Reception Order signed by: Maurice Davis, Dated: December 8, 1890
Sex and Age: m 15
Civil State: Single
Occupation: None
Religion: Ch. of Eng.
First Attack: No
Age on first attack: 8
When and where previously under treatment: 8 years Darenth Schools
Duration of present attack: 3 years
Supposed cause: Unknown
Epileptic: No
Suicidal: Yes
Dangerous to others and how: No
Any near relative afflicted with Insanity: Unknown
Union chargeable to: St. Pancras
Previous Place of Abode: Darenth School
Name and Address of Person to whom Notice of Death to be sent: As below
Names and Addresses of one or more relatives of the Patient: G. Wilson, Royal Oak, Galway St., St. Lukes
Medical Certificate Signed by: Lloyd Smith
Facts indicating insanity observed by myself at the time of examination viz.:
He is simple & childish & very depressed. His statements are contradictory, at one moment he says "I said I would kill myself because I was in such misery" & the next, "I did not say I would kill myself, I would not do such a thing", he says that his misery was caused by the boys tormenting him & putting needles in his bed (I am infomred that this is not true).
Facts communicated by others viz.:
John Skinner (Superintendent of ward) states that Christopher Wilson was sent up from Darenth Schools as being melancholy & wsuicidal, that he gets very depressed threatening to kill himself, bursts out crying without cause & that he is a masturbator.
Transferred from: Colney Hatch
Mental State:-
As far as possible under such Headings as:
Attention, Comprehension and Re-action, Cognition of self and surroundings, including mistakes of identity and appreciation of time and place, States of Stupor and Catalepsy, Memory for recent and remote events, Association and flow of ideas, Coherence, Reasoning power, Hallucinations, Illusions, Delusions, Exaltation, Fantasies of dress, Excitement, Depression, Impulses—General, Suicidal, Homicidal, Erotic, Destructive, Obsessions, Resistiveness or Hostility, Restlessness, Self-employment, Attention to personal needs, Religiosity, Sense of propriety, Lewdness of conversation and conduct, Regard for relatives.