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Dean Saunders inquest: Jury finds serious failings in case | Dean Saunders inquest: Jury finds serious failings in case |
(35 minutes later) | |
A prison inmate who killed himself "while the balance of his mind was disturbed, contributed to by neglect", an inquest jury has found. | |
Dean Saunders, 25, from Basildon, died at HMP Chelmsford in Essex, in January 2016. | Dean Saunders, 25, from Basildon, died at HMP Chelmsford in Essex, in January 2016. |
He had been arrested the month before when he stabbed his father during a paranoid episode. | He had been arrested the month before when he stabbed his father during a paranoid episode. |
An inquest jury has found there were "a number of serious failings" in the way his case at the prison was handled. | An inquest jury has found there were "a number of serious failings" in the way his case at the prison was handled. |
Live: For more on this and other Essex news | |
During the two-week inquest, witnesses told how decisions about keeping a watch on vulnerable prisoners had been made on a cost basis. | |
The jury unanimously concluded that "financial considerations" were made in deciding to downgrade Mr Saunders from continuous watch status to half-hourly observations. | |
The jury found Mr Saunders "and his family were let down by serious failings by mental health services and prison system". | |
It also found an assessment of his mental health needs was "not adequately conducted" and there were "multiple failings in recording and passing on information". |