42 results for “psychological counselling”
58y · Male·unascertained
Peter James Guidera, a 58-year-old man with a history of depression, suicidal ideation, and previous suicide attempts, disappeared on 8 May 1998 from Narrogin, Western Australia, shortly after receiving a distressing pho…
25y · Male·Unable to be determined
Alan Ly, aged 25, disappeared on 22 September 2015 and is presumed dead. Evidence strongly suggests suicide: a handwritten note expressing long-standing suicidal ideation, recent paternal suicide, sleep disturbance, fina…
24y · Female·hypoxic brain damage due to cardiac arrest due to hanging
Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…
36y · Male·Hanging
…t including community corrections supervision, general practitioner care, psychiatric consultation, and counselling. A psychiatrist noted chronic anger control issues, polysubstance abuse history, and possible antisocia…
41y · Male·Ligature compression of the neck (hanging)
Shane Nathan Roberts, aged 41, died by ligature compression (hanging) in Hakea Prison on 24 June 2019. He had pre-existing depression and anxiety treated with citalopram. A prison doctor referred him to the Mental Health…
19y · Male·Hanging (self-inflicted)
Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his weekly pay…
45y · Female·Mixed drug and alcohol toxicity, primarily due to propranolol
…mmunication between practitioners is dangerous; addictive medications require oversight; patients with psychological distress need formal mental health referral; absence of formal consultation removes safeguards.
17y · Female·self-inflicted hanging
…fragmented mental health care. Despite evidence of mood disorder and suicide risk, she disengaged from psychological counselling in January 2014 and refused further treatment. Key failures included: inadequate care plan…
29y · Male·Mixed drug toxicity (heroin and methamphetamine)
…k injury leading to opioid dependence, complicated by anxiety and panic attacks. Although engaged with psychological and drug and alcohol counselling services, and maintained on methadone with good medication compliance…
37y · Male·Unascertained
Kenneth Klees, aged 37, disappeared on 1 February 2021 and was found deceased on Mollymook beach on 26 February 2021. He had a history of depression, anxiety, poorly controlled type 2 diabetes, and obsessive-compulsive d…
14y · Female·ligature compression of the neck (hanging)
Child RK, aged 14, died by suicide while in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency de…
48y · Female·Ligature compression of the neck (hanging)
…d initial self-harm ideation, but her mental state appeared to improve gradually. She received regular psychological counselling and was on appropriate monitoring systems (SAMS). Key clinical lessons include: (1) the im…
24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)
Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…
0y · Male·Group B Streptococcal infection and meconium aspiration with early bronchopneumo…
…ould almost certainly have prevented death. Key failures: inadequate documentation, lack of formal risk counselling despite complex obstetric history (prior caesarean/VBAC at home), no clear escalation plan despite know…
19y · Male·Hanging
Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted …
60y · Female·hanging
Margaret McCall, a 60-year-old woman with chronic regional pain syndrome and longstanding anxiety and depression, died by hanging. She received multiple ketamine infusions for pain management, with cessation of fentanyl …
15y · Male·multiple blunt force injuries as a result of being hit by a train
AB, a 15-year-old boy with depression and suicidal ideation, was prescribed Lexapro (escitalopram) by his GP despite it not being registered for use in adolescents. The coroner identified significant failures in clinical…
24y · Male·Neck compression in the circumstances of hanging
…h Mallee District Aboriginal Services (MDAS), which provided appropriate community-based care including counselling, medication, and practical support. However, documented suicide risk assessments were not evident in hi…
18y · Male·asphyxia by hanging; intentional self-harm
…rotective role; (5) ANU's Mental Health Strategy was not operationalised—no coordinated response across counselling, residential halls, and health services; (6) Staff lacked clarity on information-sharing thresholds und…
Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…
This coronial finding examined four police suicides in Tasmania between 2016-2020. Constable Hunt died by gunshot wound after being stood down from duty without welfare support; his personal phone was unlawfully seized, …
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