39 results for “persistent suicidal ideation”
Female·Hanging
…ncy, hypotonia, and developmental delay. TC became severely depressed following SN's birth, experiencing persistent suicidal and homicidal ideation. Although treated by multiple mental health services and community agenc…
38y · Male·Stab wound to the chest
…adone), mental health issues, unemployment, controlling and jealous behaviour towards his ex-partner, and suicidal ideation. The coroner found no obvious missed opportunities for prevention, but noted that despite repeat…
15y · Male·Combined heroin and methamphetamine toxicity
…n two years), early trauma, parental substance use history, and escalating mental health issues including suicidal ideation. Despite referrals to multiple mental health and drug and alcohol services, T did not receive co…
28y · Male·Neck compression consistent with hanging
A 28-year-old man with severe depression, persistent suicidal ideation and previous suicide attempts died by hanging in a mental health inpatient unit while …
32y · Female·Neck compression in the setting of self-suspension
…psychological abuse to police on 12 May 2020 and was assessed under mental health legislation, disclosing suicidal ideation. A Family Violence Intervention Order was made on 14 May 2020 by consent without excluding the p…
41y · Male·head and chest injuries from fall from height
…compliance or involuntary detention, preventing suicide in a treatment-resistant patient with established suicidal intent proved impossible. Mental health services faced fundamental legal constraints in managing a compet…
29y · Male·Effects of fire
…ktail. O'Donohue had been discharged from community mental health services in August 2016 despite chronic suicidal and homicidal ideation, lack of insight into his illness, and refusal to engage with a general practition…
45y · Male·gunshot wound to the chest
A man with a long history of depression, suicide attempts, and previous violent behaviour died when shot by police during an arrest for domestic violence. His partner had repeatedly warned police that he threatened to ma…
38y · Male·combined effects of inhalation of products of combustion and incineration
Paul Scott Roberts, aged 38, died from incineration and inhalation of combustion products after setting himself alight during police attendance at his home on home detention bail. He had a history of chronic dysthymia, a…
48y · Female·Combined drug toxicity (predominantly methadone)
Amy Rebecca Deane-Johns, aged 48, died from combined drug toxicity predominantly involving methadone that she had taken without knowledge or authorization. She had a long history of mental illness with 18 inpatient admis…
57y · Male·Neck compression and hanging
…to Thomas Embling Hospital over 5.5 years, his engagement with mental health services remained poor with persistent lack of insight. He refused psychiatric appointments in June-July 2024 but showed no overt suicidal idea…
32y · Female·mixed drug toxicity including phenobarbitone
…luded police misidentifying her as the predominant aggressor after she reacted violently to her abuser's persistent contact (November 2019), inadequate workplace security allowing unsecured access to the lethal drug for …
31y · Female·incised wounds to the neck and arms
A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a su…
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…
38y · Male·Multiple injuries
Damian Kay, aged 38, died from multiple injuries after jumping from the 16th floor of a hotel on 22 September 2010, with a blood alcohol concentration of 0.71%. The death occurred in the context of recent relationship br…
70y · Male·Hanging
A 60-year-old man with recent pituitary surgery developed persistent fatigue and depressive symptoms. Despite normal cortisol levels, he remained convinced his symptoms were…
19y · Male·Ruptured aorta post motor vehicle incident
…s discharged from St Vincent's Hospital on 23 November 2008 after clinicians assessed he was not actively suicidal and didn't meet involuntary detention criteria. Critical failings included: incomplete assessment of his …
38y · Male·ligature compression of the neck (hanging)
…ng involuntary admission based on his voluntary engagement, requests for treatment, and lack of expressed suicidal ideation. Post-mortem toxicology revealed he was not taking the oral risperidone he reported taking. Key …
43y · Male·Hanging
…, and placement in a one-out cell shortly after distressing news—all factors that may have compounded his suicidality. Staff lacked integrated information about his cumulative mental health needs. The Coroner found failu…
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