A teenager with a dream of playing football and going to university died after jumping in front of a train after hearing “voices” during a psychotic episode.
Felipe Mugari, who was from Aylesbury, died aged 19 after he jumped onto the tracks at Aylesbury Railway Station on September 17, 2020.
At an inquest into his death yesterday (Thursday) Beaconsfield Coroners Court heard how Felipe suffered from paranoid schizophrenia and would hear the “voice of god” during infrequent psychotic episodes.
The court heard how during these episodes he felt “compelled” to act on what these auditory hallucinations told him to do.
During the inquest, Felipe was described as a “loving, caring and gentle” young man.
A statement from his mother, Fiorella Mugari, described how after passing his A-levels, Felipe was planning to take a gap year to “pursue his passion” for football before going to university the following year.
The court heard, however, that Felipe struggled with stress and anxiety over his A-level exams, and even after he had passed them, he continued to experience stress over what career to choose for himself.
Felipe had struggled with these issues for several years and had experienced two psychotic breaks before he died. During the first incident in 2018 he threatened to kill himself, and in the second in January 2020 he attempted to take his own life.
The court heard from doctors who had worked with Felipe that during these psychotic episodes he would hear the “voice of god.”
A statement from Dr Sophie Johnson that was read out to the court said: “He had occasional auditory hallucinations. They were commands that he felt compelled to act on.”
Dr Alastair Reid, who gave evidence at the hearing via video link, said: “He was having a lot of experiences of hearing the voice of god. Religious experiences which were beyond his normal range of experience.”
Dr Reid added that Felipe had been doing well in the weeks and months leading to his death, but that he had a “rapid” relapse on September 17, the day he died.
In her statement, Mrs Mugari said that healthcare providers “let Felipe down”.
She said: “I believe he would still be here today if there was closer personal monitoring of his health. I believe the hospital let Felipe down.
“He was let down by the healthcare provider responsible for his health and wellbeing.”
Mrs Mugari, who was at the hearing in person, also demanded answers on Felipe’s medication – which was shown to be at a toxic level during his post-mortem.
Dr Reid explained that after death the drug, Olanzapine, can pool in the liver, showing to be at a higher-than-expected level.
After taking some time to consider the evidence, assistant coroner Nick Graham presented his conclusion.
He said: “Olanzapine can be affected by post-mortem distribution, this may provide some explanation for the concentration.
“The medication was properly considered and there was a proper overview of the medication.
“Felipe had an onset of psychosis which led him to take his own life.
“I know losing a child must be the most tragic thing, and I send my condolences.”
The coroner concluded that Felipe died by suicide, with the multiple injuries sustained when he jumped in front of the train the cause of death.
*If anything in the article has made you feel upset or distressed, you can call Samaritans for free on 116 123.
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