Jury makes recommendations to HSE as Shane O'Connor inquest returns verdict of death by suicide
Shane with his mother Sinéad. At the inquest, it was observed that Shane had found approaching his 18th birthday 'a very daunting experience' as he would no longer have access to specialist health and welfare services for young people.
An inquest jury has made a series of recommendations for the improved supervision and care of vulnerable young people after recording a verdict of suicide in the death of Sinéad O’Connor's son, Shane.
The body of Shane O’Connor, aged 17, was found in a secluded area at the back of a housing estate outside Bray, Co Wicklow on January 7, 2022 less than 24 hours after he was reported missing from Tallaght University Hospital (TUH) at a time when he was supposed to be under supervised 24/7 one-to-one care.
A sitting of Dublin District Coroner’s Court heard the teenager had been brought to TUH’s emergency department by his mother on December 29, 2021 after a drug overdose, in what was believed to be an attempted suicide.
The inquest heard staff were not available to provide the 24/7 supervision prescribed by the hospital’s doctors. Evidence at the time stated he had absconded from TUH on the morning of January 6, 2022.
A senior social worker with Tusla, Joyce Connolly, told the second day of the inquest that Shane and his mother had a “complex and turbulent” relationship but were also very close and “in some way dependent on each other throughout their lives.”
Ms Connolly said the singer hoped to resume full-time care of her son and there were ongoing discussions to see if that might be possible. Ms O’Connor, who formally identified her son’s body to gardaí, died suddenly just 18 months later in London. A coroner ruled that she died of natural causes.
The inquest heard Shane had been under the care of Tusla since 2015 and had been fostered by his half-brother, Jake Reynolds — the late singer’s eldest child — and his partner, Lia Petcu, between July 2016 and May 2018, before being placed in residential care facilities.
Asked about rules on what Shane could do when he had chosen not to engage in education, Ms Connolly said a “delicate balance” had to be struck, but they had power to stop him leaving to do what he wished.
Ms Connolly said a committee sat on January 4, 2022 to consider applying for a special care order for Shane — which would have given Tusla power to deprive the teenager of his liberty — but deferred a decision as it did not have a report from the HSE’s Child and Adolescent Mental Health Services (CAMHS).
However, Ms Connolly said she believed Shane’s needs were more “of a mental health nature.”
She said the teenager would have been actively encouraged to attend addiction treatment services but it was “an unfortunate factor” that he did not want to stop consuming cannabis.
Ms Connolly noted that he had indicated that his life was better when he was using the drug. However, she said childcare authorities also had no powers to prevent him accessing such substances.
Asked about possible improvements that could be made, she recommended “greater work on relationship-building” between the various State agencies involved in the care of young people.
Aoife Scanlon, a manager of the New Beginnings residential care centre in Newbridge, Co Kildare where Shane had lived since March 2019, said he had settled in well to the facility for the first year.
However, the inquest heard the teenager seemed to deteriorate from July 2021, although Ms Scanlon said she could identify no particular trigger for it.
New Beginnings later informed Tusla that it no longer felt it could provide safe accommodation for Shane because of his complex mental health needs.
Ms Scanlon said they had continued to support him by providing staff to assist TUH and Shane’s father, Donal Lunny — a leading folk musician — with 24/7 supervision of Shane after his admission to the hospital.
The inquest heard New Beginnings stopped assisting with such supervision under covid-19 guidelines after Shane was deemed a close contact when Mr Lunny tested positive for the virus on January 4, 2022.
Ms Scanlon fought back tears as she recalled Shane as “a lovely, lovely lad.”
She observed that he had found approaching his 18th birthday “a very daunting experience” as he would no longer have access to specialist health and welfare services for young people.
A psychiatrist who had treated Shane at the Linn Dara in-patient psychiatric unit at Cherry Orchard Hospital in Ballyfermot, Dublin, Tara Rudd said the teenager’s substance misuse had caused his mental health problems.
The inquest heard that Camhs had requested that Shane be kept at Linn Dara for the final three months before reaching his 18th birthday.
A jury of six men and two women made a series of recommendations including that all HSE hospitals should have clear protocols for the close supervision of vulnerable patients, particularly children.
They also called for a review of protocols for reporting missing people to ensure that gardaí would accept such reports from family members, Tusla, and medical staff.
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