Investigation and inquest
On 22nd July 2019, I commenced an investigation into the death of Shaun Lea Turner. The investigation concluded on the 31st January 2020 and the conclusion was one of Suicide. The medical cause of death was 1a) Drug toxicity on a background of bronchopneumonia
Circumstances of the death
On 20th July Shaun Lea Turner was found unresponsive at his home address ████████ Dukinfield. Police investigations found there were no suspicious circumstances or evidence of 3rd party involvement. A number of notes addressed to family members were recovered. Toxicology showed that he had ingested a fatal amount of codeine.
Coroner’s concerns
During the course of the inquest, evidence was given by Mr Turner's family that whilst they accepted that there had been attempted contact of him by mental health services he was worried about how long it would take him to be able to access appropriate mental health services and receive support. He was aware through previous contact with Mental Health services that there could be delays and when he missed a call from them, the impact of that in relation to accessing mental health services preyed on his mind.