Andrew Gibbins
17 Dec 2020 · Coroner Jacqueline Devonish · Suffolk
The coroner's concerns
1. security guard failed to report suicidal presentation to clinicians
“The Hospital Security Guard guided [the deceased] back to AAU looking lost and confused (following a cigarette break) when in a general way saying that he was feeling suicidal and that that had been the reason why he was under the care of Wedgewood. There were no immediate concerns for him, but the Security Guard had been concerned enough to ask for the Wedgewood staff member escort when he returned to AAU. [the deceased]'s presentation had not been reported to any clinician at either AAU or Wedgwood.”