Bronwen Morgan
25 Oct 2023 · Coroner Graeme Hughes · South Wales Central
This report repeats 1 earlier warning, and was raised again 1 time later. See the linked reports.
The coroner's concerns
1. self-harm and suicide facilitation sites
“The concern here is that this site & potentially similar self-harm & suicide "facilitating, or promoting" sites are accessible/available to those, such as BM who are vulnerable, due to their diagnosed, or otherwise mental illness & provided with an outlet/forum to source & acquire information that potentially equips them with the knowledge & means to either complete suicide, or place them in grave/greater danger of doing so.”
Linked reports
Identical hazardConfidence 0.90 · high
Earlier report
“[the deceased] was using an online suicide forum, (the forum now appears under the internet address .Through the forum she was able to engage in discussions with other pro-suicide members and obtain advice how to mislead mental health professionals to avoid being sectioned under the Mental Health Act”
This report
“The concern here is that this site & potentially similar self-harm & suicide "facilitating, or promoting" sites are accessible/available to those, such as BM who are vulnerable, due to their diagnosed, or otherwise mental illness & provided with an outlet/forum to source & acquire information that potentially equips them with the knowledge & means to either complete suicide, or place them in grave/greater danger of doing so.”
Closely relatedConfidence 0.90 · high
This report
“The concern here is that this site & potentially similar self-harm & suicide”
Later report
“[the deceased] accessed an online 'suicide forum' where she was able to access information on how to take her own life”
Responses
2023-0409-Response-from-Ofcom.pdf ↗· Ofcom
Stated action
“we are committed to driving industry improvements by engaging with the largest and riskiest services via continuous 'regulatory supervision.'”
2023-0409-Response-from-Welsh-Government.pdf ↗· Culture
Stated action
“this Welsh Government will actively engage with, and contribute to, the three phases of Canolfan Cyswllt Cyntaf / First Point of Contact Centre: 0300 0604400”