Coronial
WAhospital

Inquest into the Death of Anandakumar SELLAKATHIRKGAMAN

Deceased

Anandakumar SELLAKATHIRKGAMAN

Demographics

38y, male

Date of death

2013-01-04

Finding date

2016-09-08

Cause of death

hypoxic brain injury and organ failure following compression of the neck (hanging)

AI-generated summary

A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who recommended community release with family support. Upon release to his brother's care in Perth, the deceased received Red Cross transitional support but his mental health deteriorated over Christmas 2012. After a suicide attempt on 27 December, he presented to Armadale Hospital ED where staff assessed him as low suicide risk and discharged him without specialist psychiatric review or escalation to on-call psychiatry. Critical missed opportunities included: failure to escalate his case despite three self-harm attempts and asylum seeker status; lack of communication about Red Cross office closure over Christmas/New Year; and absence of comprehensive psychiatric assessment given his documented vulnerability. The deceased completed suicide on 2 January 2013. The coroner found the hospital assessment 'limited' and indicated greater psychiatric review and escalation should have occurred.

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

Contributing factors

  • asylum seeker status with history of trauma and torture fears
  • separation from wife and child in Sri Lanka
  • mental health deterioration in community after detention release
  • limited psychiatric assessment in emergency department
  • failure to escalate case despite three self-harm attempts on same day
  • absence of escalation to psychiatrist on-call despite asylum seeker status and recent self-harm
  • lack of comprehensive collateral history in ED assessment
  • deceased's reluctance to disclose suicidal thoughts due to cultural factors and use of telephone interpreter
  • poor communication about Red Cross office closure over Christmas/New Year period
  • family's unsuccessful attempts to contact Red Cross during closure period
  • six-week gap in planned GP appointment due to deceased's request and office closure
  • insufficient mental health monitoring during vulnerable Christmas period
Full text

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