negotiations are being negotiated by swiss regulators in an attempt to reassure markets before they reopen on monday. the scottish national party's chief executive peter murrell has resigned with immediate effect. it move comes after the snp were forced to reveal a huge fall in party membership this week. now it is time for sean story, death on the ward. and a warning that this programme includes reference to self—harm and suicide. woman: sean. this is sean boyle. look at the road leading to the horizon over there, look. at this point, walking with his mum on slieve gullion, he had his whole life ahead of him. sean was a great, exciting young fella, and he loved to be the centre of attention. so, he enjoyed going to different places with me. and enjoyed being around people and had a lot of promise, great future ahead of him. wasjust simply a great, great fella. 2a years old, a music fan, interested in a career in farming near his home in newry, county down. but sean also barrow serious mental health charges.— health charges. there were times i watched him _ health charges. there were times i watched him clark. _ health charges. there were times i watched him clark. for _ health charges. there were times i watched him clark. for a _ health charges. there were times i watched him clark. for a mum - health charges. there were times i watched him clark. for a mum to l watched him clark. for a mum to watch _ watched him clark. for a mum to watch that, — watched him clark. for a mum to watch that, it's so hard for me even talking _ watch that, it's so hard for me even talking about again. it brings it up. talking about again. it brings it up it_ talking about again. it brings it up “just _ talking about again. it brings it up. itjust takes talking about again. it brings it up. it just takes you talking about again. it brings it up. itjust takes you right back. in 2020, he was admitted to this psychiatric hospital. it is supposed to be the safest place for someone like shawn. but within hours of admission, he was able to take his own life. �* , , ., ., ~' own life. i'm still trying to work out and pieced _ own life. i'm still trying to work out and pieced together - own life. i'm still trying to work out and pieced together what i own life. i'm still trying to work| out and pieced together what in own life. i'm still trying to work- out and pieced together what in the name _ out and pieced together what in the name of— out and pieced together what in the name of god happened. what happened. this is— name of god happened. what happened. this is the _ name of god happened. what happened. this is the story of a young man who died in a place where he was meant to be protected. but it is also the story of the shocking sequence of events which enabled sean to take his own life. events which left the hospital trust where sean died at one point being investigated from corporate manslaughter. sean killed himself with his own belt, a belt that had been taken from him on safety grounds but later returned with fatal consequences. i thought he was in a — with fatal consequences. i thought he was in a place _ with fatal consequences. i thought he was in a place of _ with fatal consequences. i thought he was in a place of safety. - with fatal consequences. i thought he was in a place of safety. and i with fatal consequences. i thought l he was in a place of safety. and not only was _ he was in a place of safety. and not only was he — he was in a place of safety. and not only was he not in a place of safety, _ only was he not in a place of safety, they gave him the means to end his _ safety, they gave him the means to end his life — safety, they gave him the means to end his life-— end his life. last year, i spent three months _ end his life. last year, i spent three months undercover - end his life. last year, i spent three months undercover in i end his life. last year, i spent three months undercover in a | three months undercover in a psychiatric hospital for the bee bcs panorama programme. whati psychiatric hospital for the bee bcs panorama programme. what i found that hospital was shocking. sinead boyle saw the programme. it is what led her to tell me sean story. according to sinead, his mental health problems were exacerbated by drug use which started when he was in school. , in school. this drug thing, i didn't know about _ in school. this drug thing, i didn't know about it _ in school. this drug thing, i didn't know about it until _ in school. this drug thing, i didn't know about it until he _ in school. this drug thing, i didn't know about it until he was - in school. this drug thing, i didn't know about it until he was 15. - in school. this drug thing, i didn't know about it until he was 15. he | know about it until he was 15. he didn't tell me. he kept it silent but the teachers are starting to notice a change in his behaviour and will writing on his report, lack of attention, and it's like he's using drugs or something. it didn't cross my mind for a second that he might be on the drugs.— be on the drugs. sean had started usin: hard be on the drugs. sean had started using hard drugs. _ be on the drugs. sean had started using hard drugs. sinead - be on the drugs. sean had started using hard drugs. sinead said - be on the drugs. sean had started using hard drugs. sinead said at l using hard drugs. sinead said at times she struggled to find him the right help. ladle times she struggled to find him the riaht hel. ~ ., times she struggled to find him the ria-hthel. ~ ., ., right help. we were worried always about the availability _ right help. we were worried always about the availability of— right help. we were worried always about the availability of services i about the availability of services to help what was going on with him. and all the time, i was worried and my going to keep him alive long enough? to fix this? in my going to keep him alive long enough? to fix this?