Finding into death of Shane Kenneth Warrick
Deceased
Shane Kenneth Warrick
Demographics
38y, male
Date of death
2013-08-26
Finding date
2014-11-28
Cause of death
Multiple injuries
AI-generated summary
Mr Shane Kenneth Warrick, 38, was assessed at Sunshine Hospital's Emergency Crisis Assessment and Treatment Team (ECATT) on 25 August 2013 after reporting thoughts of harming his father. He had a complex psychiatric history including paranoid schizophrenia, substance dependence, and prior hospitalization. He denied suicidal intent but admitted occasional suicidal ideation. ECATT provided crisis assessment, restarted olanzapine, and discharged him. The following day, he stepped into traffic on the Western Freeway in circumstances suggesting intentional self-harm. Toxicology revealed alcohol (0.16g/100mL), benzodiazepine, olanzapine, tramadol, and cannabis. The coroner found the psychiatric assessment appropriate and concluded he intended to take his own life. Key issues included the dangerous freeway access point to the caravan park and the need for infrastructure improvements to prevent similar tragedies.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Contributing factors
- Complex psychiatric history with paranoid schizophrenia and substance dependence
- Recent discontinuation of antipsychotic medication (olanzapine)
- Acute intoxication with alcohol and other substances
- Suicidal ideation expressed during assessment
- Recent significant life stressors including cancer diagnosis
- Long-standing trauma history
- Unsafe freeway access point to residential caravan park
Coroner's recommendations
- Consideration be given to closing the median 'strip crossovers' on the Western Freeway at Troups Road North, the Sundowner Caravan Park, the Rockbank Garden Centre (Nursery), Paynes Road, and Mount Cottrell Road
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