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Katharine Dowling

14 Mar 2019 · Coroner Alan Moore · Cheshire
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The coroner's concerns

  1. 1. patient with Autistic Spectrum Disorder (ASD) alongside a co-existing mental health diagnosis

    “This inquest addressed a specific situation, namely a patient with Autistic Spectrum Disorder (ASD) alongside a co-existing mental health diagnosis. The patient had been treated in an acute psychiatric ward environment for almost 6 months before self- ligaturing with fatal consequences”

Responses

2019-0089-Response-by-NHS-Engalnd2.pdf ↗

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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