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The inquest is the final chapter. | 0:00:02 | 0:00:04 | |
For that moment, you live that case | 0:00:04 | 0:00:06 | |
and you live that life and death of somebody. | 0:00:06 | 0:00:09 | |
West London. | 0:00:09 | 0:00:10 | |
One of the busiest coroner's jurisdictions in the country, | 0:00:10 | 0:00:15 | |
with over 4,000 cases a year. | 0:00:15 | 0:00:16 | |
Today, coroner Alison Thompson is about to enter court | 0:00:16 | 0:00:20 | |
to solve the mystery of a young woman who was found dead at her flat. | 0:00:20 | 0:00:25 | |
Sometimes we are looking more at that person's life | 0:00:25 | 0:00:28 | |
than anyone else would ever have looked at. | 0:00:28 | 0:00:30 | |
It's the culmination of a five-month investigation by the coroner's team. | 0:00:30 | 0:00:36 | |
We are going to have to treat her as a cyanide case. | 0:00:36 | 0:00:40 | |
Do we know anything about where this potassium cyanide came from? | 0:00:40 | 0:00:44 | |
In court, Alison must establish the facts. | 0:00:44 | 0:00:47 | |
Who was the deceased? | 0:00:47 | 0:00:50 | |
When, where and how did she die? | 0:00:50 | 0:00:54 | |
We're ready to go. OK, that's absolutely fine. | 0:00:54 | 0:00:57 | |
When life's end is unexplained, | 0:00:57 | 0:00:59 | |
the answer falls to Her Majesty's Coroner. | 0:00:59 | 0:01:02 | |
Please rise for Her Majesty's Coroner. | 0:01:02 | 0:01:05 | |
It's a Tuesday morning in March, | 0:01:17 | 0:01:19 | |
when the coroner's investigation into Jessica's death begins. | 0:01:19 | 0:01:23 | |
At Uxbridge mortuary, the technicians are preparing her | 0:01:25 | 0:01:29 | |
for a routine postmortem examination. | 0:01:29 | 0:01:32 | |
Coroner's office, good morning. | 0:01:32 | 0:01:35 | |
In the office next door, | 0:01:35 | 0:01:37 | |
Coroner's Officer Diane Whiting is following up on existing cases. | 0:01:37 | 0:01:41 | |
Thank you, Doctor. Bye-bye. | 0:01:41 | 0:01:43 | |
Home Office pathologist Dr Ashley Fegan-Earl | 0:01:46 | 0:01:49 | |
will try to establish how Jessica died. | 0:01:49 | 0:01:52 | |
Here we have a lady with bipolar, which is a risk for suicide. | 0:01:53 | 0:01:58 | |
It's believed she's taken a medication overdose. | 0:01:58 | 0:02:01 | |
We're going to look for any unnatural potential causes, | 0:02:01 | 0:02:05 | |
any injuries to the neck, any signs of deliberate self-harm, | 0:02:05 | 0:02:10 | |
any injuries to the wrists. | 0:02:10 | 0:02:13 | |
If we look at this lady's arms, there are multiple healed scars. | 0:02:13 | 0:02:18 | |
It's not uncommon to see a few marks on the inner aspect of the wrist, | 0:02:18 | 0:02:22 | |
but in this lady, they're very extensive. | 0:02:22 | 0:02:25 | |
They're passing from wrist up to the crook of the arm. | 0:02:25 | 0:02:29 | |
They're also on the back and, more unusually, | 0:02:29 | 0:02:33 | |
over the front of her thighs, but all indicative | 0:02:33 | 0:02:36 | |
of a history of previous acts of deliberate self-harm | 0:02:36 | 0:02:41 | |
and this is a relatively common finding | 0:02:41 | 0:02:44 | |
with a number of suicides that we deal with. | 0:02:44 | 0:02:47 | |
The other issues we're looking for is whether there's any evidence | 0:02:47 | 0:02:52 | |
of third party violence. There's nothing externally of note, | 0:02:52 | 0:02:56 | |
so we'll move to the internal examination now. | 0:02:56 | 0:03:00 | |
Yes, OK. | 0:03:00 | 0:03:03 | |
Dr Fegan-Earl is about to begin the examination | 0:03:03 | 0:03:07 | |
of Jessica's internal organs when Diane calls him out of the mortuary. | 0:03:07 | 0:03:13 | |
I literally put the phone down, | 0:03:13 | 0:03:15 | |
scribbled the note and brought it out. | 0:03:15 | 0:03:17 | |
Do you want me to get the police to go and fetch it? | 0:03:17 | 0:03:20 | |
Yeah, we're not opening her today until we know. | 0:03:20 | 0:03:22 | |
We will leave that and we need to find out a bit more because... | 0:03:22 | 0:03:26 | |
What's the implications of potassium cyanide? | 0:03:26 | 0:03:28 | |
It'll give off cyanide. We'll leave it | 0:03:28 | 0:03:30 | |
and say we need more info. | 0:03:30 | 0:03:32 | |
Right, would you like me to get the police to fetch the container or... | 0:03:32 | 0:03:36 | |
Yeah, I want to know if it's open. | 0:03:36 | 0:03:37 | |
Because if it's not open, fine. | 0:03:37 | 0:03:39 | |
But if it's open, you're going to have to treat her as a cyanide case. | 0:03:39 | 0:03:45 | |
It's the first time the coroner's team in west London | 0:03:45 | 0:03:48 | |
has had to deal with a suspected poisoning like this. | 0:03:48 | 0:03:51 | |
We had a phone call from someone who lived at the house | 0:03:53 | 0:03:56 | |
to say that a pot of potassium cyanide | 0:03:56 | 0:03:58 | |
had been found in her bedroom. | 0:03:58 | 0:03:59 | |
They immediately stopped the postmortem examination | 0:03:59 | 0:04:03 | |
because there's a real risk with certain chemicals | 0:04:03 | 0:04:06 | |
that gasses might be given off, and that this could be very dangerous | 0:04:06 | 0:04:10 | |
to the pathologist and the mortuary staff. | 0:04:10 | 0:04:13 | |
If there is cyanide inside her, this young lady's body ought to go | 0:04:13 | 0:04:17 | |
to a very special unit at St Thomas' Hospital | 0:04:17 | 0:04:20 | |
where they deal with chemical deaths and that kind of thing. | 0:04:20 | 0:04:23 | |
The family have booked a funeral in three days, | 0:04:23 | 0:04:26 | |
so we really are racing against time on this one. | 0:04:26 | 0:04:29 | |
Until a full postmortem examination can be carried out | 0:04:29 | 0:04:33 | |
to establish how she died, the coroner will retain Jessica's body. | 0:04:33 | 0:04:37 | |
Alison Thompson has been the coroner | 0:04:43 | 0:04:45 | |
for the 1.5 million people of west London | 0:04:45 | 0:04:48 | |
