espirit
26 Feb 2021· Inner North London
Emergency services related deaths (2019 onwards)Mental Health
Philippa Day
16 Feb 2021· Nottingham and Nottinghamshire
Alcoholdrug and medication
Carole Mitchell
15 Feb 2021· Greater Manchester South
Alcoholdrug and medication
Tina Murray
8 Jan 2021· Blackpool and Fylde
Care Home HealthMental Health
Lee Elliott
4 Jan 2021· County of Cumbria
Mental HealthProduct
David Ball
29 Dec 2020· Derby and Derbyshire
AlcoholCommunity healthcare
Alfie Gildea
24 Dec 2020· Greater Manchester South
Child Death (from 2015)Community health care
Jason Thompson
24 Dec 2020· County Durham and Darlington
Mental HealthSuicide (from 2015)
Ewan Brown
23 Dec 2020· Newcastle upon Tyne and North Tyneside
Community health careMental Health
Siân Hewitt
3 Dec 2020· Milton Keynes
Community healthcareMental Health
May Miller
1 Dec 2020· Suffolk
Care Home HealthMental Health
Wesley Rowlands
27 Nov 2020· Lancashire and Blackburn with Darwen
State Custody
Joseph Nihill
16 Nov 2020· West Yorkshire (East)
OtherSuicide
Carlington Spencer
26 Oct 2020· Lincolnshire
State Custody
Viktor Scott-Brown
26 Oct 2020· County Durham and Darlington
Community healthcareSuicide
Danny Holt-Scapens
15 Sep 2020· Manchester West
Community healthcareMental Health
Gary Etherington
14 Sep 2020· Inner South London
Community healthcareMental Health
Helen Sheath
8 Jun 2020· Bedfordshire and Luton
Emergency ServicesMental Health
Andrew Jones
5 Jun 2020· Lancashire and Blackburn with Darwen
Alcoholdrug and medication
Mary Brady
5 Jun 2020· Manchester
Care Home HealthMental Health
Natasha Abrahart
14 May 2020· Avon
Mental HealthSuicide (from 2015)
Lauren Finch
14 May 2020· Manchester
Hospital Death (Clinical Procedures and medical management)Mental Health
Lewis Francis
9 Apr 2020· Exeter and Greater Devon
Mental HealthState Custody
Jason Pendlebury
8 Apr 2020· Manchester
Alcoholdrugs and medication
Robert Brown
27 Mar 2020· Staffordshire and Stoke-on-Trent
Alcoholdrug and medication
Adrian Ashford
18 Mar 2020· Inner London South
Hospital Death (Clinical Procedures and medical management)Mental Health
Shaun Turner
10 Mar 2020· Manchester
Alcoholdrug and medication
Andrew Goldstraw
9 Mar 2020· Central Hampshire
Alcoholdrug and medication
Gemma Azhar
20 Feb 2020· West Sussex
Community health careMental Health
Samantha Savage-Greene
11 Feb 2020· Manchester
Community health careMental Health
Jason Devoti
8 Feb 2020· Worcestershire
Alcoholdrug and medication
Muhammed Wajid
8 Feb 2020· West Yorkshire (Western)
Suicide (from 2015)
Deborah Lamont
8 Feb 2020· South Wales Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Kieran Hubbard
7 Jan 2020· Manchester
Alcoholdrug and medication
Steven Marsland
30 Dec 2019· Manchester
Community health care servicesHospital Death (Clinical Procedures and medical management)
Jessica Duckworth
30 Dec 2019· West Yorkshire (Eastern)
Alcoholdrug and medication
Jane Livingston
22 Nov 2019· Swansea and Neath Port Talbot
Mental HealthSuicide (from 2015)
REDACTED
22 Nov 2019· Cornwall and the Isles of Scilly
Suicide (from 2015)
Harold Uzomechina
22 Nov 2019· West London
Alcoholdrug and medication
Oliver Sharp
8 Nov 2019· Manchester
Alcoholdrug and medication
Peter Harrison
5 Nov 2019· Manchester
Suicide (from 2015)
Ian Bromley
5 Nov 2019· Manchester
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
William Moody
5 Nov 2019· Central Hampshire
Mental HealthSuicide (from 2015)
Gurdeep Singh Dundhal
1 Nov 2019· Birmingham and Solihull
Mental HealthSuicide (from 2015)
Karen Burns
18 Oct 2019· Birmingham and Solihull
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Richard Carlon
18 Oct 2019· Birmingham and Solihull
Alcoholdrug and medication
Reece Lapina-Amarelle
18 Oct 2019· East Sussex
Mental HealthSuicide (from 2015)
Daniel Davey
17 Oct 2019· Oxfordshire
State Custody
Michael Cox
23 Aug 2019· Cornwall and the Isles of Scilly
Care Home HealthMental Health
Marcus McGuire
23 Aug 2019· Birmingham and Solihull
Mental HealthState Custody
Ryan Trimmer
23 Aug 2019· East Sussex
State Custody
Martin Haines
16 Aug 2019· East Sussex
State Custody
