← All themes
Mental health & substance misuse pillar
Suicide prevention
Inadequate suicide risk assessment or prevention measures
455
Reports tagged with this theme
Sub-theme count: 28
PFD reports
455 reports
Ellie Herron
24 Apr 2026· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Grant Lowry
30 Mar 2026· Teesside & Hartlepool
Suicide (from 2015)
Lee Adams
20 Mar 2026· London Inner South
Mental Health
Natalie Ainsworth
17 Mar 2026· County Durham and Darlington
Suicide (from 2015)
Taylor Maddox
9 Mar 2026· Devon, Plymouth and Torbay
Suicide (from 2015)
Joanna Hillard
5 Mar 2026· Somerset
Suicide (from 2015)
Mark Hughes
4 Mar 2026· Greater Manchester South
Suicide (from 2015)
Mujahid Adam
3 Mar 2026· Inner North London
Suicide (from 2015)
Louis Saunders
27 Feb 2026· East Sussex
Mental Health
Rajwinder Singh
19 Feb 2026· Inner West London
State Custody
Benjamin Websdale
17 Feb 2026· West Sussex, Brighton and Hove
Suicide (from 2015)
Samuel Dickinson
10 Feb 2026· Manchester West
Other
Gareth Chumber-Kelly
9 Feb 2026· North London
State CustodySuicide (from 2015)
Paul Thompson
6 Feb 2026· Suffolk
Suicide (from 2015)
Emmett Morrison
6 Feb 2026· Worcestershire
State Custody
Georgia Scarff
4 Feb 2026· Suffolk
Road (Highways Safety)
Simon Moss
1 Feb 2026· Inner South London
Suicide (from 2015)
Tamara Logan
22 Jan 2026· Manchester
Suicide (from 2015)
Linda Fury
20 Jan 2026· Manchester South
Suicide (from 2015)
Stephen Page
18 Dec 2025· Kent and Medway
Suicide (from 2015)
Anthony Binfield
17 Dec 2025· Nottinghamshire
State CustodySuicide (from 2015)
Hannah Booth
15 Dec 2025· Derby and Derbyshire
OtherSuicide (from 2015)
Mesut Olgun
10 Dec 2025· Worcestershire
Suicide (from 2015)
Mark Vidler
1 Dec 2025· Kent and Medway
Community Health and Emergency ServicesMental Health
Stuart Berry
1 Dec 2025· Essex
Community Health and Emergency ServicesState Custody
Lewis Bates
1 Dec 2025· Manchester South
Suicide (from 2015)
Timothy Reading
21 Nov 2025· Worcestershire
Suicide (from 2015)
Andrew Dodds
17 Nov 2025· South Yorkshire West
Mental HealthSuicide (from 2015)
Suzanne Ellerby
14 Nov 2025· Surrey
Hospital Death (Clinical Procedures and medical management)
Anthony Card
7 Nov 2025· Suffolk
Suicide (from 2015)
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Aaron Taylor
6 Nov 2025· Lancashire and Blackburn with Darwen
Suicide (from 2015)
Gunaratnam Kannan
31 Oct 2025· Nottingham and Nottinghamshire
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Shannon Lee
28 Oct 2025· Black Country
Suicide (from 2015)
Stephen Neville
24 Oct 2025· Essex
Hospital Death (Clinical Procedures and medical management)
Saranveer Sihota
23 Oct 2025· Derby and Derbyshire
Suicide (from 2015)
Steven Davidson
21 Oct 2025· Essex
State CustodySuicide (from 2015)
Scott Berry
20 Oct 2025· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
State CustodySuicide (from 2015)
Stuart Fowkes
20 Oct 2025· The Black Country
Suicide (from 2015)
Alexander McCormack
19 Oct 2025· Northamptonshire
Suicide (from 2015)
Malik Bunton
15 Oct 2025· North Yorkshire and York
Suicide (from 2015)
Tony Duncan
15 Oct 2025· City of London
Mental HealthSuicide (from 2015)
Abigail Jelley
13 Oct 2025· Hampshire, Portsmouth and Southampton
Community health care and emergency servicesMental Health
Jack Peatling
13 Oct 2025· Essex
Community health care and emergency servicesMental Health
Jillian Steedman
10 Oct 2025· Essex
Mental HealthSuicide (from 2015)
Stella LeClaire
9 Oct 2025· Northamptonshire
Suicide (from 2015)
Leo Barber
9 Oct 2025· South London
Child Death (from 2015)Railway
Imogen Nunn
7 Oct 2025· West Sussex, Brighton and Hove
Mental HealthSuicide (from 2015)
Naomi Aylott
29 Sep 2025· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Christopher Bird
23 Sep 2025· Wiltshire and Swindon
RailwaySuicide (from 2015)
Martin Collins
17 Sep 2025· Suffolk
State CustodySuicide (from 2015)
Christian Marsh
16 Sep 2025· West Yorkshire (East)
Suicide (from 2015)
Charlotte Tetley
14 Sep 2025· Cheshire
Suicide (from 2015)
Charlotte Tetley
14 Sep 2025· Cheshire
Suicide (from 2015)
Brian Burrows
9 Sep 2025· West Yorkshire (East)
Suicide (from 2015)
Victoria Taylor
5 Sep 2025· North Yorkshire and York
Mental HealthSuicide (from 2015)
Gareth Jackson
8 Aug 2025· Inner London West
Suicide (from 2015)
Jessica Smithson
8 Aug 2025· Manchester
Suicide (from 2015)
Simon Moore
5 Aug 2025· Dorset
Suicide (from 2015)
Azroy Dawes-Clarke
29 Jul 2025· Kent and Medway
State Custody