for the past 12 years. | 0:04:48 | 0:04:49 | |
I've got a strange-shaped patch. | 0:04:51 | 0:04:54 | |
I would say about 40 miles, top to bottom. | 0:04:54 | 0:04:57 | |
We've got prisons, detention centres, motorways, | 0:05:00 | 0:05:03 | |
big hospitals, main railway lines, airports, | 0:05:03 | 0:05:07 | |
so lots of scope for people dying, I suppose, and certainly enough | 0:05:07 | 0:05:11 | |
to keep us busy with just over 4,000 reported deaths a year. | 0:05:11 | 0:05:16 | |
You can still get some violent crime here. | 0:05:16 | 0:05:18 | |
We had an excellent Detective Chief Superintendent who used to, | 0:05:18 | 0:05:21 | |
in the good old days, | 0:05:21 | 0:05:22 | |
drop in for coffee and doughnuts early in the morning | 0:05:22 | 0:05:25 | |
and tell me about the latest murders. | 0:05:25 | 0:05:27 | |
He was great fun. | 0:05:27 | 0:05:28 | |
And he said, actually, | 0:05:28 | 0:05:30 | |
there's quite a lot of domestic stuff around here, | 0:05:30 | 0:05:34 | |
domestic murder, and I always remember he gave me advice that, | 0:05:34 | 0:05:38 | |
if you ever, by any chance, do kill your partner - | 0:05:38 | 0:05:41 | |
without meaning to, of course - the best thing you can do | 0:05:41 | 0:05:44 | |
is to actually ring and say you've done it as soon as you can. | 0:05:44 | 0:05:47 | |
Once you start prevaricating, you've had it. | 0:05:47 | 0:05:50 | |
To be fair, I'm simply not at the sharp end, | 0:05:50 | 0:05:52 | |
so I don't have the difficult things to do, and I'm very thankful that | 0:05:52 | 0:05:56 | |
there are other people in the system doing the difficult and dirty tasks. | 0:05:56 | 0:06:00 | |
That role falls to her Coroner's Officers. | 0:06:00 | 0:06:03 | |
They are, essentially, investigators of that death, | 0:06:06 | 0:06:10 | |
from start to finish. | 0:06:10 | 0:06:12 | |
We have at the moment ten Coroner's Officers working for us | 0:06:12 | 0:06:16 | |
and I feel very fortunate to have them all. | 0:06:16 | 0:06:18 | |
They are my eyes and ears. | 0:06:18 | 0:06:20 | |
You need a strong stomach. | 0:06:20 | 0:06:23 | |
Having to go and deal with bodies, | 0:06:23 | 0:06:27 | |
sometimes bodies not in a very good condition, | 0:06:27 | 0:06:30 | |
I think it's a difficult job. | 0:06:30 | 0:06:31 | |
It's Monday morning, | 0:06:34 | 0:06:35 | |
often the busiest day of the week for Alison's team. | 0:06:35 | 0:06:38 | |
The badly decomposed body of a man has been found at a flat. | 0:06:41 | 0:06:45 | |
At the scene one, of the Coroner's Officers is gathering evidence | 0:06:45 | 0:06:49 | |
to help determine when he died. | 0:06:49 | 0:06:52 | |
Morning, it's John Mitchell from the Coroner's Office here at Fulham. | 0:06:52 | 0:06:56 | |
One of your patients, unfortunately he's passed away, | 0:06:56 | 0:07:00 | |
and I need to get some medical history. | 0:07:00 | 0:07:03 | |
Yes, at home. No, it's fine, thank you. | 0:07:08 | 0:07:13 | |
At the court in Fulham, Coroner's Officer John Mitchell | 0:07:13 | 0:07:17 | |
is trying to piece together details of Fred's life. | 0:07:17 | 0:07:20 | |
It looks like he'd been there for some time. | 0:07:20 | 0:07:24 | |
There are plenty of clues in Fred's fridge, | 0:07:24 | 0:07:27 | |
where the food is nearly three months old. | 0:07:27 | 0:07:31 | |
And he's got no other history apart from the blood pressure? | 0:07:34 | 0:07:38 | |
Thank you very much. Thanks for your time. Goodbye. | 0:07:38 | 0:07:42 | |
Well, he hasn't been seen at the GP since 2007. | 0:07:42 | 0:07:45 | |
He's an unknown quantity as far as the doctor goes. | 0:07:45 | 0:07:49 | |
Looks very much as if he probably has been there since late November. | 0:07:49 | 0:07:53 | |
The police broke in, noticed the bad smell, found him, | 0:07:53 | 0:07:57 | |
informed the on-call Coroner's Officer last night | 0:07:57 | 0:08:00 | |
who took the details | 0:08:00 | 0:08:01 | |
and organised him being bought into our mortuary in Fulham. | 0:08:01 | 0:08:05 | |
There's no next of kin. | 0:08:05 | 0:08:08 | |
He is 69 years of age. | 0:08:08 | 0:08:11 | |
We'll organise a postmortem for him tomorrow. | 0:08:11 | 0:08:15 | |
It's five o'clock the following morning at Fulham Public Mortuary. | 0:08:18 | 0:08:21 | |
Manager Dave Colvin and deputy manager Lenny Browse are preparing | 0:08:21 | 0:08:26 | |
for the morning's postmortem examinations. | 0:08:26 | 0:08:30 | |
Visceral bag for containing the internal organs | 0:08:30 | 0:08:33 | |
when they have been dissected. | 0:08:33 | 0:08:37 | |
Shroud - no-one goes out naked. | 0:08:37 | 0:08:40 | |
Always go out with a shroud. | 0:08:40 | 0:08:43 | |
Let's see. Block, which goes under the shoulders, | 0:08:43 | 0:08:48 | |
or under the head. | 0:08:48 | 0:08:50 | |
Just preset everything, have it ready. | 0:08:52 | 0:08:55 | |
Like anything else, the secret is in the preparation. | 0:08:55 | 0:08:59 | |
Fred is one of four routine examinations to be carried out today | 0:08:59 | 0:09:03 | |
by Dr Olaf Biedrzycki, | 0:09:03 | 0:09:05 | |
who followed his father into forensic pathology. | 0:09:05 | 0:09:08 | |
I do really enjoy coming to work, which I think I'm very privileged. | 0:09:08 | 0:09:13 | |
I'm a very morning person anyway and it's a quite morning-suited job, | 0:09:13 | 0:09:16 | |
so when the alarm goes at five, I do genuinely think, | 0:09:16 | 0:09:20 | |
"Great, I wonder what we'll have today." | 0:09:20 | 0:09:22 | |
There appears to be a beard and moustache on the face. | 0:09:22 | 0:09:26 | |
The ears are not obviously pierced. | 0:09:26 | 0:09:28 | |
Fingernails are 2-3mm. | 0:09:28 | 0:09:32 | |
I really enjoy doing postmortems. | 0:09:32 | 0:09:34 | |
And I quite enjoy the Coroner's Court side of it. | 0:09:34 | 0:09:38 | |
