Finding into death of Mihail Andrinopoulos

73y · Male·UNASCERTAINED

A 73-year-old man with significant medical comorbidities (hypertension, chronic renal failure, depression) was found deceased in Port Phillip Bay. He had recently commenced dialysis after years of progressive kidney disease and documented poor medication compliance. He had chronic major depressive disorder with documented suicidal ideation explored by his psychologist, though he consistently denied intent to harm himself, expressing concern for his disabled son's welfare. The cause of death remains unascertained; drowning could not be confirmed with certainty. Clinical lessons include: early engagement with mental health services for patients facing major life changes like dialysis initiation; thorough suicide risk assessment in patients with chronic disease, depression, and major life stressors; and consideration of psychosocial support when patients face treatments they perceive as life-altering. The coroner found no evidence of foul play.