Finding into death of Glenn Leslie Stevenson
Deceased
GLENN LESLIE STEVENSON
Demographics
45y, male
Date of death
2008-04-06
Finding date
2010-01-11
Cause of death
Multiple injuries and fall from a height
AI-generated summary
Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxicated with suicidal ideation and a specific plan to jump from the bridge. He was discharged on overnight leave the following day, during which he consumed alcohol and drove to the bridge. An independent expert review found the mental health assessment and decision-making were not inappropriate by the standards of Victorian psychiatry at that time, though good practice would have included explicit agreement to avoid alcohol and more thorough discussion of risk factors, particularly his intent to drive and his wife's statement that reconciliation was unlikely. The coroner commended police efforts to prevent the death and noted the absence of suicide barriers on the bridge.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Contributing factors
- suicidal ideation with specific plan
- alcohol intoxication
- marital breakdown
- depression
- overnight leave granted from psychiatric hospital
- patient drove to known location for suicide attempt
- absence of suicide barriers on bridge
Coroner's recommendations
- Permanent public safety barriers to be installed on the Westgate Bridge (subsequently completed)
Full text
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