Finding into death of Y GE
Deceased
YGE
Demographics
male
Date of death
2019-12-28
Finding date
2022-08-05
Cause of death
Hanging
AI-generated summary
YGE, a man with major depressive disorder, suicidality, and illicit substance use, died by hanging at the Neighbourhood Justice Centre on 28 December 2019. He was subject to a family violence intervention order and had been arrested for breaches two weeks prior. The Coroners Prevention Unit found no concerns with mental health care provided by St Vincent's Mental Health or family violence support. However, the review identified YGE as part of a vulnerable cohort—people who inject drugs with family violence involvement—who experience earlier death, higher mental illness rates, legal stressors, and reduced service contact despite frequent health service engagement. The coroner recommended that Family Safety Victoria use suicide data from this cohort to inform perpetrator interventions, recognising the intersection of substance use, mental illness, family violence, and suicide risk requires targeted prevention strategies.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Contributing factors
- major depressive disorder
- suicidality history
- illicit substance use (heroin and cannabis)
- family violence intervention order breach
- recent arrest for FVIO breaches
- separation from long-term partner
- non-adherence to prescribed medications in weeks prior to death
- reduced contact with services despite vulnerability
Coroner's recommendations
- Family Safety Victoria review the data regarding the suicide of people who inject drugs and who are perpetrators of family violence and use this data to inform the development and review of perpetrator interventions going forward
Full text
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