Deceased
Steven Malcolm Williams
Demographics
31y, male
Date of death
2015-01-01
Finding date
2019-05-08
Cause of death
acute neck compression by ligature
AI-generated summary
Steven Malcolm Williams, aged 31, died in custody at Yatala Labour Prison on 1 January 2015 from acute neck compression by ligature. He had a 12-year history of schizophrenic disorder previously managed with antipsychotics, which he had discontinued two and a half months prior at his own request. Following a self-harm attempt in October 2014 (ligature around neck with prison pants), he was assessed and deemed not at acute risk after denying suicidal intent. He was removed from High Risk Assessment Team monitoring in November 2014. The coroner found, based on expert psychiatric review, that his death could not have been prevented. Clinical lessons include the challenges of risk assessment when patients deny intent and the importance of communication between mental health teams, though no preventable failures were identified.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Clinical conditions
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