Coroner's Court of Western Australia

Inquest into the Death of John Stephen PASSMORE

Inquest into the Death of John Stephen PASSMORE

Delivered on :15 February 2016

Delivered at : Perth

Finding of : Coroner King

Recommendations :N/A

Orders/Rules : N/A

Suppression Order : N/A

Summary : The deceased was an involuntary patient under the Mental Health Act 1996 at the time of his death. He was 53 years old.

The deceased had a long history of mental illness and contact with psychiatric hospitals.  His first admittance in 1982 was to Heathcote Hospital.  He had another four admissions to Heathcote Hospital and Graylands until 1992, after which he had another 10 admissions to Graylands.  In 1996 the deceased assaulted his mother when he was acutely unwell.  He was then admitted as an involuntary patient to Graylands for over 15 months.  He was discharged from Graylands in July 1997 and moved into his own accommodation with follow-up management at the Subiaco Community Mental Health Clinic.

In November 2006 the deceased was admitted to Graylands claiming to have suicidal ideation and to have attempted to hang himself with a belt.

In May 2011 the deceased was admitted to a secure ward in Graylands for a long admission.  He was placed on trial leave in March 2012 to live in his unit.  He was required to return to Graylands for treatment as and to receive visits from community mental health workers.

On 29 March 2012 the deceased was found hanging by the neck with a rope tied to the wardrobe in his unit.

The Coroner concluded that the deceased’s death occurred by way of suicide.

The Coroner found that the supervision, treatment and care of the deceased was reasonable and appropriate while in care.

Catch Words : Involuntary patient : Mental illness: Graylands : Hanging : Suicide

Last updated: 27-Feb-2024

[ back to top ]