Tauati, Tui Dace - Non-inquest findings
Deceased
Tui Dace Tauati
Demographics
21y, male
Date of death
2015-08-22
Finding date
2016-05-03
Cause of death
hanging
AI-generated summary
21-year-old Pacific Islander male died by hanging at home after relationship breakdown. He had undiagnosed depression, was using methamphetamine, and had a history of domestic violence perpetration with a protection order breached three times in the preceding months. Despite identified high-risk factors for suicide (young male in post-separation period, substance use, relationship distress, possible depression), no systemic failures in suicide prevention were identified. Clinical lessons include: recognition that perpetrators of domestic violence in post-separation periods are at elevated suicide risk; importance of following up when individuals fail to engage with mental health interventions; consideration of mental health screening in police custody; and awareness that depression may be undiagnosed in young people presenting with relationship and substance use issues.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Clinical conditions
Contributing factors
- undiagnosed and untreated depression
- relationship breakdown and separation from partner and child
- domestic violence perpetration history
- methamphetamine and amphetamine use at significant levels
- emotional distress and fatigue
- post-separation high-risk period for suicide
- Pacific Islander background associated with higher suicide rates
- lack of follow-up when failed to engage with voluntary intervention order counselling
Coroner's recommendations
- Follow-up and consequence should be implemented when individuals fail to attend voluntary intervention order counselling sessions, to encourage engagement with mental health processes
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