exsanguination due to a gunshot wound to the upper left chest
AI-generated summary
A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) and was managed by her general practitioner and Tasmania Health Service, including crisis assessment and discharge team (CATT) and psychology services. The coroner found she was appropriately treated medically. Her death followed relationship breakdown, workplace stress, financial pressure, and estrangement from her children. The coroner made no recommendations, finding no medical management failures. Clinical lessons include the chronic nature of suicide risk in depression, limitations of short-term crisis intervention, and the complexity of protecting vulnerable patients with access to lethal means.
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