Skip to content
recurance

Aleysha McLoughlin

8 Apr 2015 · Coroner Jennifer Leeming · Manchester (West)

The coroner's concerns

  1. 1. self-harm among young people

    “Evidence was given at the Inquest that self harm in young people is becoming a public health crisis”
  2. 2. lack of training on self-harm detection

    “That it should be considered that the system of training for those working with young people, including teachers, school nurses, foster carers, social workers, mental health workers and medical nurses and doctors should be reviewed so as to ensure that these professionals should be alert for signs of self harm and should take opportunities to discover themselves so that those harming themselves can be offered help and support”
  3. 3. lack of peer reporting mechanisms

    “That it should be considered that additional information and encouragement could be offered to young people to inform those able to help for example teachers, nurses, health professionals etc. when a young person becomes aware that another young person is self harming”
  4. 4. insufficient multi-agency coordination

    “That it should be considered that systems such as those now being developed in Bolton should be further developed so as to ensure that multi agency discussions involving all relevant agencies are held urgently for those at risk of self harm and particularly for those who do not engage”
  5. 5. absence of engagement pathway

    “That it should be considered that a particular pathway of help for young people who resist engagement should be developed”
  6. 6. insufficient agency capacity

    “That a review of the capacity of the agencies involved in helping young people who are self harming to address those matters appropriately should be considered”

Responses

2015-00136-Response-by-Department-of-Health.pdf ↗· Department of Health and Social Care

  • Built with
  • NVIDIA Nemotron Nano, Super and Ultra
  • Nebius Token Factory inference
  • Qwen3 Embedding 8B on Token Factory
  • Tavily follow-up web search
  • Postgres and pgvector search
  • Next.js site

Source: Prevention of Future Deaths reports and responses published by the Courts and Tribunals Judiciary at judiciary.uk. Crown copyright, used under the Open Government Licence v3.0. Data updated 26 Oct 2026.

A link shows that a similar concern was raised again, not why. It is not a finding about any organisation or person. Methodology and responsible use · Report an error

Aleysha McLoughlin · Recurance