Inquest finds that death of patient failed by Leeds Mental Health unit was avoidable

An inquest has found that 29-year-old Moncef Kaddouri did not intend to take his own life and that his death was avoidable and caused by failings in the mental health unit in which he was a patient. 

Sunny Sandhu represented Mr Kaddouri’s family at the inquest, which concluded this week. Mr Kaddouri had a history of depression and mental health problems, leading to his detention under the Mental Health Act 1983, at the Becklin Centre in Leeds. In October 2017, an inadequate decision was made to grant Mr Kaddouri ground leave whilst accompanied by two staff, during which time, he managed to escape.

He fled to his home – a 13th floor flat – and had locked himself in. Police attended and ordered a locksmith to gain access to the property. As a policeman entered the living room, Mr Kaddouri – who appeared to be hanging on to a window ledge – fell to his death. 

The inquest found that Mr Kaddouri did not intend to die and that failings in procedures by the Becklin Centre, contributed “more than minimally” to the tragic outcome. As always in such tragic circumstances, it is important that the lessons from this case are not lost and where possible steps are taken to help avoid similar incidents in the future. 

Sunny Sandhu commented:

Mr Kaddouri’s mother believes that the Becklin Centre was not a safe environment for her son and has expressed significant concerns for current and future patients.

She sincerely hopes that lessons will be learned from her son’s death that will result in the creation of safe environments for patients detained under the Mental Health Act.

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