OCC Inquest - Smith 2016
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given Name(s): Gerald
Held at: Napanee, Ontario
From: April 12
To: April 12, 2016
By: Dr. Shane Teper, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:
Name of deceased: Gerald Smith
Date and time of death: December 4, 2013 at 12:35 a.m.
Place of death: Kingston General Hospital
Cause of death: Hypoxic ischemic encephalopathy complicating cardiorespiratory arrest due to hanging.
By what means: Suicide
(Original signed by: Foreperson and Jurors)
The verdict was received on April 12, 2016
Coroner's name: Dr. Shane Teper
(Original signed by coroner)
We, the jury, wish to make the following recommendations:
Inquest into the death of:Gerald Smith
Segregation units should not have beds with overhead rails.