59y · Male·Unascertained
Louis Naumovski, a 59-year-old man with a long history of substance use disorder, chronic pain, depression, and multiple suicide attempts, was found deceased at his home after approximately three…
38y · Male·combined effects of inhalation of products of combustion and incineration
…r setting himself alight during police attendance at his home on home detention bail. He had a history of chronic dysthymia, alcohol abuse, and previous self-harm threats. Roberts made repeated calls to his ex-partner t…
19y · Female·asphyxiation
A 19-year-old university student with chronic bilateral uveitis presented to university counselling with depression. She disclosed detailed written sui…
59y · Male·incised injuries to the neck
…sment practices, that suicidality can fluctuate rapidly, and that clinical improvement does not eliminate chronic suicide risk in vulnerable patients.
37y · Male·hypoxic ischaemic encephalopathy secondary to hanging
A 37-year-old man with depression, suicidal ideation, and antisocial personality disorder died from hypoxic ischaemic encephalopathy following hanging while on home detention bail. He had been arrested following a domest…
31y · Male·Hanging
…for death was not effectively communicated to treating teams. Complex assessment of acute suicide risk in chronic BPD presents ongoing clinical challenges.
29y · Female·asphyxiation due to ligature compression of the neck (hanging)
…following charges of unlawful wounding against her parents. She had a longstanding history of depression, chronic low self-esteem, and suicidal ideation dating back 15 years. Following arrest in August 1998, she was adm…
43y · Male·bronchopneumonia and brain swelling following ligature compression of the neck (…
…ia and brain swelling following ligature asphyxiation by hanging. He had antisocial personality disorder, chronic suicidality, and three recent suicide attempts by overdose before incarceration. Although initially place…
52y · Male·HIV infection complicated by basal and squamous cell carcinoma of the head and n…
Bruce Jason Garrett, a 52-year-old prisoner detained under the Dangerous Sexual Offenders Act, died at Royal Perth Hospital on 2 October 2010 from HIV infection complicated by basal and squamous cell carcinoma of the hea…
27y · Male·Hanging
Richard Hilton, a 27-year-old with longstanding bipolar affective disorder and benzodiazepine dependence, presented to Werribee ED three times in two months with suicidal ideation and self-harm attempts. Each time he was…
25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia
Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. F…
27y · Male·Mixed drug toxicity
A 27-year-old man with polysubstance abuse disorder, generalised anxiety disorder, and borderline personality disorder died from mixed drug toxicity (heroin, morphine, diazepam, citalopram, quetiapine) shortly after disc…
48y · Male·hanging, intentionally self-inflicted
SS, a 48-year-old male with treatment-resistant depression and chronic suicidal ideation, died by hanging in Boronia Park, NSW in June 2014. He was admitted to Gosford Hospital…
38y · Female·neck compression due to hanging
Margaret Lindsay, 38, died by hanging in Adelaide Women's Prison on 23 May 2001 whilst remanded in custody. She had a complex history of psychiatric illness, drug and alcohol abuse, and multiple suicide attempts. Despite…
41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…
Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
Female·Multiple causes: Ruby Natasha Nicholls-Diver: ligature compression of neck (hang…
…ndividual management and risk assessment plans must be documented for all patients, especially those with chronic suicide risk; (2) Families/carers should be proactively contacted regarding discharge, not excluded on co…
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