I just enjoy doing the practical side of things. | 0:09:38 | 0:09:41 | |
Parchmented abrasion to the back of the right hip measuring some 6cm | 0:09:41 | 0:09:45 | |
and parchmented black abrasions to the front of each knee, | 0:09:45 | 0:09:49 | |
measuring six on the left and five on the right. | 0:09:49 | 0:09:51 | |
'It can be quite exciting.' | 0:09:51 | 0:09:54 | |
When you're looking through bowel at lots of poo, | 0:09:55 | 0:09:59 | |
all the glamour fades away very quickly. | 0:09:59 | 0:10:01 | |
Having lain undiscovered for two months, | 0:10:04 | 0:10:07 | |
Fred's body may present Dr Biedrzycki | 0:10:07 | 0:10:09 | |
with a unique set of problems. | 0:10:09 | 0:10:11 | |
When their body is decomposed, you're just trying to make sure that | 0:10:11 | 0:10:15 | |
nothing horrendously untoward has happened, | 0:10:15 | 0:10:18 | |
because the cause of death is probably going to be unascertained. | 0:10:18 | 0:10:21 | |
When you do do a very decomposed body, | 0:10:21 | 0:10:24 | |
even when you're wearing two and three pairs of gloves, | 0:10:24 | 0:10:27 | |
you still have part of that smell on you for a while afterwards. | 0:10:27 | 0:10:31 | |
It's very hard to get rid of. | 0:10:31 | 0:10:32 | |
The eyes are partially destroyed by the decomposition process, | 0:10:32 | 0:10:36 | |
but appear brown. | 0:10:36 | 0:10:38 | |
I've even done a case where the body was very mummified, very desiccated, | 0:10:38 | 0:10:43 | |
lots of decomposition-related holes in the body and, actually, | 0:10:43 | 0:10:47 | |
when we opened up the chest there was a dead mouse within the chest. | 0:10:47 | 0:10:51 | |
That's not unusual. | 0:10:51 | 0:10:54 | |
The examination moves on to Fred's internal organs. | 0:10:54 | 0:11:00 | |
You can just see part of the liver which, | 0:11:00 | 0:11:03 | |
instead of being a lovely mahogany brown colour, | 0:11:03 | 0:11:06 | |
is a very pale yellow colour. | 0:11:06 | 0:11:08 | |
So this, to me, already says that this man | 0:11:08 | 0:11:11 | |
is suffering from cirrhosis of the liver. | 0:11:11 | 0:11:14 | |
Now, lots of causes for that but, unfortunately, in this country, | 0:11:14 | 0:11:17 | |
by far the most common cause is drinking alcohol to excess. | 0:11:17 | 0:11:21 | |
At Fred's flat, there was plenty of evidence of sustained alcohol use. | 0:11:23 | 0:11:28 | |
So I've just started the internal examination, | 0:11:28 | 0:11:31 | |
I've had a couple of helpful findings. | 0:11:31 | 0:11:34 | |
I've opened the stomach, | 0:11:34 | 0:11:35 | |
there's a lot of black, altered blood in there. | 0:11:35 | 0:11:38 | |
It's all looking very good for a significant gastric bleed | 0:11:38 | 0:11:43 | |
due to cirrhosis of the liver. | 0:11:43 | 0:11:45 | |
Unusually in cases of severe decomposition, | 0:11:47 | 0:11:50 | |
establishing a cause of death is looking possible. | 0:11:50 | 0:11:54 | |
Fred will remain in the mortuary team's care | 0:11:54 | 0:11:57 | |
while the search for his next of kin continues. | 0:11:57 | 0:12:00 | |
Deep freeze at minus 20... | 0:12:00 | 0:12:04 | |
..can hold a body for... | 0:12:05 | 0:12:07 | |
..indefinitely. | 0:12:09 | 0:12:11 | |
The longest I think we've ever held onto an individual | 0:12:11 | 0:12:15 | |
was about two years. | 0:12:15 | 0:12:16 | |
Over 600 inquests a year are held at West London Coroner's Court. | 0:12:29 | 0:12:34 | |
These cases are the formal record of how, when and where people died. | 0:12:34 | 0:12:39 | |
She was aged only 28 | 0:12:39 | 0:12:42 | |
and she had been found in a state of collapse at her home. | 0:12:42 | 0:12:45 | |
A note found near to her | 0:12:47 | 0:12:49 | |
suggested that she'd taken an overdose of medication. | 0:12:49 | 0:12:53 | |
Today, Alison is hearing the inquest of a young woman | 0:12:53 | 0:12:57 | |
who appears to have taken her own life. | 0:12:57 | 0:12:59 | |
More than one in seven of our verdicts in west London | 0:13:04 | 0:13:07 | |
is one of suicidal self-harm, | 0:13:07 | 0:13:10 | |
and it has been as high as one in five. | 0:13:10 | 0:13:14 | |
Hello, ma'am. | 0:13:14 | 0:13:15 | |
Thanks very much for doing all this extra work on it. | 0:13:15 | 0:13:19 | |
It's really very helpful. And we've got the original note now, | 0:13:19 | 0:13:22 | |
-found by her dog-walker... -Yes. | 0:13:22 | 0:13:25 | |
..saying, "Do not resuscitate." | 0:13:25 | 0:13:27 | |
Now she has Petra's suicide note, the coroner will able to decide | 0:13:27 | 0:13:32 | |
not only how she died, but whether she meant to take her own life. | 0:13:32 | 0:13:36 | |
Petra was the second-youngest of Peter's four daughters. | 0:13:41 | 0:13:45 | |
She died just before Christmas. | 0:13:45 | 0:13:48 | |
She was a lovely little, friendly girl, very sharp. | 0:13:48 | 0:13:53 | |
Several people wrote to us at the time of her death. | 0:13:53 | 0:13:56 | |
They said she brought joy into a room. | 0:13:56 | 0:13:58 | |
And she did. She was that sort of girl. | 0:13:58 | 0:14:00 | |
Very, very much loved. | 0:14:00 | 0:14:04 | |
By all of us. | 0:14:04 | 0:14:05 | |
At the age of 13, she contracted anorexia, | 0:14:07 | 0:14:10 | |
which is a form of depression. | 0:14:10 | 0:14:13 | |
Finally, at the end of last year, | 0:14:13 | 0:14:15 | |
she'd had enough of trying to get better. | 0:14:15 | 0:14:18 | |
She'd managed to get, through the Internet, | 0:14:18 | 0:14:21 | |
some pretty nasty antidepressants, | 0:14:21 | 0:14:25 | |
to the tune of 300. | 0:14:25 | 0:14:28 | |
One morning my wife was rung up, to be told that | 0:14:28 | 0:14:32 | |
she'd been found in her bedroom, on the floor, totally unconscious. | 0:14:32 | 0:14:36 | |
She was in the Charing Cross resuscitation unit, | 0:14:39 | 0:14:43 | |
absolutely fantastic doctors who did all they could. | 0:14:43 | 0:14:46 | |
