Deceased
Pratik Dugar
Demographics
27y, male
Coroner
Coroner Audrey Jamieson
Date of death
2012-10-08
Finding date
2014-02-03
Cause of death
Multiple injuries sustained when struck by a train
AI-generated summary
A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed as low suicide risk following crisis assessment team review. He had ceased sertraline unilaterally two months before death and was using cannabis to self-medicate anxiety. Clinical lessons include the importance of risk reassessment in patients with mood disorders who discontinue antidepressants, ensuring adequate follow-up after emergency presentations for suicidal ideation, and considering the potential increased risk when patients self-discharge from psychiatric care or default appointments. The coroner found no clinical failings but recommended improved railway crossing safety features.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Drugs involved
Clinical conditions
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