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Finding into death of Katarina Sonia Novakovic

Deceased

KATARINA SONIA NOVAKOVIC

Demographics

47y, female

Date of death

2010-09-25

Finding date

2013-08-21

Cause of death

INCISED INJURY TO THE NECK

AI-generated summary

A 47-year-old woman with schizophrenia and recent depressive symptoms died by intentional incised injury to the neck. She had been prescribed escitalopam on 10 September 2010 for emerging depressive illness following her parents' deaths and increasing social isolation. Two days before her death, a case manager completed a risk assessment and found her stable, denying suicidal ideation, though she reported hopelessness themes. The coroner commended the comprehensive shared care between public and private psychiatrists but identified that there was no documented follow-up to assess whether the newly prescribed antidepressant was being taken or was effective during the critical early treatment period. The death was impulsive, occurring as she prepared for a holiday trip.

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

Contributing factors

  • emerging depressive illness following parents' deaths
  • social isolation and loneliness
  • recent bereavement (both parents deceased within 12 months)
  • access to means
  • impulsive suicide attempt history (2008)
  • no documented assessment of antidepressant effectiveness in early treatment period
  • anxiety about planned holiday travel and being alone in unfamiliar location

Coroner's recommendations

  1. That Eastern Health Mental Health Services review its policy and clinical guidelines to ensure monitoring of therapeutic effectiveness in the high-risk commencement period for antidepressants is assessed according to best practice principles.
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