Deceased
David John Bucknall
Demographics
41y, male
Date of death
2010-03-16
Finding date
2012-08-07
Cause of death
Hanging
AI-generated summary
A 41-year-old male prisoner with a history of depression died by suicide while incarcerated at Wolston Correctional Centre. He was appropriately assessed as low-risk for suicide on arrival and received psychiatric care after referral, though there was a two-month delay in accessing the Prison Mental Health Service due to resource limitations. His psychiatrist provided good care and found no evidence of acute deterioration before death. The immediate trigger was a visit from his former partner on 13 March 2010, three days before his death, in which she made clear the relationship was definitively over. Staff responded appropriately once his body was discovered. The coroner found psychiatric care adequate once accessed, but highlighted the systemic issue of delays in prisoner mental health assessment due to resource constraints, and commended changes made to laundry bag design and prisoner follow-up procedures post-incident.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Clinical conditions
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PE, aged 53, died by hanging in Parklea Correctional Centre on 3 February 2024, four days after entering custody for the first time on remand. The coroner found PE's death was self-inflicted at a time of emotional turmoi…
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Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
Source and disclaimer
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