14y · Male·hanging
A 14-year-old Aboriginal boy died by suicide by hanging at his school. He had experienced childhood trauma including neglect, domestic violence, and parental separation. He was living with his paternal grandmother after …
31y · Male·Hypoxic ischaemic brain injury secondary to hanging
Craig Akerblom, a 31-year-old man with depression, anxiety, substance abuse, and selective eating disorder, died by hanging resulting in hypoxic-ischaemic brain injury. He had been under care of multiple clinicians (GP, …
48y · Male·hanging
A 48-year-old man remanded in custody for breaching an Apprehended Violence Order died by suicide by hanging in a correctional centre cell approximately 1.5 hours after being refused bail. He was arrested on 12 September…
20y · Male·ligature compression of the neck (hanging)
Isiah Kearing, a 20-year-old Aboriginal man, died by hanging approximately 3 hours after being arrested by police for disorderly conduct at a community hall. He had expressed anger and humiliation about being arrested, f…
34y · Male·hanging
John Sydney Farmer, aged 34, died by hanging at his home on 23 May 2008, six hours after being granted leave from psychiatric detention at Woodleigh House. He had attempted suicide by carbon monoxide poisoning two days e…
35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …
A 35-year-old man died by hanging in a medium-security prison while on remand. He was found unresponsive in his cell with a ligature around his neck. Despite immediate CPR, transfer to hospital and transfer to ICU at Fli…
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…
21y · Male·Suicide by hanging
A 21-year-old Aboriginal man with schizophrenia and depression died by suicide in prison custody. Key clinical failures included: (1) inadequate mental health assessment by Dr S.—45-minute screening reviewing only one of…
49y · Female·Hanging
Narelle Clancy, aged 49, absconded from a psychiatric ward within hours of being placed on involuntary status and died by hanging. She had a long history of depression and suicidal ideation following her daughter's suici…
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 …
28y · Male·hypoxic encephalopathy secondary to hanging
Matthew Liddell, a 28-year-old former Navy serviceman with severe post-traumatic stress disorder and depression following the 1998 HMAS Westralia fire, died by hanging in a psychiatric hospital. He had been admitted on 8…
38y · Male·Ligature compression of the neck (hanging)
Peter Philip Humes, a 38-year-old Aboriginal man, died by suicide by hanging in Hakea Prison while on remand. He was assessed by prison officer Trevena and nurse Lee on admission using the MR011 'At-Risk' checklist and d…
31y · Male·bronchopneumonia and hypoxic brain injury following ligature compression of the …
31-year-old Moses Sokiri died on 26 October 2014 from bronchopneumonia and hypoxic brain injury following suicide by hanging at Greenwood train station on 12 October 2014. The deceased was in acute mental health crisis w…
29y · Male·hanging
Muhammad Hafizuddin Bin Zaini, a 29-year-old detainee in immigration detention at Villawood, died by hanging on 12 December 2020. He had a history of substance-induced psychotic disorder and was prescribed antipsychotic …
41y · Male·Hanging
Stuart Alan Ronning, a 41-year-old man with recurrent depressive disorder, alcohol dependency, and previous suicide attempts, presented to Royal Melbourne Hospital emergency department after being found with a noose at a…
47y · Male·Hanging
John Harris, a 47-year-old life prisoner at Townsville Correctional Centre, died by hanging in his cell on 4 July 2019. He had an elevated baseline suicide risk due to a previous 2012 suicide attempt, yet was housed in a…
29y · Male·Hanging
ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…
15y · Female·Ligature compression of the neck (hanging)
A 15-year-old Aboriginal girl died by suicide by hanging on 29 November 2007. She had a transient lifestyle with unstable housing, moved frequently between relatives, was not regularly attending school, and engaged in su…
56y · Male·Hanging
A 56-year-old man with a long history of bipolar affective disorder and alcohol misuse died by hanging between 18–20 December 2018. He presented to hospital on 16 December after expressing suicidal intent (plan to overdo…
51y · Male·Hanging
A 51-year-old man with a complex mental health history and prior self-harm alert died by hanging in a correctional facility after a planned transfer. He requested protective custody following a physical altercation with …
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