Coronial
TAShospital

Coroner's Finding: Hassanloo, Saeed

Deceased

Saeed Hassanloo

Demographics

27y, male

Date of death

2016-08-27

Finding date

2022-02-28

Cause of death

traumatic injuries and/or drowning from jumping from Tasman Bridge

AI-generated summary

A 27-year-old Iranian asylum seeker died by suicide after jumping from Tasman Bridge. He had a complex psychiatric history including depression, anxiety, and adjustment disorder, with multiple self-harm episodes. His second psychiatric hospital admission for treatment-resistant depression ended with unplanned self-discharge on 26 August 2016. Key clinical lessons include: the treating team appropriately applied Mental Health Act provisions and capacity assessments under challenging circumstances; involuntary detention was not legally possible given the patient's assessed decision-making capacity; the patient refused mental health engagement and interpreter services despite availability; communication and information-sharing between services appeared reasonable within privacy law constraints; and the hospital's discharge planning, while unfinished, could not have reasonably predicted the following day's suicide. The coroner found no preventable medical error or inappropriate clinical care, though noted the treating team faced extraordinary complexity with a non-compliant, trauma-affected asylum seeker.

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

Contributing factors

  • untreated adjustment disorder related to visa/immigration status
  • unresolved depression and anxiety
  • refusal to engage with mental health treatment
  • loss of trusted migration agent (A/Prof Mary Anne Kenny)
  • severe social isolation and paranoia
  • unresolved trauma history as asylum seeker
  • patient's assessed decision-making capacity preventing involuntary detention
  • unplanned self-discharge from hospital the day before death
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