Azroy Dawes-Clarke
29 Jul 2025· Kent and Medway
State Custody
Azroy Dawes-Clarke
29 Jul 2025· Kent and Medway
State Custody
Leia Sampson-Grimbly
25 Jul 2025· North London
Child Death (from 2015)Suicide (from 2015)
Samantha Young
25 Jul 2025· Hampshire, Portsmouth and Southampton
Mental HealthSuicide (from 2015)
Isaac Ingle-Gillis
22 Jul 2025· Gwent
Alcoholdrug and medication
Patryk Gladysz
18 Jul 2025· Inner London West
Mental HealthState Custody
Jairus Earl
10 Jul 2025· Dorset
Child Death (from 2015)Suicide (from 2015)
Andrew Kenward
9 Jul 2025· Surrey
Alcoholdrug and medication
John Kirkman
8 Jul 2025· East Riding and Hull
Mental HealthSuicide (from 2015)
Sarah Lewis
7 Jul 2025· Avon
Alcoholdrug and medication
Daniel Hatchett
4 Jul 2025· East London
Suicide (from 2015)
Jody Robb
1 Jul 2025· County Durham and Darlington
RailwaySuicide (from 2015)
Patrick Viles
20 Jun 2025· Inner London North
Alcoholdrug and medication
Sally Burr
13 Jun 2025· West Sussex, Brighton and Hove
Suicide (from 2015)
Andrew Connolly
10 Jun 2025· South Manchester
Suicide (from 2015)
Nicholas Gray
5 Jun 2025· Essex
Alcoholdrug and medication
Pellumb Olaj
3 Jun 2025· Inner London North
Suicide (from 2015)
Dean Bradley
28 May 2025· Teesside and Hartlepool Coroner’s Service
PoliceSuicide (from 2015)
Sophie Cotton
27 May 2025· County Durham and Darlington
Emergency services related deaths (2019 onwards)Mental Health
Andrew Brown
23 May 2025· Manchester West
Alcoholdrug and medication
Mathew Price
23 May 2025· Manchester West
Alcoholdrug and medication
Kelly Walsh
23 May 2025· Manchester West
Alcoholdrug and medication
Samuel Dickenson
23 May 2025· Manchester West
Alcoholdrug and medication
Shaun Bass
23 May 2025· Manchester West
Alcoholdrug and medication
Matthew O’Reilly
23 May 2025· Manchester West
Alcoholdrug and medication
Wayne Brown
20 May 2025· Birmingham and Solihull
Suicide (from 2015)
Joseph Powell
17 May 2025· Cheshire
Community health care and emergency servicesSuicide (from 2015)
Margaret Reeves
13 May 2025· West Sussex, Brighton and Hove
Alcoholdrug and medication
James Sheppard
8 May 2025· Gloucestershire
Suicide (from 2015)
Sarah Boyle
2 May 2025· Cheshire
State CustodySuicide (from 2015)
Jonathan Hamer
10 Apr 2025· West London
Community health care and emergency servicesMental Health
James Masheter
3 Apr 2025· Lancashire and Blackburn with Darwen
Alcoholdrug and medication
William Grieve
19 Mar 2025· Staffordshire
Suicide (from 2015)
Darren Turner
17 Mar 2025· Essex
Mental HealthSuicide (from 2015)
John McLoughlin
6 Mar 2025· West Sussex, Brighton and Hove
Mental HealthSuicide (from 2015)
Henok Gebrsslasie
6 Mar 2025· Coventry
Hospital Death (Clinical Procedures and medical management)Mental Health
Isaiah Olugosi
24 Feb 2025· West London
State CustodySuicide (from 2015)
Amy Padley
24 Feb 2025· SWANSEA & NEATH PORT TALBOT
Hospital Death (Clinical Procedures and medical management)Mental Health
Hayley Beavington
20 Feb 2025· Inner London North
Hospital Death (Clinical Procedures and medical management)Mental Health
Duncan Holloway
20 Feb 2025· Inner London North
Mental HealthSuicide (from 2015)
Zahra Mohamed
18 Feb 2025· Inner North London
Mental HealthPolice
Jason Myles
14 Feb 2025· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Road (Highways Safety)Suicide (from 2015)
Kenton Beasley
7 Feb 2025· West Sussex, Brighton and Hove
Suicide (from 2015)
Ella Murray
7 Feb 2025· Mid Kent and Medway
Child Death (from 2015)Suicide (from 2015)
Afolabi Ojerinde
3 Feb 2025· Manchester City
Suicide (from 2015)
Alexander Channing
31 Jan 2025· Dorset
Mental HealthSuicide (from 2015)
Kim Robinson
31 Jan 2025· Suffolk
Alcoholdrug and medication
William Bissett
27 Jan 2025· Liverpool and Wirral
State CustodySuicide (from 2015)
Paul Williams
21 Jan 2025· Manchester South
Suicide (from 2015)
Harry Southern
20 Jan 2025· West Sussex and Brighton and Hove
Mental HealthSuicide (from 2015)
REDACTED
20 Jan 2025· Inner London North
Suicide (from 2015)
Alexander Thomas
16 Jan 2025· Greater Manchester South
Road (Highways Safety)Suicide (from 2015)
Mark-Anthony Summersett
10 Jan 2025· West Sussex, Brighton and Hove
Suicide (from 2015)
Joshua Forsdyke
10 Jan 2025· Inner London North
Alcoholdrug and medication
Eden Street
10 Jan 2025· City of Kingston Upon Hull and the County of the East Riding of Yorkshire
Child Death (from 2015)Suicide (from 2015)
Matthew Brierley
8 Jan 2025· Cumbria
PoliceSuicide (from 2015)
Thomas Kingston
