1,120 results for “suicidal ideation”
30y · Male·Cyanide poisoning
A 30-year-old teacher in regional Victoria died from cyanide poisoning in June 2020. He presented to his GP in February 2020 with atypical features including fear of being poisoned, which raised concerns for possible psy…
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 …
24y · Male·self-inflicted hanging
Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command halluci…
20y · Male·Self-inflicted hanging
Corey McGeary, a 20-year-old remand prisoner with chronic risk factors for self-harm (history of suicide attempts, schizophrenia, personality disorder, severe childhood abuse, mild intellectual disability), died by hangi…
47y · Male·ligature compression of the neck (hanging)
…y suicide in custody at Roebourne Regional Prison while on SAMS mental health monitoring. He had paranoid ideation, delusions about 'black magic', and auditory hallucinations, which were reviewed by prison psychiatry and…
25y · Female·Neck compression secondary to hanging
CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family violence. She presented to hospital multiple ti…
47y · Female·Neck compression subsequent upon hanging
…er GPs. After her husband left in July 2010, she showed increasing signs of distress but did not disclose suicidal ideation. Her GPs recognised mental health difficulties and attempted referrals to psychology/psychiatry …
54y · Female·unascertained
Carole Livesey, a 54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 during an escorted walk in hospital grounds. She had been an in…
37y · Male·Plastic bag asphyxia
Michael Delaney, a 37-year-old man with treatment-resistant schizophrenia, died by plastic bag asphyxia while residing at supported independent living accommodation. He had multiple suicide attempts and was under the car…
38y · Male·Ligature compression of the neck (hanging)
…lty settling, not for depression. Humes appeared to manage well during his stay, with no outward signs of suicidality detected by staff or prisoners until his death. The critical clinical lesson relates to cell design: h…
64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage
…st psychiatric care. The patient appeared well at her final psychiatrist review on 5 January 2000 with no suicidal ideation noted. The coroner found Dr S.'s failure to communicate with the specialist about additional psy…
22y · Female·compression of the neck consistent with hanging
…son and her ex-partner's incarceration, she took an overdose on 11 March. Despite documentary evidence of suicidal intent (written notes including funeral arrangements), she was discharged prematurely the next day based …
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…
38y · Male·Hanging
Adam Cartledge, 38, died by hanging in his cell at Arthur Gorrie Correctional Centre while on remand. He had a long history of psychiatric illness, including depression, paranoid schizophrenia, previous suicide attempts,…
36y · Male·Hanging
Tony Stanford, a 36-year-old remand prisoner with depression and a history of suicide attempt, died by hanging in his cell at Arthur Gorrie Correctional Centre on 19 September 2006. He was on a risk management plan requi…
33y · Male·Multiple injuries consequent upon being struck by a truck
Paul Wayne Carter, a 33-year-old Aboriginal man with intellectual disability and mental health history, died on 7 August 2006 after being struck by a truck on the Sturt Highway near Mildura. Victoria Police transported h…
57y · Female·Injuries sustained when struck by a train
Mairi Elizabeth Noble, a 57-year-old woman with a history of alcoholism who achieved sobriety, presented to the Northern Hospital ED twice in the days before her death by suicide. She was discharged prematurely on 21 Feb…
20y · Female·Methylamphetamine toxicity
Laura Kate Muckersie, a 20-year-old female with a history of drug use, died on 30 July 2001 from methylamphetamine toxicity. Her body was found in a storm water drain in Swan View. The coroner conducted an extensive inqu…
29y · Male·mixed drug toxicity including heroin
Troy Daniel Saint, a 29-year-old man with amphetamine and opioid dependence, died of mixed drug toxicity including heroin while admitted to The Melbourne Clinic for voluntary detoxification. Critical failures occurred: (…
63y · Female·Insulin overdose (suicide)
…alth toll coronial investigations can have on healthcare witnesses. Although her GP and counsellor saw no suicidal ideation and colleagues provided good support, the combination of inquest anxiety, relationship concerns …
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