Recurring concern

Inadequate controls on access to online suicide-promoting content

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First reported 20 Nov 2013•Latest report 29 Apr 2026

Definition

What this concern includes

Includes failures of controls specifically intended to prevent, restrict, detect or respond to vulnerable people's access to online suicide-promoting or suicide-facilitating content, including accessible forums, websites, books or social-media material and inadequate platform, regulatory or enforcement arrangements.

Not included

  • Excludes general harmful online content where suicide promotion or facilitation is not the identified hazard.
  • Excludes mental-health treatment, crisis-support or safety-netting deficiencies that do not concern access to online suicide-promoting content.
  • Excludes ordinary online availability or neutral discussion of suicide where no promotion, instruction, facilitation or safety-control failure is identified.
  • Excludes harmful-content amplification concerns where the asserted unsafe condition is broader platform recommendation or dissemination and is not specifically tied to suicide-promoting content.
Reports
24

Distinct published reports

Individual concerns
32

A report can raise multiple concerns

Date range
2013–2026

First to latest report issue date

Stated actions
43

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 Office10
Department for Science, Innovation and Technology5
Department of Health and Social Care5
Department for Digital, Culture, Media and Sport4
Ofcom4
Amazon UK Services Ltd.2
Google UK Limited2
National Crime Agency2
British Transport Police1
Department for Digital, Culture, Media & Sport (2017 to 2023)1
National Confidential Inquiry into Suicide and Safety in Mental Health1
National Institute for Health and Care Excellence1
National Police Chiefs’ Council1
NHS England1
Recipient name withheld1

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. Wiltshire and Swindon

    AI-generated summary

    Alice, Sarah, Dearden (Alice) · 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

    Alice had mental health difficulties, including anorexia nervosa and emotionally unstable personality disorder, and a history of self-harm and overdoses. She bought prescription medication online on 11 February 2020, consumed some of the substance at home in Wiltshire, and died on 28 February 2020. Concern was expressed that website content referring to a method of self-destruction, suicide websites and a link encouraging suicide might assist people inclined towards deliberate self-harm.

    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 remove suicide-related content from a website

    Wider context from the report

    “Evidence received at the above inquest included reference to your former company’s website which was seen to still exist. The website includes the detail shown in italics below: PLEASE NOTE: We do NOT sell the concentrated food preservative used in meat curing under any circumstances. We immediately (same day) stopped selling this back in April 2020 when we discovered it's misuse and the ████████ name being used - with neither our knowledge nor permission - on a number of dreadful suicide forums We subsequently then worked with and assisted the Home Office Protect team in helping identify many of the other sellers still on eBay, Etsy and Amazon etc. in requesting that they remove their similar listings because of this misuse. 2025 Update: Thankfully, it is now much more difficult for a member of the public to source this substance. However sadly, and despite the work of the NYT and the BBC in exposing it, the websites are still operating and thriving, currently using a .net domain. It has stated that it will not be complying with the new 2025 UK Online Safety law. If you are suffering with your mental health and considering suicide, please do contact the Samaritans 24/7 or call 116 123 if in UK. Worldwide list of suicide help charities is HERE (Wikipedia) There is mention in the above posting, albeit obliquely, to a method of self-destruction, reference to suicide websites and a link to a website encouraging suicide. Concern was expressed at the inquest that were the words in italics not removed individuals of a disturbed disposition, inclined towards deliberate self-harm, might be assisted in their endeavours harm themselves. ”

    Source location

    Alice, Sarah, Dearden (Alice) · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  2. South London

    AI-generated summary

    Leo Alexander Barber · 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

    Leo Alexander Barber, aged 16, died by suicide on 28 November 2023 after stepping in front of a train. The report states that exposure to an online forum discussing methods of suicide probably reinforced his decision to end his life. Concerns include vulnerable people, including children, accessing potentially harmful online material and difficulties obtaining online activity data from service providers outside the jurisdiction of England and Wales.