7 Jan 2025· Gloucestershire
Suicide (from 2015)
Alexandra Roberts
2 Jan 2025· Cheshire
Alcoholdrug and medication
Paul Taylor
24 Dec 2024· Nottingham and Nottinghamshire
PoliceSuicide (from 2015)
Matthew Sheldrick
16 Dec 2024· West Sussex and Brighton and Hove
Hospital Death (Clinical Procedures and medical management)Mental Health
Matthew Sheldrick
16 Dec 2024· West Sussex and Brighton and Hove
Hospital Death (Clinical Procedures and medical management)Mental Health
Timothy De Boos
13 Dec 2024· Suffolk
Mental HealthSuicide (from 2015)
David Stables
6 Dec 2024· South Yorkshire West
Community health care and emergency servicesMental Health
Charlie Owen
29 Nov 2024· Berkshire
Service PersonnelSuicide (from 2015)
Oliver Billings
28 Nov 2024· Devon
Alcoholdrug and medication
Amy Butcher
26 Nov 2024· Suffolk
Alcoholdrug and medication
Jaipreet Panesar
25 Nov 2024· Berkshire
Community health care and emergency servicesMental Health
Edward Barnard
21 Nov 2024· Inner London
Alcoholdrug and medication
John Ellis
14 Nov 2024· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Hannah Aitken
14 Nov 2024· Surrey
Alcoholdrug and medication
Miranda Avanzi
14 Nov 2024· Inner London North
Suicide (from 2015)
Joel Colk
13 Nov 2024· West Sussex, Brighton
Alcoholdrug and medication
Erin Tillsley
12 Nov 2024· Suffolk
Child Death (from 2015)Mental Health
Alexander Rogers
8 Nov 2024· Oxfordshire
Suicide (from 2015)
Imogen Heap
8 Nov 2024· Blackpool and Fylde
Alcoholdrug and medication
George Kyriacos Petrou
25 Oct 2024· Inner North London
Mental HealthState Custody
Frank Ospina
25 Oct 2024· West London
State Custody
Aran Bradbury
24 Oct 2024· Greater Norfolk
Emergency services related deaths (2019 onwards)
John Hurst
23 Oct 2024· Sunderland
Mental HealthPolice
Geoffrey Cheney
18 Oct 2024· West Yorkshire Western Coroner Area
Community health care and emergency servicesSuicide (from 2015)
Jennifer Chalkley
14 Oct 2024· Surrey
Child Death (from 2015)Suicide (from 2015)
Caroline Staite
14 Oct 2024· Herefordshire
Mental HealthSuicide (from 2015)
Locket Williams
14 Oct 2024· Surrey
Child Death (from 2015)Suicide (from 2015)
Paul Chase
14 Oct 2024· Liverpool and Wirral
Service PersonnelSuicide (from 2015)
Oliver Davies
11 Oct 2024· Worcestershire
Mental HealthState Custody
Florence Stewart
10 Oct 2024· Milton Keynes
Hospital Death (Clinical Procedures and medical management)Mental Health
Nigel Hammond
9 Oct 2024· Suffolk
Mental HealthSuicide (from 2015)
Alix Knowles
2 Oct 2024· the Staffordshire
Hospital Death (Clinical Procedures and medical management)Mental Health
Charne Petit
26 Sep 2024· Surrey
Mental HealthSuicide (from 2015)
David Power
18 Sep 2024· Greater Manchester South
Community health care and emergency servicesMental Health
Helen Kerr
18 Sep 2024· Surrey
Mental HealthSuicide (from 2015)
Emma Harper
11 Sep 2024· Manchester (West)
Road (Highways Safety)Suicide (from 2015)
Elise Walsh
22 Aug 2024· North Northumberland
Suicide (from 2015)
Craig Steadman
12 Aug 2024· Hampshire, Portsmouth and Southampton
State CustodySuicide (from 2015)
Martyn Stringer
7 Aug 2024· Oxfordshire
Suicide (from 2015)
Kevin McDonnell
7 Aug 2024· Nottingham City and Nottinghamshire
State CustodySuicide (from 2015)
Kieran Lavin
1 Aug 2024· Birmingham and Solihull
Suicide (from 2015)
Matthew Braben
1 Aug 2024· West London
State CustodySuicide (from 2015)
Bethany Langton
30 Jul 2024· Nottingham City and Nottinghamshire
Suicide (from 2015)
Nathan Scantlebury
23 Jul 2024· Cheshire
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Russell Irvine
22 Jul 2024· Durham & Darlington
State CustodySuicide (from 2015)
Deborah Cooper
18 Jul 2024· Wiltshire & Swindon
Suicide (from 2015)
Anna Elliot
18 Jul 2024· Inner North London
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Glenn Jacques and Ben Whiteman and Callum Clark
16 Jul 2024· Durham & Darlington
RailwaySuicide (from 2015)
Jessica de Souza
16 Jul 2024· Surrey
Mental HealthSuicide (from 2015)
Megan Davison
15 Jul 2024· Hertfordshire
Suicide (from 2015)
Judith Obholzer
12 Jul 2024· Inner West London
Suicide (from 2015)
Lee McHale
3 Jul 2024· Manchester South
Alcoholdrug and medication
Michelle Moore
26 Jun 2024· Somerset
Suicide (from 2015)
Nicola Lacey
26 Jun 2024· Herefordshire
Suicide (from 2015)
Isobel Stapleton
25 Jun 2024· South Wales Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Liam McCarlie
24 Jun 2024· Northamptonshire
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Yasmin Adams
