Investigation and inquest
On 21 January 2013 I commenced an investigation into the death of Marion Joanne Turner. The investigation concluded at the end of the inquest on 23 June 2014. The conclusion of the inquest was that Ms Turner killed herself whilst suffering from a diagnosed mental illness. The cause of death was 1a) Hanging.
Circumstances of the death
Marion Joanne Turner, a 40 year old lady was found hanging at her home address on 18 January 2013. She had a history of mental illness, alcoholism, self-harm and relationship difficulties. She had had inpatient treatment at times and at the time of her death she was under the care of the community mental health team.
Coroner’s concerns
(1) Evidence was given that the day before Ms Turner’s death, her solicitor, as a result of concerns about her mental health, had telephoned into the mental health trust office and left a message for Ms Turner’s CPN. This message remained on a slip of paper, unread, in a pigeon hole until sometime the next day.