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NSWhome2010-10-15

Coroner's Finding: Jayden Matthew Lynch

3y · Male·asphyxia secondary to epilepsy

Jayden Lynch, aged 3, died on 15 December 2008 while attending family day care in Yamba, NSW. He had epilepsy managed by a paediatrician with medications (Tegratol, Trileptac) and emergency rectal diazepam. On the day of…

paediatricssystemcommunicationtegratol
VICcommunity2010-10-11

Finding into death of Darren James D-Arcy

41y · Male·Multiple injuries sustained in a bike incident

41-year-old male died from multiple injuries sustained when struck by a motor vehicle whilst riding a bicycle without a helmet on a residential street. He had consumed alcohol (BAC 0.04%), had evidence of recent cannabis…

forensic medicinealcohol
QLD2010-10-08

Barker, Jeremy Dylan

27y · Male·Hanging

Jeremy Barker, a 27-year-old man with bipolar disorder, recent suicide attempts, and explicit stated intention to hang himself, was admitted to Arthur Gorrie Correctional Centre's medical unit for observation as an 'at-r…

psychiatrycorrectional healthcommunicationsystemcarbamazepine
VIChome2010-08-13

Finding into death of Mr X

53y · Male·multiple large incised defects to the head and single stab wound to the chest

Mr X, aged 53, was killed by his son Mr A who was subject to a Community Treatment Order (CTO) supervised by Peninsula Health Mental Health Services. Mr A had a complex history of mental illness (schizophreniform paranoi…

psychiatryaddiction medicinesystemcommunicationdiazepam
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarl…

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
VICcommunity2010-06-11

Finding into death of Kelvin Lea Swab

34y · Male·Hanging

Mr Kelvin Swab, a 34-year-old with chronic mental illness including borderline personality disorder and longstanding suicidal ideation, died by hanging on 12 October 2008, shortly after discharge from inpatient psychiatr…

psychiatrycommunicationdiazepam
VIC2010-06-09

Finding into death of Anthony Hogarth-Clarke

37y · Male·Gunshot injury to head

Senior Constable Anthony Hogarth Clarke, a 37-year-old experienced police officer, was shot and killed during a drink-driving intercept on 24 April 2005. The offender obtained Clarke's revolver from his holster during a …

occupational and environmental healthpublic healthsystemdelayalcohol
VICcommunity2010-06-09

Finding into death of Mark Bailey

26y · Male·Gunshot injury to the head (self-inflicted)

Mark Bailey, a 26-year-old with obsessive compulsive disorder, anxiety, alcohol dependence, and a history of violence, died from a self-inflicted gunshot wound. He was under treatment by a psychiatrist and psychologist w…

psychiatrypsychologydiagnosticcommunicationparoxetine
SAhome2010-06-04

Coroner's Finding: ARBUCKLE Claudia Anna Maria

44y · Female·mixed drug toxicity with aspiration of gastric contents

A 44-year-old woman with chronic back pain and depression died from mixed drug toxicity with aspiration of gastric contents. She had been prescribed multiple medications including amitriptyline, diazepam, codeine, and lo…

general practicepain medicineamitriptyline
QLD2010-05-20

Cockshutt, Andrew James

33y · Male·hanging

Andrew Cockshutt, a 33-year-old serving life imprisonment, died by hanging in his cell at Lotus Glen Correctional Centre on 3 July 2008. He had a documented history of emotionally turbulent relationships with fellow pris…

systemcommunicationdiazepam
VIChome2010-05-06

Finding into death of Simon Mark Gray

31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …

Simon Mark Gray, a 31-year-old man, died from combined effects of multiple medications in the setting of obesity and bronchopneumonia, less than 24 hours after discharge from psychiatric hospital. He had suffered a workp…

psychiatrypain medicinesystemmorphine
QLD2010-04-16

Nguyen, Luong Bang

31y · Male·Subarachnoid haemorrhage due to or as a consequence of a ruptured large fusiform…

A 31-year-old man with long-standing intravenous drug use and hepatitis C died in prison custody from a ruptured mycotic aneurysm causing subarachnoid hemorrhage. He collapsed in his cell after lock-down without prior wa…

emergency medicineintensive carequetiapine
VICaged care2010-03-30

Finding into death of Mark Anthony Theakston

45y · Male·unascertained

Mark Anthony Theakston, a 45-year-old man with severe intellectual disability and autism residing in supported accommodation, died of an unascertained cause on 25 May 2008. He had collapsed on 21 May with a syncopal epis…

general practiceforensic medicinesystemcommunicationchlorpromazine
QLD2010-03-17

Barnes, Roy

47y · Male·Intracerebral haemorrhage secondary to heroin withdrawal in a patient with sever…

Roy Barnes, a 47-year-old man with chronic heroin use, hepatitis C, and severe coronary atherosclerosis, died from an intracerebral haemorrhage while in police custody. He was held in the Southport watch house for 55 hou…

emergency medicineneurologydelaysystemheroin
VIChospital2010-03-15

Finding into death of Deborah Margaret Ricklefs

29y · Female·Invasive aspergillosis

A 29-year-old registered nurse with systemic lupus erythematosus (SLE) died from invasive aspergillosis. Dr G. prescribed lamotrigine 100 mg daily (double the recommended initial dose of 50 mg) on first consultation with…

addiction medicinegeneral practicemedicationdiagnosticlamotrigine
VIChome2010-02-26

Finding into death of Mustapha Hayek

31y · Male·Hanging

Mustapha Hayek, aged 31, died by hanging at his home on 16 December 2007. He was found by police conducting a welfare check at his partner's request after the couple had argued four days earlier. The coroner found he too…

psychiatrygeneral practicemethamphetamine
QLD2010-02-12

Preston, William Elliot

60y · Male·Coronary artery atherosclerosis

William Elliot Preston, a 60-year-old male prisoner, collapsed suddenly in the prison kitchen and died from coronary artery atherosclerosis. He had severe coronary atherosclerosis identified on angiography during recent …

emergency medicinecardiologyatenolol
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrabl…

psychiatrypsychologycommunicationsystemcitalopram
VICcommunity2010-01-14

Finding into death of Joeanne Maree Brady

39y · Female·Mixed drug toxicity (methadone, oxycodone, hydromorphone, mirtazapine, diazepam,…

A 39-year-old woman with chronic pain from a previous work injury died from mixed drug toxicity involving methadone, oxycodone, hydromorphone, diazepam, mirtazapine, and promethazine. Her pain specialist prescribed metha…

pain medicineneurologycommunicationmedicationmethadone
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…

psychiatryemergency medicinesystemalcohol
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