Sasha Forster
2 Aug 2019· Central Hampshire
Suicide (from 2015)
Anthony Walker
28 Jul 2019· Portsmouth and South East Hampshire
Community health careSuicide (from 2015)
Danyon Chesters
9 Jun 2019· Manchester
Alcoholdrug and medication
Kelvin Speakman
9 Jun 2019· Worcestershire
State Custody
Bryan Gray
6 Jun 2019· East Riding and Hull
Other
Polly Drew
2 Jun 2019· Nottinghamshire
Suicide (from 2015)
David Squire
26 May 2019· Black Country
Hospital Death (Clinical Procedures and medical management)Mental Health
Stephen Kennedy
26 May 2019· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)Mental Health
Natasha Chin
24 May 2019· Surrey
State Custody
Nicky Reilly
24 May 2019· Manchester
Mental HealthState Custody
Paul Gillam
24 May 2019· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Tyrone Givans
23 May 2019· Inner London North
State Custody
Mark Harris
23 May 2019· Suffolk
Emergency services related deaths (2019 onwards)Mental Health
Gareth Bickerstaff
23 May 2019· Manchester
Emergency ServicesMental Health
Natalie Hunter
14 May 2019· Isle of Wight
Alcoholdrug and medication
Trystan Bryant
12 May 2019· Plymouth, Torbay and South Devon
Community health care and emergency servicesMental Health
Bernard O’Flynn
8 May 2019· Inner London South
State Custody
Ben Walmsley
26 Apr 2019· Manchester
Child Death (from 2015)Mental Health
Patricia Chambers
12 Apr 2019· West London
Suicide (from 2015)
Billie Lord
6 Mar 2019· Milton Keynes
Suicide (from 2015)
Colette Dunn
6 Mar 2019· Milton Keynes
Suicide (from 2015)
David Sargeant
23 Feb 2019· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Arun Viswambaran
24 Jan 2019· Inner London North
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Eleanor Brabant
30 Nov 2018· Hampshire, Portsmouth and Southampton
Mental Health
Kelly Campbell
25 Oct 2018· Essex
Mental Health
Dean Barrell
11 Oct 2018· East Sussex
State Custody
Paul James
25 Sep 2018· Mid Kent and Medway
State Custody
Greg Hutchins
12 Sep 2018· Warwickshire
Mental Health
Eugeniusz Niedziolko
19 Jul 2018· Wiltshire and Swindon
Alcoholdrug and medication
Grahame Searby
8 Jul 2018· West Yorkshire (Western)
Community health care and emergency servicesSuicide (from 2015)
George Dyson
8 Jul 2018· West Yorkshire (Western)
Suicide (from 2015)
Michael Berry
8 Jul 2018· Bedfordshire and Luton
State Custody
Mwitumwa Ngenda
8 Jul 2018· West Yorkshire (Western)
Suicide (from 2015)
Stephen Tidey
1 Jul 2018· Surrey
PoliceState Custody
Emily Hartley
8 Jun 2018· West Yorkshire (Eastern)
State Custody
Timothy Shaw
7 Jun 2018· Essex
State Custody
John Chapman
7 Mar 2018· Lancashire and Blackburn with Darwen
State Custody
John Sloan
12 Feb 2018· Inner London South
Mental Health
Sean Plumstead
3 Dec 2017· Central Hampshire
State Custody
Levi Cronin
27 Nov 2017· Suffolk
State Custody
Christopher Kiernan
27 Nov 2017· South Yorkshire (Eastern)
Community health care and emergency servicesSuicide (from 2015)
Daisy French
9 Nov 2017· South Yorkshire (Western)
Child Death (from 2015)Mental Health
Kate Dolby
29 Aug 2017· Nottinghamshire
Mental HealthSuicide (from 2015)
Charlotte Agnew
16 Aug 2017· City of London
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Jonathan Palmer
4 Aug 2017· Inner London West
State Custody
Ondrej Suha
16 May 2017· Staffordshire and Stoke-on-Trent
State Custody
Leah Ratheram
24 Mar 2017· Birmingham and Solihull
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Simon Turvey
12 Mar 2017· Milton Keynes
State CustodySuicide (from 2015)
Dean Saunders
5 Mar 2017· Essex
Community health care and emergency servicesState Custody
Rachel Morgan
5 Mar 2017· Manchester
Hospital Death (Clinical Procedures and medical management)Mental Health
Matthew Russell
26 Feb 2017· Surrey
State CustodySuicide (from 2015)
Margaret Atkinson
19 Feb 2017· County Durham and Darlington
State Custody
Debrata Sircar
19 Feb 2017· Inner London South
Alcoholdrug and medication
Anthony McManus
31 Oct 2016· Milton Keynes
Mental Health
Haydn Burton
4 Oct 2016· Central Hampshire
State CustodySuicide (from 2015)
Amy El-Keria
3 Oct 2016· East Sussex
Child Death (from 2015)Mental Health
