304 results for “chronic suicide risk”
26y · Male·Plastic bag asphyxia in the setting of a vitiated atmosphere with inert gases
…re he was treated under a Temporary Treatment Order, he was discharged on voluntary basis despite ongoing suicide risk and concerning statements to his father about manipulating doctors. The transfer to Alfred Health wa…
35y · Male·Hanging
Brent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Correc…
45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline
… medical record-keeping failing to document consultation notes, clinical reasoning, medication decisions, suicide risk assessments, or referrals; concurrent prescribing of multiple psychoactive medications without speci…
16y · Female·hanging
…inal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement from education. Whi…
27y · Female·Hanging
…y admitted to The Melbourne Clinic on 11-12 May after disclosing suicidal ideation and making an apparent suicide attempt (tying a scarf), then was discharged after just over 24 hours despite concerning recent behaviour…
37y · Male·self-inflicted gunshot wound to the head and neck
Matthew Lothian, aged 37, died from a self-inflicted gunshot wound to the head and neck on 6 January 2021 in Wollongong. He was on medical escort from custody when he seized the firearm from Correctional Services Officer…
36y · Male·ligature compression of the neck (hanging)
… a locked mental health ward. He was on hourly observations and had recently denied suicidal ideation, with risk assessments rating him at low self-harm risk. Between observations at 2pm and 3pm, he created a ligature fr…
29y · Male·Shotgun wound to the head
…es, and workplace difficulties. He had been assessed by psychiatry in January 2016 as presenting moderate chronic risk of self-harm with concerning access to firearms, but this information was not communicated to the fi…
49y · Male·hanging
…y hanging in his prison cell while serving a 16-year sentence for murdering his three children. Despite a chronically high suicide risk and prior suicide attempts, he received inadequate psychiatric and nursing review i…
18y · Male·Ligature compression of the neck (hanging)
…failures in the assessment and monitoring of vulnerable young remand prisoners, over-reliance on subjective risk assessment, and inadequate follow-through of welfare recommendations. The coroner expressed concerns about …
73y · Female·neck compression by ligature
…tal Health Act, died by ligature strangulation in a closed psychiatric ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histrionic personality disorder. Two days before her death, she t…
Neck compression due to hanging (self-inflicted)
…proved yellow sheet tracking, mandatory doubling-up when cellmates are removed, and multi-disciplinary high-risk assessment teams. The coroner emphasised that better documentation, clearer continuation of monitoring prot…
36y · Male·Unascertained
…Manly; no body was recovered. The coroner found he likely died shortly after leaving his car, possibly by suicide given his depressive state, work stress, chronic pain, and recent deep exploration of traumatic past even…
20y · Male·gunshot wound to the chest
A 20-year-old man with borderline personality disorder, who had made over 25 suicide attempts in the two years prior, died from a gunshot wound sustained during a police encounter. He had ca…
44y · Male·multiple injuries from fall from cliff
A 44-year-old man with familial Mediterranean fever (FMF) and bipolar affective disorder with drug-induced psychosis died following a fall from a cliff at Vaucluse during a police rescue operation. He had been managing s…
42y · Male·incised wound to the neck
…a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrable negligence by individ…
27y · Male·Gunshot wound to the chest fired by Sergeant Matthew Gale of the Australian Fede…
…mental health crisis. Nathan had a long history of depression, anxiety, and alcohol abuse, with two prior suicide attempts by overdose in 2010 and 2011. After relationship conflict with his ex-partner, he attended her h…
58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…
A 58-year-old man with chronic depression, anxiety and personality disorders died from combined drug toxicity (eucalyptus oil, alcohol, …
15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)
Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmother's medications (morphine,…
87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…
…inical lessons: recognizing behavioural escalation in dementia patients as potentially indicating increased risk (not merely as disease manifestations); obtaining reliable, detailed incident records to assess clinical de…
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