Deceased
Chloe Jane Campbell
Demographics
32y, female
Coroner
Lee
Date of death
2019-04-30
Finding date
2024-09-17
Cause of death
Hypoxic-ischaemic encephalopathy due to hanging
AI-generated summary
Chloe Jane Campbell, aged 32, died by suicide while an involuntary inpatient with borderline personality disorder, complex PTSD, and chronic suicidal ideation. She was admitted 18-30 April 2019 after ceasing medications and experiencing suicidal ideation. Care was clinically appropriate including risk assessments, observations, and medication use consistent with guidelines. She hanged herself using bedsheet over ensuite door on 29 April evening, suffering hypoxic brain injury and cardiac arrest; died 30 April. Coroner found treatment appropriate but noted systemic issues: ensuite doors represented known ligature risk (identified in 2015 and 2018 audits marked for 'local management') that were not addressed through capital works until after her death. Coroner found this consistent with statewide approach at the time, with environmental hazard management shifting toward built environment modifications only from 2018 onwards following prior coronial findings.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
Procedures
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