Coroner's Finding: de-identified PU
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…
522 results for “suicidal ideation”
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…
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…
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 …
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 …
54y · Male·hanging by ligature
…r the Mental Health Act, died by hanging in the shower room of Cramond Clinic open ward. He had expressed suicidal ideation throughout his admission, particularly after learning of imminent extended detention via Guardia…
46y · Male·immersion in the Indian Ocean
…n Northbridge, Perth. His car was found at a dog beach carpark near the ocean. Notes in his car indicated suicidal intent. An extensive search found no body, but proof-of-life checks confirmed no subsequent contact with …
55y · Female·Multiple injuries sustained in a train incident
…on 23 September 2022. The coroner concluded she intentionally took her own life. While Andrea had chronic suicidal ideation, her treating clinicians found no obvious warning signs of imminent risk; she consistently denie…
47y · Male·Extensive burns sustained in a deliberately set fire
…et house fire on 29 November 2020. He had experienced a relationship breakdown and severe depression with suicidal ideation. He presented to hospital twice in the preceding weeks with suicidal thoughts, was prescribed me…
24y · Male·Gunshot wounds to the chest
… lessons include: Luke had documented alcohol use disorder, antisocial personality disorder, and previous suicidal ideation with self-harm scarring. He presented to hospital with suicidal ideation 9 days before death but…
61y · Male·Multiple severe crushing injuries sustained when run over by a motor vehicle
Dale John Cashion, a 61-year-old man with a history of schizophrenia and suicidal ideation involving methods of being struck by vehicles, was struck by a car on Davey Street, Hobart, shor…
27y · Male·Multiple injuries sustained when struck by a train
…r and depression died by suicide, placing himself in front of a train. He had presented to emergency with suicidal ideation and overdose one week prior and was assessed as low suicide risk following crisis assessment tea…
37y · Male·Sharp force injuries of the neck and left arm
…. He subsequently engaged with Justice Health, calling the mental health helpline three times and denying suicidal ideation on each occasion. Critical information emerged post-mortem: his former spouse disclosed a prior …
61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis
…t. She had been admitted following a suicide attempt and was placed on an Assessment Order due to ongoing suicidal behaviour. During her 5-day admission to the mental health unit, her physical health appeared stable thou…
30y · Female·Hanging
…y suicides (father, close friend, partner's mother) presented to Emergency Department after self-harm and suicidal ideation on 11 August 2016. She was assessed by psychiatric nursing staff, denied active suicidal intent,…
58y · Male·asphyxia
A 58-year-old man with depression and suicidal ideation was assessed by his general practitioner, then taken to hospital by his partner. In the emergenc…
46y · Male·Neck compression by ligature suspension
…e perpetration, died by suicide via neck compression by ligature suspension in May 2020. He had expressed suicidal ideation to his wife on multiple occasions in the months before death. Key clinical lessons include: reco…
45y · Male·unascertained
…trudor Rocks National Park on 10 November 2011 and is presumed dead. He had a long history of depression, suicidal ideation, and previous suicide attempts by hanging and overdose. He was sexually abused as a teenager, st…
43y · Male·head, chest and abdominal injuries sustained when intentionally stepping into th…
…n Steven Lacroix, a 43-year-old man with a long history of mental health problems, severe depression, and suicidal ideation since 2013, died by suicide on 6 March 2021. On the day of his death, following a police callout…
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