The jury in the inquest of the death of the late Mrs Margaret Morahan have returned a unanimous ‘open verdict’ decision following two days of evidence.
![Coroner John Canon]()
Coroner John Canon
Mrs Morahan 45, of Glasagh, Derrybeg, took her own life on the 9th of January 2013.
The court heard how Mrs Morahan was left devastated following her suspension from her job as a nurse at Aras nursing home, Gaoth Dobhair in March 2012 for alleged misconduct.
Following a subsequent appeal she was relieved of her duties and given her P45 in December 2012.
On the 8th of January 2013 the court heard how her husband John Morahan who was in Ashbourne, Co.Meath working for Largo Foods, received an alarming text message from his wife.
In the text his wife had attached an e-mail in which she was going to send to her former employers at Aras, in the attachment Mrs Morahan indicated she was going to self-harm.
Mr Morahan clearly distressed and extremely worried by the content of the text made plans to return home immediately and went to Dublin Airport to get a flight back to Donegal.
On his arrival back to Donegal he immediately sought the medical help of Dr Anthony Delap.
Mr Morahan went to Dr Delap’s practice and asked him to section his wife as she was at risk to herself, he showed Dr Delap the text and attachment e-mail his wife had sent.
Dr Delap reassured Mr Morahan he had done the right thing in returning home and told him to go home to his wife and bring her in to see him.
If she resisited coming in, Dr Delap told Mr Morahan to ring the surgery.
Mrs Morahan refused to come in so Mr Morahan rang Dr Delap’s surgery and left a message with his secretary.
He never got any response from Dr Delap, he then proceeded to try and reach him again by ringing the surgery several times and then the emergency number several times but to no avail.
Dr Delap had also taken Mr Morahan’s number and he had hoped that Dr Delap would try to reach him.
Dr Delap never made any contact with Mr Morahan after their consultation at the surgery.
Later that evening Mr and Mrs Morahan went to bed, John Morahan held his wife’s hand and he fell asleep.
After a short while he awoke to find that his wife had gone from the bed, he searched the house for her and saw that the back door was open.
He knew she had gone to his father’s house which was unoccupied at the time.
There he found the body of his late wife who had tragically taken her own life.
![Damien Tansey]()
Damien Tansey
Prior to her death the inquest heard how Mrs Morahan was on a significant amount of medication with one particular drug Cymbalta coming under scrutiny.
Dr Delap had prescribed Mrs Morahan with a six month subscription for Cymbalta which can be used to treat major depressive disorder and general anxiety.
The drug can also be used to treat those that suffer from Fibromyalgia or chronic low back pain which Mrs Morahan also suffered from.
Dr Delap insisted that Mrs Morahan was on the drug due to chronic back pain.
In his evidence Delap said: “Mrs Morahan visited the practice twice in 2012, and she saw me once in November 2012, we spoke about her work situation which at that stage was unresolved but she never disclosed any details that she was suffering from depression.
“The first time I’d heard she was dismissed from her position was when her husband John visited me on January the 8th.”
Soliticor Damien Tansey, representing the family of Mrs Morahan raised several issues with Dr Delap’s handling of the situation.
Damien Tansey said, “You’re aware she’s having trouble in her job and you know she’s had a history of depression, would you not consider her situation as a trigger for depression and anxiety.
“You then proceeded to double her dosage of Cymbalta, a drug which manufacturers of the product state clearly that any patient on the drug be monitored regularly something you can’t do if you’re prescribing six month prescriptions.”
A text the late Mrs Morahan sent a friend on January the 3rd 2013, was read out in court.
It read: “Doctor doubled my dosage of anti-depressants, struggling to drag my carcass out of bed in this weather, I think I’ve misplaced my Mojo.”
Coroner John Cannon in his address to the jury said” “It appears to me that the turning point in the life of Mrs Morahan was on the 22nd of December 2012 when she received her P45 from her employer and when she recieved her last wage on the 28th of December.
“She had reached a point of no return, from the e-mails she sent prior to her death it was clear her life had disintegrated.
“She had felt hopelessness and was worried she’d never gain employment in her profession again following her dismissal.
“She was worried at how they would make mortgage repayments and she saw no way out.
“In his evidence John Morahan spoke of how he saw huge changes in his beloved wife Margaret and how she had began to drink more and rarely left the house.
“That Christmas was a quiet one for the family and Margaret only left on a few occasions to attend Mass and once to go for a walk.”
Coroner Cannon said that as Mrs Morahan was a qualified nurse she would have been more qualified than most with the benefits and negatives associated with taking a drug like Cymbalta.
Coroner Cannon said: “Considering she was a nurse she was well aware of the benefits and potential negatives associated with taking a drug like Cymbalta.”
He added: “The dosage of 30 that was then doubled to 60 seems mild to me and she had been on the medication for two years prior to her death.”
Coroner Cannon then appeared to criticise Mr Morahan for not contacting NowDoc after his attempts to reach Dr Delap had failed.
He said: “I can’t understand why Mr Morahan only decided to speak to Dr Delap when he felt his wife was at such risk and asked for her to be sectioned.
“I can’t comprehend why he didn’t contact NowDoc when all his attempts to reach Dr Delap had failed.
“Unfortunately the role of the local GP has changed, a time when they were always available doesn’t exist anymore due to the demands placed upon them.”
The coroner then directed the options available to the jury before they made their deliberations on the case.
He ruled out the option of death by medical misadventure on the grounds that there wasn’t sufficient evidence to back that theory up.
Damien Tansey in his address to the jury before the inquest was adjourned last week, called for the jury to return a verdict of death by misadventure.
Tansey said: “Mr Morahan came to Dr Delap for help, he asked his wife to be sectioned, if he had received an appropriate response we wouldn’t be here today.
“What more could John Morahan have done on that day, he couldn’t do anymore.
“In my respectful opinion the verdict should be death by misadventure, that is the proper verdict when somebody is exposed to risk and suffers as a consequence of that risk.”
Kevin Dunne solicitor for Dr Delap had called for the jury to return a verdict of death by suicide.
He said: “Mrs Morahan visited Dr Delap two months before her death but never disclosed details of her depression.
“I’d ask you to accept Dr Delap’s evidence that she was on Cymbalta for two years due to chronic back pain.
“I’d ask you to accept the testimony given by the pathologist, the post mortem found no drugs in Mrs Morahan’s system and the verdict should be returned as suicide.”
The ten person jury returned a unanimous ‘open verdict’ decision.
There was no rider – or recommendations – made in addition to the verdict given by the jury.
Coroner Cannon concluded by saying: “I wish to express sincere sympathies to Mr Morahan and his children for their devastating loss.
“The inquest has been the re-telling of an extremely difficult and very sad time in your life.
“In Mr Morahan’s evidence he told how Mags was a very good person that would do anything to help someone and that she was very active in the community.
“She was a great mother to our children and was the life and soul of the family.”
Those sentiments were reiterated by Damien Tansey who also thanked the jury for their diligence throughout what was a difficult inquest.
Mr Tansey said: “I want to thank the jury for their efforts during this case and want to thank them for the responsibility they showed throughout the case, medical matters are complex and the terminology used is difficult but I want to thank them for being so diligent.
“Hopefully this verdict will now give closure to the family as they attempt to fill a gap which undoubtedly arises in a family when you lose a loved one.
“Hopefully they can begin to put their lives back together after their tragic loss of someone that was so important to them and someone they loved so much.”