Inquest into the death of Eden Ryan ZANETTI
Deceased
Eden Ryan Zanetti
Demographics
40y, male
Date of death
2024-11-21
Finding date
2026-10-15
Cause of death
multiple injuries
AI-generated summary
Eden Ryan Zanetti, age 40, died by suicide on 21 November 2024, jumping from a cliff at Boya Quarry, falling approximately 40 metres. He had a 10+ year history of schizoaffective disorder with treatment-resistant psychosis, auditory hallucinations, and religious delusions. Following a psychotic relapse in October 2024, he was admitted involuntarily to St John of God Midland Public Hospital and treated with zuclopenthixol depot injection, which he tolerated well with good clinical response. Discharged on a Community Treatment Order on 14 November, his care coordinator had contact on 21 November finding no indication of suicidal ideation. The coroner found no missed opportunities for intervention, determining that his treatment, medication, discharge planning, and community follow-up were all appropriate. The inquest emphasises that suicide is highly unpredictable; even with appropriate psychiatric care, risk assessment, and monitoring, such deaths cannot always be prevented.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Specialties
Drugs involved
Clinical conditions
Procedures
Contributing factors
- schizoaffective disorder
- psychotic relapse
- poor insight into mental illness
- non-compliance with antipsychotic medication (prior episodes)
- substance use (methamphetamine, alcohol)
- recent criminal charges and brief custody
- chronic treatment-resistant illness
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