Andrew Stanyer, a 37-year-old male with significant life stressors, died by hanging after police attendance at a family violence incident. He had previous suicide attempts (2000, 2009), depression treated with sertraline, and multiple concurrent stressors: marital breakdown, financial hardship including truck repossession, family estrangement, and physical health issues (post-MI with cardiac surgery). Police officers who attended the property at 12:30pm conducted a risk assessment but did not specifically assess the perpetrator's mental health or suicide risk, despite evidence of identified risk factors. Significantly, Victoria Police were unaware of data showing male intimate partner violence perpetrators have elevated suicide risk (21.9% of all male suicides in Victoria 2009-2012). The coroner identified a prevention opportunity: police should assess perpetrator mental health and suicide risk during family violence callouts, not just victim protection. No procedural or clinical errors occurred; the case highlights a systemic awareness gap regarding perpetrator suicide risk assessment.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Family estrangement (excluded from grandmother's 90th birthday and funeral)
Belief of spouse infidelity with work supervisor
Diagnosed depression
History of previous suicide attempts (2000 and 2009)
Significant physical health issues (post-myocardial infarction with triple bypass, cardiac stents)
Possible undiagnosed prostate cancer
Cannabis use
Difficulty obtaining employment due to cardiac limitations
Loss of control and autonomy
Police intervention order requiring exclusion from family home and separation from children
Police did not assess perpetrator's suicide risk during family violence callout
Coroner's recommendations
Victoria Police to publish an article in the Police Gazette (released every second Monday to all operational police officers) regarding the increased suicide risk of male perpetrators of intimate partner violence
Victoria Police to distribute an alert on the Victoria Police Family Violence intranet to alert operational police officers to the issue when accessing family violence information and documents
Victoria Police Family Violence Advisors and Team Leaders to communicate and highlight the issue of perpetrator suicide risk to their teams
Police officers attending family violence incidents should assess the mental well-being of alleged perpetrators, not just focus on victim protection, recognising that the perpetrator is the source of risk for family violence and potentially for self-harm
Future amendments to the Victoria Police Code of Practice for Investigation of Family Violence, the L17 risk assessment form, and related policy documents should consider including assessment of perpetrator mental health and suicide risk, to be determined after consultation with relevant stakeholders and consideration of Royal Commission into Family Violence recommendations
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