402 results for “suicide risk high”
36y · Male·multiple injuries consistent with a fall from a height
A 36-year-old man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiat…
59y · Male·head injuries
…sion) triggered by debilitating vestibular symptoms. Despite rapid clinical deterioration from 21-28 April, risk assessment tools recorded him as "moderate" risk throughout. Critical failures included: inadequate escalat…
60y · Female·effects of fire in a woman with alcohol effect
A 60-year-old woman with chronic paranoid schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deteriorat…
14y · Male·Hanging
… was scheduled for the day of his death. The coroner found systematic failures in recognizing CJ's mounting risk despite clear warning signs, inadequate interagency coordination, and a critical absence of trauma-informed…
80y · Male·Drowning
… of psychiatric care during staff absences, and balancing patient autonomy with appropriate supervision for high-risk individuals. No evidence suggested intentional suicide. The death was likely due to accidental drownin…
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 …
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 …
30y · Male·compression of the neck consistent with hanging
…ustained during exercise. Had this incident been properly investigated, he would have been identified as at high risk of self-harm and subjected to enhanced monitoring. In July 2010, after acrimonious phone conversations…
Male·Gunshot wounds sustained when Damien Coates shot Perry Irwin and then shot himse…
This inquest examined the deaths of Senior Sergeant Perry Irwin (killed by gunshot) and Damien Coates (suicide by gunshot) on 22 August 2003 in Caboolture, Queensland. The coroner found the death preventable, resulti…
36y · Female·Hanging
…ollowing threats with a knife, placed on a Temporary Treatment Order, and assessed as at moderate self-harm risk. After only 6 days, a psychiatrist revoked her compulsory treatment order and discharged her. She failed to…
23y · Male·Neck compression as a result of hanging
…rectional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with previous suicide attempts and was un-medicated for months before arrest. Critical failures in his mental health care inclu…
44y · Male·unascertained - may have been injury from fall, drowning, or predation from mari…
…ning hours. Footprints found later suggested he went overboard from a precarious area. Clinically, the case highlights the importance of: (1) assessing mental health risk before offshore work, (2) communicating psychiatr…
40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…
…id Bradford in a premeditated domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe. This death occurred within a 17-year relationship cha…
34y · Female·Dothiepin toxicity in a setting of post-natal depression
…th mood fluctuations and hallucinations she concealed from her doctor. Critical failures included: use of a highly toxic drug when safer alternatives existed; inadequate communication to her carer about the drug's lethal…
40y · Male·UNDETERMINED - natural causes (most probably natural disease; starvation could n…
…prehensive and appropriate, the coroner identified inadequacies in the police missing person investigation. Risk factors suggesting high-risk categorisation were not appropriately identified or reassessed during the init…
38y · Male·asphyxiation by ligature
A 38-year-old man remanded in custody died by hanging in his prison cell. He faced serious criminal charges and had raised mental health concerns with prison clinicians, being prescribed antidepressants and antipsychotic…
27y · Male·Hanging
…te practitioners 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 improve…
26y · Male·ligature compression of the neck (hanging)
…ildhood experiences. Despite 55 self-harm incidents between January and April 2019, Callum was reduced from high to moderate ARMS (At Risk Management System) on 17 April 2019 following a PRAG meeting where he appeared se…
45y · Male·gunshot wound to the chest with associated significant blood loss
…bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother died by suicide in custody, and he feared incarceration due to prior self-harm episodes. Police did not conduct adequate …
25y · Male·Gunshot injury to the head
…amines, cannabis, benzodiazepines and other drugs. SK had engaged with mental health services following a suicide attempt in June 2021 and was referred to substance abuse treatment services (STAR), which he initially en…
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