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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: Annie Garbutt, Mirfield (2007)
North East and Yorkshire
Mentally ill woman batters grandmother to death with garden spade. Ind inq. Verita, 2012
8 recommendations Report PDF
Independent investigation: Anthony Harrison, Andover (1998)
South East
Detained MH patient leaves hospital and fatally stabs man. Ind Inq 2001. Later hanged himself at Broadmoor
16 recommendations Report PDF
Independent investigation: Anthony Kellman, Brixton (1994)
London
Psychotic fatally shot one stranger and knifed another after mistakenly released from hospital. Ind Inq 2001 (!) – catalogue of errors – no risk ass, previous firearms use, Comm failures
9 recommendations Report PDF
Independent investigation: Anthony Kitely, Cardiff (2009)
Wales
Schizophrenic man attempted to kill his mother then fatally and repeatedly stabbed his friend. Long MH history, recently released by MHRT against advice
15 recommendations Report PDF
Independent investigation: Anthony Rigby, Blackburn (2002)
North West
Schizophrenic with history of violence fatally shot friend in the back of the head, three months after release from hosptal. Critical Ind Inq 2003
-1 recommendations Report PDF
Independent investigation: Anthony Wakeford, Effingham (2010)
South East
Mentally ill woman fatally stabs husband. Released at trial
8 recommendations Report PDF
Independent investigation: Anthony Winship, Notts (1996)
Midlands
MH Patient kills father after stabbing and repeatedly hitting him with hammer.. Ind Inq 1997
-1 recommendations Report PDF
Independent investigation: Antonio Tommaso, New Barnet (2014)
London
Paranoid schizophrenic repeatedly and fatally stabs friend & sets flat alight. Not taking Meds – Long MH history
9 recommendations Report PDF
Independent investigation: Arthur Lingard, Grimsby (2004)
North East and Yorkshire
Paranoid schizophrenic fatally batters stepfather. Critical Ind Inq (2004/487) 2008 -Few notes, inexperienced staff, warnings by family
3 recommendations Report PDF
Independent investigation: Ashleigh Ewing, Heaton, Newcastle (2006)
North East and Yorkshire
Paranoid schizophrenic fatally stabbed mental health worker 39 times with four knives.. Prev. attacked parents with hammer (GBH). Prev. arrested at Buck Pal threatening Queen. Refused medication, realised was danger to others.
-1 recommendations Report PDF
Independent investigation: Asiya Khatun, Newham (2000)
London
Mentally ill man fatally strangles his wife. Ind Inq 2002
-1 recommendations Report PDF
Independent investigation: Avril Hollens, Tonbridge, Kent (1999)
South East
MH patient fatally stabs girlfriend. Ind Inq 2003
-1 recommendations Report PDF
Independent investigation: Aysel Djevdet, Palmers Green (2009)
London
Psychotic depressive man fatally strangles wife
12 recommendations Report PDF
Independent investigation: Barbara Coleman, Beds (1997)
East of England
Man with schizophrenia fatally stabbed a fellow patient. Ind Inq 1998
-1 recommendations Report PDF
Independent investigation: Beata Slomiana, Finchley (2010)
London
Paranoid schizophrenic kills girlfriend by putting plastic bag over her head. MH history – not taking meds
4 recommendations Report PDF
Independent investigation: Beatrice Hughes, Harrow (1997)
London
MH patient fatally punched kicked & stamped on pensioner during burglary. Ind Inq 2000
26 recommendations Report PDF
Independent investigation: Ben Cargill (Mr D), Chesham, Bucks (2004)
South East
Mentally ill man repeatedly and fatally stabbed former flatmate. Ind Inq 2006
14 recommendations Report PDF
Independent investigation: Benjamin Durao, Brixton (2004)
London
Mentally ill teenager fatally stabs man. MH history.(Ind Inq. 2010 NHS)
4 recommendations Report PDF
Independent investigation: Bernadette FoxSarah Fox, Bootle (2015)
North West
Paranoid Schizophrenic strangles mother and fatally stabs sister. Off meds and abusing substances
13 recommendations Report PDF
Independent investigation: Bernard Clark, Barnsley, Yorkshire
North East and Yorkshire
Paranoid Schizophrenic stabbed father.. Ind Inq (2004/3403) 2008. Previously sectioned for attempted murder. Ceased meds before killing
22 recommendations Report PDF
Independent investigation: Bertha Martin, Cleadon (2008)
North East and Yorkshire
Mentally ill woman fatally batters mother. Previously sectioned & violent, released without aftercare. Ind Inq 2014 NHS North
29 recommendations Report PDF
Independent investigation: Bethany Rae Fields, Huddersfield (2019)
North East and Yorkshire
Mentally disordered and coercive man fatally and repeatedly stabs friend. MH staff warned three times previously of his threats to kill
4 recommendations Report PDF
Independent investigation: Bianca ‘Kay’ Shepherd, Uxbridge (2015)
London
Paranoid schizophrenic fatally stabs housemate. Previous history of aggression and violence
4 recommendations Report PDF
Independent investigation: Boris Reavey, Bedford (2008)
East of England
Paranoid schizophrenic fatally stabs stranger three days after release from psych. hospital. long MH history had been inpatient 15 times
-1 recommendations Report PDF
Independent investigation: Brenda Horrod, Hickling, Norfolk (1995)
East of England
MH patient fatally batters, stabs and smothers wife day after leaving hospital. Ind Inq 1998, Armstrong
-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