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recurance

Bethany Langton

30 Jul 2024 · Coroner Laurinda Bower · Nottingham City and Nottinghamshire

This report repeats 3 earlier warnings. See the linked reports.

The coroner's concerns

  1. 1. availability of [REDACTED]

    “The continued ease of availability of [REDACTED] to members of the public”
  2. 2. lethal ingestion of [REDACTED]

    “The substance is lethal when ingested, even in relatively small quantities. It's use in suicide is increasing. The substance is readily available to purchase online without the need for any explanation of the purchaser's intended use for the substance, or an end user certificate/licence to track where it is being distributed”
  3. 3. lack of awareness among businesses

    “Lack of awareness amongst businesses that the substance is being obtained for this purpose”
  4. 4. lack of risk awareness by supplier

    “The company who supplied Beth with the [REDACTED] used in her death, had no idea that the substance might be sourced by individuals for this purpose. Had they have been aware of the risk, they would likely have improved systems for investigating the intended use, or would have stopped offering the item for sale to individuals, as they have now done so”
  5. 5. availability of suicide method guidance online

    “Beth used the internet to research how to source and use [REDACTED] to bring about her death. She followed that guidance meticulously. That same guidance was still readily available on the internet at the time of her inquest, although I believe it might now have been removed. What system is in place to ensure that such websites are detected promptly and made unavailable to the public in a timely fashion?”

Linked reports

Repeats an earlier warningLinda Gillchrest4 Jan 2021 · 3 years 7 months earlier
Identical hazardConfidence 0.90 · high

Earlier report

“- is available to be purchased in lethal quantities from a UK website for less than £5:00, again without restriction.”
Original on judiciary.uk ↗

This report

“The substance is readily available to purchase online without the need for any explanation of the purchaser's intended use for the substance”
Full chain: Unrestricted online purchase of lethal prescription medication
Repeats an earlier warningNeha Raju14 Oct 2022 · 1 year 10 months earlier
Identical hazardConfidence 0.92 · high

Earlier report

“is freely available to be purchased from the internet in lethal quantities for delivery within the UK”
Original on judiciary.uk ↗

This report

“The substance is readily available to purchase online without the need for any explanation of the purchaser's intended use for the substance”
Full chain: Unrestricted online purchase of lethal prescription medication
Repeats an earlier warningAdrian Gallagher28 Dec 2023 · 7 months earlier
Identical hazardConfidence 0.92 · high

Earlier report

“[REDACTED] is available to anyone to purchase online, directly from the company. The company appears to have some link to the UK as there is a UK helpline number.”
Original on judiciary.uk ↗

This report

“The continued ease of availability of [REDACTED] to members of the public.”
Full chain: Online availability of suicide method guidance

Responses

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Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error