    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

    Accessibility of potentially harmful online material to vulnerable individuals in mental health crisis

    Wider context from the report

    “(1) A 16-year-old child in severe mental health crisis was able to access online material which reinforced his decision to end his life. He registered on the ████████ site using his Gmail address and accessed the material on his Android OS ‘phone. I am concerned that there is a risk of future deaths among those in mental health crisis including children while such material is accessible to vulnerable individuals online. ”

    Source location

    Leo Alexander Barber · Prevention of Future Deaths report
    Page 4 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Maintain Search content policies prohibiting content that could directly facilitate serious and immediate harm.

    Verbatim wording from the response

    “In relation to suicide and self-harm content, Google Search takes a combination of approaches, including:”

    Source location

    Response from Google
    Page 2 · response
    Published 14 October 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Provide suicide and self-harm support information through hotline OneBoxes.

    Verbatim wording from the response

    “In relation to suicide and self-harm content, Google Search takes a combination of approaches, including:”

    Source location

    Response from Google
    Page 2 · response
    Published 14 October 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Apply specialised ranking approaches to suicide and self-harm queries.

    Verbatim wording from the response

    “In relation to suicide and self-harm content, Google Search takes a combination of approaches, including:”

    Source location

    Response from Google
    Page 2 · response
    Published 14 October 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Lock SafeSearch and apply a UK-specific filter for known children to remove harmful content from results.

    Verbatim wording from the response

    “In relation to suicide and self-harm content, Google Search takes a combination of approaches, including:”

    Source location

    Response from Google
    Page 2 · response
    Published 14 October 2025

    Open published response

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Comply with Online Safety Act obligations through risk assessment, Search moderation and related safety measures.

    Verbatim wording from the response

    “In relation to suicide and self-harm content, Google Search takes a combination of approaches, including:”

    Source location

    Response from Google
    Page 2 · response
    Published 14 October 2025

    Open published response

    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 website provider, not Google, determines who may register and access the hosted material.

    Verbatim wording from the response

    “We hope this information is helpful although, for clarity, we note that your Report does not suggest that Mr Barber encountered the Site through search results on Google Search. In addition, while your Report indicates that Mr Barber opened an account on the Site using his Gmail address, it is the provider of the Site alone that determines who can sign up to the Site and access the material it hosts.”

    Source location

    Response from Google
    Page 1 · response
    Published 14 October 2025

    Open published response
  3. Manchester West

    AI-generated summary

    William James Armstrong · 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

    William James Armstrong, aged 24, died after deliberately self-administering a significant quantity of a toxic substance following its internet purchase. He was found unresponsive in a hotel room after an ambulance response delay, and the report states that the consequence of the delay cannot be established. Concerns included gaps in guidance and training for sellers of the substance, the assessment of small-quantity purchases as legitimate use, and public access to websites promoting poisons and suicide methods.

    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

    Public access to websites promoting lethal poisons, administration methods and sourcing information

    Wider context from the report

    “3. The police investigation revealed the ability of members of the public to access a number of websites, primarily created in the USA, Canada and Mexico that promoted information as to how to access: a. Poisons that could bring about death b. How, in what way and with which other necessary preparations (in particular -antiemetic medications) the poisons should be administered. c. Sourcing such poisons/chemicals/medications in the UK and abroad. ”

    Source location

    William James Armstrong · 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

    Failure of vendors to identify distribution of their website details on suicide-method platforms

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. ”

    Source location

    William James Armstrong · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  4. Manchester West

    AI-generated summary

    Shaun Michael Bass · 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

    Shaun Michael Bass, aged 23, was found collapsed and unresponsive at his residence on 23 February 2020 after ingesting a fatal quantity of sodium nitrate/nitrite. The report identified concerns about gaps in continuity of mental healthcare, a missed mental health assessment review, inadequate responses to family concerns, and the availability and online promotion of reportable poisons for self-harm.

