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custody_death · 2024-Q2

Bureau du coroner (Québec) · Bureau du coroner

Finding
Disposition
Cohort size
104

Redacted summary

A person died by drowning in a lake. The person had been hospitalized for mental health conditions and had a history of suicide attempts and suicidal ideation. The circumstances surrounding the death raise questions about the management of suicidal risks and the distribution of medication in psychiatric settings, as well as the need to improve practices for assessing and monitoring patients at risk.

Officer

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Bureau du coroner (Québec): custody_death (2024-Q2) — The Ledger