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Finding into death of Peter Andrew McNay

Deceased

Peter Andrew McNay

Demographics

50y, male

Coroner

Coroner John Olle

Date of death

2012-07-01

Finding date

2014-10-06

Cause of death

hanging

AI-generated summary

50-year-old male with long-standing substance abuse history (alcohol, marijuana, heroin until 2009) and complex mental health issues including depression, anxiety, personality traits, and multiple prior suicide attempts. Following his brother's suicide in April 2011, he increased substance use. On 1 July 2012, he called Mercy Mental Health Crisis Assessment and Treatment Team stating he wanted to hang himself and was actively attempting to tie a noose. The psychiatric nurse appropriately assessed him, established he had no protective factors and active means, and contacted police for welfare check. Police responded within 13 minutes and found him already deceased from hanging. The coroner found the mental health response and police response both timely and appropriate. Clinical lessons include the importance of recognizing acute suicide risk with stated intent and immediate means, and the need for rapid crisis intervention, though in this case the intervention occurred too late.

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

Specialties

psychiatryaddiction medicine

Drugs involved

alcoholmarijuanamethadonediazepamquetiapine

Clinical conditions

depressiongeneralized anxietycluster A and B personality traitspolysubstance abusesituational crisissuicidal ideation

Contributing factors

  • long-standing mental health history including depression and anxiety
  • substance abuse history
  • prior suicide attempts and self-harm
  • recent suicide of brother in April 2011
  • recent increase in alcohol and marijuana use
  • absence of protective factors identified during crisis assessment
  • active suicide intent with stated means at time of crisis call
Full text

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