A perfect storm of errors meant Darren was placed in an unsafe cell. He died two days later

Steve Brandon, whose brother Darren died by hanging in Melbourne assessment prison while on remand. The coroner said his suicide was preventable. Photograph: Christopher Hopkins/The Guardian

Warning: this story contains descriptions of self-harm and some readers might find it distressing.

When Darren Brandon was detained at Melbourne assessment prison, a perfect storm of missed paperwork and a lack of clear intake procedure between police and the jail meant he was assessed as being low risk of self-harm.