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Finding into death of Shrihan Gannaram

Deceased

Shrihan Gannaram

Demographics

0y, male

Date of death

2015-07-14

Finding date

2018-07-10

Cause of death

Multiple injuries sustained from impact with the ground from an extended height in tandem with abdominal stab wounds

AI-generated summary

A 4-month-old boy fell from a third-floor balcony on 14 July 2015 in Melbourne, resulting in multiple injuries including abdominal stab wounds. His mother, despite experiencing postpartum depression and social isolation (with only one friend in Australia), had no identified mental health issues at the four-week postnatal check. She died by suicide within days of the child's death. The coroner found the child died from injuries sustained in the fall. While maternal and child health services appropriately screened for postnatal depression per guidelines, the service lacked specific protocols to assess social support and isolation, which are recognized risk factors for perinatal mental health complications.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Fall from third-floor balcony
  • Maternal filicide
  • Postpartum depression in mother
  • Maternal social isolation
  • Lack of familial support following paternal grandparents' return to India

Coroner's recommendations

  1. City of Melbourne MCHS should consider adding 'lack of social support/isolation' to the list of risk factors in their Risk Assessment Guide
  2. Increased focus on assessing and addressing social support in maternal and child health services, particularly for mothers with limited social networks
  3. Implementation of universal Edinburgh Postnatal Depression Scale screening at four-week consultations for all mothers (subsequently actioned by City of Melbourne)
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