20 Jun 2024· Derby and Derbyshire
State Custody
Shelemiah Peterkin
20 Jun 2024· Birmingham and Solihull
Mental HealthSuicide (from 2015)
Lee-Ann Ince
20 Jun 2024· Manchester South
Suicide (from 2015)
Aaron Deeley
19 Jun 2024· Essex
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Jacob Shorter
18 Jun 2024· South Yorkshire West
RailwaySuicide (from 2015)
Amina Ismail
14 Jun 2024· Manchester South
Suicide (from 2015)
Daniel Beckford
11 Jun 2024· Inner West London
State CustodySuicide (from 2015)
Juan Martin
11 Jun 2024· Inner West London
Mental HealthSuicide (from 2015)
Sailor Court
10 Jun 2024· South London
Child Death (from 2015)Suicide (from 2015)
Fern Foster
7 Jun 2024· Buckinghamshire
Suicide (from 2015)
Christopher MacGillivray
29 May 2024· Newcastle and North Tyneside
Alcoholdrug and medication
Lily Jahany
17 May 2024· Leicester City and South Leicestershire
Suicide (from 2015)
Benjamin Sulzbacher
15 May 2024· Manchester North
Suicide (from 2015)
Colin Waterhouse
7 May 2024· Manchester South
Suicide (from 2015)
Evie Davies
2 May 2024· Cheshire
Suicide (from 2015)
Laura Gawthorpe
1 May 2024· West Yorkshire (Eastern)
Suicide (from 2015)
Mohamed Ellaboudy
30 Apr 2024· Berkshire
Mental HealthRailway
Charlie Millers
26 Apr 2024· Manchester North
Mental HealthSuicide (from 2015)
Ash Bannister
25 Apr 2024· Leicester City and South Leicestershire
Child Death (from 2015)Suicide (from 2015)
Jonathan Shaw
25 Apr 2024· Manchester North
Suicide (from 2015)
Darren Docherty
14 Apr 2024· Staffordshire and Stoke on Trent
State CustodySuicide (from 2015)
Scott Rider
12 Apr 2024· Milton Keynes
Suicide (from 2015)
Paul Dow
10 Apr 2024· Manchester North
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Joshua Delaney
8 Apr 2024· London Inner (South)
Alcoholdrug and medication
Paul Templeton
5 Apr 2024· Suffolk
Suicide (from 2015)
Daniela Pani
28 Mar 2024· Berkshire
Mental HealthRailway
Sarah Adams
28 Mar 2024· Berkshire
Alcoholdrug and medication
Alexander Lyalushko
25 Mar 2024· Nottingham and Nottinghamshire
Suicide (from 2015)
Mary Jones
21 Mar 2024· Cheshire
Suicide (from 2015)
Tobias Mannering-Jones
14 Mar 2024· Manchester South
Suicide (from 2015)
Jason Brown
12 Mar 2024· Sunderland
Suicide (from 2015)
Kenneth Baylis
4 Mar 2024· Nottinghamshire
Suicide (from 2015)
Sandra Senior
4 Mar 2024· Inner North London
Suicide (from 2015)
Sylvia Crowther
28 Feb 2024· Bedfordshire and Luton
Suicide (from 2015)
Matthew Price
22 Feb 2024· West Yorkshire (Eastern)
State CustodySuicide (from 2015)
Narjit Gill
9 Feb 2024· Coventry and Warwickshire
Suicide (from 2015)
Georgia Dehaney-Perkins
5 Feb 2024· Essex
Alcoholdrug and medication
Samuel Jordan
2 Feb 2024· Exeter and Devon
Suicide (from 2015)
Philip Taylor
2 Feb 2024· North Wales (East and Central)
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Rachel Mortimer
20 Jan 2024· South Yorkshire West
Alcoholdrug and medication
Adrian Gallagher
28 Dec 2023· Cheshire
Suicide (from 2015)
Denise Porter
21 Dec 2023· West London
Suicide (from 2015)
Nicholas Dymond
21 Dec 2023· Exeter and Greater Devon
Railway
Wyndham Thomas
21 Dec 2023· Nottingham City and Nottinghamshire
State CustodySuicide (from 2015)
Ryan Evans
20 Dec 2023· Hampshire, Portsmouth and Southampton
Mental HealthSuicide (from 2015)
Amanda Hitch
19 Dec 2023· Essex
RailwaySuicide (from 2015)
Paul Perrott
11 Dec 2023· Plymouth, Torbay and South Devon
Suicide (from 2015)
Alice Litman
5 Dec 2023· West Sussex, Brighton and Hove
Suicide (from 2015)
Samuel Jones
5 Dec 2023· Dorset
State Custody
Luke Whitelaw
27 Nov 2023· Inner North London
Suicide (from 2015)
Madeleine Savory
15 Nov 2023· Suffolk
Child Death (from 2015)Mental Health
Igor Szalapski
13 Nov 2023· Inner North London
Suicide (from 2015)
Elizabeth Watson
10 Nov 2023· East Riding and Hull
Suicide (from 2015)
Bronwen Morgan
25 Oct 2023· South Wales Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Marnie Hill
17 Oct 2023· Dorset
Suicide (from 2015)
Holly Mullan
17 Oct 2023· Manchester South
Suicide (from 2015)
Benjamin Hazelden
26 Sep 2023· North East Kent
RailwaySuicide (from 2015)
Gordon Rodger
24 Aug 2023· Cumbria
RailwaySuicide (from 2015)
Jacqueline Smith
21 Aug 2023· West London
Alcoholdrugs medication
Barry Lall
15 Aug 2023· Central and South East Kent
Other
Leah Barber
3 Aug 2023· West Yorkshire (Western)
Child Death (from 2015)Suicide (from 2015)
Peter Fleming
14 Jul 2023· Birmingham and Solihull
OtherSuicide (from 2015)
Luke Ashton
