Not known whether Stowmarket man intended to take his own life, coroner says
PUBLISHED: 10:33 19 June 2015 | UPDATED: 10:33 19 June 2015
It is not known if a Stowmarket man with a history of attempted suicide meant to take his own life, a coroner has said.
Dean Martin, otherwise known as Max Legendary Payne, died from bilateral aspiration pneumonia against a background of Morphine toxicity at Ipswich Hospital on May 14 last year, aged 42.
The two-day inquest, at IP-City Centre, heard about the days leading up to Dean’s death.
On the first day, the inquest heard about the days leading up to Dean’s death, including the ambulance call on May 12.
The inquest heard how the father-of-one had a history of attempted suicide, alcoholism and mental health problems.
Two days before his death, Dean’s brothers, Jason and Lee, found him unwell in bed at his address in Lindsey Way, and called for an ambulance.
Sally Craft, Dean’s mother, said paramedics said they had no legal obligation “because he was drunk”, and that the hospital would not want him.
The inquest also heard from ambulance staff on the day Dean was asked several times whether he wanted to go to hospital, which he declined.
He was taken to hospital by an ambulance the following day after his condition had worsened.
Toxicologist Rebecca Andrews said Dean’s morphine levels were above therapeutic.
On the second day, the inquest heard how Dean’s GP, Alison Jones, wrote to the East of England Ambulance Service NHS Trust (EEAST) with concerns about the treatment Dean received.
A serious investigation was then launched by EEAST when the letters were received.
Belinda Jackson, who undertook the investigation, said there was a lack of documentation on the first visit made by the ambulance staff, including that Dean declined further treatment, and no written record of the care plan that should have been left with his family.
She added reviews had been undertaken by the staff, with any shortcomings highlighted.
Assistant coroner Nigel Parsley said there was no suggestion in the form of a message to suggest Dean intended to take his own life.
He added: “Dean died from aspiration of gastric contents with contributing factors of Morphine but whether he intended the outcome is not known.”
Sharon Allison, from Ashton KCJ lawyers on behalf of Dean’s family, said following the finding: “The family have found the evidence heard at the inquest informative but clearly distressing.
“They remain of the belief that Dean was let down by the ambulance service when he most depended upon them. They will now take some time to reflect on what they have heard and consider their options available to them.”