Finding into death of Kon Maximos
Deceased
Kon Maximos
Demographics
62y, male
Date of death
2023-10-15
Finding date
2025-11-04
Cause of death
Shotgun injury to the head
AI-generated summary
Kon Maximos, aged 62, died from a self-inflicted shotgun wound to the head on 15 October 2023. He was in acute interpersonal crisis following marital separation, family estrangement over infidelity, and police intervention for family violence. Critical clinical and systemic failures included: inadequate mental health assessment despite explicit suicide statements and text messages expressing suicidal intent; lack of proper evaluation during police welfare checks when Kon said 'I'm going to kill myself'; no referral to mental health services despite clear warning signs; failure to restrict his access to firearms at his parents' home where two shotguns were stored in an insufficiently secured safe; and bail conditions permitting residence at an address with accessible firearms. Early mental health intervention, proper risk assessment protocols during police welfare checks, and more stringent firearm access restrictions following family violence orders could have prevented this death.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Error types
Drugs involved
Clinical conditions
Contributing factors
- Marital estrangement and impending separation
- Infidelity and family estrangement
- Loss of relationship and financial control
- Family violence escalation and police intervention
- Explicit suicidal ideation expressed to family members
- Inadequate mental health assessment and intervention
- Lack of proper risk evaluation during police welfare checks
- Access to unsecured firearms at parental home
- Bail conditions permitting residence at address with accessible firearms
- Incomplete enforcement of exclusion order regarding gate remote access
- Discontinuation of counselling after two sessions
- Use of mirtazapine (antidepressant) of unclear provenance
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