112 results for “completed suicide”
56y · Male·Hanging
Chao Liang Mai, a 56-year-old remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018. Critical systemic failures in…
29y · Male·Gunshot injury to the head
…urity Officer, took his firearm, and shot himself. Clinical lessons include: the difficulty in predicting suicide risk despite expressed intent; the importance of timely mental health follow-up after ED assessment; the …
34y · Male·Foreign body aspiration
…oilet paper and meal pack plastic packaging whilst housed in an assessment cell under CCTV monitoring and suicide risk protocols. The case identifies policy gaps in risk review intervals: a 48-hour interval between RIT …
14y · Male·head injuries when struck by a train
…moved a stabilising influence during a high-risk period, though acknowledged the complexity of predicting suicide risk in adolescents.
35y · Male·Neck trauma from hanging
…a 35-year-old man with a significant history of depression, anxiety, alcohol and substance abuse, died by suicide in August 2012, though his remains were not discovered until October 2016 in Warrawee Reserve near Latrob…
26y · Female·Asphyxiation due to Ligature Compression of Neck
…esuscitation attempts were unsuccessful and she was pronounced dead at 8.10pm. The coroner found death by suicide. Key clinical issues included: no formal suicide risk assessment form completed; no 'no suicide contract'…
35y · Male·Self-inflicted electrocution
Abdirahman Mohamed Yusuf, a 35-year-old male from a Somali-Kenyan background, was found deceased in his bedroom in Albion, Victoria on 23 April 2025, after failing to appear for work. His partner Shay requested housemate…
34y · Female·Multiple injuries due to impact with a train
Sarah Simpson, a 34-year-old woman with bipolar affective disorder, died by suicide after exiting a locked psychiatric unit. She was admitted involuntarily on 30 January 2012 after expressi…
17y · Male·Multiple injuries sustained when jumping from the West Gate Bridge
…o be appropriate and timely. The inquest noted the West Gate Bridge had become a significant location for suicide by jumping. Temporary safety barriers were subsequently installed in April 2009, with permanent barriers …
59y · Male·Hanging
…red for custodial mental health assessment on arrival but the mandatory formal assessment forms were not completed—the mental health nurse conducted only an informal assessment despite policy requiring completion of eit…
45y · Female·Hanging
…However, the coroner identified significant deficiencies in documentation: no formal risk assessment was completed after 12 December 2014 despite clinical deterioration, and there was no documented evidence of a critica…
Male·Gunshot wound to the head
… during an unlicensed 'try shooting' session. He had documented suicidal ideation for years and attempted suicide previously in Iran. In April 2015, GH's friend Mr Hashemi emailed the range warning they should not allow…
23y · Male·Multiple injuries sustained in a fall from a height
Mr RGE, a 23-year-old international student from China, died by suicide on 25 February 2024 after falling from the 14th floor of his apartment building in Southbank, Victoria. H…
46y · Male·Multiple blunt traumatic injuries sustained in motor vehicle crash; manner deter…
… and urgent intervention, not delayed outpatient appointments. The coroner found the death was deliberate suicide driven by untreated mental illness and noted that suicide among males aged 45–65 is a major public health…
41y · Male·Neck compression subsequent upon hanging
…r psychiatric care five days prior following a suicidal gesture, was prescribed antidepressants, and had completed an initial psychological assessment. Clinical lessons include: the importance of risk stratification in …
27y · Female·hanging, self-inflicted with intention of taking own life
A 27-year-old Aboriginal woman with borderline personality disorder died by suicide within hours of discharge from an emergency department. She presented after her GP attempted to schedule …
28y · Male·ligature strangulation
…identified critical gaps: risk assessments at weekly interdisciplinary meetings were poorly recorded—one completed by a social worker who had never met DB—and the family received inadequate psycho-education about suicid…
45y · Male·Multiple injuries and fall from a height
Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospita…
34y · Male·hanging
…ally, police were instructed by the attending doctor to leave before formal mental health assessment was completed. De Piazza subsequently absconded from the hospital and died by hanging hours later. The coroner found n…
47y · Female·INCISED INJURY TO THE NECK
…following her parents' deaths and increasing social isolation. Two days before her death, a case manager completed a risk assessment and found her stable, denying suicidal ideation, though she reported hopelessness them…
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