Investigation and inquest
This investigation was commenced on 12th November 2012 and concluded on 23rd June 2014. A conclusion was reached that the deceased hung herself whilst suffering from an anxiety related disorder.
Circumstances of the death
There was a history of paracetamol and vodka misuse on 19th October 2012 following treatment she was seen by the crisis team. On 28th October 2012 there was a further misuse of paracetamol and hospital treatment and again seen by the crisis team. On 5th November 2012 Mrs. Thurman was found hanging at home.
Coroner’s concerns
My concerns relate to the psychiatric assessment of Mrs. Thurman. ████████ gave evidence to me that he was not allowed to contribute to the assessment. I was told that Mrs. Thurman was asked by a nurse if she was content to be seen on her own. That seems to me to be an approach that is suggestive of the answer and is likely to exclude relevant information. It seems to me that the approach to someone being assessed should be along the lines “Are you happy for your family to be involved in and make a contribution to the assessment”. I was also told by a hospital nurse that on contacting the crisis team to ask if a relative could be present, the crisis team always refuse.