— enough? to fix this? in 2021, siobhan o'neill— enough? to fix this? in 2021, siobhan o'neill became - enough? to fix this? in 2021, . siobhan o'neill became northern islands first mental health champion. she said it's not unusual for people like sean to find it hard to get help. ladle for people like sean to find it hard to get help-— to get help. we have more people cominu to get help. we have more people coming forward — to get help. we have more people coming forward who _ to get help. we have more people coming forward who have - to get help. we have more people| coming forward who have difficulty with their substance use, and services aren't able to make the demand. so people can get into services and they receive good services and they receive good services when they are there, but unfortunately the waiting lists are quite significant and people are finding that they are being excluded from services because of the complexity of their needs. as time went on, sean became even more vulnerable. mental health and drug intervention services just hadn't worked. and he was now suffering from more severe mental health conditions and had started to self—harm. the dangerous and scary part about this was he was then starting to cut his hand. there was a few occasions, he was, just little cuts on his hand. was that at this age? yes. yeah. and i thought, you know, "what are you doing that for?" because i would not, wouldn't have understood self—harming at that stage. in 2016, when he was 20, sean was admitted to bluestone, the psychiatric unit at craigavon area hospital. the 74—bedroom facility is run by the southern trust and was described as state of the art when it first opened in 2008. sean was discharged a few days later, but his struggle with drink and drugs continued. at times, his life was chaotic. did sean ever talk about being suicidal? that he had suicidal thoughts? yes, he did. he started saying, "mummy, i don't want to be here any more." and i'd be like, "don't say that. "don't say that." as the years passed, talk of suicide turned into suicide attempts, and sean's mental health got worse. dr brodie paterson is an expert in psychiatric treatment. we showed him a report into sean's care. well, in sean's case, alongside suicide attempts, he was also self—harming and he was hearing messages. what would that tell you about his mental health? from a diagnostic point of view, that would suggest psychosis. the history of self—harm, and if there were immediate issues around self—harm, would suggest he might need support. if he would not accept that support voluntarily, then there could well be grounds for admitting, in order to prevent him actually from completing suicide. in spring 2020, covid restrictions gripped most of the globe. sean had moved to his grandfather's farm, outside newry, to try and get clean. but sinead was alarmed to find he had continued to self—harm. daddy was there. he was down to feed the cattle. and i said, "where's sean?" and he says, "i haven't seen sean, and i'm here an hour." well, i had this awful feeling. and i went into the house and i went up the stairs and i went over to where the room was that he was staying in. and i knocked the door... ..and he answered. i rememberthinking — relief. "oh, thank god." i'll never forget that. "oh, thank god." and then i was sort of getting angry. "so, where were you? what are you doing?" you know. and he says, "do you not know where i was?" and i said, "no, where were you?" and then he lifted his sleeve and right from his wrist to his elbow, there were about 12 gashes. and he says, "i was in...| was in a&e in craigavon." another incident shortly afterwards convinced sinead boyle that her son needed to return to psychiatric care. what he had said to me was... .."did you see that video, mummy, "thatjessiej made?" she made a video for... congratulating and thanking the nhs workers. please stay home. please stay safe, for yourself, and for everybody else. - and those of you on the front line, thank you. i and he said he watched the video, "and did you see the way she tilted her head, mummy?" right, i'm going to make . some awkward eye—contact with everybody in the audience. "that message was for me." irememberthinking... "ok, this, this is bigger than me. "i can't...| can't help him now. "so i need someone who understands what's going on chemically in his brain and understands his behaviour." that description suggests he is experiencing what is termed as psychosis. he's delusional. certainly an issue in relation to, you know, if he has been, if he has a history of suicide and a history of suicide attempts, that's a — and these have occurred when he's delusional, that would suggest he needs urgent treatment. so, erm... ..i made the fatal call to... voice breaking: ..er, mental... ..mental health services... ..in newry. voice breaks: in days, he... i made the call, because i had a belief... ..that they had the answers, they had the expertise. they had what i didn't have, to help him. so... ..so i have to carry that for the rest of my life, that it was me that made the call. he could possibly still be here today. yes, suffering, but he'd still be alive. and did he want help at the time? yes. yes, he did. because he spoke to the lady. she was on speaker. she said to him, she asked him, "do you want to die? "do you want to take your life?" and he said, "no, no, i don't." so she spoke to me, then, on the phone, and she said she's going to detain him. he's going to be detained under the mental health act. sean's grandfather drove him to the bluestone unit at craigavon area hospital. it was 5:30pm on may 27, 2020 when they arrived. two doctors assessed sean and decided to temporarily