Chella Leijten, aged 57, died from metastatic lung carcinoma on 21 March 2018 while an involuntary patient in a palliative care unit. She had longstanding schizoaffective disorder requiring repeated psychiatric admissions. Following terminal lung cancer diagnosis in March 2017, she was managed with palliative care but remained an involuntary patient due to her poor insight, psychotic symptoms, and inability to self-care. She was transferred to Greenwich Hospital's palliative care unit on 20 March 2018 where she deteriorated rapidly over 24 hours and was found unresponsive on 21 March. The coroner found she received appropriate psychiatric and medical care throughout her admissions. No clinical failures were identified and her death resulted from natural disease progression. An inquest was mandatory as she died in lawful custody (involuntary mental health detention).
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