MW, a 52-year-old man awaiting extradition to the United States, died by hanging in Parklea Correctional Centre on 5 May 2017. Upon reception screening, he denied suicidal ideation and scored 21/50 on the Kessler 10 screening tool, indicating mild psychological distress. A psychologist saw him twice in early February, noting anxiety about his situation and inability to make phone calls. Dr B. prescribed mirtazapine for sleep on 10 February. On 23 April, MW told nursing staff he had stopped taking the medication for 7 days. The coroner found that screening and management policies were appropriately followed. There was no documented evidence of suicidal ideation or mental health deterioration between mid-April and his death on 5 May. The coroner concluded staff had no reason to suspect he would take this opportunity to harm himself, and no recommendations were warranted given policy compliance and subsequent cell modifications.
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