    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

    Lack of vendor awareness of website distribution through platforms promoting suicide methods

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. d. From the specific example of 247 supplies in a 12 month period, police established that 45 purchasers were confirmed as deceased (these deaths were in relation to supplies to UK customers and purchasers from abroad) and only 15 purchases were confirmed to have taken place for legitimate purposes (meat curing etc.). ”

    Source location

    Shaun Michael Bass · 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

    Online suicide and self-harm forum regulation falls within DSIT’s responsibility under the Online Safety Act, working with Ofcom.

    Verbatim wording from the response

    “Finally, I understand the troubling concerns you have raised about the pro-suicide forums. DSIT, as the department responsible for the Online Safety Act, is committed to working with Ofcom and bereaved families. This partnership aims to ensure the Act protects all users from illegal suicide and self-harm content and shields children from harmful material that does not meet the criminal threshold.”

    Source location

    Response from Home Office
    Page 3 · response
    Published 4 June 2025

    Open published response
  5. Manchester West

    AI-generated summary

    Andrew Alexander Roger BROWN · 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

    Andrew Alexander Roger BROWN was found collapsed and unresponsive at his residence on 9 August 2023 and was pronounced dead after paramedics attended. The cause of death was toxicity from a self-administered poison, although his intentions remained unclear. Concerns included gaps in guidance for online sellers and the public regarding suspicious purchases and the potential use of the poison for suicide or self-harm, as well as access to websites providing information about obtaining and administering poisons.

    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 of vendors to identify distribution of their website details on suicide-method platforms

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. ”

    Source location

    Andrew Alexander Roger BROWN · 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

    Ofcom is responsible for regulating and enforcing online safety duties covering suicide-related illegal content on in-scope services.

    Verbatim wording from the response

    “The Online Safety Act applies to services even if the companies providing them are overseas, should they have links to the UK. This includes if the service has a significant number of UK users, if the UK is a target market, or if it is capable of being accessed by UK users and there is a material risk of significant harm to such users.”

    Source location

    Response from the Home Office
    Page 3 · response
    Published 4 June 2025

    Open published response
  6. Manchester West

    AI-generated summary

    Chantelle Williams · 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

    Chantelle Williams was found collapsed and unresponsive in her room on Keats Ward on 29 May 2020 and could not be resuscitated. Post-mortem analysis identified fatally toxic levels of two substances, likely from a batch she had previously sourced, retained and hidden. The report raises concerns about the online sale and regulation of reportable poisons, the failure to identify suspicious purchases for self-harm or suicide, and websites providing information about obtaining and using poisons to cause death.

    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 identify distribution of vendor websites and details on suicide-method platforms

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams or less of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. ”

    Source location

    Chantelle Williams · 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

    Online suicide and self-harm forum regulation falls within DSIT’s responsibility under the Online Safety Act, working with Ofcom.

    Verbatim wording from the response

    “Finally, I understand the troubling concerns you have raised about the pro-suicide forums. DSIT, as the department responsible for the Online Safety Act, is committed to working with Ofcom and bereaved families. This partnership aims to ensure the Act protects all users from illegal suicide and self-harm content and shields children from harmful material that does not meet the criminal threshold.”

    Source location

    Response from Home Office
    Page 3 · response
    Published 4 June 2025

    Open published response
  7. Manchester West

    AI-generated summary

    Samuel David Dickenson · 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

    Samuel David Dickenson died after ingesting a substance acquired over the internet and was confirmed dead in hospital on 11 March 2020. The concerns relate to gaps in guidance and oversight of online sales of reportable poisons, including the failure to identify or address purchases intended for suicide or self-harm, and the availability of online information promoting access to poisons and methods of administration.

    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 detect distribution of vendor website details on suicide-method platforms

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet or promote suicide methods. d. From the specific example of 247 supplies in a 12 month period, police established that 45 purchasers were confirmed as deceased (these deaths were in relation to supplies to UK customers and purchasers from abroad) and only 15 purchases were confirmed to have taken place for legitimate purposes (meat curing etc.). ”

    Source location

    Samuel David Dickenson · 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

    Public access to websites providing suicide-poison access, administration and sourcing information

    Wider context from the report

    “3. The police investigation revealed the ability of members of the public to access a number of websites, primarily created in the USA, Canada and Mexico that promoted information as to how to access: a. Poisons that could bring about death b. How, in what way and with what other necessary preparations (in particular -antiemetic medications) the poisons should be administered. c. Sourcing such poisons/chemicals/medications in the UK and abroad. ”

    Source location

    Samuel David Dickenson · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Engage online platforms to encourage voluntary removal of high-purity sodium nitrite listings.

