Recurring concern

Inadequate safety controls for helium canisters

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First reported 20 Nov 2013•Latest report 20 Mar 2015

Definition

What this concern includes

Includes failures of controls specifically dedicated to the safety of helium canisters, including clear and sufficient safety information, restrictions on purchase quantities, control of canister volume and valves or equivalent features that limit gas release.

Not included

  • Excludes generic product warnings or labelling failures where helium canisters are not the material product; those belong to the broader product-warning concern.
  • Excludes general toxic-gas, chemical or substance-access concerns without a specific helium-canister context.
  • Excludes routine storage, transport or disposal failures unless they directly concern the safety controls of helium canisters.
  • Excludes clinical, mental-health or other downstream harms where no deficiency in helium-canister safety controls is identified.
Reports
3

Distinct published reports

Individual concerns
9

A report can raise multiple concerns

Date range
2013–2015

First to latest report issue date

Stated actions
0

Described in published responses

Reports over time

Reports over time

Reports about this concern issued each year.

* 2026 is projected from reports observed to 7 Sep 2026.

Most frequent recipients

Most frequent recipients

Reports about this concern sent to each recipient.

Home Office2
Department of Health and Social Care1

Concerns and responses across reports

Only concerns grouped under this recurring concern are included. Select any concern, action or position to view the source wording.

  1. Leicester City and South Leicestershire

    AI-generated summary

    Brenda Kathryn Gabrielle Leyland · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Brenda Leyland was found deceased in a hotel room on 4 October 2014 after buying helium canisters to end her life; the inquest concluded suicide. The concerns were the free availability of helium canisters, the lack of controls on purchase quantities, their large volume, and the absence of a modified control valve to restrict gas release.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Large-volume helium canisters

    Wider context from the report

    “(1) That helium gas is freely available in canisters and there appears to be no controlling measures on how many canisters can be bought by an individual. (2) The size of the helium canisters are of large volume. (3) There is no modified control valve attached to the canisters which would restrict the volume of gas being released. ”

    Source location

    Brenda Kathryn Gabrielle Leyland · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to attach modified control valves restricting helium gas release volume

    Wider context from the report

    “(1) That helium gas is freely available in canisters and there appears to be no controlling measures on how many canisters can be bought by an individual. (2) The size of the helium canisters are of large volume. (3) There is no modified control valve attached to the canisters which would restrict the volume of gas being released. ”

    Source location

    Brenda Kathryn Gabrielle Leyland · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Lack of controls on individual helium canister purchase quantities

    Wider context from the report

    “(1) That helium gas is freely available in canisters and there appears to be no controlling measures on how many canisters can be bought by an individual. (2) The size of the helium canisters are of large volume. (3) There is no modified control valve attached to the canisters which would restrict the volume of gas being released. ”

    Source location

    Brenda Kathryn Gabrielle Leyland · Prevention of Future Deaths report
    Page 1 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    Evidence that even small amounts of helium can cause death means controls on availability would be ineffective.

    Verbatim wording from the response

    “Having reviewed the response in the case of Matthew Satterthwaite, which was sent to HM Coroner Mr Nigel Meadows, I note that the examples given showed that even small amounts of helium can be sufficient to cause death, rendering controls on availability ineffective. This has led to a number of options to address the issues you raise being considered and discarded.”

    Source location

    2015-0112-Response-by-Department-of-Health
    Page 1 · response
    Published 20 March 2015

    Open published response
  2. Birmingham and Solihull

    AI-generated summary

    David Reginald Giles · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    David Reginald Giles was discovered at home on 31 March 2014 with a plastic bag over his head connected to a helium gas canister, and paramedics confirmed his death that morning. The concerns included the unrestricted availability and standard size of helium canisters, the absence of modified control valves, and readily accessible online information about suicide by helium inhalation. The report also noted an increase in deaths mentioning helium in England between 2008 and 2012.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to fit helium canisters with a control valve restricting gas release

    Wider context from the report

    “(3) Helium canisters are not fitted with any modified control valve which if in place could restrict the volume of gas being released and are generally sold in standard sizes. ”

    Source location

    David Reginald Giles · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Sale of helium gas canisters containing a sizable volume of helium

    Wider context from the report

    “(2) Helium gas canisters appear to be sold in a standard size which contains a sizable volume of Helium. ”

    Source location

    David Reginald Giles · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Unrestricted sale of helium gas canisters to the general public

    Wider context from the report

    “(1) The sale of Helium gas canisters is readily available to members of the general public with no apparent restrictions or conditions on sale or place. ”

    Source location

    David Reginald Giles · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent position was interpreted

    PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

    PFD Monitor interpretation

    The earlier departmental response remains pertinent and is considered to fully address the concerns regarding helium gas and suicide.

    Verbatim wording from the response

    “The information we provided in our response to the Matthew Satterthwaite Regulation 28 report is still pertinent. I have therefore enclosed a copy of our earlier reply to the Manchester Coroner, Nigel Meadows, and trust that this fully addresses the concerns you raise in your Regulation 28 report regarding the death of David Giles.”

    Source location

    2014-0321-Response-by-Department-of-Health
    Page 2 · response
    Published 9 July 2014

    Open published response
  3. West Yorkshire (Western)

    AI-generated summary

    LUKE JACOB GOODWIN · Prevention of Future Deaths report

    This summary was generated using AI from the published report. Please read the original report for the complete account.

    Report summary

    Luke Goodwin, a 21-year-old university student, was found dead at home on 18 January 2013 after inhaling helium using a plastic bag, tubing and a helium canister. The report raised concerns about the ready availability and design of helium canisters, and about clear, detailed online information and links facilitating suicide methods and purchases.

    Read the report on judiciary.uk

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Failure to fit Helium canisters with modified control valves restricting gas release

    Wider context from the report

    “(3) Helium canisters are not fitted with any modified control valve which if in place could restrict the volume of gas being released. ”

    Source location

    LUKE JACOB GOODWIN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Unrestricted sale of Helium canisters to the general public

    Wider context from the report

    “(1) The sale of Helium canisters is readily available to members of the general public. There appears to be no restrictions or conditions on sale or place. ”

    Source location

    LUKE JACOB GOODWIN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this individual concern was interpreted

    PFD Monitor created a concise, searchable interpretation from the report wording shown below.

    PFD Monitor interpretation

    Sale of Helium canisters containing a sizable volume of Helium

    Wider context from the report

    “(2) Helium canisters appear to be sold in a standard size which contains a sizable volume of Helium. ”

    Source location

    LUKE JACOB GOODWIN · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
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Data last updated 7 September 2026