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| 'Suicidal' man left alone with noose in Leeds | 'Suicidal' man left alone with noose in Leeds |
| (35 minutes later) | |
| A suicidal man who hanged himself after mental health workers failed to remove a homemade noose was the victim of "lamentable failures", a coroner said. | A suicidal man who hanged himself after mental health workers failed to remove a homemade noose was the victim of "lamentable failures", a coroner said. |
| Bryan Jobson was found hanged at his home in Swarcliffe, Leeds, in February 2011, an inquest in Wakefield heard. | Bryan Jobson was found hanged at his home in Swarcliffe, Leeds, in February 2011, an inquest in Wakefield heard. |
| Coroner David Hinchliff said mental health workers Paul Oates and David Bibbings could have prevented the death by removing the noose. | Coroner David Hinchliff said mental health workers Paul Oates and David Bibbings could have prevented the death by removing the noose. |
| Both men have since been sacked by Leeds Partnership NHS Foundation Trust. | Both men have since been sacked by Leeds Partnership NHS Foundation Trust. |
| The inquest, which ended on Tuesday, heard that both mental health workers went to Mr Jobson's home on Swarcliffe Drive on the weekend of 5 and 6 February 2011. | The inquest, which ended on Tuesday, heard that both mental health workers went to Mr Jobson's home on Swarcliffe Drive on the weekend of 5 and 6 February 2011. |
| 'Left him alone' | 'Left him alone' |
| They found Mr Jobson, 44, with a prepared noose hanging in the property and "in a suicidal state of mind". | |
| He had been affected by the deaths of two of his previous partners and "was more likely than not suffering with depression", the inquest heard. | He had been affected by the deaths of two of his previous partners and "was more likely than not suffering with depression", the inquest heard. |
| Mr Jobson was found dead on 7 February. | Mr Jobson was found dead on 7 February. |
| Giving a narrative verdict, the coroner said: "Bryan was the victim of lamentable failures by two experienced key workers from the crisis resolution home treatment team, who despite... observing the ligature in place and Bryan's suicidal state of mind, left him alone in the house, placing responsibility for Bryan's safety on him. | Giving a narrative verdict, the coroner said: "Bryan was the victim of lamentable failures by two experienced key workers from the crisis resolution home treatment team, who despite... observing the ligature in place and Bryan's suicidal state of mind, left him alone in the house, placing responsibility for Bryan's safety on him. |
| "[This] enabled him to deliberately end his life by an act of self suspension at his home address." | "[This] enabled him to deliberately end his life by an act of self suspension at his home address." |
| Mr Hinchliff said Mr Jobson's death could also have been prevented if Mr Jobson been sectioned under the Mental Health Act. | Mr Hinchliff said Mr Jobson's death could also have been prevented if Mr Jobson been sectioned under the Mental Health Act. |
| "They could also have contacted Mr Jobson's family to get someone to stay with him," he added. | "They could also have contacted Mr Jobson's family to get someone to stay with him," he added. |
| In a statement, Chris Butler, of the Leeds and York Partnership NHS Foundation Trust, said: "Everyone at the trust feels enormous regret about this tragic event. | In a statement, Chris Butler, of the Leeds and York Partnership NHS Foundation Trust, said: "Everyone at the trust feels enormous regret about this tragic event. |
| "Following a disciplinary investigation into this incident, the two members of staff involved were dismissed and a referral has been made to their professional body the Nursing and Midwifery Council regarding their conduct in this case." | "Following a disciplinary investigation into this incident, the two members of staff involved were dismissed and a referral has been made to their professional body the Nursing and Midwifery Council regarding their conduct in this case." |