21 results for “prisoner stress screening”
29y · Male·acute neck compression due to hanging
…de Remand Centre while in custody awaiting trial for domestic violence assault. He had been increasingly distressed about separation from his children and made multiple phone calls expressing suicidal ideation. The priso…
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 self-harm, including cutting, swallowing batteries and razors, and a previou…
41y · Male·haemorrhage due to incised wounds to left and right cubital fossae
…from haemorrhage due to self-inflicted incised wounds to both cubital fossae. Critical clinical lessons: screening tools identified significant suicide risk (Prison Stress Screening Form score 11 with positive responses…
30y · Male·Hanging
Joshua Stachor, aged 30, died by hanging in Yatala Labour Prison on 19 November 2017. He was a remand prisoner on charges of domestic violence. The coroner found critical failures in his admission assessment on 6 Nov…
37y · Male·Hanging
Robert Allen Johnson, aged 37, died by hanging in his prison cell at Yatala Labour Prison on 21 September 2005. He had been remanded in custody the previous day on serious charges. Upon admission, he was initially assess…
34y · Male·asphyxiation by hanging
…died by suicide while on remand in prison. Despite a history of suicide attempts in 2004-2005, reception screening failed to identify suicide risk, partly because electronic alerts were not consistently checked and the …
38y · Male·neck compression due to hanging
Michael Andrew Curren, a 38-year-old prisoner at Mobilong Prison, died by hanging on 10 June 1998. He had been assaulted five days earlier and attended…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after…
45y · Male·bronchopneumonia and suppurative bronchitis complicating hypoxic brain damage
… failures contributed to his death: he was admitted to prison late at night without proper mental health screening despite clear documentation of depression and suicidality risk; nursing staff failed to complete admissi…
45y · Male·undetermined in a man in correctional services custody with a chronic history of…
Leister John Ross, a 45-year-old Aboriginal prisoner, died in Port Phillip Prison on 10 July 2014 from an undetermined cause in a man with chronic illicit dru…
49y · Male·Acute blood loss from a single incised injury to left forearm
Jeremy Edward Chandler, a 49-year-old first-time prisoner, died by suicide in Melbourne Assessment Prison 36 hours after admission. He had been convicted of seriou…
38y · Female·neck compression due to hanging
…critical information was not read by Correctional Services Officers conducting intake assessment. A Prison Stress Screening Form scored her as 'high risk' on three criteria, yet she was placed in standard accommodation r…
19y · Male·Hanging
Dylon James Ahquee, aged 19, died by hanging in Townsville Correctional Centre on 26 December 2015. Despite documented self-harm and suicidal ideation as a juvenile, no Self-Harm Episode History flag was raised at adult …
51y · Male·neck compression due to hanging
A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk during nine months of incarcerat…
39y · Male·Strychnine toxicity
…lice searches. The coroner found that Coleman was suffering from depression, relationship breakdown, legal stressors, and was receiving counselling. He had formulated a clear plan to end his life and concealed his intent…
Troy Thomas Lee: acute neck compression due to hanging; Scott Leslie Matthews: m…
…ntervention programs. Key clinical lessons: depression and anxiety require active follow-up; recent trauma/stressors increase risk; medication prescriptions for depressed patients need careful monitoring; and suicide ris…
44y · Female·Hanging
…ll with prominent hanging points. Multiple clinical opportunities were missed: the initial mental health screening failed to identify her known PTSD, anxiety and depression despite these being documented in available el…
60y · Female·neck compression by ligature strangulation
… care requirements to custody staff. Key recommendations include automatic 'high-need' classification for prisoners with self-harm history, mandatory removal of elastic garments, improved CCTV visibility for monitoring s…
54y · Male·incised wound to the neck
…n staff; (5) unmanaged chronic pain from untreated shoulder injury and alcohol withdrawal contributed to distress. The coroner found the hospital's EEO assessment appropriate but criticised lack of holistic, person-centr…
43y · Male·Hanging
A 43-year-old First Nations man died by hanging while remanded in custody for domestic violence offences. Initial risk assessments on admission were adequate—a psychologist appropriately assessed him as not requiring enh…
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