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VICcommunity2020-11-27

Finding into death of Nicholas Daniel Ficarra

26y · Male·unascertained; suspected suicide by firearm

Nicholas Daniel Ficarra, aged 26, disappeared on 14 January 2012 from his family farm in regional Victoria. He had a history of substance abuse (heroin, OxyContin, cannabis) from age 21 and severe mental illness from 200…

psychiatrygeneral practicesystemdelayheroin
NSWmental health2020-11-27

Inquest into the death of JP

46y · Female·hypoxic brain injury due to hanging

A 46-year-old woman with borderline and antisocial personality disorder, depression, and cannabis dependence died by suicide while an involuntary psychiatric inpatient. She had previously expressed suicidal ideation incl…

psychiatryemergency medicinecommunicationprocedural
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

A 68-year-old Aboriginal man died by hanging in his cell at Yatala Labour Prison on 16 April 2015 while experiencing acute myocardial infarction. He was transferred to Yatala for urgent psychiatric assessment following t…

psychiatrycardiologydiagnosticcommunicationolanzapine
WAcommunity2020-11-25

Inquest into the Death of Jamie Alan GRAHAM

50y · Male·acute renal failure due to dehydration in relation to environmental exposure

Jamie Graham, a 50-year-old Aboriginal man with type 2 diabetes, cognitive impairment, and alcohol dependence, died from acute renal failure due to dehydration after being stranded with two companions on a remote road wh…

systemcommunication
VICmental health2020-11-25

Finding into death of Thi Qui Tran

53y · Female·Heatstroke

Thi Qui Tran, a 53-year-old woman with schizophrenia on antipsychotic medications (zuclopenthixol and olanzapine), died of heatstroke on 9 February 2018 after collapsing on a street during extended unescorted leave from …

psychiatryintensive caresystemdelayzuclopenthixol
TAScommunity2020-11-23

Coroner's Finding: Golding, Laura Rebecca

51y · Female·drowning

Laura Golding, a 51-year-old transgender female with longstanding bipolar affective disorder and recent psychotic episodes, died by drowning on 13 October 2017 after taking an unmanned dinghy into Copper Alley Bay withou…

psychiatrygeneral practicesystemdelay
VIChome2020-11-20

Finding into death of Baby S

1y · Male·head injury

Baby S, a 12-month-old boy, died from head injuries inflicted by his mother's de facto partner, Mr B, while the mother was away obtaining heroin. The child had multiple previous injuries documented by childcare staff and…

paediatricsgeneral practicediagnosticcommunicationheroin
NSWhospital2020-11-20

Inquest into the death of Melissa Stokes

49y · Female·Fatal Cardiac Arrhythmia

Melissa Stokes, 49, died from a fatal cardiac arrhythmia one day after successful abdominal hysterectomy and sling surgery. The coroner found the cause was not opioid-induced respiratory depression despite post-operative…

anaesthesiagynaecologycommunicationdelaytramadol
VICcommunity2020-11-19

Finding into death of Bhavita Patel

Blunt force trauma from impact with motor vehicle

Six people were fatally struck by a stolen vehicle deliberately driven through Bourke Street Mall in Melbourne CBD on 20 January 2017: Matthew Poh Chuan Si (33), Thalia Hakin (10), Yosuke Kanno (25), Jess Mudie (22), Zac…

systemcommunication
VICcommunity2020-11-19

Finding into death of Jess Mudie

Traumatic injuries sustained when struck by stolen motor vehicle (principally he…

Finding into six deaths resulting from the Bourke Street mass casualty incident on 20 January 2017 in Melbourne, Victoria. James Gargasoulas drove a stolen vehicle into crowds in Bourke Street Mall, killing Matthew Poh C…

systemcommunication
QLD2020-11-16

Haynes, Barry

58y · Male·Metastatic non-small cell lung carcinoma

Barry Haynes, a 58-year-old Aboriginal man, died of metastatic non-small cell lung carcinoma while on remand in custody. He had stage 4 lung cancer with brain metastases diagnosed in November 2016, shortly before his arr…

oncologypalliative caresystemdelay
NSWcommunity2020-11-16

Inquest into the death of D B

39y · Male·Self-inflicted death by hanging

A 39-year-old man with longstanding Bipolar I Disorder died by hanging on 28 December 2017, shortly after police attended a domestic disturbance at his mother's home. He had expressed suicidal ideation to his treating ps…

psychiatryemergency medicinecommunicationsystem
VIChome2020-11-10

Finding into death of Mr BT

27y · Male·Hanging

A 27-year-old carpenter with a long history of depression, suicidality, and substance abuse died by hanging. He had experienced recent family violence incidents as both perpetrator and victim in relationships, leading to…

psychiatrygeneral practicecommunicationsystemvenlafaxine
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
WAcommunity2020-11-05

Inquest into the Suspected Death of Paul Clifford YORK

45y · Male·unascertained

Paul Clifford York, 45, disappeared from Petrudor Rocks National Park on 10 November 2011 and is presumed dead. He had a long history of depression, suicidal ideation, and previous suicide attempts by hanging and overdos…

psychiatrygeneral practicediagnosticsystemmirtazapine
NSWcommunity2020-10-30

COOK Grant Findings

28y · Male·Hypoxic brain injury as a result of a respiratory arrest, after inadequate respi…

Grant Cook, aged 28, collapsed during a rugby league game after a tackle caused him to fall and hit his head. He suffered a grand mal seizure with snoring/obstructed breathing, leading to respiratory arrest, cardiac arre…

paramedicineintensive carecommunicationdiagnosticadrenaline
SAhospital2020-10-30

Coroner's Finding: VELT Hank Jakob

65y · Male·ischaemic and hypertensive heart disease with contributing acute cholecystitis (…

A 65-year-old man with hypertension presented with acute cholecystitis, underwent laparoscopic cholecystectomy, and initially recovered well. On post-operative day 7, he experienced chest pain radiating to his jaw. Two E…

general surgerycardiologydiagnosticcommunication
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

Bo Zhao, a 31-year-old business owner, died from combined drug toxicity (amitriptyline and metoclopramide) in a hotel room on 28 February 2019. He was facing serious criminal charges for fraud involving millions of dolla…

psychiatrygeneral practicedelayamitriptyline
TAS2020-10-27

Coroner's Finding: Mansell, Robert Charles

42y · Male·Cause of death cannot be determined

Robert Mansell, a 42-year-old man, disappeared on 8 August 2015 while allegedly fishing at Salmon Rock with Joshua Kennedy. Kennedy claimed Mansell slipped into cold water retrieving a lure and drowned despite Kennedy's …

systemdelay
NThome2020-10-26

Inquest into the death of Lily Elizabeth Aldridge

1y · Female·Accidental drowning

A 21-month-old girl drowned in a home swimming pool on a rural property in the Northern Territory. She was removed from her highchair by a sibling while her father was occupied with repairs, and entered the pool unsuperv…

systemdelay

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