02anonfinding

54y · Male·Died by hanging while suffering from the effects of Post-traumatic Stress Disorder and Bipolar Disorder

A 54-year-old NSW police officer died by suicide while suffering from PTSD and Bipolar Disorder. He had witnessed multiple traumatic incidents during his 25-year career and was diagnosed with Bipolar Disorder in 2003. From January 2007, he received appropriate treatment from a GP and clinical psychologist, but struggled with medication compliance and experienced persistent suicidal ideation. The clinical challenge was managing comorbid PTSD and Bipolar Disorder, with the Bipolar Disorder complicating cognitive behavioural therapy for PTSD. Police management provided excellent supportive leave and funded psychological treatment. On 28 June 2007, he consumed significant alcohol which disinhibited him, overcoming his resolve not to harm his family. Clinical lessons include the difficulty of managing comorbid psychiatric conditions, medication compliance challenges, and the role of occupational trauma. Systemic improvements recommended included mental health screening and family education.