Finding into death of Ingrid Mary Marr
Deceased
Ingrid Mary Marr
Demographics
30y, female
Date of death
2016-08-12
Finding date
2017-08-16
Cause of death
Hanging
AI-generated summary
A 30-year-old woman with borderline personality disorder, substance abuse history, and exposure to multiple family suicides (father, close friend, partner's mother) presented to Emergency Department after self-harm and suicidal ideation on 11 August 2016. She was assessed by psychiatric nursing staff, denied active suicidal intent, and was discharged with safety planning (staying at mother's farm next day) and two 30mg oxazepam tablets. She died by hanging approximately 6-7 hours post-discharge. The coroner found no evidence of clinical error in the ED assessment or discharge decision. The case highlights suicide risk in patients with prior exposure to suicide deaths and the importance of comprehensive risk assessment in this vulnerable population.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Contributing factors
- Borderline personality disorder
- Chronic suicidal ideation
- Substance abuse history (methamphetamine, codeine)
- Exposure to suicide of father (2006)
- Exposure to suicide of close friend (2013)
- Exposure to suicide of partner's mother (2016)
- Recent pregnancy termination due to trauma (28 July 2016)
- Post-termination infection requiring hospitalisation
- Acute stressors
- Impulsive self-harm
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