Barrie Lewis
19 Feb 2015 · Coroner Andrew Barkley · Powys, Bridgend & Glamorgan Valleys
The coroner's concerns
1. lack of risk assessment for suicidal ideation
“That no risk assessment was undertaken to detail risks specifically associated with the deceased's suicidal ideation which, on the evidence, would have assisted the crisis team in assessing his risk of suicide or self harm”