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recurance

Tony Dunne

20 Aug 2019 · Coroner ME Hassell · London Inner (North)

A similar concern from this report was raised again 1 time later. See the linked reports.

The coroner's concerns

  1. 1. lack of suicide risk assessment after discharge

    “Mr [name redacted] rang the Crisis Line a little over an hour after he had been discharged from the emergency department”

Linked reports

Raised again laterFreeda Glausiusz20 Oct 2021 · 2 years 2 months later
Closely relatedConfidence 0.85 · high

This report

“The Crisis Line call taker read his medical notes and so knew this history, but nevertheless did not ask him if he was now feeling suicidal.”

Later report

“the clinician did not elicit clear risks during the conversation; did not listen to [REDACTED] ; talked over him; did not appear empathic; and dismissed his distress about his daughter,”
Original on judiciary.uk ↗
Full chain: Lack of suicide risk assessment after discharge

Responses

2019-0265_Response-by-East-London-NHS-Trust.pdf ↗· East London NHS Foundation Trust

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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

Tony Dunne · Recurance