259 results for “suicidal intent”
24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…
…. The investigation initially focused on foul play but the coroner concluded this was neither suicide with intent nor homicide. Critical clinical lessons include: psychologists treating acutely suicidal patients should a…
55y · Male·carbon monoxide toxicity
A 55-year-old man with longstanding depression and alcohol use disorder died from carbon monoxide toxicity after deliberately inhaling motor vehicle exhaust in a remote forest location. He had posted a suicide note to Pa…
28y · Male·Multiple injuries sustained when struck by a freight train
Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing intent to jump in front of a…
36y · Male·Multiple Sharp Force Injuries to Chest and Neck
… early January 2020, he presented to ED following ingestion of benzodiazepines and alcohol with ambiguous suicidal statements; he was discharged after brief assessment without formal mental health evaluation or GP notifi…
42y · Female·hanging
…iate discharge from Royal Adelaide Hospital ED. She presented on 26 August 2016 severely intoxicated with suicidal ideation and was under care of private psychiatrist Dr K., whose involvement was not communicated to hosp…
32y · Male·Hanging
…cember 2018, with diagnosis of depression and treatment with escitalopram. On 31 March 2019, he expressed suicidal intent; Ambulance Victoria provided phone-based mental health assessment and safety planning. Mr W report…
47y · Female·Neck compression (ligature strangulation)
A 47-year-old woman died by ligature strangulation using pantyhose while in police custody after arrest on outstanding warrants. She had documented mental health issues (depression) and substance abuse history, with a su…
49y · Female·combined prescription drug intoxication (zopiclone, amitriptyline, periciazine)
…ns in quantities exceeding prescribed doses. The coroner could not definitively determine whether this was intentional self-harm or accidental overdose taken to relieve psychological symptoms. She had mentioned five mont…
41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)
…ollowing an inadequate emergency services response to her mental health crisis. She called 000 expressing suicidal intent and reported consuming excess medication. Police response was law enforcement-led rather than heal…
20y · Male·ligature compression of the neck (hanging)
Isiah Kearing, a 20-year-old Aboriginal man, died by hanging approximately 3 hours after being arrested by police for disorderly conduct at a community hall. He had expressed anger and humiliation about being arrested, f…
27y · Male·The available evidence does not allow for any finding to be made as to the cause…
…lise his situation. He was experienced in bushwalking and rock climbing. The coroner noted no evidence of suicidal intent prior to disappearance, though acknowledged the possibility of either suicide or fatal misadventur…
21y · Female·Multiple injuries sustained from being struck by a train; death by suicide while…
…ing), and staff failed to detect her absences from the facility until too late. Her roommate was aware of suicidal statements but did not report them. However, the coroner found these failures were not causative of her d…
27y · Female·opiate toxicity (fentanyl)
…llowing her mother's death, and was on multiple psychiatric medications. The coroner found no evidence of suicidal intent and determined the death was accidental. The key clinical lesson is that healthcare workers with u…
36y · Male·Drowning
… included: a clinical psychologist's failure to read urgent referral documentation revealing longstanding suicidal ideation before assessment, preventing appropriate risk exploration; inconsistent and inadequately commun…
21y · Male·injuries sustained when struck by train
… train on 22 August 2015 whilst under the influence of LSD. The coroner found he was incapable of forming suicidal intent due to the drug's effects. Clinical lessons: the deceased had no documented mental health issues d…
33y · Male·complications from blunt force trauma to head consequent upon being struck by a …
A 33-year-old man with long-standing substance abuse and acute methadone withdrawal presented with suicidal ideation on the morning of 11 February 2007. The Crisis Assessment and Treatment (CAT) Team assessed him …
55y · Male·Immersion (Drowning) arising by way of suicide
… Prior to admission, he had drugged his wife with sleeping pills and retrieved a cricket bat with apparent intent to harm her, claiming it would be a 'mercy killing'. He was admitted on 27 May 2003 and transferred to an …
71y · Male·Plastic bag asphyxia and argon gas inhalation
… his wife and researched inert gas as a suicide method online. The coroner found he had capacity and clear intent. Key clinical lessons: recognize when cumulative medical burden and progressive deterioration significantl…
39y · Female·neck compression due to hanging
…ion. On the evening of her death, she called a mental health crisis service while intoxicated, expressing suicidal intent and describing a prepared noose. The social worker appropriately engaged her, learned her husband …
22y · Female·compression of the neck consistent with hanging
…son and her ex-partner's incarceration, she took an overdose on 11 March. Despite documentary evidence of suicidal intent (written notes including funeral arrangements), she was discharged prematurely the next day based …
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