Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Chloe Macdermott · 19 Dec 2023 · Paul Rogers, Inner West London
“The ability for UK users to purchase [REDACTED], through Amazon in the United States and to take delivery in the United Kingdom without effective border and/or custom controls.”
judiciary.uk/…/chloe-macdermott-prevention-of-future-deaths-rep…
What was promised
Stated action 1 · response to Chloe Macdermott (19 Dec 2023) · stated timescale: none stated
“seeking to tackle at source the suppliers of harmful substances for the purposes of suicide”
Stated action 2 · response to Chloe Macdermott (19 Dec 2023) · stated timescale: once these duties are in force
“The act's illegal safety duties will apply to all in-scope 'user-to-user' services which allow users to post content online, or to interact with each other - including online forums. This means that once these duties are in force, they will be required to have systems and processes in place to proactively prevent users from encountering priority illegal content via their service and to minimise the length of time for which such content is present.”
Stated action 3 · response to Hannah Aitken (14 Nov 2024) · stated timescale: none stated
“The group has worked with businesses, including online suppliers and manufacturers of the substance, to reduce people's ability to purchase it for non-legitimate purposes including suicide, and to raise awareness around safeguarding concerns with businesses where required.”
What recurred
- 14 Nov 2024 · Hannah Aitken · Anna Loxton · Closely related · confidence 0.90 (high)
- 9 Jul 2025 · Andrew Kenward · Anna Loxton · Identical hazard · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Chloe Macdermott · 19 Dec 2023
“The ability for UK users to purchase [REDACTED], through Amazon in the United States and to take delivery in the United Kingdom without effective border and/or custom controls.”
Later · Hannah Aitken · 14 Nov 2024
“[REDACTED] can be purchased from abroad and imported to Great Britain with no restrictions;”
What happened next
No evidence found either way · stated action 1
“This chapter characterizes the movement of precursor chemicals through domestic supply chains and the potential vulnerabilities inherent in those supply chains, based largely on the presentations provided during the data-gathering meetings.”
Read "Reducing the Threat of Improvised Explosive Device Attacks by Restricting Access to Explosive Precursor Chemicals" at NAP.edu · nationalacademies.org/read/24862/chapter/5
No evidence found does not mean the action did not happen.
No evidence found either way · stated action 3
“Effective suicide prevention is comprehensive: it requires a combination of efforts that work together to address different aspects of the problem.”
A Comprehensive Approach to Suicide Prevention – Suicide Prevention Resource Center · sprc.org/effective-prevention/comprehensive-approach
No evidence found does not mean the action did not happen.