detain him. it's an extraordinary power that meant sean could be held for up to five days in order to get a full psychiatric assessment. this is the form signed by doctors at 8:50pm that night. it offers key evidence on the state of sean's mental health at the time of his admission. it's that last point that's important. the admitting doctors acknowledge that sean is a risk to himself. now detained, sean was in the safest place he could be, as far as his family were concerned. so, what does it mean to be detained? what it means to be detained is that the team involved have decided that, for your own safety, it's necessary that you be accommodated against your will within a mental health service. it's a really significant thing to do to somebody, to basically remove their choice from the situation. it should only be done very much as a last resort. when he was admitted, sean refused to take a covid test. he was uneasy interacting with staff who were wearing full ppe. for infection control reasons, he was confined to a four bedroom corridor away from most other patients. covid restrictions were applied across mental health servicesl in northern ireland. unfortunately for people with a mental illness, i this could add to the distress, - you know, and you have that concern about transmission of covid. at the same time, it was a terrible situation for everybody. _ but for people with mental illness, we know that i their illnesses got worse. watched by the wards cctv camera, sean spent hours on his own with almost nothing to do. he didn't sleep and refused food. his paranoia led him to believe it could have been tampered with. at some point during the night, a member of the nursing staff took sean's belt away from him, locking it in a bedside cabinet, even though more senior medical staff had allowed him to keep it. the staff member later said this was because sean may have posed a risk to staff and other patients. sometime later, when he asked for it the same member of staff gave sean his belt back. sean was last seen by the ward cctv camera walking into his room at 2.a8pm on 28th of may, about 21 hours after he arrived at the hospital. by 3.53pm, he had used the belt to asphyxiate himself. that was when sean was found unresponsive by the clinical team sent to assess him. he was rushed to icu, the intensive care unit. so i was starting to think, "this is not looking good, "he's not going to pull out of this." three days later, sean's life support was switched off, covid denying his family the chance to be with him in person. his death left sinead with unanswered questions. why had the hospital not anticipated he might harm himself with the belt? was isolation a factor? was he being supervised? i had all these questions, ijust... i'm really, i'm always going to wonder how he went from, "no, no, i don't want to die, no, i don't," to later being dead. what happened? well, i'm still not clear. figures collated by northern ireland's health care regulator, the rqia, show ia mental health hospital inpatients have died by suicide since 2017. sean's death, like each of the others, was subject to an independent investigation ordered by the trust. police also began to investigate. questions around sean's death went right to the top. this is a letter from the department of health to the trust, which raises concerns. another bluestone patient had attempted suicide in a very similar wayjust seven months earlier. in the earlier incident, the patient had used a window fixture in an attempt to take their own life. as a result, the window fixtures were changed in another part of the hospital, but not on the ward where sean was being treated. now, what raised concern with the department of health is that sean used the same method. what i would say is that reducing access to a method, or removing a method, is one of the things that we can do to prevent a death by suicide. and it's a very effective way of preventing suicide, is reducing or limiting the access to a method of suicide. the investigation began to look into the removal and return of sean's belt. remember, the staff member said that the belt had been taken away from sean, because he may have posed a risk to staff and other patients. this perceived threat wasn't based on the way he had behaved on the ward, but on reports of his behaviour before he was admitted. according to the investigation, the belt was given back because sean asked for it and the staff member, they felt they couldn't say no. the investigation report is silent on why sean was no longer considered a risk to others. it found there was no fixed policy in place at bluestone when it came to the removal and return of a patient�*s belongings. it makes no criticism of the staff memberfor giving sean his belt back but recommends the southern trust develops a clear policy on the removal or restriction of personal items. colin hughes is a former mental health nurse. he's now a lecturer training the mental health staff of the future. he says generally the policy should be that such important decisions are made by a team. the patient may have said, "well, i want my shoelaces back," or, i "i want my belt back," and that- would be discussed within the team environment, and the team should make that decision. | i personally would not - want to be the one individual to make that decision. the report also uncovered another issue which led the police to start investigating the apparent falsification of records around sean's ca re. sean and other bluestone patients were supposed to be observed once in every 15 minute period. it's a common policy in many psychiatric hospitals. last year, when i worked undercover at the edenfield psychiatric hospital in england, i saw bad practices there, including failures to carry out those regular checks. the observations are also