44 results for “suicidal ideation”
37y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
…ast consultation in January 2024. He expressed worry about coping as a single father but did not disclose suicidal ideation to his GP. Cannabis and antidepressant were detected post-mortem. The collision occurred on a ru…
17y · Male·Unascertained in the setting of volatile substance abuse
…exona deodorant). He had a history of exposure to family violence, ADHD, mental health concerns including suicidal ideation, contact with child protection and youth justice systems, and was living in youth accommodation.…
Female·Hanging
…onia, and developmental 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 N…
15y · Female·Hanging
…hildhood sexual abuse by her uncle, physical and emotional abuse by her step-father, family violence, and suicidal ideation to multiple agencies. Significant failures occurred: Child Protection closed her case after tele…
13y · Male·Hanging
…ncerns to Child Protection likely contributed to missed opportunities for intervention. Lachlan disclosed suicidal ideation repeatedly but engagement with mental health services was never established. Key clinical lesson…
15y · Male·Combined heroin and methamphetamine toxicity
…n two years), early trauma, parental substance use history, and escalating mental health issues including suicidal ideation. Despite referrals to multiple mental health and drug and alcohol services, T did not receive co…
31y · Male·Hanging
…ematic mental health risk assessment in community settings, particularly for individuals with depression, suicidal ideation history, and active substance misuse; (2) need for integrated information-sharing between correc…
14y · Male·injuries sustained in fall from height
…that DHS failed to conduct proper mental health assessments despite documented self-harming behaviour and suicidal ideation expressed to friends. Multiple DHS workers were assigned without continuity, promised supports (…
16y · Male·Hanging (ligature compression of neck)
…fing and alcohol use combined with acute anger from assault by his sister. JJ's death followed deliberate ideation, with multiple documented suicide attempts and mental health contacts in the preceding months. Critical c…
15y · Male·Electrocution
…d Major Depressive Disorder, died by electrocution at home on 16 September 2019. He had been experiencing suicidal ideation for months and was discharged from inpatient psychiatric care (Stepping Stones) on 19 August 201…
13y · Female·Self-inflicted single gunshot wound to the chest
… gunshot wound using an unsecured .308 Winchester rifle stored in her parents' bedroom. She had disclosed suicidal thoughts to a school counsellor in September 2021, but this disclosure was not adequately responded to. K…
Male·Gunshot wound to the head
Five family members were killed by gunshot on the evening of 8 September 2014 at Watch Hill farm, NSW. Geoffrey Hunt shot his wife Kim and their three children (Fletcher aged 10, Mia aged 8, and Phoebe aged 6) before tak…
14y · Male·Hanging
…uma-informed or domestic and family violence lens. Despite repeated reports of physical and sexual abuse, suicidal ideation, self-harm, and escalating behaviours, CJ's needs remained unaddressed. Services focused on the …
14y · Female·hanging
… care, died by hanging in December 2007. She had significant unaddressed mental health concerns including suicidal ideation, self-harm, and grief following peer suicides. The coroner found systemic failures in care coord…
14y · Female·ligature compression of the neck (hanging)
…22. She had Complex PTSD from childhood trauma and presented multiple times to emergency departments with suicidal ideation and self-harm from December 2021. The coroner found missed opportunities in her care: inadequate…
32y · Female·hanging
…d in a context of escalating intimate partner violence, alcohol misuse, mental health concerns, and prior suicidal ideation. Critical failings in service coordination were identified: DHHS (child protection) closed its i…
<1y · Female·Head injury
…ermined to be infanticide. The mother had severe untreated postnatal depression and anxiety, experiencing suicidal ideation and fixated concerns about harming her baby. Maternal and Child Health services assessed her twi…
14y · Female·Ligature compression of the neck (suicide)
…afaxine; and failure to provide Consumer Medicine Information (CMI) sheets detailing withdrawal risks and suicidality warnings. The coroner found her behaviour on 11 October was likely related to cessation of venlafaxine…
Unknown·Ligature compression of the neck (hanging) in 12 cases; one open finding
…lturally appropriate services. Most children had not received mental health assessment despite expressing suicidal ideation. The coroner identified systemic failures including delayed referrals to mental health services,…
16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)
… home. JF had a history of depression, borderline personality disorder, reactive attachment disorder, and suicidal ideation. Following escalating behaviour and mental health deterioration, she was placed in residential c…
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