12 Jul 2023· Leicester City and South Leicestershire
OtherSuicide (from 2015)
Oleg Khala
6 Jul 2023· Inner West London
Suicide (from 2015)
Arezou Tirgari
3 Jul 2023· City of London
Suicide (from 2015)
Sam Taylor
30 Jun 2023· Herefordshire
Suicide (from 2015)
Kaye McCoy
30 Jun 2023· Gwent
Mental HealthSuicide (from 2015)
Rachel Garrett
27 Jun 2023· West Sussex
Mental HealthSuicide (from 2015)
Ginger Wright
26 Jun 2023· Surrey
Alcoholdrugs medication
David Wood
7 Jun 2023· Milton Keynes
Mental HealthSuicide (from 2015)
Anthony Smith
7 Jun 2023· Lancashire and Blackburn with Darwen
State Custody
Conrad Colson
26 May 2023· East London
Suicide (from 2015)
Samuel Morgan
18 May 2023· Swansea Neath Port Talbot
Suicide (from 2015)
Mark Ravensdale
16 May 2023· South Yorkshire (West District)
Suicide (from 2015)
Stuart Robinson
16 May 2023· Liverpool and Wirral
Suicide (from 2015)
Drew Howe
15 May 2023· Manchester South
Mental HealthSuicide (from 2015)
Thomas Huntley
14 May 2023· Hampshire, Portsmouth and Southampton
State CustodySuicide (from 2015)
Joshua Asprey
5 May 2023· East Sussex
Mental Health
Callum Wong
5 May 2023· North London
Child Death (from 2015)Suicide (from 2015)
Samuel Howes
24 Apr 2023· South London
Child Death (from 2015)Railway
Thomas Jayamaha
4 Apr 2023· Nottinghamshire
Suicide (from 2015)
Benjamin Hart
31 Mar 2023· Central and South East Kent
Suicide (from 2015)
Annabel Findlay
1 Mar 2023· Inner West London
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Sharon Langley
27 Feb 2023· Essex
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Twm Bryn
17 Feb 2023· North West Wales
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Ania Sohail
7 Feb 2023· Manchester North
Alcoholdrugs medication
Daniel Futers
2 Feb 2023· Sunderland
Suicide (from 2015)
Andrew Shirley
27 Jan 2023· Worcestershire
Mental HealthState Custody
Zachary Klement
26 Jan 2023· Surrey
Suicide (from 2015)
Sean Duignan
16 Jan 2023· Bedfordshire and Luton
Accident at Work and Health and SafetySuicide (from 2015)
Gary Cooper
12 Jan 2023· Cumbria
Suicide (from 2015)
Lucy Jones
11 Jan 2023· Gwent
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Carl Ellson
20 Dec 2022· Birmingham and Solihull
Suicide (from 2015)
Lewis Johnson
12 Dec 2022· West Yorkshire (Eastern)
State CustodySuicide (from 2015)
Leanne Dunn
8 Dec 2022· County Durham and Darlington
Suicide (from 2015)
Daniel Tilley
6 Dec 2022· Cornwall and the Isles of Scilly
Suicide (from 2015)
Philip Battle
25 Nov 2022· Liverpool and Wirral
Suicide (from 2015)
Keith Weston
24 Nov 2022· North Yorkshire and York
Suicide (from 2015)
Daniel Lee
21 Nov 2022· South Yorkshire West
Suicide (from 2015)
Ami Mitchell
9 Nov 2022· Avon
Suicide (from 2015)
Liridon Saliuka
8 Nov 2022· Inner South London
State CustodySuicide (from 2015)
John White
25 Oct 2022· South Wales Central
Suicide (from 2015)Wales prevention of future deaths reports (2019 onwards)
Daniel O’Sullivan
21 Oct 2022· Inner South London
Alcoholdrug and medication
Charley Patterson
19 Oct 2022· North and South Northumberland
Suicide (from 2015)
Max Turbutt
18 Oct 2022· Inner North London
Suicide (from 2015)
Robert Evans
18 Oct 2022· Swansea and Neath Port Talbot
State CustodySuicide (from 2015)
Seth Thind
17 Oct 2022· Hampshire, Portsmouth and Southampton
Suicide (from 2015)
Molly Russell
13 Oct 2022· North London
Child Death (from 2015)Suicide (from 2015)
Katherine Tyrer
30 Sep 2022· Liverpool and Wirral
Suicide (from 2015)
Liam Lyes-Watson
27 Sep 2022· Shropshire Telford and Wrekin
Suicide (from 2015)
Gary McDonald
20 Sep 2022· Worcestshire
State CustodySuicide (from 2015)
Robert Brown
20 Sep 2022· North East Kent
Suicide (from 2015)
Adam Gallagher
14 Sep 2022· Newcastle and North Tyneside
Alcoholdrug and medication
James Tice
5 Sep 2022· Manchester North
Community health care and emergency servicesMental Health
David Honnor
30 Aug 2022· Dorset
Suicide (from 2015)
Christopher Lloyd
26 Aug 2022· Manchester South
Mental HealthSuicide (from 2015)
Allan Waddup
10 Aug 2022· North Northumberland and South Northumberland
State CustodySuicide (from 2015)
Archi Johnson
26 Jul 2022· Exeter and Greater Devon
Mental HealthSuicide (from 2015)
Ezra Tamiem
19 Jul 2022· Bedfordshire and Luton
State CustodySuicide (from 2015)
James Booth
17 Jul 2022· Manchester South
Mental HealthSuicide (from 2015)
Kieran Crimmins
14 Jul 2022· Carmarthenshire and Pembrokeshire
Mental HealthSuicide (from 2015)
Daniel Clements
13 Jul 2022· West Yorkshire Western
