Deceased
Anthony Lanzafame
Demographics
54y, male
Date of death
2016-05-24
Finding date
2021-12-15
Cause of death
compression of the neck due to hanging
AI-generated summary
Anthony Lanzafame, a 54-year-old remand prisoner, died by hanging in his single cell at Adelaide Remand Centre on 24 May 2016. He had been on remand for 17 months facing murder charges and was undergoing trial when he died. While he had a history of anxiety and depression managed with olanzapine and mirtazapine, and had expressed suicidal ideation on admission, he had been stable for over a year in single accommodation without incident. Key contributing factors were the availability of a hanging point (sink plumbing) in his cell and the stress of his trial, compounded by forced smoking cessation. The coroner found no departure from standard procedures and concluded suicide could only have been prevented by doubled-up accommodation or elimination of the hanging point. The dominant preventability factor was the presence of the identifiable hanging point itself.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
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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