Coronial
VICcommunity

Finding into death of Kent Thomas

Deceased

Kent William Thomas

Demographics

68y, male

Date of death

2018-12-10

Finding date

2021-04-30

Cause of death

Hanging

AI-generated summary

Kent Thomas, aged 68, died by hanging in December 2018. He had experienced chronic tinnitus since 2013 which severely impacted his mental health and quality of life. Despite referral to mental health services and a reasonable assessment by a psychiatric nurse on 7 December, he died three days later. The coroner identified tinnitus-related distress as the primary driver of his suicide. Key clinical lessons: tinnitus can cause severe psychological distress with suicide risk, particularly in older men; early specialist assessment and collaborative treatment involving audiologists, mental health professionals and GPs is essential; GPs should screen for tinnitus-related distress and conduct suicide risk assessment; treatment should address both the hearing condition and psychological impact through education, coping strategies and reassurance rather than relying solely on benzodiazepines.

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

Contributing factors

  • chronic tinnitus since 2013 causing severe distress
  • deteriorating mental health over preceding two months
  • depression with suicidal ideation
  • inadequate specialist tinnitus assessment and management
  • reliance on benzodiazepines for sleep without comprehensive tinnitus treatment
  • social isolation and withdrawal

Coroner's recommendations

  1. The Royal Australian College of General Practitioners work with Hearing Australia to develop a guideline for general practitioners to screen for and treat tinnitus related distress in newly diagnosed cases of tinnitus in which investigations are still ongoing and in cases of tinnitus where investigations do not identify a cause and treatment does not adequately alleviate symptoms. Such guideline should include suicide risk assessment and appropriate treatment options for those identified as experiencing tinnitus related distress.
  2. The Royal Australian College of General Practitioners promote awareness to general practitioners of the significant psychosocial impacts of tinnitus and tinnitus related distress, including associated risks and the risk of suicide.
Full text

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