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You are here: BAILII >> Databases >> England and Wales Court of Appeal (Criminal Division) Decisions >> Deniz, R. v [2022] EWCA Crim 1817 (01 December 2022) URL: http://www.bailii.org/ew/cases/EWCA/Crim/2022/1817.html Cite as: [2022] EWCA Crim 1817 |
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CRIMINAL DIVISION
B e f o r e :
MR JUSTICE SWEETING
HIS HONOUR KATZ KC
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REX |
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MEHMET DENIZ |
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THE CROWN did not appear and were not represented.
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Crown Copyright ©
LADY JUSTICE SIMLER:
Introduction
The facts
Sentence
"There is no past psychiatric history of note in the UK. He reported admission to psychiatric institutions in Turkey for several years as a child. He reported instances of suicidal ideation and attempts on his life, the last being four years previously. He manifested significant distress following arrest, requiring lengthy support under ACCT procedures and in prison healthcare conditions. He had been initiated on antipsychotic and antidepressant medication, which have apparently led to subjective and objective improvement in his mental state. In hospital conditions his symptoms have not been consistent. There is no medical history of significance. He was admitted to Dune Low Secure Ward at Brockfield House, Wickford, Essex in September 2021. He was initially transferred on mirtazapine 45 milligram oral daily and olanzapine 10 milligram oral daily, initiated at HMP Bedford. There was no initial risk concern, and he was managed on general observations. He had initially talked about four voices and seeing animals and said that they had been present for five months. He had progressively become better but that following admission he said that he was getting worse. He spoke about hearing two to three voices inside his head, talking directly to him or whispering. The voices were said to be telling him to kill himself and that nobody likes him. He acknowledged he was in a low mood following death of his cousin and his mother in Turkey in 2020.
By October 2021 he was free of antipsychotic medication. When observed on the ward, he was not seen to be responding to any unseen stimuli. He was otherwise observed to be able to function. There were no acute risks identified. He had reported to nursing staff that he was not able to sleep because of experiencing voices, but the nursing staff observed him to be sleeping throughout the night. He was interacting with other patients without concern. He was playing pool with peers. There was no concerns or paranoia about the other patients on the ward. Mr Deniz has been noted to be overheard asking other patients about their symptoms. The nursing team noted in November 2021 that he appeared to be receiving 'coaching' from his peers regarding symptoms to report in his fortnightly ward rounds. From that point he typically would come into the ward round meeting and discuss his reported auditory hallucinations and request additional medication. However, alongside this his ability to engage in activities on the ward with staff and peers had increased. He was noted to speak about wanting to bang his head to get rid of the auditory hallucinations. However, there was no actual evidence that he had harmed himself in this way. There had been no further concerns regarding self-harm.
A Miller forensic assessment of symptoms test was undertaken. This was completed on 22 February 2022 and utilised an interpreter. It was concluded that the total score was significantly elevated, and therefore, indicated that he may be malingering mental illness. Amy Jones (Psychologist) concluded that during the assessment process it did not indicate that there was any genuine psychosis present. It was also suggested that he is likely to be malingering symptoms of psychiatric disorder. It was noted that Mr Deniz is able to organise and articulate his thoughts. It was, however, noted that there was some presence of mood disturbance."
"Standing back as an objective observer, I am satisfied that you've lied to Ms McCloskey on a number of occasions. You have manipulated her and you have attempted to manipulate mental health staff. You have given inconsistent accounts about yourself and their assessments indicate that you have been malingering. I am satisfied that Ms McCloskey was right after the attack on her when she was questioned whether she ever really knew you. In my view, you have not been frank about how you were living your life. All of this feeds into the assessment I have to make about the risk you pose in the future. The attack on Ms McCloskey was serious and sustained, and it appears that you deliberately left her without medical assistance, in my view, in anticipation that she would die. Your actions at the time of the offence and afterwards indicate to me a degree of calculation, as do your actions in the psychiatric unit. All of this raises a substantial question mark as to the extent of any remorse. In my view, you do pose a significant risk to members of the public and, in particular, Ms McCloskey and any other domestic partner with whom you may establish a relationship – of serious harm occasioned by the commission of further specified offences"
The appeal
Discussion and conclusions