Matthew Harris
21 Jun 2023 · Coroner David Reid · Worcestershire
The coroner's concerns
1. possible psychotic process with delusional beliefs
“Although [REDACTED] concluded that Mr [name redacted] was fit to be detained and fit to be interviewed, he did note possible symptoms of Post Traumatic Stress Disorder, likely due to some trauma in Mr [name redacted]' background, possible symptoms of a personality disorder, and”
2. recent suicidal ideation
“During his police interview on 14.5.22, when describing his movements before the alleged murder had taken place, Mr [name redacted] told officers he had [REDACTED], intending to jump off in order to take his own life, but had decided against it because”
3. omission of suicidal comments from PER and SASH forms
“no mention of them appears to have been made in any of the following documents:”
4. failure to document suicidal ideation on custody forms
“the failure by Dyfed-Powys Police officers to realise that such comments ought to be included on a PER and SASH Warning form, if repeated in future, may lead to a person in custody's risk of suicide and/or self-harm, being either underestimated, or ignored completely.”