Unfortunately, one could tell she was braindead | 0:14:46 | 0:14:50 | |
and one would have had to make a decision then | 0:14:50 | 0:14:53 | |
whether to cut it off or not. | 0:14:53 | 0:14:55 | |
Thank goodness she died, actually, from heart failure. | 0:14:55 | 0:14:58 | |
But...not easy. | 0:14:58 | 0:15:01 | |
It's interesting looking at the poisons information | 0:15:08 | 0:15:11 | |
that the hospital were able to get, because it shows that this other drug | 0:15:11 | 0:15:16 | |
is very difficult to deal with in overdose. | 0:15:16 | 0:15:19 | |
So, really, from the outset, I think she was in difficulty | 0:15:19 | 0:15:22 | |
and I think she was obviously an intelligent woman who knew that would be the case. | 0:15:22 | 0:15:26 | |
I mean, she's giving clear instructions to people here, isn't she? | 0:15:26 | 0:15:31 | |
-Is Tomasina the... -Tomasina's the dog? | 0:15:31 | 0:15:34 | |
To even sort of say, whoever takes the dog gets some money | 0:15:35 | 0:15:39 | |
to look after the dog for insurance and stuff. | 0:15:39 | 0:15:41 | |
Even mentioning the dog being due for a haircut. | 0:15:41 | 0:15:44 | |
I mean, down to the nth degree of detail here. | 0:15:44 | 0:15:47 | |
And giving money to whoever's going to look after the dog, | 0:15:47 | 0:15:51 | |
and giving the PIN number for her bank account even. | 0:15:51 | 0:15:57 | |
-That's the thing, isn't it, that really makes it so convincing. -Shows it's final. | 0:15:57 | 0:16:01 | |
I think it leaves us with a clear intention, | 0:16:01 | 0:16:03 | |
and circumstances suggesting that she intended the outcome to be fatal. | 0:16:03 | 0:16:09 | |
But, obviously, I'll look at all the evidence. | 0:16:09 | 0:16:14 | |
John's going to take me into open court now, so I'm afraid | 0:16:14 | 0:16:18 | |
the rules require me to respectfully ask you to leave. | 0:16:18 | 0:16:23 | |
The coroner will make her final verdict on the death alone. | 0:16:24 | 0:16:29 | |
Petra's family have chosen not to attend the hearing. | 0:16:29 | 0:16:33 | |
I did determine that she had intended to take her life, | 0:16:33 | 0:16:36 | |
and so I recorded a verdict. | 0:16:36 | 0:16:38 | |
We don't tend to use the word "suicide". | 0:16:38 | 0:16:40 | |
We actually write down, "The deceased took their own life." | 0:16:40 | 0:16:44 | |
John now has to pass on the coroner's decision | 0:16:46 | 0:16:49 | |
to Petra's family. | 0:16:49 | 0:16:50 | |
We've just come out of court, having held the inquest. | 0:16:53 | 0:16:57 | |
The coroner felt she had no option | 0:16:57 | 0:17:00 | |
but to arrive at a verdict that Petra took her own life. | 0:17:00 | 0:17:04 | |
For Petra's family, the conclusion of the coroner's investigation | 0:17:06 | 0:17:09 | |
might do more than simply mark the end of this tragedy. | 0:17:09 | 0:17:13 | |
I do feel there could be some benefit at the end of it, | 0:17:13 | 0:17:18 | |
if there is such a word. | 0:17:18 | 0:17:20 | |
And no child or... I call her a child - she's 28 - | 0:17:20 | 0:17:24 | |
is able to just have available the access to taking her own life | 0:17:24 | 0:17:30 | |
in this manner. | 0:17:30 | 0:17:32 | |
If you want to buy any prescription drug through the Internet, | 0:17:32 | 0:17:37 | |
you can do so. | 0:17:37 | 0:17:39 | |
It's not legal in the European Union, | 0:17:39 | 0:17:41 | |
but you can do it | 0:17:41 | 0:17:43 | |
from outside anywhere. | 0:17:43 | 0:17:46 | |
I will consider whether or not there is anybody I could report it to. | 0:17:46 | 0:17:50 | |
I think the difficulty is regulating overseas sites. | 0:17:50 | 0:17:53 | |
But it might be worth me contacting the regulatory body in this country. | 0:17:53 | 0:17:59 | |
I think it's probably one of the most important features | 0:17:59 | 0:18:03 | |
of what we do, actually, is prevention of other fatalities. | 0:18:03 | 0:18:06 | |
It's something tangible. | 0:18:06 | 0:18:08 | |
Another day is coming to an end at Uxbridge Mortuary. | 0:18:17 | 0:18:21 | |
Technicians Cheryl and Cassie are tending the deceased | 0:18:21 | 0:18:25 | |
and preparing the mortuary for tomorrow's cases. | 0:18:25 | 0:18:29 | |
My other half, he thinks it's brilliant | 0:18:33 | 0:18:36 | |
that we do this type of thing. | 0:18:36 | 0:18:37 | |
He thinks it's really good. He certainly couldn't do it. | 0:18:37 | 0:18:41 | |
My son's got more of an idea now about what I do, | 0:18:41 | 0:18:45 | |
but my daughter thinks I send people to heaven! | 0:18:45 | 0:18:48 | |
Sometimes you do get quite involved, say if it's a suicide, | 0:18:48 | 0:18:51 | |
and you start feeling sorry and you really shouldn't, maybe, do that. | 0:18:51 | 0:18:54 | |
You should just get on and do the job. | 0:18:54 | 0:18:58 | |
You're aware that there's a family, | 0:18:58 | 0:19:01 | |
that their parents are going to bury their child, | 0:19:01 | 0:19:05 | |
and that's awful, | 0:19:05 | 0:19:07 | |
even from a young child, to a teenager, 20s. | 0:19:07 | 0:19:11 | |
And that's horrible, because life dictates | 0:19:11 | 0:19:13 | |
that a parent shouldn't bury their child. | 0:19:13 | 0:19:15 | |
It's meant to be the other way round. | 0:19:15 | 0:19:18 | |
Coroner's Officer Diane Whiting has travelled to Fulham | 0:19:21 | 0:19:24 | |
to brief the coroner on Jessica's unique case. | 0:19:24 | 0:19:27 | |
-Diane, come in. -Ma'am. | 0:19:27 | 0:19:31 | |
We've got a young lady of 27 years of age, | 0:19:31 | 0:19:34 | |
living with her boyfriend, who was found dead in bed, with notes left, | 0:19:34 | 0:19:41 | |
and a tub of potassium cyanide was found in the room. | 0:19:41 | 0:19:45 | |
Although I have to say that wasn't found until later, | 0:19:45 | 0:19:50 | |
after her body had been moved over to us at Uxbridge. | 0:19:50 | 0:19:54 | |
