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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: Matthew Carter, Tooting (2006)
London
Paranoid Schizophrenic fatally kicked and stamped on stranger. V Critical Ind Inq. 2008. Family wanted him admitted – ceased meds. Prev. violence.Refused consent for release of medical records. Care too patient centred.
19 recommendations Report PDF
Independent investigation: Matthew Lynch, Handsworth (2023)
Midlands
Mentally disordered man repeatedly and fatally battered and stabbed man. Diminished responsibility – ‘indefinite’ hospital order
-1 recommendations Report PDF
Independent investigation: Maurice Hilton, Peterlee (2006)
North East and Yorkshire
Mentally ill woman fatally stabs partner.. Long MH history, previous violence, tragic history, critical inquiry
-1 recommendations Report PDF
Independent investigation: Maxine Penfold, Cullompton, Devon (2004)
South West
Paranoid Schizophrenic fatally and repeatedly stabbed mother. Ind Inq 2006. Found poor records and teamwork. Mother sought help two weeks before incident
30 recommendations Report PDF
Independent investigation: Melanie Welch (Ms B), Redhill, Surrey (2001)
South East
depressive MH patient strangled his partner. Ind Inq 2005
7 recommendations Report PDF
Independent investigation: Michael Bird, Braintree (2005)
East of England
MH patient fatally strangles acquaintance. Case ‘K’ in Inquiry report
4 recommendations Report PDF
Independent investigation: Michael Galloway, Illingworth (1999)
North East and Yorkshire
Psychotic depressive battered wife, strangled disabled son and killed himself. Ind Inq 2003
20 recommendations Report PDF
Independent investigation: Michael Green, Nottingham (2005)
Midlands
MH patient fatally stabs victim with pen (6″ lodged in brain)
8 recommendations Report PDF
Independent investigation: Michael Kahan, Manchester (2008)
North West
Recently released Schizophrenic fatally stabs stranger. CCTV. Pennine Care NHS Trust.
-1 recommendations Report PDF
Independent investigation: Michael Martin, Almondsbury, (1999)
South West
Paranoid schizophrenic kills father with pickaxe. Ind Inq 2003. Father had repeatedly appealed to MH services for help
9 recommendations Report PDF
Independent investigation: Michael O Connor, Wood Green (2003)
London
Homicide by mentally ill. Ind Inq. Coll had killed before
2 recommendations Report PDF
Independent investigation: Michael Young, Nottingham (2010)
Midlands
Mentally ill man fatally stabs brother. Long MH history
7 recommendations Report PDF
Independent investigation: Milton Lawrence, Huddersfield (1996)
North East and Yorkshire
Paranoid schizophrenic kills pensioner. Ind Inq 1998
-1 recommendations Report PDF
Independent investigation: Miriam Poulin, Macclesfield (2005)
North West
Mental Health Patient sets fire to house killing woman. drug user – MH history – brief Ind Investigation six years later
2 recommendations Report PDF
Independent investigation: Mohammed Atlas, Birmingham (1997)
Midlands
MH homicide. Ind Inq 2000
11 recommendations Report PDF
Independent investigation: Ms B, Cheltenham (2008)
South West
Man with history of MH & substance abuse problems kills partner. Convicted of murder
25 recommendations Report PDF
Independent investigation: Muriel Viner, Ferndown, Dorset (1995)
South West
MH patient kills mother with repeated blows from heavy metal disc and commits suicide. MH patient repeatedly bludgeons mother then commits suicide
-1 recommendations Report PDF
Independent investigation: Nancy Broadbridge, Ramsgate (1999)
South East
Mentally ill man repeatedly and fatally stabbed landlady. MH history with violence with knives, known threat
-1 recommendations Report PDF
Independent investigation: Naquibulla Aman, Hounslow (2006)
London
Absconding Psychiatric patient steals van and fatally knocked down father to be, at 60 mph after smoking cannabis. Ind Inq
2 recommendations Report PDF
Independent investigation: Narayanan Sukumaran, Newham (2001)
London
MH patient killed his father. Ind Inq 2004. History of violence, preventable
4 recommendations Report PDF
Independent investigation: Natalie Walker, Broadstairs (2011)
South East
Paranoid psychotic man fatally stabs wife in front of 3 year old child. Drug history – asked to be sectioned before killing before but was sent home.
1 recommendation Report PDF
Independent investigation: Natasha Wild, Rochdale (2016)
North West
Paranoid schizophrenic fatally stabs vulnerable girlfriend. History of MH problems & previous warnings
2 recommendations Report PDF
Independent investigation: Nathaniel Lees, Halifax (2002)
North East and Yorkshire
MH patient fatally and repeatedly stabs boyfriend. Ind Inq. (2003/2374) 2005. Warnings yet deemed no risk. Records deficient.No risk assessment.
-1 recommendations Report PDF
Independent investigation: Nicholas Boyd, Camden & Islington (1997)
London
MH patient fatally and repeatedly stabbed neighbour. Ind Inq 2000. Same psych as in Mursell case
-1 recommendations Report PDF
Independent investigation: Nicholas Windsor, Northampton (2006)
Midlands
Psychopath fatally batters man. Indefinite detention under MHA
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