Coronial
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VIChome2021-07-30

Finding into death of GAMcM

45y · Male·Hanging

A 45-year-old man with depression died by hanging after experiencing significant workplace stress. He had consulted his GP in October 2014 regarding grief over his mother's terminal illness and was prescribed sleeping ta…

general practicepsychologydelaysertraline
NSWcommunity2021-07-30

Inquest into the death of A J

36y · Male·multiple injuries consistent with a fall from a height

A 36-year-old man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiat…

psychiatrycorrectional healthcommunicationdelaysertraline
SAhome2021-05-28

Coroner's Finding: LOCKWOOD Andrew James

49y · Male·Shotgun wound to the head

Andrew Lockwood, a 49-year-old man with depression and significant marital discord, died from a self-inflicted shotgun wound to the head on 2 April 2017. He had been diagnosed with major depression and alcohol dependency…

general practicepsychiatrysertraline
QLDhospital2021-03-09

Horne, Ashley Thomas

49y · Male·Stab wound to the chest

A 49-year-old man with anxiety and depression died from a self-inflicted stab wound to the chest sustained during police response to a domestic violence call. He had brought tools and weapons to his ex-partner's home. Wh…

emergency medicineparamedicinecommunicationdelaysertraline
VIChospital2021-02-26

Finding into death of Ian Fraser

68y · Male·Complications of retroperitoneal haemorrhage due to inadvertent administration o…

Ian Fraser, 68, died from retroperitoneal haemorrhage following inadvertent dual anticoagulation with apixaban and enoxaparin. On 29 November 2019, a respiratory registrar attempted to prescribe discharge apixaban but mi…

respiratory medicinecardiothoracic surgerymedicationsystemapixaban
VICcommunity2020-12-09

Finding into death of Maggie Rose Bant

20y · Female·Plastic bag asphyxia with inhalation of helium

A 20-year-old woman with a history of depression, anxiety, and self-harm died by helium inhalation asphyxia. She had been treated by her GP with antidepressants and mental health referral to a psychologist but never disc…

general practicepsychiatrydiagnosticcommunicationsertraline
WAcommunity2020-10-22

Inquest into the Death of Jordana KOSTOVSKI

27y · Female·Multiple injuries sustained in motor vehicle collision

A 27-year-old woman under the influence of alcohol and methylamphetamine deliberately drove her van head-on into oncoming traffic on Forrest Highway, resulting in her death. Police had attempted to intercept her for dang…

forensic medicinetoxicologyalcohol
NSWhospital2020-09-25

Inquest into the death of Gregory MASTERS

52y · Male·Polypharmacy overdose of amitriptyline and doxylamine in the context of underlyi…

A 52-year-old man with chronic facial pain, depression, obesity, cardiovascular disease and obstructive sleep apnoea died following restraint in ICU. He had ingested a polypharmacy overdose of amitriptyline and doxylamin…

intensive carepsychiatryamitriptyline
VICaged care2020-07-06

Finding into death of Irene Florence Curran

79y · Female·Ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal fail…

A 79-year-old woman died from ischaemic bowel in the setting of cardiomegaly, pneumonia and chronic renal failure, four days after discharge from hospital following a hysterectomy for endometrial cancer. Key clinical les…

gynaecologygeneral practicecommunicationsystemoxycodone
VICcommunity2020-05-22

Finding into death of Christina Maree Chamberlain

60y · Female·Multiple injuries sustained in a motor vehicle incident (driver)

Christina Maree Chamberlain, aged 60, died when her vehicle drifted across lanes and collided with a tree on Great Alpine Road. She was taking multiple medications including oxycodone, amitriptyline, sertraline, diazepam…

emergency medicineforensic medicineoxycodone
VIChome2020-04-23

Finding into death of Baillee Petra Schneider

25y · Female·Compression of the neck

Baillee Schneider, a 25-year-old woman, died by suicide via neck compression while intoxicated. She had a history of substance misuse (cocaine, alcohol), anxiety treated with Zoloft, and was taking alprazolam. On the mor…

psychiatrytoxicologyalcohol
NSWcommunity2020-02-27

Inquest into the death of DP

45y · Male·gunshot wound to the chest

DP, a 45-year-old with a history of methylamphetamine use and drug-induced psychosis/schizophrenia, attended Quakers Hill Police Station on 19 January 2016 with a knife intending to provoke police into shooting him. His …

psychiatryemergency medicinemethamphetamine
TAShome2020-02-18

Coroner's Finding: Evans, Conor Maclaren

19y · Male·mixed drug toxicity (methadone and diazepam)

A 19-year-old male died from mixed drug toxicity following ingestion of illicit methadone and diazepam. He was a regular user of illicit substances and prescription medications obtained without medical supervision. He ha…

general practiceforensic medicinesystemcommunicationmethadone
VICcommunity2020-02-12

Finding into death of Stephen James Johnston

57y · Male·Complications of multiple blunt force injuries in a man with ischaemic heart dis…

Stephen Johnston, a 57-year-old man with ischaemic heart disease, obesity, depression and alcohol dependence, was assaulted on 7 December 2016 by Kevin Knowles and Amanda Bourke after an evening of drinking. Johnston suf…

emergency medicineintensive caredelayoxycodone
VIChome2020-01-31

Finding into death of X Y

27y · Female·Combined drug toxicity

XY, a 27-year-old woman, died from combined drug toxicity on 21–22 December 2016 at a friend's house in Melbourne. She had a history of opioid use, depression, and anxiety following a violent crime. She was enrolled in r…

general practiceaddiction medicinesystemmethamphetamine
SAhospital2019-12-03

Coroner's Finding: TAEGER Luke Victor

89y · Male·pneumonia on a background of advanced Parkinson's disease and dementia

An 89-year-old man with advanced Parkinson's disease and dementia died of aspiration pneumonia following hospital admission for behavioural management. He was subject to an Inpatient Treatment Order and required chemical…

geriatric medicinepsychiatrythyroxine
NSWhospital2019-11-21

Inquest into the death of Ross MARTIN

56y · Male·acute pentobarbitone toxicity

Ross Martin, a 56-year-old man with a long history of depression, died from acute pentobarbitone (Nembutal) toxicity obtained online, combined with toxic levels of zopiclone, less than two weeks after premature discharge…

psychiatrygeneral practicediagnosticcommunicationpentobarbitone
VIChome2019-10-07

Finding into death of Phillip James King

52y · Male·Mixed drug toxicity

A 52-year-old man with multiple sclerosis, chronic pain, depression and history of suicidality died from mixed drug toxicity following an intentional overdose. He was prescribed multiple opioids (fentanyl, tramadol, oxyc…

general practiceneurologymedicationcommunicationfentanyl
NSWhome2019-10-04

Inquest into the death of C D

60y · Male·burn wounds and the consequences thereof

CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with paranoid ideati…

general practicepsychiatrydiagnosticcommunicationdiazepam
NTmental health2019-09-27

Inquest into the death of Jordan Allen

34y · Male·self-inflicted hanging

34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamp…

psychiatryemergency medicineclinicalcommunicationdexamphetamine sulfate
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