A man who was turned away from hospital after taking an apparent overdose took his own life three days later, an inquest heard.
Kale John Thomas was found hanging in his flat in Llwyn Onn, Amlwch, Anglesey on December 28 last year.
His mum, Kerry Davies-Jones had said the 20-year-old was not admitted to the Ysbyty Gwynedd's Hergest mental health unit after taking sleeping pills on Boxing Day.
The Betsi Cadwaladr University Health Board is investigating the treatment Kale received.
But at an inquest in Caernarfon today North Wales senior coroner Dewi Pritchard Jones said that while he was aware of the background he was not required to investigate why he had killed himself.
"I am only required to investigate how, when and where a person died. There is no legal requirement to ask why," Mr Jones said.
Family friend Sion Emlyn Rowlands said he had gone to Kale's flat on December 28 to check on his welfare.
He said he knocked on the door and shouted but got no response.
Mr Rowlands said he went inside the property and found him. He tried to release the body while calling for help and paramedics tried to resuscitate when they arrived him but to no avail.
Pathologist Dr Mark Lord said there was no evidence of any disease and therapeutic levels of drugs were found in the man's body.
Mental Health Support
Helplines and support groups
The NHS Choices website lists the following helplines and support networks for people to talk to:
- Samaritans (116 123) operates a 24-hour service available every day of the year. If you prefer to write down how you're feeling, or if you're worried about being overheard on the phone, you can email Samaritans at jo@samaritans.org.
- Childline (0800 1111) runs a helpline for children and young people in the UK. Calls are free and the number won't show up on your phone bill.
- PAPYRUS (0800 068 41 41) is an organisation supporting teenagers and young adults who are feeling suicidal.
- Mind Cymru (02920 395 123) is a charity providing advice and support to empower anyone experiencing a mental health problem. They campaign to improve services, raise awareness and promote understanding.
- Students Against Depression is a website for students who are depressed, have a low mood or are having suicidal thoughts.
- Bullying UK is a website for both children and adults affected by bullying.
- CALL Mental Health Helpline for Wales (0800 132 737) provides a Wales-wide 24/7 mental health multi-channel contact service. CALL offers emotional support, signposting to agencies relevant to the caller’s needs as well as free literature.
He concluded Kale Thomes died as a result of asphyxia consistent with hanging.
The coroner concluded that Kale killed himself after declaring himself satisfied he had died as a result of his own actions and had intended death to be the result of these actions.
"There is no evidence anyone else was involved and a note was left," he added.
After the hearing Ms Davies-Jones said: "I am relieved that the hearing today has taken place. The health board investigation is continuing and I look forward to seeing that report," she said.
In January she told North Wales Live that Kale had struggled with mental health problems for two years, and had to leave a career in the Merchant Navy because of them.
She described Kale as “lovely, caring and warm” had always been open about his problems.
On Boxing Day he had been struggling, but didn’t understand why. He took an overdose of sleeping pills but didn’t tell his mum until the next day, and she rushed him to Ysbyty Gwynedd.
But while one medic wanted to admit Kale to hospital another doctor suggested he be discharged.
Betsi Cadwaladr University Health Board launched an investigation into the treatment Kale received.
Steve Forsyth, the board’s director of nursing for mental health services, said in January: “While we cannot discuss individual patient cases in any detail, we can confirm that we have initiated an investigation into the care that Kale received.”
