304 results for “chronic suicide risk”
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 h…
Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…
Two young women with borderline personality disorder (BPD) died by suicide after inadequate mental health care in South Australia. Miranda Howard (22) died from aspiration pneumoni…
27y · Male·Hanging
…actitioners without documented shared care plans. The coroner noted inadequate follow-up protocols for high-risk patients with repeated presentations and diagnostic uncertainty. WMMH subsequently implemented improved pro…
60y · Female·neck compression by ligature strangulation
… the peace. The coroner found that Ms Morgan should have been classified as 'high need' rather than 'medium risk' based on her gross intoxication, reported suicidal history, PTSD diagnosis, and assertion of recent overdo…
21y · Male·complications of ligature compression of the neck (hanging)
Sarwan Al Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior …
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
Patricia Van Putten, a 49-year-old retired teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization …
28y · Male·hanging
…as referred to Top End Mental Health Services (TEMHS) in December 2008 with concerns about aggression and suicide/homicide risk. Despite initial case management, he disengaged by mid-2009. When re-engaged in late 2009, …
20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)
Devan Ginbey, a 20-year-old with longstanding mental health issues including depression, psychosis, ADHD, and substance abuse, presented to Peel ED on 12 January 2022 with self-harm and active suicidal ideation with a st…
terminal palliative care in a girl with a clinical diagnosis of aspiration pneum…
…m aspiration pneumonia whilst in state care following removal from her mother's care. Her mother, HC, had chronic benzodiazepine and opioid dependence, presenting substance-affected whilst caring for her profoundly disa…
21y · Female·Neck compression
…during admission) and complex psychiatric needs. On the morning of her death, despite being assessed as low-risk and appearing settled, she was not directly sighted during a mandatory hourly security check at 8:56am—staf…
29y · Male·Hanging
…ticulate emotional distress and showed reluctance to engage with offered services; (5) difficulty detecting risk in minimum-security settings with minimal CCTV and staff presence. While applicable policies were compliant…
49y · Male·Gunshot injury to the head
Peter Quin-Conroy, aged 49, died by self-inflicted gunshot wound at his home on 23 August 2010. He had a 15-year history of schizophrenia (paranoid type), major depression, mixed anxiety disorder, and auditory hallucinat…
31y · Female·organ failure due to anorexia nervosa
…her wish to die) and JHC (who made her involuntary) caused additional distress. The system failed through chronic underfunding of eating disorders services, lack of specialist expertise outside Hollywood Hospital, poor …
15y · Male·Electrocution
…tion between these failures and the death, but identified systemic gaps in Child Protection's assessment of risk, cumulative harm consideration, and family support linkage.
45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage
…e at night without proper mental health screening despite clear documentation of depression and suicidality risk; nursing staff failed to complete admission assessments; Dr H. failed to perform mental state examination d…
30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…
Candice Mackenzie Wallace-Mohlmann, a 30-year-old woman with chronic schizophrenia and substance abuse history, died from hypoxic brain injury caused by self-injection of vec…
24y · Male·Hypoxic Ischaemic Encephalopathy due to hanging
…k psychiatric appointments upon prison transfers, breaking continuity of mental health care; (3) Inadequate risk assessment prior to placement in a non-compliant cell despite T3 vulnerability rating and separation status…
15y · Female·Hypoxic brain injury due to hanging
…d Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, drug abuse, and high-risk behaviours. On 7 September 2006, she was found hanging beneath the house where O'Sachy also resided. The co…
68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…
…edical assessment of chest pain with borderline ECG showing changes from previous baseline, without cardiac risk stratification or Troponin testing; and placement alone in his cell despite HRAT status mandating double oc…
33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…
… order the previous day after psychiatric assessment diagnosed M with borderline personality disorder and chronic PTSD, identifying her as posing significant risk of lethal violence to herself and children. Critical cli…
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