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Mental Health Investigation

Independent investigations into the care and treatment of mental health service users

779 investigations 606 with recommendations indexed 6,452 recommendations indexed 117 action plans

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Investigations

779 matching investigations
Independent investigation: Joseph Collins, Islington
London
Paranoid schizophrenic with history of serious assault, kills stepfather after ceasing taking medication. Ind Inq 1997 – Long history of MH problems & violence. Cf Kurter
4 recommendations Report PDF
Independent investigation: Joseph Day, Folkestone (2001)
South East
Schizophrenic (triggered or exacerbated by drug abuse) fatally stabbed another. Ind Inq 2004 found failures and errors. No Risk Ass. Team work poor
-1 recommendations Report PDF
Independent investigation: Joseph Osmond, Salisbury (1997)
South West
Mentally ill man fatally and repeatedly stabbed landlord. Ind Inq 1999. previously sectioned, then released before killing
-1 recommendations Report PDF
Independent investigation: Joyce Lovell, Donhead St Mary, Wilts (2008)
South West
Mentally ill man fatally batters mother. Poor practice found
13 recommendations Report PDF
Independent investigation: Judith Kimber, Portsmouth (2004)
South East
Paranoid Schizophrenic with history of violence fatally smothers mother
6 recommendations Report PDF
Independent investigation: Julie Ann Wendel (Ms L), Netherfield, East Sussex (2002)
South East
Long term MH patient strangled girlfriend. Indep Inq. Previous violence. 2005, Georgiou
9 recommendations Report PDF
Independent investigation: Julie Clark, Hereford (2018)
Midlands
Mentally ill man fatally and repeatedly stabs his mother. Trial of facts as Unfit to plead
-1 recommendations Report PDF
Independent investigation: Julie McKinley, Finsbury Park (2009)
London
Recent MH patient fatally strangles wife while children were sleeping. Long history of violence
12 recommendations Report PDF
Independent investigation: Julie Owens, Liverpool (2018)
North West
Mentally disordered man with schizophrenia fatally battered his mother. Admitted manslaughter – jailed for four and a half years
3 recommendations Report PDF
Independent investigation: Justin Skrebowski, Abingdon (2015)
South East
Psychotic man fatally stabs stranger. Long history of MH problems & violence. Had prev made threats to kill
5 recommendations Report PDF
Independent investigation: Karen Godden, Leicester (2007)
Midlands
Paranoid Schizophrenic fatally stabbed neighbour with chisel. Ind Inq 2010 (2007/9113 Recently released from Psych hospital – stopped meds.)
6 recommendations Report PDF
Independent investigation: Karen Leonard, Middlesbrough (2009)
North East and Yorkshire
Psychiatric patient fatally battered strangled and stabbed partner. Prev. told nurses of fears of violent relapse
-1 recommendations Report PDF
Independent investigation: Karen Welsh, Cardiff (2010)
Wales
Paranoid Schizophrenic fatally beat and strangled nurse who befriended him. Sought help before killing
14 recommendations Report PDF
Independent investigation: Karina Menzies, Cardiff (2012)
Wales
Paranoid schizophrenic kills disabled young mother and injures 17 others. Long MH history, off meds, nearly killed 13 others including children
15 recommendations Report PDF
Independent investigation: Kasey Gordon, Tottenham (2011)
London
Paranoid Schizophrenic fatally stabs schoolboy. Long MH history – previous warnings about knives
13 recommendations Report PDF
Independent investigation: Katie Kazmi, Reading (1999)
South East
Schizophrenic ex Broadmoor inmate fatally stabs stranger 77 times. Ind Inq 2002. ‘damning indictment of incomptence and complacency
-1 recommendations Report PDF
Independent investigation: Katie Locke, Waltham Cross (2015)
East of England
Recent Psychiatric patient strangles woman and abuses her body. Had made prev. threats to kill, recently released from psych.hospital
4 recommendations Report PDF
Independent investigation: Keith Bevis, Portsmouth (2013)
South East
Paranoid schizophrenic fatally stabs man 38 times. 24 year history of mental illness – ‘revolving door’ patient
11 recommendations Report PDF
Independent investigation: Keith Drummond, Perivale (2010)
London
Paranoid schizophrenic fatally stabbed and battered his father. Long MH history, not taking meds, mother tried to get help in vain
3 recommendations Report PDF
Independent investigation: Keith Robinson, Scartho (2017)
North East and Yorkshire
Mentally ill and delusional woman starts fire and kills partner. Many previous warnings by family
5 recommendations Report PDF
Independent investigation: Kelly Franklin, Hartlepool (2018)
North East and Yorkshire
Mentally disordered man repeatedly and fatally stabs ex-partner. Considered so risky female staff told not to see him alone – convicted of murder
5 recommendations Report PDF
Independent investigation: Kenneth Auger, Merthyr Tydfil (2008)
Wales
Mentally ill man (bipolar) kills neighbour with a hammer. Repeatedly asked MH services for help – ignored
18 recommendations Report PDF
Independent investigation: Kenneth Horrocks, Bolton (1996)
North West
Paranoid Schizophrenic suffocates elderly neighbour. Ind Inq 1998 – care and comms failures
-1 recommendations Report PDF
Independent investigation: Kenneth Light, Leeds (2005)
North East and Yorkshire
Paranoid Schizophrenic fatally stabs father 120 times. Ind Inq (2005/ 2579) 2009. Long MH history – family concerns
3 recommendations Report PDF
Independent investigation: Kevin Hodkinson, Sheffield (2022)
North East and Yorkshire
Paranoid schizophrenic pushes stranger angler into lake and drowns him. Diminished responsibility – Sec 37/41
4 recommendations Report PDF

By region

11 regions

London

162 investigations

North East and Yorkshire

137 investigations

South East

99 investigations

Midlands

80 investigations

East of England

78 investigations

South West

78 investigations

North West

75 investigations

Wales

27 investigations

Scotland

25 investigations

National

13 investigations

Northern Ireland

5 investigations