On 7 March 2014 commenced an investigation into the death of Graeme Alexander Kidd , age 42 years: The investigation concluded at the end of the inquest on 16 July 2014 medical cause of death was 1a) cardiogenic shock and hypoxic brain injury, 1b) Asphyxialion from hanging by neck. The conclusion of the inquest was "Suicide whilst the balance of his mind was disturbed and whilst under the care of the mental health services"

Mr Kidd lived with his wife and children: He had a history of mental illness in 2003, which resurfaced in 2008/2009 and in 2010. There had been previous attempts at self harm and to take his own life. Mr Kidd became anxious and down in 2013 and went to his GP_ who restarted medication and referred Mr Kidd as an urgent case to mental health services. Mr Kidd was referred to the Crisis & Home Treatment Team: He was discharged on 6 January 2014. Mr Kidd returned to his GP on 2 occasions and was re-referred to mental health services. He was seen by Consultant Psychiatrist on 21 February and it was decided to wait to see how a previous increase in medication worked. Mr Kidd telephoned the Psychiatrist on Friday 28 February 2014 with low mood and it was agreed he would see how he fared over the weekend. Mr Kidd telephoned Monday 3 March 2014 when it was agreed his medication would be further increased:. Mr Kidd collected the prescription on 5 March. He telephoned Mental Health Services later that day as he was unclear as to how to take the medication: He was to be telephoned back later that day An attempt was made to telephone Mr Kidd on 6 March 2014 On 6 March 2014 Mrs Kidd returned home after the children to school and found her husband hanging: He was taken to hospital and died on 7 March 2014_

In my opinion action should be taken to prevent future deaths and believe your organisation has (he power t0 take such action.