259 results for “suicidal intent”
36y · Female·Stab wound to the neck
…r 2019 reporting stress, depression and unwillingness to accept separation, but did not disclose homicidal intent. The coroner identified deficiencies in police investigation procedures including inadequate witness inter…
27y · Female·hanging, self-inflicted with intention of taking own life
…rtment. She presented after her GP attempted to schedule her under the Mental Health Act due to expressed suicidal thoughts with a specific plan (hanging). The emergency physician assessed her, found no acute suicide ris…
42y · Female·Multiple stab wounds
A 42-year-old woman with first episode psychosis was referred to community mental health services in November 2020 after acute onset of paranoid delusions. She was commenced on risperidone but showed poor engagement and …
40y · Male·Unascertained
…sewer status. The coroner concluded he likely entered attempting to complete an inspection task, not with suicidal intent, though the exact circumstances of his death remain speculative.
52y · Male·Multiple blunt force injuries from a fall from height
…represents a significant communication breakdown. The coroner found the deceased was incapable of forming suicidal intent due to active psychosis at the time of death.
30y · Male·hanging
…wal. He presented to Calvary Mater Hospital after a deliberate overdose of 48 Etizolam tablets with stated intent to end his life. He was discharged after approximately 4 hours without adequate assessment of benzodiazepi…
5y · Female·Multiple stab wounds to the back
Anna Perinovic, age 5, died from multiple stab wounds inflicted by her mother Katica during a first episode psychosis. Katica had been referred to NorthWestern Mental Health in November 2020 after developing paranoid tho…
17y · Female·raised intracranial pressure due to hepatic encephalopathy related cerebral oede…
Jacqueline Wood, aged 17, died from hepatic encephalopathy-related cerebral oedema following fulminant liver failure caused by paracetamol overdose. She ingested approximately 90 paracetamol tablets on 3 June 2002 but di…
24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm
…cting him as part of the discharge plan. The coroner found Jackson self-inflicted the fatal wound without suicidal intent, likely while significantly judgment-impaired by drugs. The key clinical lesson: obtain and verify…
40y · Male·carbon monoxide poisoning
A 40-year-old male sex offender on community-based orders died by carbon monoxide poisoning on 24 August 2009, two days after a serious suicide attempt involving his car. He had been assessed at Frankston Hospital ED on …
32y · Male·asphyxia arising from neck compression from self-inflicted ligature strangulatio…
…schizophrenia diagnosis, heroin use, and recent self-harm episodes. Although he self-harmed and expressed suicidal intent in the weeks before custody, this was not adequately communicated to correctional or health staff.…
39y · Male·Strychnine toxicity
…stressors, and was receiving counselling. He had formulated a clear plan to end his life and concealed his intention. Police response to his poisoning was prompt and appropriate, and medical treatment at Kingaroy Hospita…
38y · Female·neck compression (hanging)
…personality traits, was admitted to Bloomfield Hospital on 12 April 2015 following an overdose with stated intent to hang herself. Critical gaps in her care included: failure to communicate critical information about a d…
37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof
Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatric ward, foll…
Male·Transection of the aorta with exsanguination caused by gunshot wounds to the mid…
…n and proactive community-based assessment rather than reactive crisis response; inadequate assessment of suicidal ideation (no thorough exploration of methods discussed); and the need for clear protocols between mental …
22y · Male·Multiple injuries from fall from height
…-discharge with heavy cannabis use (found at scene). The coroner was unable to determine capacity to form suicidal intent given potential psychotic state from medications, cannabis, and post-ictal phenomena. Systemic imp…
36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…
Nilesh Sharma, a 36-year-old Fiji Indian man, killed his wife Preetika, son Divesh (5 years old), and daughter Divya (3 years old) between 28-29 April 2012, then died by hanging. Evidence suggests he exposed them to chlo…
53y · Male·severe burns
…ext of fuel exposure. Coroner determined cause as severe burns rather than suicide, finding no evidence of intent to die.
20y · Male·Multiple injuries from fall from height
…Bailey's impulsive escape resulted from his desperation to avoid returning to the cell, not genuine escape intent.
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