Coronial
NSWcommunity

Inquest into the death of Corey SELBY

Deceased

Corey Selby

Demographics

47y, male

Coroner

Decision ofDeputy State Coroner Forbes

Date of death

2023

Finding date

2024-08-30

Cause of death

Gunshot wound sustained when police responded to his request

AI-generated summary

Corey Selby, a 47-year-old man experiencing severe mental health crisis, contacted police requesting they attend his home to shoot him. He pointed a rifle at officers, resulting in fatal police shooting. The coroner found critical failures in mental health care and police response protocols. Key preventability factors include: inadequate mental health assessment and follow-up following prior hospitalization, lack of coordination between mental health and police services, absence of suicide risk management plans, and insufficient mental health training for police. The death highlights systemic failures in crisis intervention, the need for integrated mental health and law enforcement protocols, mandatory mental health assessments before armed police deployment to persons in crisis, and improved training for police in de-escalation and mental health recognition.

AI-generated summary — refer to original finding for legal purposes. Report an inaccuracy.

Specialties

psychiatry

Error types

diagnosticcommunicationsystemdelay

Contributing factors

  • Inadequate mental health assessment and follow-up care
  • Lack of coordination between mental health services and police
  • Absence of suicide risk management plan
  • Insufficient mental health training for police officers
  • Police response protocols inadequate for person in mental health crisis
  • Failure to implement safety measures despite known suicidal ideation

Coroner's recommendations

  1. Improved mental health training for NSW police officers including de-escalation techniques and crisis intervention
  2. Development of integrated protocols between mental health services and police for response to persons in mental health crisis
  3. Implementation of mandatory mental health assessment before armed police deployment to persons requesting police intervention
  4. Enhancement of suicide risk management and safety planning following mental health hospitalizations
  5. Improved coordination and information sharing between mental health providers and emergency services
Full text

STATE CORONER'S COURT OF NEW SOUTH WALES Inquest: Inquest into the death of Mr Corey SELBY Hearing dates: 27 May 2024 NSW Coroners Court sitting at Tenterfield Local Court 28-30 May 2024 NSW Coroners Court sitting at Armidale Local Court Date of findings: 30 August 2024 Place of findings: NSW State Coroner's Court, Lidcombe Findings of: Deputy State Coroner Carmel Forbes File number: 2023/21244 Catchwords CORONIAL LAW-request by deceased for police to attend his house with an intention of provoking police to shoot him and end his life by pointing a rifle at them-police response to that request -mental health care- mental health care training for police Representation: Mr J Harris Counsel Assisting, instructed by Ms E Leung, Crown Solicitor's Office

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