259 results for “suicidal intent”
47y · Male·Toxic effects of phosphine gas
Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…
39y · Male·Ligature compression of the neck (hanging)
…ssessment at Graylands Hospital (Frankland Centre) identified him as an ongoing suicide risk with chronic suicidal ideation, documented in discharge summaries that arrived at the prison. Critical systemic failures includ…
16y · Male·Multiple blunt traumatic injuries from fall from height
A 16-year-old boy with depression and suicidal ideation was discharged from an inpatient adolescent mental health facility in Victoria after 20 days. Tw…
Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…
Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…
33y · Male·sharp force injuries of the neck
Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to his neck on 29 June 2022 following a NSW Police operation.…
45y · Female·haemorrhage due to traumatic rupture of the liver
…of active psychosis (auditory hallucinations), and did not detain her under Mental Health Act despite high-intent self-harm, uncommunicative presentation, and extensive prior scarring. When she absconded from hospital at…
18y · Male·Multiple injuries due to impact by train
Travis McNees, 18-year-old male, died by suicide on 4 October 2010 after absconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdose following relationship breakdo…
31y · Male·Injuries sustained in a fall from height
William Poskitt, a 31-year-old man with recently diagnosed HIV and Pneumocystis carinii pneumonia, died by suicide during a 4-day hospital admission. Despite requesting psychiatric assessment three times and displaying c…
60y · Male·medication overdose
…kdown and acute alcohol intoxication. He fell from his porch, called his granddaughter reporting self-harm intent and overdose, and was placed in the ambulance dispatch queue. A Referral Service paramedic failed to hear …
3y · Male·smothering
…atrist on 28 January 1998 (two days before the death). The psychiatrist found no evidence of psychosis or suicidal/homicidal ideation at that consultation. The coroner found no grounds to criticise the psychiatrist's cli…
36y · Male·neck compression in the circumstances of hanging
…tion and return to prison. He contacted police and mental health services expressing distress but denying suicidal intent. NWMHS Triage's assessment was appropriate and psychiatric admission was not clinically indicated.…
70y · Male·Cyanide Toxicity
… Emergency Department. He had been placed on an involuntary psychiatric Assessment Order after expressing suicidal intent during custody assessment. In the ED, he was assessed as calm and cooperative, placed in a high-vi…
31y · Male·self-inflicted hanging
…soners observed deterioration in his mental state in the weeks before his death, including expressions of suicidal intent, which were not reported to staff. Missed medical appointments due to staffing shortages and lockd…
41y · Male·complications of acute ethanol toxicity
…seek professional support, he did not sustain engagement with treatment. The coroner found no evidence of suicidal intent but noted a degree of recklessness regarding potentially fatal consequences of excessive alcohol c…
43y · Male·suffocation by plastic bag (Neil Brooks); neck compression due to strangulation …
… psychiatric care coordination. Dr J. revoked a detention order after two hours despite Brooks' expressed suicidal intent, with minimal briefing to the remand centre. Brooks was subsequently placed in single-cell accommo…
26y · Female·Asphyxiation due to Ligature Compression of Neck
Peta Dawson, a 26-year-old woman with a history of depression, self-harm, and suicidal ideation following miscarriage and maternal rejection, was admitted to Merredin Hospital on 10 August 200…
47y · Female·insulin overdose
Katherine Walton, a 47-year-old registered nurse, died from insulin overdose in April 2007. She had a complex medical history including hepatitis C, depression, chronic back pain, epilepsy, and substance use issues. Afte…
70y · Female·drowning (likely), but ultimately undetermined cause
…found she likely entered the water with impaired judgment from relapse of mental illness rather than with suicidal intent. Clinical lessons include: recognising early relapse signs in mental health patients; escalating c…
56y · Male·hanging (neck compression)
…latility in phone calls would unlikely have changed suicide risk assessment without explicit disclosure of intent. Key issues identified were that family concerns about inmate welfare were not readily accessible through …
59y · Male·multiorgan failure complicating paracetamol toxicity
…rosis, ischaemic heart disease, and diabetes, ingested 90-100 paracetamol tablets on 1 February 2024 with suicidal intent. He attended court the next day and was remanded in custody without disclosing the ingestion. He d…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.