Prevention of Future Deaths reports · 2018
Regulation 28 report to prevent future deaths, reference 2018-0177, written 13 Jun 2018. A coroner writes one of these when an inquest reveals a risk that could cause further deaths unless something changes.
| Date of report | 13 Jun 2018 |
|---|---|
| Reference | 2018-0177 |
| Deceased | Karen Wiggins |
| Coroner | Nicholas Rheinberg |
| Coroner area | Wiltshire and Swindon |
| Category | Suicide (from 2015) |
| Source | judiciary.uk record · original PDF |
| Responses published | none published |
Text extracted from the PDF text layer. Reproduced verbatim, including the scan's own layout.
REGULATION 28: REPORT TO PREVENT FUTURE DEATHS REGULATION 28 REPORT TO P THIS REPORT IS BEING SENT TO: Ghief Executive, swindon Borough council, civic offices, Euclid street, swindon, SN1 2JH 1 2 CORONER I am Nicholas Leslie Rheinberg, assistant coroner for the coroner area of Wiltshire CORONER'S LEGAL POWERS I make this report under parag raph 7 , Schedule 5, of the Coroners and Justice Act 200g and regulations 28 and 2g of the coroners (lnvestigations) Regulations 2013. 3 INVESTIGATION and INQUEST on 12th June 2018 I held an inquest into the death of Karen Diane wiggins. The conclusion of the inquest was that the deceased who had suffered mu-ltiple traumatic injuries following a fallfrom height, died by suicide. 4 CIRCUMSTANCES OF THE DEATH shortly before 6.20 am on Friday 1st Decembe r 2017 when she was found, Karen Wiggins jumped from an upper floor of the Fleming Way Car Park and landed in Gordon Gardens Road, dying instanfly. 5 CORONER'S CONCERNS During the course of the inquest the evidence revealed matters giving rise to concern. ln my opinion there is a risk that future deaths will occur unless action iJ taken. ln the circumstances it is my statutory duty to report to you. The MATTERS OF CONCERN are as foilows. - I learned that there had been a number of suicidal falls from multi storey car parks in swindon, with previous occurrences at the Fleming way car park, together with a number of instances where suicidal individuals had beeh successfully-talked down uninjured. An investigation by the Council is called for. lnter alia such an investigation might explore the possibility of creating physical barriers to prevent individuals jlmping - from height and / or the posting of notices giving contact details for the Samaritans, a strategy that has been employed at some railway stations in an attempt to avoid suicidal leaps in front of trains. 6 ACTION SHOULD BE TAKEN ln my opinion action should be taken to prevent future deaths and I believe your organisation has the power to take such action. 7 YOUR RESPONSE You are under a duty to respond to this report within 56 days of the date of this report, namely by 8th August 2018. l, the assistant coroner, may extend the period. Your response must contain details of action taken or proposed to be taken, setting out the timetable for action. Othenruise you must explain why no action is proposed. COPIES and PUBLIGATION I have sent a copy of my report to the Chief Coroner and to the following lnterested Persons namely the family of the deceased. I am also under a duty to send the Chief Coroner a copy of your response. The Chief Coroner may publish either or both in a complete or redacted or summary form. He may send a copy of this report to any person who he believes may find it useful or of interest. You may make representations to me, the coroner, at the time of your response, about the release or the publication of your response by, Dated 13th June 2018 SIGNED 2
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