Glen Jordan
7 Sep 2016· Black Country
Mental Health
Edward Mallen
7 Sep 2016· Cambridgeshire
Community health care and emergency servicesSuicide (from 2015)
Micael McMonigle
15 Aug 2016· County Durham and Darlington
Mental Health
Stephen St Clair
12 Aug 2016· Isle of Wight
State Custody
Susan Hamlett
4 Aug 2016· Bedfordshire and Luton
RailwaySuicide (from 2015)
Anielka Jennings
27 Jun 2016· Gloucestershire
Child Death (from 2015Mental Health
Christina O’Brien
14 Jun 2016· Inner London South
Mental HealthSuicide (from 2015)
Steven Trudgill
6 Jun 2016· Suffolk
State CustodySuicide (from 2015)
Shalane Blackwood
3 May 2016· Nottinghamshire
State Custody related
Steven Murphy
27 Apr 2016· Portsmouth and South East Hampshire
Mental HealthSuicide (from 2015)
Chentoori Chanthirakumar
5 Feb 2016· Inner London North
Suicide (from 2015)
Samantha MacDonald
2 Feb 2016· Manchester
Suicide (from 2015)
Christopher Higgins
24 Dec 2015· Greater Norfolk
Suicide (from 2015)
Derek Thomas
15 Dec 2015· County Durham and Darlington
State Custody
Julie Rose
14 Dec 2015· Mid Kent and Medway
Mental Health
Dean Boland
25 Nov 2015· Birmingham and Solihull
State Custody
Julia Hayward
11 Aug 2015· Surrey
Mental Health
Craig Chappell
8 Aug 2015· East Riding and Hull
State Custody
Rubel Ahmed
5 Aug 2015· Central Lincolnshire
State Custody related
Luke Myers
20 Jul 2015· Liverpool and Wirral
State Custody
Blaise Farry
30 Jun 2015· West London
State Custody
Alice Mead
24 Jun 2015· Brighton and Hove
Suicide (from 2015)
Aleysha McLoughlin
8 Apr 2015· Manchester
Child Death (from 2015)Other
Kingsley Burrell
20 Mar 2015· Birmingham and Solihull
Mental HealthState Custody
Alasdair Penny
17 Mar 2015· West Sussex
Suicide (from 2015)
Leah Levine
11 Mar 2015· Manchester
Mental Health
Craig Bell
9 Mar 2015· Manchester
Suicide (from 2015)
Richard Jones
20 Feb 2015· Wiltshire and Swindon
Hospital Death (Clinical Procedures and medical management)
Dale Proverbs
6 Jan 2015· North London
Mental Health
Alex Kelly
28 Dec 2014· Mid Kent and Medway
State Custody
John Stabler
18 Dec 2014· Central Lincolnshire
State Custody
Connor Smith
17 Dec 2014· Liverpool and Wirral
State Custody
Geraldine Kilborn
10 Dec 2014· County Durham and Darlington
State Custody
Amanda Hawkins
26 Nov 2014· Staffordshire and Stoke-on-Trent
Police
Barry Horrocks
7 Nov 2014· West Yorkshire (Eastern)
State Custody
Cherylin Norrell-Goldsmith
27 Oct 2014· Surrey
State Custody
William Anderson
17 Oct 2014· West Yorkshire (Eastern)
State Custody
Satheeskumar Mahatheaven
19 Sep 2014· Inner London North
State Custody
Stephen Farrar
29 Aug 2014· Milton Keynes
State Custody
Frances Andrade
28 Jul 2014· Surrey
Other
Edward Devlin
22 Jul 2014· County Durham and Darlington
State Custody
Liam Hardy
2 Jul 2014· South London
Mental Health
Jake Hardy
30 Jun 2014· Manchester
State Custody
Matthew Purser
30 May 2014· Swansea and Neath Port Talbot
State Custody
Samarjit Singh
23 May 2014· Liverpool and Wirral
Mental Health
Mark Bartholomew
21 May 2014· Manchester
Mental Health
Michael Worrall
22 Apr 2014· Inner London North
Mental Health
Philip Dean
15 Apr 2014· Inner London West
Mental Health
Andrew Hall
12 Mar 2014· Teesside
State Custody
Christopher Shapley
11 Mar 2014· Cardiff and the Vale of Glamorgan
State Custody
Hazel Polkinghorn
26 Feb 2014· Central Lincolnshire
Mental Health
Amy Friar
3 Feb 2014· Surrey
State Custody
James Stokoe
16 Jan 2014· Sunderland
Mental Health
Adrian Johnson
20 Dec 2013· Inner London South
State Custody
Felix Cembrowicz
12 Dec 2013· Avon
Mental Health
Lisa Jane Clayton
21 Nov 2013· Manchester
Kennedy Wilson EuropeMental Health Related Death
Peter Galea
21 Nov 2013· Sunderland
Department of Health and Social CareMental Health Related Death
Kathleen Rosemary Dixon
11 Nov 2013· Cumbria
Department of Health and Social CareMental Health
Andrew Cairns,
1 Nov 2013· Derby and Derbyshire
Other
Michael Irlam
4 Sep 2013· Manchester
Mental Health Related Death
John Walker
21 Aug 2013· West Sussex
Mental Health
Jordan Buckton
14 Aug 2013· Dorset
State Custody
Ronald Sherlock
9 Aug 2013· Greater Norfolk
State Custody