A REVIEW is being carried out to identify the lessons that need to be learnt after a teenager hanged himself in the bedroom of his care home.
Sean Edwards, 17, of Brunshaw Avenue, Burnley, died at Crestmoor Resource and Reception Centre, Unity Way, Rawtenstall, on November 15 2006.
An inquest at Burnley Magistrates Court on Tuesday heard how he had been discovered by care workers in his bedroom.
Lancashire County Council, who run the care home, carried out an investigation after his death and a review panel has now been set up to identify any lessons that can be learnt.
Pat Jefferson, executive director for children and young people, said: "Sean's death was a tragic loss and we send our deepest sympathies to his family and friends.
"Following his death, Lancashire County Council carried out a review into its involvement with Sean.
"In addition, the Lancashire Children's Safeguarding Board has set up a Serious Case Review Panel which will consider the case in detail from a multi-agency perspective to identify any lessons that can be learnt."
Sean suffered from attention deficit disorder and was on medication to help control his behaviour.
A post-mortem examination showed that he had not taken his medication to control the illness and had been drinking alcohol.
His mother Tasmin Ashworth said care workers at Crestmoor had not properly administered his medication, which she believed led to his depression and his death.
Speaking at the inquest, Mrs Ashworth said: "His medication was a miracle cure.
"Without it he was a totally different lad, he would throw and smash things and was totally out of control.
"When he had it he was calm and happy.
"On the day he died he was happy and chatty, there was nothing to suggest he was going to kill himself.
"I want to know why he wasn't forced to take his medication."
His mother has vowed to take legal action over his death. The inquest recorded that Sean had taken his own life.
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