Systemic Failures Contributed to Despair of New Zealand Man Prior to Tragic Outcome, Coroner Concludes
Wellington, New Zealand — A recent coroner’s inquest has shed light on a series of systemic failures in mental health care that contributed to the tragic suicide of a patient, underscoring the urgent need for reform and better oversight in the sector. The inquest, focusing on the death of Joseph Carter, a 35-year-old man from Raglan, highlighted the cascading effects of inadequate psychiatric assessment, poor medication monitoring, and insufficient engagement with family members in care …