6282-14-1 Folio 29

Name: James Grant CRERAR,

Aged: 64,

Reg. No. 29,

Admitted: August 16, 1899.

Copy of Statement of Particulars

Reception Order signed by: Maurice Davis, Dated: February 1, 1891

Sex and Age: m 56

Civil State: Married

Occupation: Engineer

Religion: Protestant

First Attack: Yes

Age on first attack: 50

When and where previously under treatment: Claybury Asylum (Crossed out)

Duration of present attack: 5 months

Supposed cause: Hereditary

Epileptic: No

Suicidal: No

Dangerous to others and how: Yes

Any near relative afflicted with Insanity: Mother & Maternal Grandmother

Union chargeable to: St. Pancras

Previous Place of Abode: 56 Frederick St., Grays Inn Rd.

Name and Address of Person to whom Notice of Death to be sent: Mrs Crerar (wife) 11 Benyon Rd., Southgate, N.

Names and Addresses of one or more relatives of the Patient: Jas. Crerar (Uncle) Shabden, Red Hill, Surrey

Medical Certificate

Medical Certificate Signed by: Sydney Lloyd Smith & ------- Francis Stains.

Facts indicating insanity observed by myself at the time of examination viz.:

Dr. Smith, Rambling & incoherrent in his conversation, says he feels he must take his life. Says he can't sleep at night because animals come to him & frighten him. F.E. Crerar (wife) states that he attempted to stranle her, that he has requested he to get poison for him & that he has invited her to commit sucide with him by drowning.

Facts communicated by others viz.:

Dr. Staines. Is very desponding wishes he was buried, says he has great difficulty in controlling himself. Very restless. There is a history of insanity in his family. Francis Emms Taylor Crerar his wife states that for the last week she has been in fear of him as he gets very excitable & put a cord round her neck. He gets scarcely any sleep & is very restless & wanders about continually.

Transferred from: Claybury Asylum

Condition on Admission

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.