Matthew Brierley
8 Jan 2025 · Coroner Nicholas Shaw · Cumbria
The coroner's concerns
1. elevated suicide risk
“It is recognized that men in [the deceased]'s circumstances are at a markedly elevated risk of suicide”
2. prolonged decision time
“when released on bail [the deceased] was informed that examination of devices and a decision in his case might take up to 18 months”
3. lack of proactive risk assessment
“Police acknowledged the increased risk and completed a standard assessment form when [the deceased] was released - he denied any risk and also declined referral to Liaison and Diversion service”