Adrian Keatley, aged 48, died by hanging at a roadside location. Police had contact with him the day before his death at the same location but had no welfare concerns. A suicide note was found at the scene. The post-mortem revealed incidental findings of liver cysts of uncertain significance and a hydrocele. This case highlights the importance of thorough risk assessment during police welfare checks, particularly when individuals are found in isolated locations with vehicles present over extended periods. Enhanced mental health screening and engagement with support services may have been beneficial, though the coroner did not identify specific preventable failures in clinical care.
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