During Ine course cf the irquest the evidence revealed matlers giving rise lD ccncern In Ty opinion thare i5 & risk that iuture deaths will occur unless action Is (aken, In the circumstances itis my etatutory duty to reparlla YOu_ Tne j8 lollows (1} tne deceased was given an oul 0l hours telephone number for Use should suicidal ideation Increase However she was known t0 have limited financcs and lhute was & concern that she wOuI nol have been able [D aford to make telephore call If it had become nccassary
02) (31 ACTION shouLD BE TAKEM In MY opinicn artion should be taken t0 prevent deaths and believ? you have power to lake such aclion, ard cons daraticn should be given to the crisis and out of hours telephore number being a freephone number 50 that those in need but without the finances are able to access emergency help without hindrance: Ttne the hor the futufc Ine