asphyxia due to upper airway occlusion by a foreign body (blanket)
AI-generated summary
A 53-year-old man with complex psychiatric disorder (schizophrenia, depression, intellectual disability) died by asphyxiation after stuffing a blanket into his mouth while in a High Dependency Unit of a psychiatric hospital. He was detained under the Mental Health Act and being actively treated with appropriate medications for psychotic and mood disorders. Clinical staff were aware of his suicidal ideation and self-harm history, with multiple documented head injuries from recent suicide attempts. The coroner found treatment was appropriate, staffing levels adequate, and observations adequate. The death was deemed self-inflicted and extraordinarily uncommon. No clinical errors or failures were identified. The coroner noted that while documentation of suicidal ideation could have been more explicit in medical records, this did not contribute to the outcome. No recommendations for change were made.
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