None of us realised what the dangers were. | 0:19:54 | 0:19:57 | |
They're dangerous, suicides, in a sense. | 0:19:57 | 0:20:00 | |
-You never... -Fully know. -..fully know what someone has got. | 0:20:00 | 0:20:05 | |
So you just got to treat every body exactly the same | 0:20:05 | 0:20:08 | |
and take precautions. | 0:20:08 | 0:20:10 | |
We had one young lady who swallowed razor blades. | 0:20:10 | 0:20:13 | |
I mean, that could be really dangerous if you're not aware. | 0:20:13 | 0:20:18 | |
I think with the Internet, you're hearing of more and more cases | 0:20:18 | 0:20:21 | |
where people are getting stuff online | 0:20:21 | 0:20:24 | |
and mixing up concoctions and gassing themselves. | 0:20:24 | 0:20:27 | |
And, of course, anyone else that then goes into that environment, | 0:20:27 | 0:20:30 | |
be it the scene where the suicide's been committed, | 0:20:30 | 0:20:33 | |
or the body itself, is at risk. | 0:20:33 | 0:20:35 | |
The situation is at the moment that we were advised to move her up | 0:20:35 | 0:20:39 | |
to one of the London hospitals for a postmortem examination | 0:20:39 | 0:20:42 | |
Guy's and St Thomas', I think. | 0:20:42 | 0:20:44 | |
They had a detector which would have detected cyanide gases | 0:20:44 | 0:20:48 | |
had they been present, and there weren't any. | 0:20:48 | 0:20:52 | |
The chemical probes used to detect cyanide gas | 0:20:52 | 0:20:55 | |
at the specially-arranged postmortem failed to reveal | 0:20:55 | 0:20:58 | |
whether Jessica had taken the poison. | 0:20:58 | 0:21:01 | |
But, at the scene, a spoon and glass were also recovered. | 0:21:01 | 0:21:07 | |
The glass had traces of potassium cyanide on it. | 0:21:07 | 0:21:11 | |
The coroner wants to know if Jessica herself | 0:21:11 | 0:21:15 | |
left any information about what she'd taken. | 0:21:15 | 0:21:18 | |
Did the note give us any clues? | 0:21:18 | 0:21:20 | |
Did she say anything in the note? | 0:21:20 | 0:21:21 | |
No, they were, basically, sorry to family members. | 0:21:21 | 0:21:27 | |
They weren't indicative of what was in her mind. | 0:21:27 | 0:21:30 | |
Do you know what the note on the door said? | 0:21:30 | 0:21:32 | |
Don't come in, call the police. | 0:21:32 | 0:21:34 | |
Because otherwise her partner would have come in. | 0:21:34 | 0:21:36 | |
-Did the police look at her computer? -She had used her computer | 0:21:36 | 0:21:41 | |
to research the use of potassium cyanide. | 0:21:41 | 0:21:44 | |
So we still haven't got a final cause of death yet. | 0:21:44 | 0:21:48 | |
We are still awaiting toxicology. | 0:21:48 | 0:21:51 | |
They're doing quite extensive tests. | 0:21:51 | 0:21:54 | |
Lovely, and I'll be in touch with you about that. | 0:21:54 | 0:21:56 | |
We'll speak again in three weeks. | 0:21:56 | 0:21:58 | |
-Yeah, thanks, Diane. -Thanks. Bye-bye. -Bye. | 0:21:58 | 0:22:01 | |
Jessica's blood samples may hold the key to how she died. | 0:22:01 | 0:22:06 | |
But, because cyanide cases are so rare, | 0:22:06 | 0:22:09 | |
the tests must take place in France. | 0:22:09 | 0:22:12 | |
It'll add another six weeks to the coroner's investigation | 0:22:13 | 0:22:17 | |
and keep Jessica's family waiting. | 0:22:17 | 0:22:20 | |
Yes, hello, it's John Mitchell from the Coroner's Office at Fulham. | 0:22:23 | 0:22:28 | |
Yes, plastic bag over his head. | 0:22:28 | 0:22:30 | |
How many witnesses do you have? | 0:22:31 | 0:22:33 | |
At Fulham coroner's office, things are proving more straightforward | 0:22:33 | 0:22:37 | |
in the case of Fred, who died alone. | 0:22:37 | 0:22:40 | |
Morning, John. Good news. | 0:22:40 | 0:22:43 | |
He's not as decomposed as we thought | 0:22:43 | 0:22:46 | |
and, actually, I managed to get a cause of death on him. | 0:22:46 | 0:22:49 | |
He's got cirrhosis of the liver | 0:22:49 | 0:22:50 | |
and a significant bleed in his bowel due to a oesophageal varices. | 0:22:50 | 0:22:54 | |
So we won't need an inquest in this case. I'm sure you'll be pleased. | 0:22:54 | 0:22:57 | |
-Brilliant news, Olaf. Super. -Excellent. -Thanks very much. | 0:22:57 | 0:23:01 | |
-Nice when it happens like that, occasionally. -Exactly. | 0:23:01 | 0:23:04 | |
As Fred died of natural causes, his case won't need an inquest. | 0:23:04 | 0:23:09 | |
Establishing how he died has been surprisingly easily. | 0:23:09 | 0:23:13 | |
But locating friends and family has proved impossible. | 0:23:13 | 0:23:17 | |
I've been here five years. I think I've only had two people | 0:23:17 | 0:23:21 | |
who we've never been able to put a name on. | 0:23:21 | 0:23:23 | |
But we've had plenty of people who we've had to sort of | 0:23:23 | 0:23:26 | |
put in the hands of the local authority | 0:23:26 | 0:23:29 | |
because they've got no next of kin. | 0:23:29 | 0:23:31 | |
Can you give me a cause of death? | 0:23:31 | 0:23:34 | |
'Nine million people in London, | 0:23:34 | 0:23:36 | |
'but it can be a very lonely place if you've got no friends or family,' | 0:23:36 | 0:23:40 | |
and you're sort of, you know, you're getting on a little bit, | 0:23:40 | 0:23:43 | |
and you're holed up in your little flat with your cat, | 0:23:43 | 0:23:45 | |
and you never go out, your neighbours get your shopping, | 0:23:45 | 0:23:48 | |
and things like that, that's all too common. | 0:23:48 | 0:23:51 | |
They were walking, living, talking, breathing. | 0:23:53 | 0:23:56 | |
To us now, you know, with the most of respect, they are just shells. | 0:23:56 | 0:24:01 | |
But you still got to treat them as though they're one of your own. | 0:24:01 | 0:24:04 | |
Even if that person does not have so much as one single living soul | 0:24:04 | 0:24:10 | |
to shed a tear for them, | 0:24:10 | 0:24:12 | |
here they will be treated well. | 0:24:12 | 0:24:15 | |
So having respect for everyone, no matter what colour, | 0:24:15 | 0:24:19 | |
