Finding into death of Alison Rae Wolinski

AI-generated summary

A 36-year-old woman with borderline personality disorder and alcohol use disorder died by hanging approximately one month after discharge from St Vincent's Hospital. She had been admitted involuntarily following threats with a knife, placed on a Temporary Treatment Order, and assessed as at moderate self-harm risk. After only 6 days, a psychiatrist revoked her compulsory treatment order and discharged her. She failed to return from approved leave to see her private psychiatrist; the hospital discharged her as a missing person after two days without contact. Key clinical lessons: the timing of discharge was problematic given recent high-risk behaviour and active substance abuse (2+ bottles wine daily); inadequate coordination with her private psychiatrist; no documented risk assessment before discharge; failure to involve her father despite his concerns; and unclear follow-up arrangements. Earlier involvement of family, more conservative discharge planning, and clearer community coordination might have altered the outcome.

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