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Ashley Smith inquest
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Ashley Smith inquest : ウィキペディア英語版
Ashley Smith inquest

The Ashley Smith inquest was an Ontario coroner's inquest into the death of Ashley Smith, a teenager who died by self-inflicted strangulation on 19 October 2007 while under suicide watch in custody at the Grand Valley Institution for Women. Despite guards watching her on video monitors, Smith was able to strangle herself with a strip of cloth, and it was 45 minutes before guards or supervisors entered her cell and confirmed her death.〔 The warden and deputy warden were fired after the incident; although the four guards and supervisors in immediate contact with Smith were initially charged with negligent homicide, those charges were withdrawn a year later.〔 Smith's family brought a lawsuit against the Correctional Service of Canada (CSC) for negligence; this lawsuit was settled out of court in May 2011.〔
The CBC documentary news program ''The Fifth Estate'' produced two separate episodes on the life and death of Ashley Smith. The documentaries describe the circumstances leading up to her death, as well as some disagreement inside the Correctional Service of Canada. ''The Fifth Estate'' claims "Corrections Canada filed an unprecedented publication ban on all exhibits presented at the coroner's inquest into her death."〔
The inquest was frequently interrupted by multiple legal challenges and a change of coroner, before finally being terminated as a mistrial on 30 September 2011; a new inquest into Smith's death began on 19 September 2012. On 2 December 2013, the presiding coroner instructed the jury to begin their deliberations with respect to a verdict on Smith's death.
On 19 December 2013, the coroner's jury returned a verdict of homicide in the case of Ashley Smith, and provided dozens of recommendations to the presiding judge.
== Early life ==

Ashley Smith (born 29 January 1988, New Brunswick, Canada) was adopted when she was 5 days old, and according to her adoptive parents, Coralee Smith and Herbert Gober, had a normal childhood in Moncton, New Brunswick. Between the ages of 13-14, her parents noted distinct behavioural changes in the child; by age 15 she had been before juvenile court 14 times for various minor offences such as throwing crabapples at a mailman, trespassing, and causing a disturbance. In March 2002, Smith was assessed by a psychologist who found no evidence of mental illness. However, her behavioural problems continued and she was suspended from school multiple times in the fall of 2002. In March 2003, after multiple court appearances, Smith was admitted to the Pierre Caissie Centre for assessment. She was diagnosed with ADHD, learning disorder, borderline personality disorder and narcissistic personality traits. She was discharged several days early from the Centre for unruly and disruptive behaviour and returned to the New Brunswick Youth Centre (NBYC). Smith was remanded to the NBYC multiple times over the next 3 years; during this time she was involved in more than 800 reported incidents and at least 150 attempts to physically harm herself.〔
On 29 January 2006, Ashley Smith turned 18; on 29 July a motion was made under the Youth Criminal Justice Act to transfer her to an adult facility. Smith hired a lawyer to fight the transfer, but was unsuccessful. On 5 October 2006, Smith was transferred to the Saint John Regional Correctional Centre (SJRCC). Due to her behaviour at SJRCC, Smith spent most of her time there in segregation; she was tasered twice and pepper-sprayed once. On 31 October 2006, Smith was transferred to the Nova Institution for Women in Nova Scotia (a federal institution).〔 Through 2007, Smith was transferred a total of 17 times among the following 8 institutions during 11 months in federal custody:
* Nova Institution for Women, Truro, Nova Scotia
* Joliette Institution, Joliette, Quebec
* Regional Psychiatric Centre, Prairies, Saskatoon, Saskatchewan
* L'Institut Philippe-Pinel de Montréal, Montreal, Quebec
* Grand Valley Institution for Women, Kitchener, Ontario
* Grand River Hospital, Kitchener, Ontario

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