Finding into death of Benjamin Gleeson
Deceased
Benjamin Gleeson
Demographics
37y, male
Date of death
2016-09-06
Finding date
2018-04-09
Cause of death
Carbon monoxide poisoning
AI-generated summary
Benjamin Gleeson, a 37-year-old man, died from carbon monoxide poisoning by exhaust inhalation. He had a history of methamphetamine use, depression with suicidal ideation, and was a perpetrator of family violence. Despite receiving mental health treatment from Goulburn Valley Health and correctional supervision, he died by suicide. Clinical lessons include: early identification of heightened suicide risk in methamphetamine users with domestic violence history; recognition that male perpetrators of domestic violence have elevated suicide risk particularly within 6 weeks of violent incidents; importance of coordination between correctional services and mental health providers; and consideration of more intensive interventions (inpatient admission) when warning signs escalate, particularly around psychosocial stressors like upcoming court proceedings and Father's Day.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Error types
Drugs involved
Contributing factors
- Methamphetamine use
- Major Depressive Disorder
- Suicidal ideation with prior attempts
- Family violence perpetration
- Separation from children
- Impending legal proceedings and incarceration risk
- Psychosocial stressors (Father's Day, birthday, grandfather's death)
- Possible disengagement from mental health services
Coroner's recommendations
- This finding be distributed to the National Drug and Alcohol Research Centre
- This finding be distributed to the Department of Premier and Cabinet's Family Violence and Service Delivery Reform Unit
Full text
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