Mental HealthSuicide (from 2015)
Louise Allen
12 Jul 2022· East London
Mental HealthSuicide (from 2015)
Shona Campbell
1 Jul 2022· Manchester City
Community health care and emergency servicesMental Health
Jessica Laverack
27 Jun 2022· East Riding and Hull
Alcoholdrug and medication
Alun Davies
23 Jun 2022· Hampshire, Portsmouth and Southampton
Mental HealthRailway
Khalid Abiaz
20 Jun 2022· Manchester South
Mental HealthState Custody
Margaret Stringer
17 Jun 2022· Blackpool and Fylde
Care Home HealthMental Health
Andrew Nixon
6 Jun 2022· Dorset
Mental HealthSuicide (from 2015)
Susan Carling
19 May 2022· Avon
Community health careMental Health
Cynthia Finlay
12 May 2022· Surrey
Hospital Death (Clinical Procedures and medical management)Mental Health
Faizan Nazar
26 Apr 2022· West Yorkshire Western
Hospital Death (Clinical Procedures and medical management)Mental Health
REDACTED
31 Mar 2022· Warwickshire
Hospital Death (Clinical Procedures and medical management)Mental Health
Joshua Rennard
23 Mar 2022· South Yorkshire (West)
Mental HealthSuicide (from 2015)
James Forryan
22 Mar 2022· Inner North London
Alcoholdrug and medication
Jack Ritchie
8 Mar 2022· South Yorkshire West
Community health careOther
James Lacey
8 Mar 2022· Lancashire & Blackburn with Darwen
OtherProduct
Daniel France
21 Feb 2022· Cambridgeshire and Peterborough
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Kaja Spiewak
21 Feb 2022· West Sussex
Child Death (from 2015)Railway
Jake Cahill
4 Feb 2022· Cornwall & the Isles of Scilly
Child Death (from 2015)Other
Ketheeswaren Kunarathnam
3 Feb 2022· West London
Mental HealthOther
Finnian Kitson
31 Jan 2022· Manchester City
Mental HealthOther
Maziellie Mackenzie
10 Jan 2022· Lancashire and Blackburn with Darwen
Hospital Death (Clinical Procedures and medical management)Mental Health
Ian Miller
10 Jan 2022· Gwent
State CustodySuicide (from 2015)
Gregory Barber
29 Dec 2021· West Yorkshire (Eastern)
Mental HealthRailway
Mark Castley
23 Dec 2021· London Inner South
OtherSuicide (from 2015)
Rebecca Begg
16 Dec 2021· Nottinghamshire
Care Home HealthMental Health
Connor Hoult
30 Nov 2021· West Yorkshire (Eastern)
State CustodySuicide (from 2015)
Joel Robinson
29 Nov 2021· Berkshire
Mental HealthService Personnel
Daniel Hall
18 Nov 2021· South Wales Central
Mental HealthSuicide (from 2015)
Mared Foulkes
16 Nov 2021· North West Wales
OtherSuicide (from 2015)
David Walker
22 Oct 2021· East London
Hospital Death (Clinical Procedures and medical management)Mental Health
Sky Rollings
21 Oct 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Child Death (from 2015)Hospital Death (Clinical Procedures and medical management)
Alexandra Tolley
18 Oct 2021· West Yorkshire (East)
Hospital Death (Clinical Procedures and medical management)Mental Health
Chloe English
23 Sep 2021· West Yorkshire Western
Suicide (from 2015)
Charlie Todd
23 Sep 2021· County Durham and Darlington
State CustodySuicide (from 2015)
Siwan Smith
17 Sep 2021· Gwent
Community health careMental Health
Bituin Pimlott
9 Sep 2021· Greater Manchester South
Community health careMental Health
Steven Regoli
19 Aug 2021· Essex
Hospital Death (Clinical Procedures and medical management)Mental Health
Rebecca Pykett
9 Aug 2021· Stoke-on-Trent & North Staffordshire Coroner’s Court
Hospital Death (Clinical Procedures and medical management)Mental Health
James Nowshadi
3 Aug 2021· Cambridgeshire and Peterborough
Hospital Death (Clinical Procedures and medical management)Mental Health
Alan Griffin
15 Jul 2021· Inner North London
Catholic Standards Safeguarding AgencyOther
Eleanor Rose Murphy-Richards
15 Jul 2021· Mid Kent and Medway
Child Death (from 2015)Mental Health
Maria Stancliffe-Cook
9 Jul 2021· Avon
Hospital Death (Clinical Procedures and medical management)Mental Health
Hazel Binks
28 Jun 2021· Derby and Derbyshire
Community health careSuicide (from 2015)
Marc Bennett
28 Jun 2021· Plymouth Torbay and South Devon
Community health careMental Health
Kesia Waller
4 Jun 2021· Hampshire, Portsmouth and Southampton
Care Home HealthChild Death (from 2015)
Geoffrey Hutton
4 Jun 2021· Worcestershire
State CustodySuicide (from 2015)
Kelly Hewitt
27 May 2021· Milton Keynes
Mental HealthSuicide (from 2015)
James Devenny
27 May 2021· Mid Kent and Medway
Mental HealthState Custody
Dyllon Milburn
24 May 2021· Manchester City
Community health careMental Health
Stephen Thurm
18 May 2021· Manchester South
Hospital Death (Clinical Procedures and medical management)Mental Health
