Recurance · prevention of future deaths reports
Pre-inquest brief
Lack of suicide risk assessment after discharge
The earlier warning
Tony Dunne · 20 Aug 2019 · ME Hassell, London Inner (North)
“The Crisis Line call taker read his medical notes and so knew this history, but nevertheless did not ask him if he was now feeling suicidal.”
What was promised
A published response was found, but no specific action could be extracted with a verified quote.
What recurred
- 20 Oct 2021 · Freeda Glausiusz · Mary Hassell · Closely related · confidence 0.85 (high)
The clearest link, quoted from both reports:
Earlier · Tony Dunne · 20 Aug 2019
“The Crisis Line call taker read his medical notes and so knew this history, but nevertheless did not ask him if he was now feeling suicidal.”
Later · Freeda Glausiusz · 20 Oct 2021
“the clinician did not elicit clear risks during the conversation; did not listen to [REDACTED] ; talked over him; did not appear empathic; and dismissed his distress about his daughter,”
What happened next
No web check of the stated actions has been published for this chain.