Deceased
KT
Demographics
47y, female
Date of death
2021-07-18
Finding date
2024-01-18
Cause of death
insulin and mixed drug toxicity, the result of actions undertaken by the deceased alone, voluntarily and with the express intention of ending her own life
AI-generated summary
A 47-year-old woman with depression and a history of suicidal ideation died from insulin and mixed drug toxicity after deliberately injecting insulin from her daughter's insulin pens. She had been seen by her GP seven times and a psychologist twice in the six weeks before death, including on the day she died. The coroner found her GP and psychologist treatment appropriate. However, the psychologist's failure to comply with a coroner's order to produce clinical records for nearly a year unnecessarily hampered investigation. The coroner noted the psychologist did not initially disclose he had lost the records. While the death was intentional suicide and not preventable by clinical intervention, the case highlights the importance of prompt cooperation with coronial investigations and adequate clinical record-keeping in mental health care.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Error types
Drugs involved
Clinical conditions
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