Joanna Leven
4 May 2021· Greater Manchester (South)
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Grazyna Walczak
8 Mar 2021· Inner North London
Hospital Death (Clinical Procedures and medical management)Mental Health
Jaden Francois-Espirit
26 Feb 2021· Inner North London
Emergency services related deaths (2019 onwards)Mental Health
Michael Dobson
15 Feb 2021· Staffordshire South
Mental HealthState Custody
Carole Mitchell
15 Feb 2021· Greater Manchester South
Alcoholdrug and medication
Michael Woods
26 Jan 2021· County of Dorset
ProductSuicide (from 2015)
Tina Murray
8 Jan 2021· Blackpool and Fylde
Care Home HealthMental Health
Roy Curtis
5 Jan 2021· Milton Keynes
Community health careMental Health
Samuel Morgan
5 Jan 2021· Swansea and Neath Port Talbot
Suicide (from 2015)
Lee Elliott
4 Jan 2021· County of Cumbria
Mental HealthProduct
Luiz Anjos
30 Dec 2020· Essex
Mental HealthRailway
Agnès Marchessou
30 Dec 2020· Inner North London
Mental HealthSuicide
David Ball
29 Dec 2020· Derby and Derbyshire
AlcoholCommunity healthcare
Jason Thompson
24 Dec 2020· County Durham and Darlington
Mental HealthSuicide (from 2015)
Xuanze Piao
23 Dec 2020· Coventry
RailwaySuicide (from 2015)
Joseph Nihill
16 Nov 2020· West Yorkshire (East)
OtherSuicide
Viktor Scott-Brown
26 Oct 2020· County Durham and Darlington
Community healthcareSuicide
Danny Holt-Scapens
15 Sep 2020· Manchester West
Community healthcareMental Health
Gary Etherington
14 Sep 2020· Inner South London
Community healthcareMental Health
Sam Pringle
18 May 2020· Manchester
Community health careMental Health
Natasha Abrahart
14 May 2020· Avon
Mental HealthSuicide (from 2015)
Aram Mustafa
14 May 2020· Birmingham and Solihull
Suicide (from 2015)
Lauren Finch
14 May 2020· Manchester
Hospital Death (Clinical Procedures and medical management)Mental Health
Lewis Francis
9 Apr 2020· Exeter and Greater Devon
Mental HealthState Custody
Daniel Moran
8 Apr 2020· Manchester
Mental HealthSuicide (from 2015)
John Ashley
8 Apr 2020· West Sussex
Community healthcareMental Health
Ian Weeks
27 Mar 2020· South Wales Central
State CustodySuicide (from 2015)
Carl Newman
18 Mar 2020· Liverpool and Wirral
State CustodySuicide (from 2015)
Gemma Azhar
20 Feb 2020· West Sussex
Community health careMental Health
Samantha Savage-Greene
11 Feb 2020· Manchester
Community health careMental Health
Marlon Watson
8 Feb 2020· Staffordshire and Stoke-on-Trent
State CustodySuicide (from 2015)
Muhammed Wajid
8 Feb 2020· West Yorkshire (Western)
Suicide (from 2015)
Tomasz Nowasad
8 Jan 2020· Manchester
State CustodySuicide (from 2015)
Steven Marsland
30 Dec 2019· Manchester
Community health care servicesHospital Death (Clinical Procedures and medical management)
Jessica Duckworth
30 Dec 2019· West Yorkshire (Eastern)
Alcoholdrug and medication
Safoora Alam
30 Dec 2019· Black Country
Community health careHospital Death (Clinical Procedures and medical management)
Shaun Dewey
28 Dec 2019· Avon
State CustodySuicide (from 2015)
Katie Croft
28 Dec 2019· Manchester
Child Death (from 2015)Suicide (from 2015)
Darren Williams
13 Dec 2019· Milton Keynes
State CustodySuicide (from 2015)
Julius Little
13 Dec 2019· Inner London North
Suicide (from 2015)
David Kirsch
9 Dec 2019· Worcestershire
State CustodySuicide (from 2015)
REDACTED
22 Nov 2019· Cornwall and the Isles of Scilly
Suicide (from 2015)
Jane Livingston
22 Nov 2019· Swansea and Neath Port Talbot
Mental HealthSuicide (from 2015)
William Moody
5 Nov 2019· Central Hampshire
Mental HealthSuicide (from 2015)
Peter Harrison
5 Nov 2019· Manchester
Suicide (from 2015)
Gurdeep Singh Dundhal
1 Nov 2019· Birmingham and Solihull
Mental HealthSuicide (from 2015)
Karen Burns
18 Oct 2019· Birmingham and Solihull
Emergency services related deaths (2019 onwards)Suicide (from 2015)
Rebecca Henry
18 Oct 2019· Manchester
Suicide (from 2015)
Reece Lapina-Amarelle
18 Oct 2019· East Sussex
Mental HealthSuicide (from 2015)
Daniel Shorrocks
18 Oct 2019· Plymouth, Torbay and South Devon
Child Death (from 2015)Mental Health
Ceara Thacker
30 Sep 2019· Liverpool and Wirral
Suicide (from 2015)
Marcus McGuire
23 Aug 2019· Birmingham and Solihull
Mental HealthState Custody
Sasha Forster
2 Aug 2019· Central Hampshire
Suicide (from 2015)
Benjamin Murray
28 Jul 2019· Avon
Suicide (from 2015)
Anthony Walker
28 Jul 2019· Portsmouth and South East Hampshire
Community health careSuicide (from 2015)
Steven Key
11 Jun 2019· Cumbria
