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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: Robert Newby, Sticklepath (2007)
South West
Mentally ill man fatally stabs friend. Depressive illness, new medication. Victim was also mentally ill
13 recommendations Report PDF
Independent investigation: Robyn Goldie, Wishaw (2018)
Scotland
Mentally disordered woman fatally neglects her sick child. Culpable homicide – jailed for 3.5 years
-1 recommendations Report PDF
Independent investigation: Rodney Ramkissoon, Leeds (2006)
North East and Yorkshire
Mental Health patient fatally batters man in sustained attack. Ind Inq (2006/4924) 2009
7 recommendations Report PDF
Independent investigation: Rodney Wells, Nottingham (2006)
Midlands
MH patient fatally stabbed daughter’s boyfriend. Long MH history, with violence. 2010, Verita.
7 recommendations Report PDF
Independent investigation: Rosalind McManus, Birch Hill H, Rochdale, Lancs (2007)
North West
Paranoid schizophrenic fatally strangled co-patient in Psych hospital believing her to be a spy. MH patient in hospital
-1 recommendations Report PDF
Independent investigation: Rosemary Neale, Colchester (1999)
East of England
MH homicide of mother. Ind Inq 2002
-1 recommendations Report PDF
Independent investigation: Rosie Palmer, Hartlepool (1994)
North East and Yorkshire
MH patient abused, killed and kept 3 year old victims body in plastic bag at home.. Ind Inq 1996
-1 recommendations Report PDF
Independent investigation: Roy Barber, Chiswick (2006)
London
Schizophrenic fatally and repeatedly stabs care home resident. MH history
3 recommendations Report PDF
Independent investigation: Roy Warnes, Plymouth (2002)
South West
Psychiatric patient kills neighbour. Ind Inq 2004 found failings. Previous Inpatient
1 recommendation Report PDF
Independent investigation: Ryan Lowry, Manchester (2020)
North West
Paranoid schizophrenic fatally and repeatedly attacks his cousin. Long MH history – off meds, inadequate risk assessment
5 recommendations Report PDF
Independent investigation: Ryan Merna, Poole
South West
Mentally ill man repeatedly & fatally stabs vulnerable former friend. Previous warnings of violence
11 recommendations Report PDF
Independent investigation: Ryan Walsh, Cheshunt (2008)
East of England
Mental health patient fatally stabs boyfriend. MH history w violence – inquiry found many failings in care. Ind inq. 2013 Iodem
-1 recommendations Report PDF
Independent investigation: Sally Poynton, Crowlas (2021)
South West
Psychotic man repeatedly and fatally stabbed his mother and wounded his brother. Family made repeated but unsuccessful efforts to get him help beforehand
13 recommendations Report PDF
Independent investigation: Samantha Ho, St Neots (2015)
East of England
Paranoid schizophrenic beheads wife and stabs family dog. Long MH history
7 recommendations Report PDF
Independent investigation: Samuel Vernon, Nottingham (1993)
Midlands
Paranoid schizophrenic fatally stabs man and attempts murder of another. Ind Inq 1993. Many previous admissions
-1 recommendations Report PDF
Independent investigation: Sandra Bainbridge, Belper (2013)
Midlands
Mentally ill woman breaks into house and kills pensioner. Long History of mental illness – recent contact
5 recommendations Report PDF
Independent investigation: Sandra Bowring (Vincent), Rhyl, Denbighshire (2006)
Wales
MH patient fatally stabs woman five times. Ind Inq 2008. Long MH history – failings – avoidable – High risk to others
13 recommendations Report PDF
Independent investigation: Sandra Crawford, St Albans (2010)
East of England
Psychotic man fatally and repeatedly stabs neighbour. Family took him to hospital day before but released.
18 recommendations Report PDF
Independent investigation: Sandy Hadfield, Lincoln (& Derby) (2002)
Midlands
Sexual predator with long MH history kills teenager. SCR 2006. Long MH history – Previous violence
1 recommendation Report PDF
Independent investigation: Sanita Kaura, West London (1994)
London
Paranoid schizophrenic ran over and killed stranger. Ind Inq 1996
-1 recommendations Report PDF
Independent investigation: Sarah Jane Coghlan, Middlesbrough (2003)
North East and Yorkshire
MH patient fatally stabs woman with bayonet (6mnths after release for previous murder).. Ind Inq 2006
-1 recommendations Report PDF
Independent investigation: Sarah Lawson, Worthing (2000)
South East
Depressive strangled mentally ill daughter. Ind Inq 2004
26 recommendations Report PDF
Independent investigation: Sarah Smart, Oxford (2005)
South East
Depressive MH patient fatally stabs ex-wife. Ind Inq 2005 Recent contact w services
9 recommendations Report PDF
Independent investigation: Sean Hand, Basildon (2003)
East of England
MH Homicide by stabbing. Ind Inq 2008. Released despite homicidal thoughts, poor records
7 recommendations Report PDF
Independent investigation: Senait Mezgebe, Wandsworth (1998)
London
Paranoid schizophrenic fatally stabs his sister, his carer. Ind Inq 2003
-1 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