27y · Female·Ligature compression of neck (hanging)
Lorna Silvester, a 27-year-old woman with depression and suicidal ideation, died by hanging on 18 January 1999 while on approved leave from Graylands Hospital. She had bee…
16y · Male·Gunshot wound to the head
… gunshot wound. He had attended Headspace for mental health support and seen a GP who identified previous suicidal ideation but no active plans at that time. In the weeks before death, he disclosed suicidal thoughts and …
45y · Male·hanging
A 45-year-old man with a history of depression, suicidal ideation, and alcohol misuse was admitted to Spencer Clinic following a medication overdose suicide attem…
47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)
…died from mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam, diazepam). He had expressed suicidal ideation multiple times in the months before death, including asking his caseworker how many tablets woul…
41y · Male·Neck compression subsequent upon hanging
A 41-year-old man with depression, anxiety and prior suicidal ideation died by hanging on the morning of a scheduled psychology appointment. He had been referred by hi…
59y · Male·compression of the neck secondary to hanging
A 59-year-old man with treatment-resistant depression, anxiety, and suicidal ideation died by hanging while on weekend leave from psychiatric care. He had been hospitalised four time…
47y · Female·Ligature compression of the neck (suicide by hanging)
…ar-old woman admitted to Nickol Bay Hospital as a voluntary patient due to deteriorating mental state and suicidal ideation, left the hospital on 21 February 2011. She drove to a remote location in Millstream National Pa…
23y · Female·blood loss from an abdominal stab wound and from incised injuries to the head
…tly 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 the critical …
59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)
…severe stroke in 2006 with resultant significant disability, chronic pain, and subsequent depression with suicidal ideation. Despite psychiatric involvement and GP care, she remained resistant to supportive interventions…
58y · Male·unascertained
Peter James Guidera, a 58-year-old man with a history of depression, suicidal ideation, and previous suicide attempts, disappeared on 8 May 1998 from Narrogin, Western Australia, shor…
28y · Female·Effects of fire
… on 22 July 2022. She had schizophrenia with a history of mental health crises, depression, self-harm and suicidal ideation. She was living independently with outpatient support from Eastern Health, though services were …
15y · Male·multiple blunt force injuries as a result of being hit by a train
AB, a 15-year-old boy with depression and suicidal ideation, was prescribed Lexapro (escitalopram) by his GP despite it not being registered for use in adol…
64y · Male·sodium nitrite poisoning
…l died from intentional sodium nitrite poisoning. He had a documented history of depression, anxiety, and suicidal ideation. His GP noted he was 'pretty much suicidal' in February 2019 but did not meet Mental Health Act …
64y · Female·Unascertained
…iple joint replacements, significant depression following her daughter's death in 2006, and long-standing suicidal ideation disappeared from a cruise ship in the Tasman Sea on 17 January 2024. She had repeatedly told fam…
37y · Male·hypoxic ischaemic encephalopathy secondary to hanging
A 37-year-old man with depression, suicidal ideation, and antisocial personality disorder died from hypoxic ischaemic encephalopathy following hangin…
53y · Male·asphyxia due to upper airway occlusion by a foreign body (blanket)
…y treated with appropriate medications for psychotic and mood disorders. Clinical staff were aware of his suicidal ideation and self-harm history, with multiple documented head injuries from recent suicide attempts. The …
20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…
…-old with a long history of mental health issues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosis of adjustment disorder with dep…
47y · Male·unascertained
…ne in supported accommodation with home care services, but had become increasingly isolated and expressed suicidal ideation. He was never found; unidentified human remains discovered nearby in June 1990 may be his but DN…
43y · Male·hypoxic brain injury secondary to asphyxiation by ligature
…tioners, and did not increase monitoring. A psychiatrist had assessed him three days earlier and found no suicidal intent. The coroner found the death was intentional and planned, but identified critical failures in comm…
48y · Male·Unknown causes (presumed suicide by drowning)
…and his father's death. Despite seeing his psychotherapist Dr R. on 15 July 1971—when Mr Morgan disclosed suicidal preoccupation for ten days—he was not admitted to hospital or given immediate intensive psychiatric care.…
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