Deceased
KDR
Demographics
51y, male
Date of death
2021-01-29
Finding date
2023-10-26
Cause of death
Neck compression from hanging
AI-generated summary
A 51-year-old man with depression, a history of suicide attempts, and domestic violence in his relationship died by hanging on 29 January 2021. He had presented to mental health services on two occasions in January 2021 with expressed suicidal ideation and posted online suicide threats. On 24 January, he was assessed at Latrobe Regional Hospital and deemed low risk for suicide, though he had medium risk for vulnerability. He did not meet statutory criteria for compulsory treatment under the Mental Health Act 2014 (Vic) and was discharged. The coroner found authorities appropriately exercised their responsibilities under current legislation and provided reasonable care. However, the coroner noted systemic limitations in Victoria's mental health crisis response services, referencing the Royal Commission into Victoria's Mental Health Care System's recommendations for improved 24-hour crisis services and emergency department mental health capacity.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Clinical conditions
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Source and disclaimer
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