Coronial
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SAhospital2025-07-03

Coroner's Finding: Provis, Adam James

50y · Male·in-hospital cardiac arrest on a background of seizures and atheroembolic cerebro…

A 50-year-old man with bipolar affective disorder, hypertension, anxiety, depression and history of alcohol abuse died from in-hospital cardiac arrest on a background of seizures and atheroembolic cerebrovascular disease…

psychiatryneurologythiamine
VICcommunity2024-11-11

Finding into death of Glykeria Skalistis

70y · Female·drowning (likely), but ultimately undetermined cause

Glykeria Skalistis, aged 70, disappeared on 29-30 August 2019 and is presumed to have drowned at Schnapper Point beach. She had a long history of schizophrenia and depression, managed with antipsychotic and antidepressan…

psychiatryemergency medicinediagnosticcommunicationantidepressants
WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…

psychiatryemergency medicinehaloperidol
VICaged care2023-02-20

Finding into death of Terence Michael Brooks

76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…

Terence Michael Brooks, a 76-year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care f…

geriatric medicinegeneral practicecommunicationdelayvenlafaxine
VICmental health2022-12-13

Finding into death of Jamie Andrew Kowalewsky

27y · Male·Global cerebral ischaemic injury in the setting of hanging

Jamie Kowalewsky, a 27-year-old with long-standing mental health issues including depression, substance abuse (ICE and cannabis), and previous suicide attempt, was voluntarily admitted to a low dependency psychiatric uni…

psychiatryintensive carecommunicationlorazepam
VIChome2022-07-18

Finding into death of Mr EBG

46y · Male·Combined effects of helium toxicity and plastic bag asphyxia

A 46-year-old man died by suicide using helium inhalation and plastic bag asphyxia. He had a history of suicide attempt in November 2020, was referred to psychology and prescribed antidepressants by his GP in January 202…

general practicepsychiatryantidepressants
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

Julie Michele Dunn, a 56-year-old female prisoner, died of sepsis secondary to disseminated pancreatic adenocarcinoma. She had presented months earlier with gastrointestinal symptoms (weight loss, nausea, vomiting, epiga…

general medicineoncologydiagnostictramadol
QLDhome2021-06-15

Bradford, Teresa and Bradford, David - Non-inquest findings

40y · Female·Head injuries inflicted by axe blows in context of intimate partner domestic abu…

Teresa Bradford, aged 40, was killed by her husband David Bradford in a premeditated domestic homicide at their Pimpama home on 31 January 2017, followed by his suicide. She died from head injuries inflicted with an axe.…

general practicepsychiatrycommunicationsystemwarfarin
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

45y · Female·Compression of the neck in circumstances of hanging

Jessica Morgana Wilby, aged 45, a highly accomplished Principal In House Solicitor at the Coroners Court of Victoria with extensive qualifications and excellent performance record, took her life by hanging on 7 September…

psychiatrypsychologysystemcommunicationantidepressants
VIChospital2020-05-05

Finding into death of John Hayle

76y · Male·Bronchopneumonia in a man with ischaemic heart disease and treated spinal crush …

John Hayle, a 76-year-old with Alzheimer's dementia, ischaemic heart disease, and spinal fractures sustained a T11/12 flexion-distraction fracture on 9 June 2017. Over three weeks, he developed progressive bilateral lowe…

neurosurgerygeriatric medicinediagnosticcommunicationmk8931
SAhome2020-02-10

Coroner's Finding: DAILLER Graziella and MUIR Dion Wayne

48y · Unknown·Ms Dailler: blunt head trauma and multiple sharp force injuries including stab w…

This inquest examined the deaths of two people in a violent domestic relationship. Ms Dailler, aged 48, was killed by her partner Mr Muir through blunt force trauma and stab wounds. Mr Muir subsequently died by suicide. …

emergency medicineforensic medicinecommunicationsystemalcohol
NSW2019-02-15

Inquest into the death of Paul Lambert

36y · Male·Combined effect of gunshot wounds to the chest and abdomen

Paul Lambert, 36, was shot by NSW Police on the Pacific Highway after attacking and stabbing his former girlfriend Dr J. multiple times. He had a longstanding pattern of intimate partner violence, stalking, emotional abu…

psychiatrygeneral practicesystemdelayolanzapine
NSW2018-10-26

Inquest into the death of Mahmoud Houri

27y · Male·multiple organ failure due to the consequences of multiple gunshot wounds to the…

Mahmoud Houri died aged 27 in custody from multiple organ failure, a consequence of gunshot wounds sustained in 2002. The inquest examined whether appropriate care was provided on 21 August 2008 when he presented with vo…

general surgerygastroenterologymetoclopramide
TAScommunity2018-06-12

Coroner's Finding: Osborn, James Lee

62y · Male·drowning

James Lee Osborn, aged 62, died by drowning in the Derwent River on 30 June 2016 after a rapid deterioration in mental health. He had a long history of depression but experienced acute decompensation with paranoid delusi…

psychiatryemergency medicinesystemcommunicationolanzapine
ACThome2017-03-23

AN INQUEST INTO THE DEATH OF PAP

55y · Male·Septicaemia due to hydronephrosis and infection

A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…

cardiologypsychiatrysystemcommunicationwarfarin
VIChome2017

Finding into death of Harold George Nolan

73y · Male·Stab wound to the neck

Harold Nolan, 73, was fatally stabbed in the neck by his ex-wife Renee Nolan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deter…

general practicepsychiatrycommunicationdelayantidepressants
VICcommunity2016-12-05

Finding into death of Miroslaw Dziczkowski

40y · Male·UNDETERMINED - natural causes (most probably natural disease; starvation could n…

Miroslaw Dziczkowski, a 40-year-old man with paranoid schizophrenia managed under a Community Treatment Order, disappeared in January 2013 after withdrawing $7300 and relocating to a caravan park without notifying his me…

psychiatryforensic medicinesystemdelayzuclopenthixol decanoate
NSWhospital2016-07-14

Inquest into the death of John McFerrier

51y · Male·Sepsis with multi-organ failure; pneumonia (multi-drug resistant Staphylococcus)…

John McFerrier, a 51-year-old man in immigration detention, died from sepsis with multi-organ failure and multi-drug resistant pneumonia, complicated by morbid obesity. He was admitted to Liverpool Hospital ICU with brea…

intensive careinfectious diseasesantidepressants
WAhospital2016-02-05

Inquest into the Death of Pauline Margaret DODD

51y · Female·Ischaemic heart disease

Pauline Margaret Dodd, 51, died of ischaemic heart disease at Sir Charles Gairdner Hospital on 4 March 2014. She was an involuntary psychiatric patient with long-standing bipolar affective disorder, complicated by childh…

psychiatrycardiologydiagnosticolanzapine
WAmental health2015-12-31

Inquest into the Death of Michael Ronald THOMAS

Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…

Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…

psychiatryemergency medicinediagnosticcommunicationantidepressants

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