44 results for “suicidal ideation”
15y · Male·ligature compression of the neck (hanging)
… Carnarvon 2014; and failure to re-engage with mental health when he returned to Broome, despite previous suicidal ideation. The death highlights systemic issues in remote out-of-home care: staff attrition, resource scar…
15y · Female·Hanging (self-inflicted)
A 15-year-old Aboriginal girl in a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually tran…
13y · Female·complications of a head injury sustained when she deliberately stepped in front …
A 13-year-old with emerging emotionally unstable personality disorder (EUPD) died by suicide after deliberately stepping in front of a car on 21 July 2020, two days after a positive appointment with mental health clinici…
22y · Female·Complications of cutaneous burns
…al service system failures: Safe Steps provided insufficient mental health support despite her expressing suicidal ideation and failed to conduct adequate risk assessments; Child Protection did not link her with cultural…
15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa
…y overdosing. She had 38 inpatient admissions over two years with escalating food refusal, self-harm, and suicidal behaviour. Key clinical lessons: eating disorder services require integrated medical-psychiatric teams; b…
14y · Male·gunshot wound to the head
Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…
18y · Female·Compression of the neck in circumstances of hanging
…ctober 2009. She was receiving appropriate psychotherapy and psychiatric care with regular monitoring for suicidal ideation. The coroner noted the Geelong region experienced a youth suicide cluster in 2009. Her parents a…
15y · Male·Hanging
A 15-year-old Aboriginal boy with complex trauma history, including physical abuse, parental mental illness, and 40+ child protection reports, disclosed a suicide attempt to his school counsellor in December 2019. A mand…
3y · Male·smothering
…atrist on 28 January 1998 (two days before the death). The psychiatrist found no evidence of psychosis or suicidal/homicidal ideation at that consultation. The coroner found no grounds to criticise the psychiatrist's cli…
17y · Male·ligature compression of the neck (hanging)
Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…
13y · Male·Hanging
…inimal face-to-face contact. Dr O.'s May 2016 consultation lacked crucial information about self-harm and suicidal threats. While individual suicide is never certainly preventable, the coroner found multiple missed oppor…
9y · Female·suicide by hanging
A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …
23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…
Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …
15y · Female·hanging
Harmony, a 15-year-old girl, died by hanging at a motel on 14 January 2020 in circumstances of longstanding neglect, family violence and school disengagement. The coroner found multiple systemic failures: DCJ closed case…
17y · Female·ligature compression of the neck (hanging)
A 17-year-old girl in state care died by suicide on 16 April 2017 after being discharged from secure care. She had experienced complex developmental trauma, family violence, sexual abuse, and severe alcohol-related liver…
17y · Female·Neck compression by hanging (suicide)
XY, a 17-year-old Wemba Wemba Aboriginal girl, died by suicide on 18 July 2021 while in out-of-home care. The inquest found the Victorian Department of Families, Fairness and Housing (DFFH) failed in its duty of care as …
17y · Male·hydrocarbon toxicity (petrol inhalation)
George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While living with supportive kinship carers (Paul and …
<1y · Male·unascertained, in an unsafe sleeping environment, on a background of respiratory…
Baby Caleb, aged 2 months, died on 30 November 2018 in an unsafe sleeping environment while his mother co-slept with him on a fold-out sofa in a squalid home. He had a concurrent respiratory tract infection. The coroner …
31y · Male·hanging
B W, aged 31, died by hanging following emergency police removal of his daughter from his care under the Care and Protection Act. The removal occurred in early hours of 17 April 2020 during COVID-19 lockdown. B W had lon…
14y · Female·electrocution
…ly childhood, experienced multiple losses (parents, carers), and was chronically at risk of self-harm and suicidality. At the time of death, Heidi was in the guardianship of the Minister in an emergency care placement wi…
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