no matter what gender, | 0:24:19 | 0:24:21 | |
no matter what they've done in their lives, we never judge. | 0:24:21 | 0:24:25 | |
So, basically, you do the best you can, when you can. | 0:24:25 | 0:24:31 | |
Hello, it's Neil Sherry at the funeral directors. | 0:24:31 | 0:24:35 | |
I'm just ringing up about the funeral arrangements for Frederick | 0:24:35 | 0:24:39 | |
from the London Borough of Hammersmith and Fulham. | 0:24:39 | 0:24:42 | |
Right, excellent. We'll come along later on today to collect him. | 0:24:42 | 0:24:47 | |
The council have an obligation to arrange a funeral | 0:24:47 | 0:24:49 | |
if no-one else will take responsibility. | 0:24:49 | 0:24:52 | |
It's a statutory duty of every local authority. | 0:24:52 | 0:24:55 | |
It does happen quite a lot. | 0:24:57 | 0:25:00 | |
We probably do 150 local authority funerals a year | 0:25:00 | 0:25:07 | |
and out of that, I would say maybe 15-20%, there's no-one there. | 0:25:07 | 0:25:13 | |
We don't necessarily know anything about the person, | 0:25:13 | 0:25:16 | |
so we can't celebrate their life. | 0:25:16 | 0:25:20 | |
At least there is the vicar and us there for their funeral service. | 0:25:20 | 0:25:24 | |
It's the end of the day at her court in Fulham, | 0:25:31 | 0:25:34 | |
and Alison Thompson has some good news in Petra's case. | 0:25:34 | 0:25:38 | |
I'm always surprised at how many families say to us after a death, | 0:25:38 | 0:25:42 | |
you know, we just would love something good to come out of this. | 0:25:42 | 0:25:46 | |
We'd like lessons to be learned. | 0:25:46 | 0:25:48 | |
Petra took her own life by exploiting a loophole | 0:25:48 | 0:25:52 | |
to buy antidepressants on the Internet without a prescription. | 0:25:52 | 0:25:57 | |
I wrote with good effect, I think, | 0:25:57 | 0:26:00 | |
to the Medicines and Healthcare products Regulatory Agency. | 0:26:00 | 0:26:05 | |
They're monitoring the Internet for websites operating in the UK, | 0:26:05 | 0:26:08 | |
they're making test purchases from the Internet | 0:26:08 | 0:26:11 | |
so they can monitor more effectively, | 0:26:11 | 0:26:13 | |
and they say that, really, they've got two jobs. | 0:26:13 | 0:26:16 | |
One is enforcement to prevent the sale from illegal websites, | 0:26:16 | 0:26:20 | |
but also education. | 0:26:20 | 0:26:22 | |
It's not bringing anybody back, but it does help families to know | 0:26:22 | 0:26:26 | |
that it's been taken seriously and that some good may come of it. | 0:26:26 | 0:26:31 | |
Four months after her death, | 0:26:36 | 0:26:38 | |
and the mystery of Jessica's suspected cyanide case | 0:26:38 | 0:26:41 | |
is still unfolding. | 0:26:41 | 0:26:43 | |
At Uxbridge Coroner's Office, pathologist Dr Ashley Fegan-Earl | 0:26:43 | 0:26:47 | |
has finally received the toxicology results. | 0:26:47 | 0:26:52 | |
We've got the reports from France | 0:26:52 | 0:26:54 | |
that has showed the presence of cyanide. | 0:26:54 | 0:26:58 | |
So I think that's quite interesting | 0:26:58 | 0:26:59 | |
that the chemical probes were negative, | 0:26:59 | 0:27:01 | |
and yet in the blood, which is obviously the most sensitive | 0:27:01 | 0:27:05 | |
and the most important area, it's positive. | 0:27:05 | 0:27:07 | |
So your cause of death is cyanide toxicity or something like that? | 0:27:07 | 0:27:11 | |
We will go for 1a, cyanide intoxication. | 0:27:11 | 0:27:13 | |
Hello, there, it's Diane Whiting from the Coroner's Office. | 0:27:13 | 0:27:18 | |
Diane now has to pass the news to Jessica's family. | 0:27:18 | 0:27:22 | |
We have confirmed cyanide intoxication. | 0:27:22 | 0:27:27 | |
I know from what I've heard, you know, | 0:27:27 | 0:27:29 | |
that your daughter was a very kind and caring person, | 0:27:29 | 0:27:33 | |
and the likelihood is that she may have looked at the levels | 0:27:33 | 0:27:37 | |
and made sure that she took a level | 0:27:37 | 0:27:39 | |
that wasn't going to be injurious to people around her. | 0:27:39 | 0:27:43 | |
This does mean now that we can go to inquest. | 0:27:43 | 0:27:47 | |
Well, we appreciate hearing that news. | 0:27:47 | 0:27:50 | |
I suspected all along, so it's not a surprise to us. | 0:27:50 | 0:27:54 | |
Yeah, OK. | 0:27:54 | 0:27:56 | |
Thanks so much, Diane. We appreciate the information you've given us. | 0:27:56 | 0:28:00 | |
You're very welcome. | 0:28:00 | 0:28:02 | |
And please feel free to call me any time | 0:28:02 | 0:28:04 | |
if there's any other way in which I can help you, | 0:28:04 | 0:28:07 | |
or if there's anything else you need to know. Bye. | 0:28:07 | 0:28:10 | |
Well, Mum and Dad are now... | 0:28:12 | 0:28:16 | |
you know, they, they have the answer, | 0:28:16 | 0:28:21 | |
which...they, they knew they were going to get, I think, anyway. | 0:28:21 | 0:28:27 | |
But they did say it had been a long time waiting, which of course it is, | 0:28:27 | 0:28:32 | |
but we had to go through quite a long process to be sure. | 0:28:32 | 0:28:38 | |
There were times when we weren't sure and now we are, | 0:28:38 | 0:28:41 | |
and now they are, | 0:28:41 | 0:28:43 | |
and...we can start wrapping things up. | 0:28:43 | 0:28:48 | |
The coroner finally has Jessica's medical cause of death, | 0:28:50 | 0:28:54 | |
but her case file may provide clues about her background, | 0:28:54 | 0:28:58 | |
which could help to determine her state of mind when she died. | 0:28:58 | 0:29:02 | |
In the time I've been in west London, | 0:29:02 | 0:29:04 | |
I haven't come across a cyanide poisoning case before. | 0:29:04 | 0:29:07 | |
Sometimes, as part of an inquiry into the death, | 0:29:07 | 0:29:11 | |
we learn an awful lot about the person. | 0:29:11 | 0:29:14 | |
I notice from looking at the file and at the photographs, | 0:29:15 | 0:29:19 | |
