Young man tragically took own life while waiting for crucial medication

The grief-stricken oldsters of a tender guy discovered lifeless at house have spoken of ways issues will have been other for him had an error no longer behind schedule him receiving drugs he had lengthy asked to be prescribed.

The go-ahead for Connor Richard Davies, 21, to have drugs to regard his ADHD used to be given on April 18, 2019, months after he had instructed medics his situation had worsened with out it.

However, tragically 3 days previous, on April 15, 2019, Connor used to be came upon lifeless in his house in Swansea, Wales Online studies.

A 3-day inquest held into his demise noticed assistant coroner, Aled Gruffydd, go back a suicide conclusion.

The inquest heard how a 12 months had long past the place Connor used to be no longer on ADHD drugs and on October 9, 2018, he expressed his need to be put again on it.

His request used to be referred to Dr Reddy, however an administrative error supposed it didn’t succeed in him.

Connor pictured with his brothers, Steven and Shane
Connor pictured together with his brothers, Steven and Shane

The request used to be repeated in February, 2019, however by the point the go-ahead used to be given for the medicine to be restarted on April 18, 2019, it used to be too past due for Connor.

Mr Gruffydd mentioned on the inquest how, while Mr Davies have been chargeable for the prescription to start with relapsing, he had asked to restart the medicine six months prior to he gave up the ghost.

He added: “Had that breakdown in communication not occurred in October, and Connor received his ADHD medication, it is my view that this would have had an impact on his impulsive behaviour and he would have fallen back into the pattern that he was in when he was taking it regularly.

“It is my conclusion that it used to be no longer despair that used to be inflicting his suicidal impulsive behaviour – it used to be ADHD. As such, I in finding the failure to restart the ADHD drugs used to be a failure that performed a consider Connor’s demise.

“An administrative error was responsible for the referral not making it to Dr Reddy. There is an acknowledgement that Dr Reddy was effectively running the service on his own with a long waiting list.

“I’m glad measures have now been installed position to forestall additional sufferers falling during the internet. I’m glad measures installed position will scale back additional deaths.”

Connor (left) with his friend Kieran
Connor (left) together with his pal Kieran

At the belief of the inquest, Mr Davies’s oldsters, mum Michelle Lewis and pop Richard Davies, paid tribute to their son, and spoke of ways they felt issues may have been other had issues been addressed previous.

They mentioned: “He was a bubbly character and always laughing and smiling. He had lots of mates and had a really big funeral. He loved his daughter and really embraced fatherhood. He also loved his nieces and nephews.

“He had a large hobby for rugby and performed for Vardre RFC at the wing. He cherished soccer too. He used to be an excellent mechanic and would do different such things as carpet becoming and labouring. He cherished his motorbikes as smartly – he would strip a motorbike down and rebuild it.

“He’ll always be remembered for his sense of humour and his smile. We’d like to thank the coroner for coming to his conclusions. Connor was failed, it was down to the ADHD tablets. If he had them, I think it would have been different. We hope the changes being put in place will stop this happening to anyone else.”

Mr Davies have been identified with ADHD on the age of 17 and had as soon as been prescribed stimulant ADHD drugs Concerta XL through Dr Duvvoor Reddy, a psychiatrist who used to be the one practitioner ready to care for the situation within the Swansea house.

Mr Davies discovered it helped his situation however he started to revel in side-effects of a lack of urge for food and chest pains. The drugs used to be due to this fact modified to a non-stimulant drugs and he used to be discharged again to the group psychological well being staff.

Having been identified with psychological well being problems and despair he used to be additionally prescribed sertraline together with his dosage upped in incremental levels from 50mg to 150mg – one thing his circle of relatives feared used to be no longer suitable for him with no right kind evaluate given the drug being related with an higher possibility of suicidal ideas in some other people.

Addressing Mr Davies’s oldsters’ considerations concerning the dosage of sertraline he used to be prescribed, Mr Gruffydd mentioned: “Although the risk is there to be recognised I am unable to conclude that the prescription of sertraline was inappropriate.”

Connor Davies died suddenly after suffering with mental health problems
Connor Davies died after struggling with psychological well being issues

The coroner additionally addressed the verdict taken to not admit him into medical institution for remedy – one thing that Mr Davies’s oldsters had time and again pleaded for after their son took quite a lot of overdoses. He have been assessed a number of occasions at Cefn Coed Hospital however used to be launched again into the care of his oldsters every time.

Mr Gruffydd mentioned: “In this case, although the family wanted his admission to hospital, it was felt that whilst there was a pattern of behaviour developing it was felt that all treatment where possible should be given in the community. I can’t conclude the decision not to admit him was wrong.”

For confidential give a boost to the Samaritans will also be contacted without spending a dime across the clock twelve months a 12 months on 116 123.

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