Inquest into the Death of Lynn Desmond Ernest CHURCH

Delivered on:  11 June 2014

Delivered at: Perth

Finding of: Coroner King

Orders/Rules:  N/A

Suppression Order:  N/A

Summary:    The deceased was a 64 year old man who at the time of his death was a patient at the Joondalup Health Campus Mental Health Unit and who was an involuntary patient under the Mental Health Act 1996.

The inquest focused on the circumstances surrounding the deceased’s quality of supervision, treatment and care provided while the deceased was in care. The inquest also examined –

The Coroner found the deceased died between 6 July 2010 from plastic bag asphyxia. With respect to the manner of death the Coroner found that the deceased suicided.

Catch Words:  Mental Health – communication – open wards – monitoring – plastic bags - suicide

Last updated: 21-May-2015

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