that this lady created a very nice home environment, | 0:29:19 | 0:29:22 | |
the flowers and artwork in the apartment. | 0:29:22 | 0:29:25 | |
And I gather she was also a very keen photographer. | 0:29:25 | 0:29:29 | |
It's apparent that she had a close, loving relationship, | 0:29:31 | 0:29:35 | |
which, again, sometimes makes one think, | 0:29:35 | 0:29:38 | |
well, if that was such an important part of their lives, | 0:29:38 | 0:29:42 | |
it's difficult to understand how they can necessarily do this. | 0:29:42 | 0:29:45 | |
But, of course, I'm not naive enough to think that the two can't go together. | 0:29:45 | 0:29:51 | |
All of that background is really very important to us | 0:29:51 | 0:29:54 | |
in concluding how she died. | 0:29:54 | 0:29:57 | |
It's the morning of Fred's funeral. | 0:30:06 | 0:30:09 | |
He died alone and his body lay undiscovered for two months. | 0:30:11 | 0:30:14 | |
Without family or friends, it's been left to the local authority | 0:30:18 | 0:30:21 | |
and undertakers to arrange the service. | 0:30:21 | 0:30:24 | |
But the pews at Mortlake Crematorium are not entirely empty. | 0:30:30 | 0:30:34 | |
Fred's neighbour, Novlette, who lived upstairs, | 0:30:36 | 0:30:40 | |
and her mother are here to pay their respects. | 0:30:40 | 0:30:43 | |
We've come to say farewell to... | 0:30:43 | 0:30:49 | |
..you called him Fred, your neighbour? | 0:30:49 | 0:30:52 | |
To trust him to God. | 0:30:52 | 0:30:55 | |
Let's do so by starting with a prayer. | 0:30:55 | 0:30:57 | |
The thing is, I didn't really know him that well. | 0:30:59 | 0:31:03 | |
We was neighbours, so he lived downstairs from me, | 0:31:03 | 0:31:06 | |
so I'd see him in passing, really. | 0:31:06 | 0:31:10 | |
Once I hadn't seen him for maybe about a week or so, | 0:31:10 | 0:31:13 | |
so I rang the doorbell, and when he opened the door he said, | 0:31:13 | 0:31:17 | |
"Oh, no, don't worry about me, dear. I'm fine." | 0:31:17 | 0:31:20 | |
You told me how he used to pick up your mail in the morning so, | 0:31:20 | 0:31:25 | |
although he has no relatives, he has people that knew him. | 0:31:25 | 0:31:30 | |
Once in a while, I would hear that he's on the phone, | 0:31:30 | 0:31:33 | |
so I always used to think, "Oh, that's nice, he's speaking to his family." | 0:31:33 | 0:31:37 | |
But it was actually probably just, | 0:31:37 | 0:31:39 | |
you know, somebody from the electricity company. | 0:31:39 | 0:31:41 | |
Now we say goodbye. | 0:31:41 | 0:31:44 | |
It was over the Christmas period, | 0:31:44 | 0:31:46 | |
so I'd noticed his post was sort of piling up. | 0:31:46 | 0:31:50 | |
Every day I would ring the doorbell, just at different times, | 0:31:50 | 0:31:54 | |
just to see if he had come home, but he wasn't answering the door. | 0:31:54 | 0:32:00 | |
One evening I came home, and there was just this horrendous smell, | 0:32:00 | 0:32:04 | |
you know, the worst smell I've ever experienced in my life. | 0:32:04 | 0:32:07 | |
You know, I just knew something wasn't right there. | 0:32:07 | 0:32:11 | |
I even felt really guilty because, you know, | 0:32:14 | 0:32:18 | |
I was here in my front room, you know, just living life, | 0:32:18 | 0:32:22 | |
just going about my daily business, really and, you know, | 0:32:22 | 0:32:25 | |
having friends and family round, and things like that. | 0:32:25 | 0:32:29 | |
And all the time he was just down there, it's just horrible to think. | 0:32:29 | 0:32:33 | |
It's just not right. | 0:32:33 | 0:32:35 | |
To me, it was a beautiful send-off. | 0:32:38 | 0:32:41 | |
I don't know much about him personally, | 0:32:41 | 0:32:44 | |
but I could only imagine he could be happy with that. | 0:32:44 | 0:32:49 | |
And I feel as though his dignity, | 0:32:49 | 0:32:52 | |
that, you know, that was actually... | 0:32:52 | 0:32:55 | |
..regained if anything, you know. | 0:32:57 | 0:32:59 | |
Thursday, 14th July. | 0:33:08 | 0:33:10 | |
The West London Coroner's five-month investigation | 0:33:11 | 0:33:15 | |
into the sudden death of Jessica is reaching its conclusion. | 0:33:15 | 0:33:19 | |
Today, the inquest is being heard in court. | 0:33:19 | 0:33:22 | |
It's a legal process steeped in history. | 0:33:22 | 0:33:26 | |
Things have changed gradually over the last 800 years. | 0:33:26 | 0:33:29 | |
For example, we now can't hear inquests in public houses, | 0:33:29 | 0:33:33 | |
which is rather a shame. | 0:33:33 | 0:33:34 | |
We don't go through the whole palaver of, | 0:33:34 | 0:33:37 | |
"Oyez, oyez, all those people | 0:33:37 | 0:33:38 | |
"having anything to do with the sitting of the Coroner's Court, | 0:33:38 | 0:33:42 | |
"draw nigh and give your attendance, God save the Queen." | 0:33:42 | 0:33:45 | |
We don't do that any more. | 0:33:45 | 0:33:47 | |
When I come in, I set up the court. | 0:33:47 | 0:33:50 | |
I make sure the sound equipment's working. | 0:33:50 | 0:33:53 | |
The coroner has summoned six witnesses to testify... | 0:33:53 | 0:33:57 | |
We've asked everyone to come for 9.45am. | 0:33:57 | 0:34:00 | |
..including police and chemical specialists, | 0:34:00 | 0:34:02 | |
along with pathologist Ashley Fegan-Earl. | 0:34:02 | 0:34:04 | |
-Hello, Ashley. -Hi, John. How are you? -Good, thanks. | 0:34:04 | 0:34:07 | |
They have to promise to tell the truth | 0:34:07 | 0:34:09 | |
or swear on a holy book to tell the truth. | 0:34:09 | 0:34:11 | |
We have the Koran, a Bible of course, | 0:34:11 | 0:34:15 | |
an Old Testament for people of the Jewish faith. | 0:34:15 | 0:34:17 | |
The Sikhs have a special holy book | 0:34:17 | 0:34:19 | |
which is always kept wrapped in a cloth so that we don't touch it. | 0:34:19 | 0:34:23 | |
You know, it's only for believers. | 0:34:23 | 0:34:25 | |
We're ready to go. OK, that's absolutely fine. | 0:34:25 | 0:34:27 | |
