Source · Prevention of Future Deaths

Luke Jacob Goodwin

Ref: 2013-0311 Date: 20 Nov 2013 Coroner: Mary Teresa Burke Area: West Yorkshire (Western) Responses identified: 0 / 1 View PDF

The unrestricted sale of large helium canisters without flow control valves, combined with readily available online suicide guides, facilitates self-harm and raises serious safety concerns.

Date 20 Nov 2013
56-day deadline 5 Feb 2014
Responses identified 0 of 1
Other related deaths

Coroner's concerns

AI summary
The unrestricted sale of large helium canisters without flow control valves, combined with readily available online suicide guides, facilitates self-harm and raises serious safety concerns.
View full coroner's concerns
(1) The sale of Helium canisters is readily available to members of the general public. There appears to be no restrictions or conditions on sale or place.

(2) Helium canisters appear to be sold in a standard size which contains a sizable volume of Helium.

(3) Helium canisters are not fitted with any modified control valve which if in place could restrict the volume of gas being released.

(4) The type of information which is readily available on the internet. Such information provides clear and detailed guidance on how to commit suicide. Internet sites also provide advertisements and links to enable the viewer to order and purchase appropriate products to commit suicide. Two sites in particular, and appear to provide clear and comprehensive details.

Report sections

Investigation and inquest
On 18th September 2013 I commenced an investigation into the death of LUKE JACOB GOODWIN, aged 21 years old, a university student at Huddersfield University and whose family lived in Birkenhead. The investigation concluded at the end of the inquest on 18th September 2013. The conclusion of the inquest was that the cause of Luke’s death was due to 1(a) Hypoxia as a result of 1(b) Helium Inhalation.
Circumstances of the death
1. Luke Goodwin shared a house with fellow students.
2. Luke had no history of suffering from depression or any significant illness or condition.
3. On the evening of the 17th January 2013 he was seen by one of his housemates, who confirmed there was nothing untoward in how Luke presented.
4. On the following morning, 18th January 2013, his housemate got up and found a handwritten note attached to Luke’s bedroom door indicating that Emergency Services should be summoned as he had taken his own life.
5. Luke Goodwin was found laid on his bed with a plastic bag secured around his head, plastic tubing was leading from the bag, which in turn was attached to a helium canister.

Continued/…….
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20th November 2013

6. Paramedics attended and confirmed Luke Goodwin’s death at 8.14 hours on the 18th January 2013.
7. A further detailed note, confirmed to be in Luke Goodwin’s handwriting, was found in his bedroom.
8. There was no evidence to suggest that any other person was involved in his death.
9. There was evidence that Luke had undertaken research on the internet, including access to

” handbook published by of , which is also available via Amazon and Kindle.
10. At the inquest Luke’s parents made representations and provided details of the proliferation and ease of gaining clear and explicit information on how to commit suicide on the internet. Two specific websites, and were specifically referred to. In addition I was advised that provides an opportunity to order a suicide kit by mail order. His parents expressed concern that such information was so easily available to individuals who may be low in mood and contemplating ending their own life.
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Report details

Reference
2013-0311
Date of report
20 November 2013
Coroner
Mary Teresa Burke
Coroner area
West Yorkshire (Western)

Responses identified

Responses identified 0 of 1
1 response not yet linked

Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 5 Feb 2014.

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