OCC Inquest - Dunn 2016
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given Name(s): Joseph Charles "Todd"
Held at: Toronto, Ontario
From: May 2
To: May 5, 2016
By: Dr. David Eden, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:
Name of deceased: Joseph Charles "Todd" Dunn
Date and time of death: September 27, 2014 at 5:40 p.m.
Place of death: Greater Niagara General Hospital, Niagara Falls, Ontario
Cause of death: Anoxic brain injury due to hanging
By what means: Suicide
(Original signed by: Foreperson and Jurors)
The verdict was received on May 5, 2016
Coroner's name: Dr. David Eden
(Original signed by coroner)
We, the jury, wish to make the following recommendations:
Inquest into the death of:Joseph Charles "Todd" Dunn
To the Ministry of Community Safety and Corrections and Canadian Border Services Agency:
- To continue to ensure that appropriate medical information is consistently shared in a timely manner upon the admission of detainees into custody.
- Both the Canada Border Services Agency and the Ministry of Community Safety and Correctional Services should collaboratively continue to ensure that, when any new information comes to light or a change in risk occurs which is potentially relevant to the risk of suicide of a detainee, that information is promptly shared between the Canada Border Services Agency and the Ministry of Community Safety and Correctional Services in a consistent and clearly defined manner.
To Immigration and Refugee Board of Canada:
- That the Immigration and Refugee Review Board have an independent and objective representative to meet with the detainee following the hearing to ensure his/her comprehension of the findings, if not represented by counsel.
- To ensure an independent representative complete a formal assessment of the stress level and suicide risk of the detainee and to immediately communicate that assessment to the relevant care givers.