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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: Joe Lewis, Brighton (2014)
South East
Paranoid schizophrenic fatally stabs friend. Judge said a‘disaster waiting to happen’
14 recommendations Report PDF
Independent investigation: John Coxall, HMP Nottingham (2015)
Midlands
Recent mental health patient fatally chokes vulnerable fellow prisoner. Previous inpatient at secure unit
1 recommendation Report PDF
Independent investigation: John Crook, Liverpool (2008)
North West
Mental health patient fatally attacks man in ‘brutal and savage’ assault. Long MH history with violence – Ind Inq. 2013 Conseque
2 recommendations Report PDF
Independent investigation: John Curran, Highbury & Islington (2006)
London
Schizophrenic fatally pushed stranger in front of a tube train, two weeks after telling Drs. Ind Inq 2010. Vol. Homerton patient.
38 recommendations Report PDF
Independent investigation: John Dawson, Leics (1995)
Midlands
MH homicide, kidnapping of stranger w firearm. Ind Inq 1997
-1 recommendations Report PDF
Independent investigation: John Hall, West Rainton (2013)
North East and Yorkshire
MH patient fatally batters acquaintance with baseball bat
4 recommendations Report PDF
Independent investigation: John Jeffries, Hartlepool (2001)
North East and Yorkshire
MH patient fatally and repeatedly battered victim with rock.. Ind Inq 2003 – Previous threats of violence with knives.
-1 recommendations Report PDF
Independent investigation: John McCarthy, Waterlooville (2009)
South East
Deluded Paranoid Schizophrenic fatally stabbed friend thinking he was on mission to assassinate IRA. Long MH History – recently released from Psych hospital
2 recommendations Report PDF
Independent investigation: John McGrath, Stapleford, Nottingham (2009)
Midlands
Schizophrenic man repeatedly and fatally stabs grandfather. Long MH history, family warnings, repeated missed opportunities. Judge criticised MH professionals
5 recommendations Report PDF
Independent investigation: John McLusky, Peterborough area (1995)
East of England
MH homicide of mother’s boyfriend. Ind Inq 1997 Mischon
-1 recommendations Report PDF
Independent investigation: John Redhead, Potters Bar (2007)
East of England
Mental health patient convicted of murdering ex boyfriend. Drug user. Ind inq. 2013 Niche
27 recommendations Report PDF
Independent investigation: John Rees, Pen Y Graig, Rhondda (2020)
Wales
Schizophrenic woman fatally stabs and bludgeons elderly shopper & attempted to murder three others. Had previously sought help for deteriorating Mental Health
7 recommendations Report PDF
Independent investigation: John Speakman, Wigan (2006)
North West
MH patient fatally and repeatedly stabbed drinking partner. With Alcohol abuse.(Ind Inq2012 Consequence)
6 recommendations Report PDF
Independent investigation: John Stevens, Woking (2001)
South East
MH patient fatally and repeatedly stabbed friend. Poor risk assessment, CPA, & information sharing. 2003, Mackay
-1 recommendations Report PDF
Independent investigation: John Stringer, Canning Town (2005)
London
Mentally ill man fatally stabs cousin. MH history – Inq found failings in care. Ind Inq 2010 NHS
6 recommendations Report PDF
Independent investigation: John TaylorBeverley Taylor, Skipton (2021)
North East and Yorkshire
Paranoid schizophrenic fatally stabs both his parents. MH history had sought help day before killings
14 recommendations Report PDF
Independent investigation: John Trinder, Peckham (1995)
London
Schizophrenic fatally and repeatedly stabs victim. Ind Inq 1999, previous history of stabbings
-1 recommendations Report PDF
Independent investigation: John Uttley, Huddersfield (2017)
North East and Yorkshire
Paranoid schizophrenic fatally batters stepfather. Previous history of violence and serious mental illness. Convicted of murder
9 recommendations Report PDF
Independent investigation: John West, Sheringham Norfolk (2004)
East of England
Paranoid schizophrenic killed his father in law. Ind Inq 2008. Previous violence, released days earlier, warnings. Poor risk assessment. Poor team work.
-1 recommendations Report PDF
Independent investigation: John Williams, Camberley (2011)
South East
Mentally ill man repeatedly and fatally stabs man
15 recommendations Report PDF
Independent investigation: John Witts, Cinderford (1995)
South West
Mentally ill man fatally stabs brother. Ind Inq 1997
-1 recommendations Report PDF
Independent investigation: Jonathan Newby, Oxford (1993)
South East
Psychotic fatally attacked volunteer care worker. Ind Inq 1995, previously sectioned
5 recommendations Report PDF
Independent investigation: Jonathan Palgrave, Preston (2018)
North West
Paranoid schizophrenic fatally punches mentally-ill fellow resident
4 recommendations Report PDF
Independent investigation: Jonathan Zito, Finsbury Park (1992)
London
Paranoid Schizophrenic fatally stabs stranger in the eye.. Catalogue of MH Service errors, very critical inquiry 1994
-1 recommendations Report PDF
Independent investigation: Jordan Cooper, Washington (2011)
North East and Yorkshire
Mentally disordered man fatally stabs nephew
8 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