James Forryan

PFD Report All Responded Ref: 2022-0086
Date of Report 18 March 2022
Coroner Edwin Buckett
Response Deadline est. 13 May 2022
All 1 response received · Deadline: 13 May 2022
Response Status
Responses 1 of 1
56-Day Deadline 13 May 2022
All responses received
About PFD responses

Organisations named in PFD reports must respond within 56 days explaining what actions they are taking.

Source: Courts and Tribunals Judiciary

Coroner’s Concerns
Evidence was given that:

1. James had accessed a forum on the internet known to promote suicide. That website and the forum discussions attached to it provided advice and guidance on:

(i) Appropriate drugs/medication which would produce a terminal result; (ii) Which drugs were most effective; (iii) How they should be taken; (iv) How they could be purchased;. (v) End of life planning.

2. James was careful and methodical in the actions he took to end his life. He appeared to follow some guidance on the steps to take from a “handbook” which the family believe was generated from a suicide promoting website and his decision to acquire the pentobarbital medication was informed by the that website.
3. The suicide promoting website appeared to act as a trigger in his decision to take his own life.

I am concerned that: (a) There are websites and forums which openly promote and advertise methods of suicide which are easily accessible;

(b) Suicide is the largest cause of death for individuals in the UK under the age of 35 and James Forryan is within that age bracket;

(c) There does not appear to be sufficient regulation or enforcement action against such websites which promote criminal offences and/or harmful content.
Responses
Department of Health and Social Care
16 Nov 2022
The Department highlights the ongoing Online Safety Bill to tackle illegal online content. It also notes existing actions, including investing £57 million in suicide prevention via the NHS Long Term Plan, issuing guidance to local authorities, and providing £5.4 million in funding to voluntary organisations in 2021/22. AI summary
View full response
Dear Mr Buckett, Thank you for your letter of 18 March 2022 to the then Minister for Care and Mental Health Gillian Keegan, about the death of James Forryan. I am replying as Minister with responsibility for Mental Health, and thank you for the additional time allowed. Firstly, I would like to say how saddened I was to read of the circumstances of Mr Forryan’s death, and I offer my sincere condolences to his family and loved ones. The circumstances your report describes are very concerning. Preventing suicide is an extremely important part of my portfolio, and I am grateful to you for bringing this issue to my attention. As you highlight in your report, it is true that suicide is the leading cause of death in the UK amongst people aged 20-34,1 this is a concerning statistic and highlights the importance of doing all that we can to support individuals who may be experiencing harmful or suicidal thoughts. Every suicide is a preventable loss, and I assure you that it remains a priority for the Government and for me personally, that we take action to reduce suicide rates as far as possible. To address your concern around websites promoting criminal offences and/or harmful content, we are taking urgent steps to protect users, and particularly vulnerable users, online. The Government is committed to tackling this and making the UK the safest place in the world to be online. Under the Online Safety Bill, in-scope companies that allow users to post content online or to interact with each other – including social media platforms and online forums – will need to remove and limit the spread of illegal content and activity online. This includes illegal content that encourages or incites suicide online, with all companies in scope of the Bill expected to take swift and effective action against such content. Companies will need to have effective systems in place to prevent it from appearing on their sites. In addition, the Government has now confirmed that encouraging or assisting suicide will be listed as a priority illegal offence in the Bill, alongside other offences such as incitement to and threats of violence. However, I am also aware that the implementation of legislation takes time, during which individuals, some of whom may be experiencing harmful or suicidal thoughts, will potentially 1 ONS, Leading causes of death, UK: 2001 to 2018, March 2020:

eadingcausesofdeathuk/2001to2018

be exposed to extremely harmful and inciting online content. In advance of the legislation coming into force, we are working with online platforms to encourage action to remove or reduce access to harmful suicide and self-harm material.

The Department works closely with the Samaritans who have in place a strategic partnership with suicide and self-harm prevention experts, which continues work with platforms to tackle harmful suicide and self-harm content and support vulnerable users of their platforms. This partnership is undertaking research to develop our understanding of harmful suicide and self-harm content, produce guidance for industry, and has established an advice and reporting service.

Samaritans have also released Managing self-harm and suicide content online2, a set of guidelines for sites and platforms hosting user-generated content, which sets out a framework of best practice principles to support platforms to manage self-harm and suicide content in a safe and sensitive way. The Government continues to engage with these stakeholders as part of wider suicide prevention work and the online safety framework.

We are also investing £57 million in suicide prevention through the NHS Long Term Plan. This will see investment in all areas of the country by 2023/24 to support local suicide prevention plans and establish suicide bereavement support services. We have also issued guidance to local authorities that highlights the importance of working across all local services, including the voluntary sector, to target high risk groups, including men and children and young people. In addition, in 2021/22, we provided £5.4million to Voluntary, Community and Social Enterprise organisations to support the sector to continue to meet increases in demand as a result of the pandemic. This included funding to a number of organisations with a particular focus on addressing the needs of children and young people, including Papyrus, a national suicide prevention charity that works to prevent suicide amongst people under 35 by providing confidential support and advice to young people struggling with thoughts of suicide. The funding also reached a number of organisations focusing on suicide prevention amongst men. I hope this response is helpful. Thank you for bringing these concerns to my attention.
Report Sections
Investigation and Inquest
On the 8th November, 2021 Assistant Coroner Sarah Bourke began an investigation into the death of James Forryan who died aged 29, on the 29th October, 2021 at the Novotel Hotel, 40 Marsh Wall, London E14. The investigation concluded at the end of the inquest on 15th March, 2022 conducted by myself, Assistant Coroner Edwin Buckett.
Circumstances of the Death
James Forryan was a young man with a mild history of depression and anxiety. On the 28th October 2021 he checked into a hotel in London and took at least the fatal dose of pentobarbital medication which caused his death on the 29th October 2021 whilst staying at that hotel. The post-mortem and toxicology evidence revealed that his death was caused by a pentobarbital overdose.
Related Inquiry Recommendations

Public inquiry recommendations addressing similar themes

Healthcare Worker Support
COVID-19 Inquiry
Healthcare Professional Suicide Risk
Recording Healthcare Worker Deaths
COVID-19 Inquiry
Healthcare Professional Suicide Risk
Pre-screening by Internet Providers
IICSA
Harmful Algorithmic Content Promotion
Age Verification Online
IICSA
Harmful Algorithmic Content Promotion
Publish interim online harms code of practice
IICSA
Harmful Algorithmic Content Promotion
Pre-screen material before upload
IICSA
Harmful Algorithmic Content Promotion
Establish continuing professional development requirements
Morecambe Bay Investigation
Healthcare Professional Suicide Risk
Medical staffing levels
Vale of Leven Inquiry
Healthcare Professional Suicide Risk
Royal College of Surgeons to develop training and explore surgeon age limits
Bristol Heart Inquiry
Healthcare Professional Suicide Risk

Data sourced from Courts and Tribunals Judiciary under the Open Government Licence.