126 results for “suicidal behaviour by hanging”
25y · Female·Ligature Compression of the Neck (Hanging)
… of mental illness, personality disorder, and poly-drug abuse. On the morning of her death, she expressed suicidal ideation to multiple staff members, but no one initiated the At Risk Management System (ARMS), a protocol…
18y · Male·acute neck compression due to hanging
Shane Blunden, aged 18, died by hanging in Yatala Labour Prison on 19 September 2011. He was a remanded prisoner with an extensive history of sel…
30y · Male·asphyxia due to hanging (suicide)
30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed t…
53y · Male·ligature compression of the neck (hanging)
…support. The decision to discharge him on trial leave was justified given his history, the lack of recent suicidal behaviour since 2006, and legislative requirements to use least restrictive options. Community supports w…
18y · Male·asphyxia by hanging; intentional self-harm
Joshua, 18, died by suicide at an ANU residential hall in August 2018, several weeks after a serious self-harm incident requiring hospitalisation. Key clinical lessons emerge: (1) Inadequate coordination between ACT Ment…
Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…
Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…
38y · Male·hypoxic brain injury and organ failure following compression of the neck (hangin…
A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who …
19y · Female·hypoxic encephalopathy as a result of attempted hanging
A 19-year-old woman with psychosis and depression died from hypoxic encephalopathy following attempted hanging while in involuntary psychiatric admission. She was on R15 (15-minute) observation status due to suicide …
Ligature compression of the neck (hanging) in 12 cases; one open finding
…lturally appropriate services. Most children had not received mental health assessment despite expressing suicidal ideation. The coroner identified systemic failures including delayed referrals to mental health services,…
34y · Male·Neck compression due to hanging
…-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual diagnosis (…
34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging
…ses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyard of a secure extended care unit after writing a suicide note. Key clinical lessons: (1) T…
60y · Male·asphyxia sequential to hanging due to depression
…gency Department with a plan to attend community mental health the following morning. However, he died by hanging on 28 June 2006. Key clinical lessons include: the suicide note and isolated location of the first attemp…
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…
26y · Female·Asphyxiation due to Ligature Compression of Neck
Peta Dawson, a 26-year-old woman with a history of depression, self-harm, and suicidal ideation following miscarriage and maternal rejection, was admitted to Merredin Hospital on 10 August 200…
31y · Male·Hanging
…ear-old male with borderline personality disorder, alcohol use disorder, and history of self-harm died by hanging. He had multiple presentations to emergency services and mental health services from March to July 2021 w…
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…
42y · Male·hanging, an action taken by himself with the intention of ending his life
…rural island where his partner and children had left. He had poor insight into his mental illness, denied suicidal ideation throughout admission, and had low suicide risk scores. He died by suicide within 24 hours of dis…
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…
36y · Male·hanging
…th 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite police concerns, family requests for admission, and his tre…
17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…
…l with complex mental health conditions including psychosis, bipolar disorder and suspected FASD, died by hanging at a CASPA residential care house in Katherine on 3 October 2022. She had consumed cannabis and alcohol t…
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