23y · Female·blood loss from an abdominal stab wound and from incised injuries to the head
…am subsequently died by carbon monoxide poisoning. The coroner found that Pham chose not to disclose his homicidal or suicidal feelings, anger, or depression to loved ones or medical practitioners. This case highlights …
28y · Male·Hanging
…nging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concerning presentation—includin…
Female·Hanging
…lopmental delay. TC became severely depressed following SN's birth, experiencing persistent suicidal and homicidal ideation. Although treated by multiple mental health services and community agencies from November 2014 …
26y · Female·Neck injury due to stabbing
…es preceded her death: her psychologist failed to notify police or health authorities despite documented homicidal ideation expressed multiple times over 22 months of treatment; the psychologist did not recognize indica…
39y · Female·Gunshot wound to the head
A 39-year-old woman with brief psychotic disorder experiencing suicidal and homicidal ideation killed her 4-year-old daughter and herself. She had been diagnosed with psychosis in 2015, trea…
64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …
…n recognising mental health risks. The facility's care plan for the perpetrator made no reference to his homicidal ideation despite documented history. Key failures included inadequate information gathering at admission…
3y · Female·gunshot wound to the head
…ear-old girl was killed by her mother, who was experiencing a severe psychotic episode with suicidal and homicidal ideation. The mother had a history of Brief Psychotic Disorder (diagnosed 2015), was on olanzapine 15mg …
36y · Female·Stab wound to the neck
…threats, sexual coercion, and physical abuse. Key clinical lessons include the importance of recognising homicidal ideation and relationship breakdown risk factors in mental health assessments. Mr Hu presented to his GP…
32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …
…ayne Centre on 17 February 2008 after presenting to Echuca Regional Health intoxicated with suicidal and homicidal ideation. Despite known flight risk (attempted fence scaling on admission day), she absconded on 18 Febr…
68y · Female·Hypoxic Ischaemic Encephalopathy as a result of Hanging
A 68-year-old woman with longstanding psychotic illness presented to ED with acute relapse, homicidal ideation toward her husband, and vague suicidal threats. Psychiatry assessed suicide risk as low based o…
75y · Male·neck compression due to hanging
… daughter-in-law during a psychotic episode. Clinical assessment found no documented evidence of suicidal ideation despite a remote history of suicidal thoughts. The coroner found hourly observations were appropriate giv…
34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…
…ors and respond appropriately despite multiple contacts; DVConnect Mensline's failure to record explicit homicidal threats made by the perpetrator on 26 January 2015; inadequate risk assessment and documentation by resp…
42y · Male·Anthony Young: multiple gunshot wounds to the body and arm; David Young: multipl…
…x PTSD and substance abuse but was never formally diagnosed with psychotic illness and had no documented homicidal risk. No health professional anticipated violent risk. However, family members' repeated attempts to obt…
27y · Male·Global cerebral ischaemic injury in the setting of hanging
…ic unit on 24 April 2018. Over four days, he was assessed as medium risk despite expressing suicidal and homicidal ideation. On 29 April 2018, after becoming upset during a phone call with his mother, he hanged himself …
28y · Male·hanging
Aaron Nathan Stagg, 28-year-old man with likely Asperger's Syndrome and emerging paranoid psychosis, died by hanging on 5 March 2010 after a period of disengagement from mental health services. He was referred to Top End…
34y · Male·neck compression due to hanging
…harge from psychiatric hospital. He had been admitted twice in August-September 1999 with active suicidal ideation and homicidal thoughts. Although inpatient treatment was of high standard, discharge planning was critica…
29y · Male·Effects of fire
…ue had been discharged from community mental health services in August 2016 despite chronic suicidal and homicidal ideation, lack of insight into his illness, and refusal to engage with a general practitioner. Key clini…
55y · Male·Immersion (Drowning) arising by way of suicide
Peter Daniel Mahoney, a 55-year-old man with treatment-resistant bipolar affective disorder, died by drowning on 13 June 2003 after absconding from Joondalup Health Campus where he was detained as an involuntary patient …
20y · Unknown·Traumatic brain damage complicating gunshot wound to the head
Two young adults aged 20 died from gunshot wounds to the head on 29-30 May 2001 in what appears to be a murder-suicide involving Peter Klingner and his girlfriend Cheree Dinsdale. Klingner had paranoid schizophrenia with…
38y · Male·gunshot wound to the abdomen with massive internal haemorrhage
…eturned an open finding, unable to determine definitively whether the death was accidental, suicidal, or homicidal. The deceased had an extensive criminal history, was on parole for armed robbery, and was wanted for bre…
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