supposed to be recorded to show patients are being properly monitored. we take recording the patient notes very, very seriously— within the health service, - because they're supposed to be a faithful record of the assessment and care of an individual. - but if something then happens, i of course, they're also the record that gets looked at and examined l if an investigation is required. l so, yeah, they're really, really important. - at bluestone, the 15 minute patient checks became part of the investigation into sean's death. the investigators said they could not be confident sean was observed as prescribed within every 15 minute period, as written on the observation sheets. this is because a member of nursing staff said in a written statement and an interview they had seen sean walking into his room at 3.40pm, less than 15 minutes before he was found asphyxiated. this sighting counted as a check on sean's welfare, but the ward cctv camera told a different story. when questioned by the police, the staff member said they had made a mistake. sean had not been checked for 28 minutes before he was found. the investigation ordered by the trust said, even if this check had been carried out, it might not have prevented sean's death. "they cannot be confident that sean was observed as required." and this is a document that's given to his family. is that acceptable? no. if your policy says we will observe everybody every 15 minutes, then you should observe everybody every 15 minutes. now, leaving aside there's always the possibility that this patient could have killed himself within a shorter window, there is a potential that if that member of staff had turned up, they could have interrupted his preparations, they could have picked up on the change in mood, it could have been prevented. now, there's lots of ifs in that, but in reality none of that had the possibility of happening, because the nurse didn't turn up. that's not acceptable. the investigation report recommended the trust review its procedure on observation, to ensure that it is fit for purpose. the staff member faced disciplinary action, was suspended for six months, and, according to police notes we have seen, they have been deeply impacted. academic dr colette ramsey has spoken to nearly 50 hospital staff about the effects of patient suicide. you've spoken to staff members who've been working when a suicide has taken place on a ward, what impact has it had on them? they really wanted to, i suppose, i get across the impact it had on them as staff members and how often they had relationships _ with those patients, _ but what i find is that they very much blamed themselves. so it wasn't that, you know, i managers or anybody was in any way blaming the staff, - but they blamed themselves. and that kind of goes along | with how families often feel when there's a suicide. a file has been passed to the public prosecution service, but from the police notes we've seen the psni don't seem to think there is enough evidence for anyone to be charged. we put a number of questions to the southern trust. it said sean's tragic death is the subject of a coroner's investigation in which it is fully engaged and a psni investigation, and was unable to comment on specific issues as a result. the trust offered its condolences to the family and said it will continue to offer them support. it said it has implemented a range of measures in bluestone to improve the quality and safety of care. in the years since sean's death, sinead boyle doesn't think the questions she has have been fully answered. two and a half years, can ijust say, is actually a long time. this process has been so long, so slow, i don't really know why, but in that time i have fought for the truth. what's life like without him? life is, er... ..lonely. it can be lonely, because he was so full of life. and he was my child, he was my baby, i was his mummy, and he's not here any more. i have to change my way of living, because i can't change what happened and i can't change him not being here. the sad part about this is it didn't need to be like this. there is some rain on the way but not until the afternoon or evening in the very far west of the uk and it will be brought by this weather front here. i it will be brought by this weather front here. ., ., , ., it will be brought by this weather front here. ., ., i. , front here. i had of it you can see a bi aa- front here. i had of it you can see a big gap in _ front here. i had of it you can see a big gap in the clouds. _ front here. i had of it you can see a big gap in the clouds. that's i a big gap in the clouds. that's what's over us right now. not very cold early on sunday morning, typically three to seven celsius. just talked of frost in one or two rural spots especially across northern britain. so here's that fine weather to start with. notice how the cloud thickened in northern ireland. and by the time we get to the afternoon it will start raining here in the northwest of the uk. but elsewhere, it's going to stay dry. the skies will turn hazy go through the afternoon. temperatures between ten and 13 degrees for the most part. the outlook for monday on which is looking very different, far from dry. , often wet, breezy, but staying on the mild side. this is bbc news. i'm lukwesa burak. our top stories. donald trump says he will be arrested on tuesday, calling on his supporters to protest. pakistan's former prime minister imran khan attends court on corruption charges, which he says are politically motivated. a deal allowing the export of ukrainian grain from black sea ports which was due to expire has been renewed. but it is unclear as to how long for. the troubled swiss bank is reported to be in takeover talks it could be bought by its rivals ubs.

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