Recurance · prevention of future deaths reports
Pre-inquest brief
The earlier warning
Callie Lewis · 3 Dec 2019 · Patricia Harding, Kent (Central and South East)
“[the deceased] was using an online suicide forum, (the forum now appears under the internet address .Through the forum she was able to engage in discussions with other pro-suicide members and obtain advice how to”
judiciary.uk/prevention-of-future-death-reports/callie-lewis
What was promised
Stated action 1 · response to Callie Lewis (3 Dec 2019) · stated timescale: none stated
“The regulator may also undertake thematic teviews of areas of concern, for example, a review into the treatment of self-harm or suicide-related content.”
Stated action 2 · response to Bronwen Morgan (25 Oct 2023) · stated timescale: none stated
“this Welsh Government will actively engage with, and contribute to, the three phases of Canolfan Cyswllt Cyntaf / First Point of Contact Centre: 0300 0604400”
What recurred
- 25 Oct 2023 · Bronwen Morgan · Graeme Hughes · Identical hazard · confidence 0.90 (high)
- 19 Dec 2023 · Chloe Macdermott · Paul Rogers · Closely related · confidence 0.90 (high)
The clearest link, quoted from both reports:
Earlier · Callie Lewis · 3 Dec 2019
“[the deceased] was using an online suicide forum, (the forum now appears under the internet address .Through the forum she was able to engage in discussions with other pro-suicide members and obtain advice how to”
Later · Chloe Macdermott · 19 Dec 2023
“(3) [REDACTED], is a forum that permits material to be exchanged and viewed within its open chatrooms whereby suicide is encouraged, assisted, counselled and procured through the provision and exchange of information and methods.”
What happened next
No evidence found either way · a stated action in a response
“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.