Deceased
IM
Demographics
37y, male
Date of death
2019-09-03
Finding date
2022-02-09
Cause of death
Sharp force injuries of the neck and left arm
AI-generated summary
A 37-year-old male remanded in custody at Cessnock Correction Centre died by suicide on 3 September 2019 from self-inflicted sharp force injuries to the neck and left arm. He had been in custody for 44 days following charges of sexual offences against a child. Initial mental health screening identified mild depression/anxiety but assessed him as not at risk. He subsequently engaged with Justice Health, calling the mental health helpline three times and denying suicidal ideation on each occasion. Critical information emerged post-mortem: his former spouse disclosed a prior psychiatric admission in March 2017, ongoing private psychotherapy, and medication non-compliance associated with suicidal ideation—details not disclosed by IM during reception screening and not available in medical records obtained from his GP. The coroner found no evidence that custodial or medical staff could have altered the outcome, and noted appropriate emergency response once the incident was discovered.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Clinical conditions
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Sudden Unexplained Death of an Infant (SUDI) in an unsafe sleeping environment; …
Three Aboriginal infants died in unsafe co-sleeping environments in the Northern Territory. Baby K (3 months), Baby B (2 months), and Baby S (5 weeks) all died from sudden unexpected death in infancy (SUDI) associated wi…
40y · Male·Unascertained
Nathan James Taylor, aged 40, died in Port Lincoln Prison on 24 March 2022 while in custody pending trial on witness interference charges. He had significant medical history including infective endocarditis with tricuspi…
Source and disclaimer
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