A psychiatrist told an inquest he 'tried everything he could' to help a young man battling mental health problems after his sister was killed by a dangerous driver.
Stephen Thurm, 32, was found dead at Dunham Forest Golf Club and Country Club in Altrincham in February last year.
An inquest into his death previously heard how his mental health took a 'dramatic turn for the worse' after his sister Helena, 25, was knocked down and killed in Altrincham in June 2016.
In the following years Stephen, a former Altrincham Grammar School and Nottingham University student, became withdrawn and isolated, his behaviour became erratic, he attempted suicide and was sectioned on a number of occasions.
Giving evidence on the second day of the inquest at Stockport coroners court, consultant psychiatrist Dr Luis Rojo said: "I saw him much more frequently than possibly any other patient in the community team.
"We did our best with Stephen. We tried everything we could think of."
The inquest heard that while Stephen, of Altrincham, did occasionally 'engage' with mental health treatment he would also often cancel or not turn up for appointments.
In September 2019 the mental health team decided to alter their approach to allow Stephen more control over his treatment in the hope of increasing his engagement.
Dr Rojo said: "The approach we had hadn't been effective in getting Stephen to engage with the care plan.
"We thought that a good part of the reason was because Stephen didn’t feel involved.
"We thought we would try a different approach that would give Stephen more control."
But Stephen's parents, who previously told the inquest their son’s treatment felt like a 'tick box' exercise, raised concerns about that decision.
Daniel Paul, representing Stephen’s family, said it 'inevitably' increased the risk to Stephen and resulted in less contact with the mental health team in the months leading up to his death.
Stephen was last seen by a psychiatrist in August 2019 and by a psychologist on a one-to-one basis in July 2018, the inquest heard.
A post-mortem report gave the cause of death as hanging.
The inquest heard Stephen was found by a dog walker in a wooded area close to the 15th hole at Dunham Forest Golf Club at about 7.40am on February 5, 2020.
He was identified by his driving licence, which was found with his wallet and mobile phone in a black rucksack inside a red bucket nearby.
Police ruled out any third party involvement in his death, the inquest heard.
The inquest is what's known as an 'Article 2' hearing.
It means it can examine whether any arm of the state breached its duty to protect Stephen's right to life.
It is scheduled to last for three days.
