38 results for “suicidal ideation”
45y · Male·Gunshot injury to the chest (self-inflicted)
… possibility of serious illness. In the weeks prior to his death, he appeared withdrawn but not obviously suicidal to colleagues or family. He shot himself with his service firearm at approximately 4:45 PM on 24 July 201…
16y · Male·complications of ligature compression of the neck (hanging)
…d excessive in-cell confinement (22–23 hours daily), inadequate mental health services despite documented suicidal ideation and prior self-harm attempts, failure to maintain appropriate supervision despite eight explicit…
19y · Male·Hanging
…, died by hanging in Townsville Correctional Centre on 26 December 2015. Despite documented self-harm and suicidal ideation as a juvenile, no Self-Harm Episode History flag was raised at adult prison intake, and he was n…
32y · Male·Hanging
…cember 2018, with diagnosis of depression and treatment with escitalopram. On 31 March 2019, he expressed suicidal intent; Ambulance Victoria provided phone-based mental health assessment and safety planning. Mr W report…
41y · Female·Combined Drug Toxicity (ethanol and benzodiazepine)
…ollowing an inadequate emergency services response to her mental health crisis. She called 000 expressing suicidal intent and reported consuming excess medication. Police response was law enforcement-led rather than heal…
24y · Female·Mixed drug toxicity
Sheridan Burnell, 24, died from mixed drug toxicity following an intentional overdose of prescription medications (lamotrigine and quetiapine) on 2 January 2021. Her mental health care was reasonable and appropriate. The…
25y · Male·Hypoxic ischaemic brain injury due to hanging
…h reasonable foresight. The failure to implement a risk management plan despite previous documentation of suicidal behaviour and relationship triggers represented a systemic gap.
52y · Male·Hanging
Peter Nancarrow, 52, was apprehended under Mental Health Act Section 10 following acute suicidal behavior including threatening self-harm with weapons. Police explicitly warned Emergency Department staf…
28y · Male·In keeping with Hanging
A 28-year-old man with a history of depression, anxiety, and previous self-harm died by hanging during a police response to a domestic violence incident. Police attended after his sister reported he had breached an ADVO …
63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…
A 63-year-old man with multiple chronic conditions including psoriatic arthritis, depression, prostate cancer, and recent dental issues died by self-inflicted sharp force wounds while on approved leave from a mental heal…
28y · Female·ligature compression of the neck
Mary Van Der Walt, a 28-year-old with depression, anxiety, and borderline personality disorder, died by hanging on 21 April 2014. Two police officers responding to her initial '000' call found her unresponsive and pulsel…
53y · Male·Gunshot wound to the left thigh with transection of femoral artery and vein; exs…
Jacob Carr died from a gunshot wound to his left thigh sustained during a police operation at his home. He had assaulted his elderly mother, and police responded to a domestic violence call. During confrontation, Mr Carr…
39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …
A 39-year-old First Nations man with severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; …
36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…
…mber 2016, absence of mandatory mental health and welfare support despite widespread knowledge of Crump's suicidal plans, lack of manager training and disciplinary processes, and a dysfunctional culture of tolerating ser…
32y · Male·neck compression in the circumstances of hanging
Jesse Bird, a 32-year-old Torres Strait Islander veteran, died by suicide in June 2017 after struggling to navigate the Department of Veterans' Affairs (DVA) compensation system. He served in Afghanistan in 2009, develop…
37y · Male·self-inflicted gunshot wound to the head and neck
Matthew Lothian, aged 37, died from a self-inflicted gunshot wound to the head and neck on 6 January 2021 in Wollongong. He was on medical escort from custody when he seized the firearm from Correctional Services Officer…
22y · Male·ligature compression of the neck (hanging)
Ricky-Lee Cound, 22, an Aboriginal man with FASD, died by hanging in his Hakea Prison cell on 25 March 2022. At 4.11pm, Mr Cound called requesting a monitored safe cell to prevent self-harm, demonstrating clear risk perc…
41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…
Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…
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