Coronial
VIChome

Finding into death of Tessa Michelle Ballam

Deceased

Tessa Michelle Ballam

Demographics

31y, female

Date of death

2015-08-15

Finding date

2022-03-31

Cause of death

neck compression in the circumstances of hanging

AI-generated summary

Tessa Ballam, a 31-year-old accountant with longstanding depression, anxiety, bulimia nervosa, and borderline personality disorder (BPD), died by hanging in August 2015. She had experienced workplace difficulties with her manager Jade Collins, which were investigated by HR managers Trent Lethlean and Leonard Kocovic. A performance management meeting was held on 14 August 2015. Although the coroner found that objectively, the managers' conduct was reasonable given they were unaware of her mental health history, subjectively Tessa's BPD caused her to catastrophise these workplace issues. Combined with alcohol intoxication and temporal proximity to the meeting, these factors contributed to her suicide. The coroner emphasised that BPD causes negative fixation, emotional dysregulation, and distorted perception of others' intentions—manifestations evident in Tessa's communications. Key lessons: mental health vulnerability is often hidden; seemingly routine management actions carry different risk in vulnerable individuals; and the interaction between psychological fragility, stressors, and intoxication creates acute suicide risk.

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

Contributing factors

  • borderline personality disorder
  • depression
  • anxiety
  • bulimia nervosa
  • workplace stress and deteriorating relationship with line manager
  • performance management meeting timing and conduct
  • alcohol intoxication
  • chronic suicidal ideation
  • previous suicide attempt
  • perception of workplace issues as threatening
  • catastrophic thinking

Coroner's recommendations

  1. Improve workplace mental health awareness and support mechanisms to identify and assist employees experiencing psychological distress
  2. Enhance HR training on managing employees with mental health vulnerabilities, particularly in performance management contexts
  3. Implement protocols for mandatory mental health screening or check-ins following workplace incidents, especially when employees express distress
  4. Review performance management procedures to ensure adequate notice periods and consideration of vulnerable employees' circumstances
  5. Strengthen communication between occupational health services and HR departments regarding employee mental health concerns
Full text

Source and disclaimer

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