    Verbatim wording from the response

    “While sodium nitrite remains widely used for legitimate purposes (e.g., food curing, industrial applications), retailers in Great Britain are legally obliged to report suspicious transactions under the Poisons Act 1972. Border Force officers have been issued guidance on identifying and intercepting consignments suspected for self-harm use. The Home Office also engages with online platforms to encourage voluntary removal of listings for high purity sodium nitrite.”

    Source location

    Response from Home Office
    Page 2 · response
    Published 4 June 2025

    Open published response

    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

    Online suicide and self-harm forum regulation falls within DSIT’s responsibility under the Online Safety Act, working with Ofcom.

    Verbatim wording from the response

    “Finally, I understand the troubling concerns you have raised about the pro-suicide forums. DSIT, as the department responsible for the Online Safety Act, is committed to working with Ofcom and bereaved families. This partnership aims to ensure the Act protects all users from illegal suicide and self-harm content and shields children from harmful material that does not meet the criminal threshold.”

    Source location

    Response from Home Office
    Page 3 · response
    Published 4 June 2025

    Open published response
  8. Manchester West

    AI-generated summary

    Mathew Anthony Price · 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

    On 28 June 2021, Mathew Anthony Price was found collapsed and unresponsive at his residence after consuming a significant and fatally toxic quantity of a substance. The report identifies concerns about the sale and purchase of the substance, including inadequate guidance for sellers and the failure to recognise small-quantity purchases as potential self-harm risks. It also describes online access to information about poisons and methods of suicide.

    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

    Public access to websites promoting information on obtaining and administering poisons for suicide

    Wider context from the report

    “3. The police investigation revealed the ability of members of the public to access a number of websites, primarily created in the USA, Canada and Mexico that promoted information as to how to access: a. Poisons that could bring about death b. How, in what way and with other necessary preparations (in particular -antiemetic medications) the poisons should be administered. c. Sourcing such poisons/chemicals/medications in the UK and abroad. ”

    Source location

    Mathew Anthony Price · 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

    Failure of vendors to know when their website details are distributed to promote suicide methods

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of less of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of this substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-curing/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. ”

    Source location

    Mathew Anthony Price · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report

    Source evidence

    How this respondent action was interpreted

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

    PFD Monitor interpretation

    Engage online platforms to encourage voluntary removal of high-purity sodium nitrite listings.

    Verbatim wording from the response

    “While sodium nitrite remains widely used for legitimate purposes (e.g., food curing, industrial applications), retailers in Great Britain are legally obliged to report suspicious transactions under the Poisons Act 1972. Border Force officers have been issued guidance on identifying and intercepting consignments suspected for self-harm use. The Home Office also engages with online platforms to encourage voluntary removal of listings for high purity sodium nitrite.”

    Source location

    Response from Home Office
    Page 2 · response
    Published 4 June 2025

    Open published response

    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

    Online suicide and self-harm forum regulation falls within DSIT’s responsibility under the Online Safety Act, working with Ofcom.

    Verbatim wording from the response

    “Finally, I understand the troubling concerns you have raised about the pro-suicide forums. DSIT, as the department responsible for the Online Safety Act, is committed to working with Ofcom and bereaved families. This partnership aims to ensure the Act protects all users from illegal suicide and self-harm content and shields children from harmful material that does not meet the criminal threshold.”

    Source location

    Response from Home Office
    Page 3 · response
    Published 4 June 2025

    Open published response
  9. Manchester West

    AI-generated summary

    Kelly Michelle Walsh · 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

    Kelly Michelle Walsh was discovered dead at her residence on 27 February 2021 after ingesting a fatally toxic substance obtained from an internet-based supplier. The report raised concerns about insufficient guidance for online sellers and the failure to identify suspicious small-quantity purchases that may be intended for self-harm. It also identified online access to information about obtaining and using poisons to end life.

