OCC Inquest - Kiss, Reed 2015

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Name(s) of the deceased: Kiss, Joseph Allan, and Reed, Adam Kenneth


Held at: Court House at 360 Plouffe St, North Bay, Room#301
From: Sept. 14
To: Sept. 17, 2015
By: Dr. Steven Bodley, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:

Surname: Kiss
Given name(s): Joseph Allan
Age: 25 Date and time of death: March 26, 2013 at 9:38 p.m.
Place of death: North Bay Regional Health Center
Cause of death: Hanging
By what means: Suicide

Surname: Reed
Given name(s): Adam Kenneth
Age: 30 Date and time of death: Nov. 7, 2012 at 7:20 a.m.
Place of death: North Bay Regional Health Center
Cause of death: Hypoxic-ischemic encephalopathy complicating hanging
By what means: Suicide

(Original signed by: Foreperson)


The verdict was received on the 17 day of September, 2015
Coroner's name: Dr. Steven Bodley
(Original signed by coroner)


We, the jury, wish to make the following recommendations:


Inquest into the deaths of:

Joseph Allan Kiss and Adam Kenneth Reed


Jury Recommendations

To Ministry of Community Safety and Correctional Services:

  1. That the Ministry of Community Safety and Correctional Services explore the options, during the Health Care Intake process, of requesting from the inmate being admitted a release of medical information in appropriate circumstances
  2. That the Ministry of Community Safety and Correctional Services implement a study to create a system to include information that is relevant to an individuals safety, that would be shared amongst the Police, Ministry of Health and the Ministry of Community Safety and Correctional Services

To the North Bay District Jail:

  1. That the North Bay District Jail explore their current policies and procedures regarding hard copy forms, with reference to the Suicide Prevention Admission Checklist and the Suicide Screening Tool, to ensure that all applicable documentation