Mental Health Investigation
CategoryIndependent investigations into the care and treatment of mental health service users
Independent investigation: Alison Stevenson, Helston (2021)
South West
Mentally disordered man repeatedly and fatally stabbed his grandmother. Convicted of Murder – Life – minimum 18 years
5 recommendations
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Independent investigation: Allah Ditta, Barking (2005)
London
Mentally ill man kills hostel worker with hockey stick and knife. Long MH history – AOT had warned about dangers
8 recommendations
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Independent investigation: Amaaar Khan, Slough (2014)
South East
Depressed and anxious woman jumped in front of a high speed train holding her young son. Family said there had been ‘shortfalls’ in her mental health treatment
17 recommendations
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Independent investigation: Amina Ali, Sheffield (2004)
North East and Yorkshire
Psychotic MH patient sets fire to flat killing occupant. Ind Inq (2004/282) 2006. Warnings unheeded
-1 recommendations
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Independent investigation: Anastasia Voykina, Streatham (2012)
London
Mentally ill man off meds fatally batters girlfriend with hockey stick. Violent history, Should have been seen daily by CMHT
15 recommendations
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Independent investigation: Andrew Else, Croydon (2014)
London
Paranoid schizophrenic fatally stabs stranger 200 times. Had previously stabbed teenager in head three weeks earlier
6 recommendations
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Independent investigation: Angela Titley, Private Psych hospital, Redhill, Surrey (2004)
South East
Psychotic MH patient fatally and repeatedly stabbed lover with Swiss Army Knife. Ind Inq 2009. May have missed meds
-1 recommendations
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Independent investigation: Anita Bawtree, Southampton (2011)
South East
Psychotic man fatally and repeatedly stabbed partner. Extensive Drug history. Recently released from MHA
28 recommendations
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Independent investigation: Anne Morris, Troon (2012)
Scotland
Mentally ill man kills mother and attacks father who survives. Patient of Sussex Partnership Trust in England
5 recommendations
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Independent investigation: Annette Sturt, Dover (2012)
South East
Paranoid schizophrenic fatally batters and strangles his mother. Heavy drug abuse
3 recommendations
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Independent investigation: Annie Garbutt, Mirfield (2007)
North East and Yorkshire
Mentally ill woman batters grandmother to death with garden spade. Ind inq. Verita, 2012
8 recommendations
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Independent investigation: Anthony Harrison, Andover (1998)
South East
Detained MH patient leaves hospital and fatally stabs man. Ind Inq 2001. Later hanged himself at Broadmoor
16 recommendations
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Independent investigation: Anthony Kellman, Brixton (1994)
London
Psychotic fatally shot one stranger and knifed another after mistakenly released from hospital. Ind Inq 2001 (!) – catalogue of errors – no risk ass, previous firearms use, Comm failures
9 recommendations
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Independent investigation: Anthony Kitely, Cardiff (2009)
Wales
Schizophrenic man attempted to kill his mother then fatally and repeatedly stabbed his friend. Long MH history, recently released by MHRT against advice
15 recommendations
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Independent investigation: Anthony Payne (80)Dick Carter (84)Roger Carter, Exeter (2019)
South West
Paranoid schizophrenic fatally batters elderly strangers with a hammer and spade. Previous inpatient, released twice by police, Dr said not detainable despite violence and talking of unicorns
12 recommendations
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Independent investigation: Anthony Radford, Pewley Down, Guildford (2005)
South East
Paranoid schizophrenic fatally and repaetedly batters man with log. MH History. (Ind Inq 2013, Verita)
-1 recommendations
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Independent investigation: Anthony Rigby, Blackburn (2002)
North West
Schizophrenic with history of violence fatally shot friend in the back of the head, three months after release from hosptal. Critical Ind Inq 2003
-1 recommendations
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Independent investigation: Anthony Wakeford, Effingham (2010)
South East
Mentally ill woman fatally stabs husband. Released at trial
8 recommendations
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Independent investigation: Anthony Winship, Notts (1996)
Midlands
MH Patient kills father after stabbing and repeatedly hitting him with hammer.. Ind Inq 1997
-1 recommendations
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Independent investigation: Antonio Tommaso, New Barnet (2014)
London
Paranoid schizophrenic repeatedly and fatally stabs friend & sets flat alight. Not taking Meds – Long MH history
9 recommendations
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Independent investigation: Arthur Lingard, Grimsby (2004)
North East and Yorkshire
Paranoid schizophrenic fatally batters stepfather. Critical Ind Inq (2004/487) 2008 -Few notes, inexperienced staff, warnings by family
3 recommendations
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Independent investigation: Ashleigh Ewing, Heaton, Newcastle (2006)
North East and Yorkshire
Paranoid schizophrenic fatally stabbed mental health worker 39 times with four knives.. Prev. attacked parents with hammer (GBH). Prev. arrested at Buck Pal threatening Queen. Refused medication, realised was danger to others.
-1 recommendations
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Independent investigation: Asiya Khatun, Newham (2000)
London
Mentally ill man fatally strangles his wife. Ind Inq 2002
-1 recommendations
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Independent investigation: Avril Hollens, Tonbridge, Kent (1999)
South East
MH patient fatally stabs girlfriend. Ind Inq 2003
-1 recommendations
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Independent investigation: Aysel Djevdet, Palmers Green (2009)
London
Psychotic depressive man fatally strangles wife
12 recommendations
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