72y · Male·exsanguination (blood loss) from severed femoral artery
…owell, a 72-year-old man with schizophrenia, died by exsanguination from a self-inflicted femoral artery laceration. He was discharged from psychiatric inpatient care on a community treatment order on 14 December 2017 an…
23y · Male·stab wounds to the neck
…r damage—were unsurvivable. The coroner found no clinical lessons for healthcare providers, as this was a suicide in a police operational context. However, the case highlights the importance of recognising acute suicida…
23y · Male·Suicide by hanging
Dwayne Joseph Berto, a 23-year-old Aboriginal man, died by suicide by hanging in his home in Darwin on 25 August 2010. He was highly intoxicated (blood alcohol 0.268%) and …
38y · Male·neck compression due to hanging
…staff observed nothing unusual. The coroner found no suspicious circumstances and concluded the death was suicide. Key clinical lesson: inmates presenting with injuries and psychological stress require heightened vigila…
30y · Male·Exsanguination due to an incision in the radial vein of his right wrist
Michael David John Nolan, aged 30, died in prison from exsanguination following a self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, d…
31y · Female·mixed drug toxicity (propoxyphene, fluvoxamine, and alprazolam)
…poxyphene, fluvoxamine, and alprazolam). She presented to the emergency department with a reopened wrist laceration and reported mild analgesia use, but had actually consumed a large overdose of propoxyphene. She was tri…
34y · Male·ligature compression of the neck (hanging)
…istory of substance abuse (primarily amphetamine and alcohol), psychiatric illness, and multiple previous suicide attempts, died by hanging on 11 March 2012. He had been prescribed benzodiazepines (Valium, Xanax) and co…
39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)
Catherine Broadbent, 39, died from multiple drug toxicity involving benzodiazepines (etizolam, carisoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with life…
42y · Female·Incised injury to the neck
A 42-year-old woman with depression and suicidal ideation died by self-inflicted neck laceration while admitted to a psychiatric inpatient unit. She had been assessed as low risk and placed on 30-minut…
26y · Female·Asphyxiation due to Ligature Compression of Neck
… and maternal rejection, was admitted to Merredin Hospital on 10 August 2003 after presenting with wrist lacerations and reported tablet ingestion. She was assessed as moderate risk and placed on 15-minute observations. …
41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…
Geoffrey Douglas Nicholls, aged 41, was shot by police during an armed incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing …
26y · Female·intentionally inflicted gunshot wounds to the head
…he deaths of two women in 1991 reveals systemic investigative failures and challenges the original murder-suicide finding. Julie-Anne Leahy and Vicki Arnold died from gunshot wounds on 26 July 1991 in rural Queensland. …
49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …
Patricia Van Putten, a 49-year-old retired teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization …
Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…
Five male prisoners died by suicide at Casuarina Prison, Western Australia between 2014-2015. All deaths were by hanging or self-inflicted la…
19y · Male·Ruptured aorta post motor vehicle incident
Simon Kirwan, 19, died by motor vehicle collision in circumstances indicating suicide after discharge from involuntary mental health care. He had made three serious suicide attempts within 7 …
23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…
…d chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric discharge. Despite two suicide attempts within 48 hours preceding assessment, psychiatrist Dr L. concluded the patient had decision-maki…
47y · Female·Multiple blunt force injuries
…e extent of injuries discovered at autopsy, and his implausible account. The partner subsequently died by suicide before charges could be laid.
20y · Female·multi-organ failure due to polypharmacy overdose
A 20-year-old woman with depression and borderline personality disorder died from multi-organ failure following a large polypharmacy overdose (13 grams of paracetamol among 78 tablets). She was admitted to the ED where i…
42y · Male·Incised injury to the neck resulting in exsanguination and air embolism
…ear-old prisoner with severe psychotic symptoms and dual P1/S3 risk ratings, died by self-inflicted neck laceration in Melbourne Assessment Prison on 8 June 2016. Despite two prior self-harm incidents with razor blades i…
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