RailwaySuicide (from 2015)
Dane Pearson
6 Jun 2019· Manchester
Mental HealthSuicide (from 2015)
Christopher Moss
2 Jun 2019· Staffordshire and Stoke-on-Trent
State CustodySuicide (from 2015)
Peter Garvin
2 Jun 2019· Inner London West
Mental HealthSuicide (from 2015)
Polly Drew
2 Jun 2019· Nottinghamshire
Suicide (from 2015)
Stephen Kennedy
26 May 2019· Birmingham and Solihull
Hospital Death (Clinical Procedures and medical management)Mental Health
Christopher McGuffie
13 May 2019· County Durham and Darlington
RailwaySuicide (from 2015)
Ben Walmsley
26 Apr 2019· Manchester
Child Death (from 2015)Mental Health
Patricia Chambers
12 Apr 2019· West London
Suicide (from 2015)
Colette Dunn
6 Mar 2019· Milton Keynes
Suicide (from 2015)
Billie Lord
6 Mar 2019· Milton Keynes
Suicide (from 2015)
Robin McEwan
24 Feb 2019· North Yorkshire (Eastern)
Community health care and emergency servicesSuicide (from 2015)
David Sargeant
23 Feb 2019· Cornwall and the Isles of Scilly
Alcoholdrug and medication
Arun Viswambaran
24 Jan 2019· Inner London North
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Kevin Sherwood
18 Jan 2019· Hertfordshire
RailwaySuicide (from 2015)
John Hill
10 Jul 2018· Dorset
Suicide (from 2015)
George Dyson
8 Jul 2018· West Yorkshire (Western)
Suicide (from 2015)
Andrew Hanahoe
8 Jul 2018· Bedfordshire and Luton
Suicide (from 2015)
Mwitumwa Ngenda
8 Jul 2018· West Yorkshire (Western)
Suicide (from 2015)
Grahame Searby
8 Jul 2018· West Yorkshire (Western)
Community health care and emergency servicesSuicide (from 2015)
Karen Wiggins
8 Jul 2018· Wiltshire and Swindon
Suicide (from 2015)
Naseeb Chuhan
17 Jun 2018· West Yorkshire (Eastern)
Suicide (from 2015)
Kellie Taylor
16 Jun 2018· East Riding and Hull
Suicide (from 2015)
Penelope Benton
11 Feb 2018· Black Country
Mental HealthSuicide (from 2015)
Andrew Codling
18 Dec 2017· Bedfordshire and Luton
Community health care and emergency servicesSuicide (from 2015)
Sofia Legg
27 Nov 2017· Somerset
Hospital Death (Clinical Procedures and medical management)Suicide (from 2015)
Dean Rowland
12 Sep 2017· Staffordshire and Stoke-on-Trent
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Kate Dolby
29 Aug 2017· Nottinghamshire
Mental HealthSuicide (from 2015)
Callum Smith
9 Aug 2017· Avon
Community health care and emergency servicesHospital Death (Clinical Procedures and medical management)
Simon Turvey
12 Mar 2017· Milton Keynes
State CustodySuicide (from 2015)
Dean Saunders
5 Mar 2017· Essex
Community health care and emergency servicesState Custody
Rachel Morgan
5 Mar 2017· Manchester
Hospital Death (Clinical Procedures and medical management)Mental Health
Rachel Edwards
27 Feb 2017· Suffolk
Alcoholdrug and medication
Matthew Russell
26 Feb 2017· Surrey
State CustodySuicide (from 2015)
Haydn Burton
4 Oct 2016· Central Hampshire
State CustodySuicide (from 2015)
Amy El-Keria
3 Oct 2016· East Sussex
Child Death (from 2015)Mental Health
Liam Lambert
20 Sep 2016· Leicester City and South Leicestershire
State CustodySuicide (from 2015)
Edward Mallen
7 Sep 2016· Cambridgeshire
Community health care and emergency servicesSuicide (from 2015)
Susan Hamlett
4 Aug 2016· Bedfordshire and Luton
RailwaySuicide (from 2015)
Michael Williams
11 Jul 2016· Leicester City and South Leicestershire
State CustodySuicide (from 2015)
John Betteridge
30 Jun 2016· County Durham and Darlington
Hospital Death (Clinical Procedures and medical management)State Custody
Anielka Jennings
27 Jun 2016· Gloucestershire
Child Death (from 2015Mental Health
Christina O’Brien
14 Jun 2016· Inner London South
Mental HealthSuicide (from 2015)
Kevin Dermott
13 Jun 2016· Cheshire
Mental HealthSuicide (from 2015)
Steven Trudgill
6 Jun 2016· Suffolk
State CustodySuicide (from 2015)
Steven Murphy
27 Apr 2016· Portsmouth and South East Hampshire
Mental HealthSuicide (from 2015)
Helen England
16 Mar 2016· Manchester
Suicide (from 2015)
Chentoori Chanthirakumar
5 Feb 2016· Inner London North
Suicide (from 2015)
Samantha MacDonald
2 Feb 2016· Manchester
Suicide (from 2015)
Christopher Higgins
24 Dec 2015· Greater Norfolk
Suicide (from 2015)
Alice Mead
24 Jun 2015· Brighton and Hove
Suicide (from 2015)
Aleysha McLoughlin
8 Apr 2015· Manchester
Child Death (from 2015)Other
Stuart Baumber
24 Mar 2015· Cambridgeshire
State CustodySuicide (from 2015)
Alasdair Penny
17 Mar 2015· West Sussex
Suicide (from 2015)
Craig Bell
9 Mar 2015· Manchester
Suicide (from 2015)
Amanda Vickers
3 Feb 2014· Cumbria
Mental Health