Coronial
WAcommunity

Inquest into the Death of Paul James BRADY

Deceased

Paul James BRADY

Demographics

35y, male

Date of death

2020-05-15

Finding date

2023-02-28

Cause of death

multiple injuries

AI-generated summary

Paul James Brady, aged 35, died from multiple injuries sustained after jumping from a third-floor apartment balcony on 15 May 2020. Two police officers arrived at the scene within minutes of receiving a call about a man on a ledge. While they attempted to persuade Mr Brady to sit down, he jumped within approximately four minutes. The officers initially failed to approach Mr Brady or commence CPR, reporting they went into 'shock' or 'froze'. However, two other officers arrived shortly after and began resuscitation efforts. The coroner found Mr Brady's injuries were non-survivable regardless of timing of CPR. The primary clinical lesson concerns the duty to preserve life and prompt provision of first aid in critical incidents. The case highlights the need for adequate training in managing vulnerable people in crisis, including recognition of the fight/flight/freeze physiological response.

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

Contributing factors

  • mental health crisis - anxiety and depression
  • acute stress and emotional distress
  • alcohol consumption
  • failure of initial police responders to check for signs of life and commence CPR
  • lack of mental health co-response team availability at time of incident
  • psychological freeze response of initial responders

Coroner's recommendations

  1. That the Mental Health Co-Response continues to be funded, and that consideration be given to providing the Western Australia Police Force and the Western Australia Mental Health Commission with additional, external funding in order to support expansion of the programme in a way that meets demand.
  2. That consideration be given to providing the Western Australia Police Force and the Western Australia Mental Health Commission with additional, external funding in order to support the expansion of the Mental Health Co-Response in metropolitan areas of Perth.
  3. That work continues on the planning of the Mental Health Co-Response in regional areas of the State, and consideration be given to providing the Western Australia Police Force and the Western Australia Mental Health Commission with additional, external funding in order to support the expansion of the Mental Health Co-Response into regional areas.
Full text

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