Benjamin Browne, 29, died from a neck laceration sustained during acute behavioural disturbance in August 2018. He had diagnosed major depression with anxiety, prescribed mirtazapine but attended only two psychology sessions. In the weeks before death, his behaviour became erratic; he consumed alcohol, cannabis, and methamphetamine. After police contact for driving violations, he experienced acute crisis with thought disorder and irrational behaviour, inflicting self-harm. The coroner found insufficient evidence of intent to take his own life. Clinical lessons include: recognising untreated depression in military veterans; ensuring follow-up mental health support following compensation awards; monitoring patients with substance use and mood disorders; and early intervention when behavioural deterioration occurs. Recommended psychological support was never accessed.
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