Deceased
Michael Vanquelef Capel
Demographics
43y, male
Date of death
2008-10-10
Finding date
2010-09-08
Cause of death
Multiple gunshot wounds received during a police operation
AI-generated summary
Michael Capel, 43, suffered from schizophrenia managed with monthly antipsychotic injections from his GP. In October 2008, he missed his injection scheduled for 5 September. His mother noticed behavioural changes and encouraged him to attend his GP on 10 October, but he assaulted her at his caravan during an acute psychotic episode. Police were called and arrived after a 5.5-hour delay. They confronted him as he emerged with a large knife. When he advanced towards them, an officer discharged his firearm, fatally wounding him. The coroner found the death was preventable with appropriate follow-up when he missed his injection. The critical failure was the lack of a system to follow up voluntary patients who ceased attending for antipsychotic injections. The coroner recommended GPs implement follow-up systems for medication non-compliance and that police receive training in mental health crisis management.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
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