A coroner who investigated Vukovic’s death recommended the state’s department of justice review the mental health services available to inmates with a serious psychiatric condition. The government is yet to commit to the review.
“My fight has been to change that system for other people, for other brothers, for other families who should not have to feel what I am feeling, because his death was preventable.Photograph: Abigail Varney/The Guardian But she found there had been no reference to his access to razors in prison treatment and risk management plans, nor in his health file.
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