Coronial
SAother

Coroner's Finding: FORSAITH Renald Lance

Deceased

Renald Lance Forsaith

Demographics

51y, male

Date of death

2005-04-06

Finding date

2008-06-06

Cause of death

neck compression due to hanging

AI-generated summary

A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk during nine months of incarceration. Prison assessments, psychiatric evaluations, and staff observations all indicated he was not at risk. No clinical intervention could have prevented this death based on his presentation. However, the coroner identified that the physical environment—specifically the shelf structure used for hanging—remained a known hazard. The coroner endorsed previous recommendations to remove hanging points from prison cells, noting this structural issue persisted despite awareness of the risk and previous recommendations.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • prison cell environment with accessible hanging points
  • shelf structure used for suspension
  • history of depression
  • family history of suicide
  • remand in custody stress

Coroner's recommendations

  1. Endorse and adopt previous recommendations for removal of hanging points from prisons
  2. Address the issue of bookshelves and similar structures in prison cells that can be used as hanging points at Yatala Labour Prison
Full text

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