Please rise for Her Majesty's Coroner. | 0:34:27 | 0:34:31 | |
Under English law, cameras are banned from filming in open court. | 0:34:31 | 0:34:35 | |
What follows is taken from the court's own transcripts. | 0:34:35 | 0:34:40 | |
The purpose of the hearing is to determine and record | 0:34:43 | 0:34:46 | |
when, where and how this young lady died. | 0:34:46 | 0:34:50 | |
Though the images are representative, the words are real. | 0:34:50 | 0:34:53 | |
I swear by Almighty God, the evidence I shall give shall be | 0:34:53 | 0:34:56 | |
the truth, the whole truth and nothing but the truth. | 0:34:56 | 0:34:59 | |
Do sit down. | 0:34:59 | 0:35:01 | |
The key to establishing if Jessica's death was an intentional act | 0:35:01 | 0:35:05 | |
lies in understanding her state of mind. | 0:35:05 | 0:35:08 | |
Her partner, who found her, is here to testify. | 0:35:08 | 0:35:12 | |
I do apologise, because I know this is something of a sad reminder | 0:35:14 | 0:35:18 | |
of all the events in February, | 0:35:18 | 0:35:19 | |
but your evidence is very important to us. | 0:35:19 | 0:35:22 | |
Obviously, you knew her well and you saw something of the illness. | 0:35:24 | 0:35:28 | |
A lot of effort was required to remain | 0:35:28 | 0:35:32 | |
at what normal people would consider... | 0:35:32 | 0:35:34 | |
An equilibrium? | 0:35:34 | 0:35:36 | |
Yeah, it was, it was difficult for her. | 0:35:36 | 0:35:39 | |
And that morning I was concerned at her level of calmness, | 0:35:39 | 0:35:43 | |
because that was unusual. | 0:35:43 | 0:35:45 | |
Did you have any contact with her during the day? | 0:35:45 | 0:35:48 | |
Yeah, she was texting me up to about 2 or 3pm. | 0:35:48 | 0:35:52 | |
The night before she said, "Keep in touch tomorrow." | 0:35:56 | 0:36:01 | |
As I walked through the door of the flat, | 0:36:01 | 0:36:06 | |
on the door there was a note, something along the lines of, | 0:36:06 | 0:36:09 | |
"Don't come in, just call the police," or something. | 0:36:09 | 0:36:13 | |
And I ignored that, and... | 0:36:13 | 0:36:17 | |
I think, greatly to your credit, | 0:36:17 | 0:36:18 | |
you made attempts, didn't you, to resuscitate her. | 0:36:18 | 0:36:21 | |
Yeah. | 0:36:21 | 0:36:22 | |
And at this point it's a bit of a haze. | 0:36:25 | 0:36:28 | |
Um, it-it just remains for me | 0:36:28 | 0:36:30 | |
to formally record a medical cause of death, | 0:36:30 | 0:36:33 | |
a brief narrative and a formal verdict. | 0:36:33 | 0:36:35 | |
She had battled valiantly for many, many years | 0:36:39 | 0:36:42 | |
with this devastating illness. | 0:36:42 | 0:36:44 | |
So I'm going to formally record a verdict that she took her own life. | 0:36:48 | 0:36:53 | |
It's not for me too presume but people are left thinking, | 0:36:56 | 0:36:59 | |
"Well, was there anything we could have done to prevent it?" | 0:36:59 | 0:37:02 | |
And I think the answer is no. | 0:37:02 | 0:37:04 | |
In a case like this, it wasn't an impulsive gesture. | 0:37:04 | 0:37:07 | |
She'd lived with a degree of unhappiness for a long, long time. | 0:37:07 | 0:37:11 | |
And she was tired. And I think she made it clear. | 0:37:11 | 0:37:15 | |
But she nicely made it clear also in her notes that she loved them all | 0:37:15 | 0:37:19 | |
and that they must not grieve for her | 0:37:19 | 0:37:21 | |
or think that they could have done any more. | 0:37:21 | 0:37:24 | |
And she was at pains to point that out. | 0:37:24 | 0:37:27 | |
Hello. My name is David. | 0:37:27 | 0:37:30 | |
I'm Jess's younger brother and I'm speaking on behalf of all of her siblings. | 0:37:30 | 0:37:33 | |
Big sisters are truly one of a kind, and Jess was no exception. | 0:37:33 | 0:37:38 | |
Good morning. I'm Pat, also known as Aunt Weedy. | 0:37:39 | 0:37:43 | |
Jess was a stubborn little Munchkin | 0:37:43 | 0:37:46 | |
and she had no problems standing, hands on hip, | 0:37:46 | 0:37:48 | |
looking up at her dad. | 0:37:48 | 0:37:50 | |
It didn't faze her a bit that he was five feet taller | 0:37:50 | 0:37:53 | |
and well over 200 pounds heavier. | 0:37:53 | 0:37:57 | |
I will forever cherish my memory of Jessica sitting in my office | 0:37:57 | 0:38:01 | |
right over there, saying, | 0:38:01 | 0:38:03 | |
"Bridget, um, no-one likes boring." | 0:38:03 | 0:38:08 | |
You claimed that you were no role model, but we all looked up to you. | 0:38:10 | 0:38:13 | |
You taught us the definition of perseverance | 0:38:13 | 0:38:16 | |
as you confronted adversity time and time again, | 0:38:16 | 0:38:19 | |
and showed us the meaning of courage. | 0:38:19 | 0:38:22 | |
I think this is very useful for families to know | 0:38:24 | 0:38:27 | |
that we've pursued things | 0:38:27 | 0:38:30 | |
and that we may be making things safer for other people. | 0:38:30 | 0:38:33 | |
"I was hoping that be writing to you, I may be able to highlight | 0:38:35 | 0:38:38 | |
"the dangers and try to prevent future fatalities." | 0:38:38 | 0:38:42 | |
I'm writing a general letter | 0:38:45 | 0:38:47 | |
to all distributors of cyanide-based products in the UK. | 0:38:47 | 0:38:51 | |
I would hope that they will look at it and make more stringent checks | 0:38:51 | 0:38:55 | |
about the people who are asking for it. | 0:38:55 | 0:38:58 | |
I should have taken my father's advice. | 0:39:00 | 0:39:03 | |
He said that I should never learn to type, | 0:39:03 | 0:39:05 | |
otherwise I might find myself working as a secretary | 0:39:05 | 0:39:08 | |
and he wanted to encourage me to do science or engineering of some sort, or medicine. | 0:39:08 | 0:39:13 | |
Subtitles by Red Bee Media Ltd | 0:39:20 | 0:39:23 | |
But he hadn't foreseen the word processor | 0:39:31 | 0:39:34 | |
and how we'd be required to type anyway, | 0:39:34 | 0:39:37 | |
but I'm still a two-finger typist! | 0:39:37 | 0:39:40 |