    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 of vendors to identify distribution of their website details on suicide-method platforms

    Wider context from the report

    “2. The police investigation into one UK based source of supply revealed in 247 cases separate supplies of 500 grams of lest of ████████ to customers in the UK and Europe, police established that 85 of these individuals who were traceable had either died as the consequence of self-ingestion of the substance, or had purchased it with a view to having the means to use this method to end their life in circumstances where: a. the vendors of the ████████ were not aware of this potential misuse of the substance. b. the small quantities being purchased had been incorrectly evaluated to be an increase in individuals pursuing recreational home-couring/food preservations as a hobby, being an artefact of ‘lockdown’ living following the COVID national pandemic emergency. c. Vendors were unaware that their website/details were being distributed as part of internet information platforms designed to aid, abet, assist or promote suicide methods. ”

    Source location

    Kelly Michelle Walsh · Prevention of Future Deaths report
    Page 2 · concerns

    Open source report
  10. Somerset

    AI-generated summary

    Jacqueline Anne Potter · 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

    Jacqueline Anne Potter, known as Anne, died on 5 December 2022 after taking a car and deliberately driving into the path of an HGV tanker on the A303 during overnight leave from a psychiatric unit. The report raises concerns about families not receiving a codified risk and safety planning document for a patient’s first overnight leave, unrestricted access to self-harm websites through secure unit Wi-Fi, and inadequate recognition and provision of menopausal care and training.

    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 restrict in-patient access to self-harm websites through secure unit Wi-Fi

    Wider context from the report

    “(2) It transpired during the Inquest that if an in-patient (detained or voluntary) accesses the secure unit Wi-Fi there are no algorithms or ‘search detection features’ to prevent access to websites pertaining to self harm and so these can be readily accessed by a group who are already vulnerable due to their acute mental health presentation with some element of inherent risk of suicide. It was noted, quite rightly, by legal representatives that workplace organisations can block access to certain sites they deem it undesirable for their workforce to access (such as sites relating to gambling, sexually inappropriate content etc) which shows that it is possible to limit access to certain websites and content when using a Wi-Fi provider. By allowing an already vulnerable group to have unfettered access to websites dedicated to self harm creates a risk of further deaths. ”

    Source location

    Jacqueline Anne Potter · Prevention of Future Deaths report
    Page 4 · 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

    Mobile-device filtering cannot currently be added because the available blocking programme is not suitable for mobile devices.

    Verbatim wording from the response

    “Additionally, some desktop devices in some inpatient mental health sites have a browser extension loaded onto the device which can divert users away from certain search terms to a free, 24/7 mental health support site. This can only be used on PCs and is not suitable for mobile devices, but it effectively blocks patients accessing this type of information when they see a search engine on a ward PC e.g. google, safari. Our IT team explained that they could not currently see that this programme is available to download onto mobile devices.”

    Source location

    Response from Somerset NHS Foundation Trust
    Page 2 · response
    Published 25 April 2025

    Open published response

    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

    Changes to public NHS Wi-Fi require county-wide implementation and would affect all devices connected to that network.

    Verbatim wording from the response

    “Private devices would not connect to the Trust Network, due to security reasons, and instead would connect to the public ‘NHS Wi-Fi’ which is essentially a connection straight out to the internet. Any changes made to this connection would have to be made county-wide and would affect all devices which connect to it.”

    Source location

    Response from Somerset NHS Foundation Trust
    Page 2 · response
    Published 25 April 2025

    Open published response

    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

    Managing Wi-Fi access to harmful websites in NHS facilities is outside NICE’s responsibility, so NICE cannot comment.

    Verbatim wording from the response

    “2. Wi-Fi access to harmful websites whilst in NHS facilities.”

    Source location

    Response from NICE
    Page 2 · response
    Published 25 April 2025

    Open published response
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Data last updated 7 September 2026