John Hurst
23 Oct 2024 · Coroner David Place · Sunderland
The coroner's concerns
1. inadequate electronic custody record
“information on the electronic custody record was inadequate and lacked detail regarding the concerns for the detained person's mental health, as identified by police officers and family, including the risk of suicide, the content of notes found and the detained persons history of suicidal ideation and previous engagement with mental health services”