Investigation and inquest
On 23rd July, I opened an inquest into the death of:
Samuel Duckworth, aged 34 years, died 05.06.14
I concluded the inquest at a full hearing on 14th October 2014.
The medical cause of death was Diazepam, Codeine and Alcohol intoxication. The court found that he died from a drug and alcohol related death.
Circumstances of the death
The circumstances were recorded as:
Mr Duckworth was found dead at 16.56 on 05/06/14 in his flat having taken an overdose of Diazepam, Codeine and alcohol. He was an anxious man with poor impulse control and did not intend to take his life. The Diazepam was purchased on the internet.
Coroner’s concerns
Mr Duckworth had consulted a psychiatrist and offered help with alcohol withdrawal and psychological therapies for mood swings, anxiety and impulse control. He was only prescribed a small amount of Diazepam, which I infer is because of the risks of abuse. Yet he had no difficulty in purchasing these prescription only drugs on the internet, 20 empty packets being found at the scene.
No evidence was admitted as to whether such access could be restricted or regulated. The ease of access clearly constitutes an on going risk to the lives of other vulnerable people, whose medication should be medically supervised.