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A 53-year-old man died after officers restrained him as he charged out of a police cell, an inquest has heard.

Meirion James, from Crymych, Pembrokeshire, was also sprayed with Pava spray - a type of pepper spray - as he ran into the corridor at Haverfordwest police station.

The former teacher had been arrested earlier in the day in 2015.

The jury inquest in Haverfordwest is expected to last until 25 January.

The hearing was told that Mr James had been diagnosed with manic depression in the mid 1980s and that his mental state would deteriorate on occasions, although it had been stable since the mid 90s.

In the autumn of 2014, Mr James' treatment had changed, the inquest heard.

Coroner Paul Bennett said he had come off lithium medication that he had been taking for a number of years and that Mr James felt the new treatment was not as effective as the lithium.

On 30 January 2015 Mr James' vehicle collided with another car in the village of Llanrhystud and the police were called.

After the accident, Mr James was taken to Bronglais hospital.

In a written statement read to the inquest, PC Mike Boyt said Mr James was detained under 136 of the mental health act after paramedics' concerns about his aggressive behaviour.

PC James Crabbe told the hearing that he called Mr James's mother to tell her about the accident and that her son had been detained and taken to hospital.

He said she told him that Meirion had recently been taken off lithium medication and that his mental state had declined since then.

Mr James was allowed home from hospital but the coroner said that in the early hours of 31 January, Mr James became physically aggressive and assaulted his mother, who he lived with.

Mr James called the police himself and he was arrested and taken to the police station.

Later that morning he was assessed by a medical officer who concluded Mr James was not a risk of self-harm and was fit to be detained.

The inquest heard that when officers went to Mr James' cell at about 11:00 GMT to check on him, he charged out of the cell and into the corridor.

Officers tried to restrain Mr James and the coroner said that Pava spray was also used.

Mr James then became unresponsive, and despite efforts to resuscitate him at the police station and at Withybush hospital, he was pronounced dead at 11:30.

The inquest continues.