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VIChome2022-05-23

Finding into death of Mr A

37y · Male·Stab wound to the left kidney

A 37-year-old man was fatally stabbed by his de facto partner during a family violence incident. He had a documented history of perpetrating family violence including threats, stalking, choking, and repeated breaches of …

general practiceemergency medicinesystemcommunication
VIChome2022-05-20

Finding into death of Mandy Hawkey

51y · Female·Mixed drug toxicity

A 51-year-old woman with longstanding treatment-resistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, anti…

general practicepsychiatrymedicationcommunicationflunitrazepam
TAShome2022-05-18

Coroner's Finding: Masters, Shane Anthony

40y · Male·Sudden Unexpected Death in Epilepsy (SUDEP) resulting from post-traumatic brain …

Shane Masters died from Sudden Unexpected Death in Epilepsy (SUDEP) 12 years after sustaining a severe traumatic brain injury at work. On 19 May 2008, a hydraulic jack dislodged while repairing a fully loaded truck in a …

neurosurgeryrehabilitation medicinesystemprocedural
VIChome2022-05-17

Finding into death of Mr HP

50y · Male·Gunshot injury to the head

A 50-year-old man with depression, excessive alcohol use, and cardiac defibrillator died by self-inflicted gunshot injury after a drink-driving incident and receipt of an eviction notice. The coroner found his treating g…

general practicepsychiatrysystemduloxetine
NSWmental health2022-05-06

Inquest into the death of Diane EASTCOTT

71y · Female·ischaemic cardiovascular disease

Diane Eastcott, a 71-year-old involuntary mental health patient, died of ischaemic cardiovascular disease on 10 July 2018 at Macquarie Hospital. Following an unwitnessed fall on 22 June 2018, she was admitted to Ryde Hos…

emergency medicinecardiologymedicationcommunicationmetoprolol
VIChome2022-05-03

Finding into death of Carol Austin

65y · Female·Plastic bag asphyxia

Carol Austin, 65, died by plastic bag asphyxia at her home in Wangaratta in August 2018. She had a 20-year history of depression and had recently experienced suicidal ideation, a suicide attempt, and burns injury requiri…

psychiatrygeneral practicesystemcitalopram
TAS2022-04-29

Coroner's Finding: Lavoipierre, Andre Marc

41y · Male·exsanguination (hypovolemic shock complicating acute blood loss) due to fistula …

Andre Marc Lavoipierre, age 41, died on 26 June 2019 from exsanguination due to internal bleeding (ureter-iliac artery fistula or steady renal/bladder bleed). He fell at his supported residential unit on the morning of d…

psychiatrygeneral practicecommunicationdelayfluoxetine
VIChospital2022-04-11

Finding into death of C J

22y · Male·Hanging

A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…

emergency medicinepsychiatrycommunicationsystemdiazepam
TAShome2022-04-08

Coroner's Finding: Reardon, Michael Wayne

69y · Male·right lower lobe pneumonia as a complication of diabetes mellitus

Michael Wayne Reardon, aged 69, died at home from right lower lobe pneumonia as a complication of diabetes mellitus. He was entirely dependent on his siblings for care, with his sister Julie administering medications. He…

general practicepsychiatrydelaysystem
NSWhome2022-03-30

Inquest into the deaths of Stacey DOCHERTY and Seth DOCHERTY

38 and 3y · Female and male·Stacey: hanging; Seth: undetermined causes (likely suffocation, drowning, or str…

Stacey Docherty, a 38-year-old woman with complex post-traumatic stress disorder and borderline personality disorder resulting from childhood sexual abuse, killed her 3-year-old son Seth before taking her own life in Mar…

psychiatrygeneral practicemedicationcommunicationalprazolam
WAhospital2022-03-28

Inquest into the Death of Morgan John EDWARDS

31y · Male·Complications in association with intestinal volvulus

31-year-old Morgan Edwards with Smith-Magenis Syndrome, cerebral palsy and Crohn's disease was discharged from Fiona Stanley Hospital ED on 14 August 2018 without definitive diagnosis despite elevated respiration rate, u…

emergency medicinegastroenterologydiagnosticcommunication
VIChome2022-03-10

Finding into death of PFS

50y · Female·Hanging

A 50-year-old woman died by hanging in December 2017 after a relationship characterised by family violence and her own depression. She had been in an intimate partner violence situation for years, had presented to ED wit…

psychiatrypsychologycommunicationsystemsertraline
VICaged care2022-03-09

Finding into death of Erica Hubai

51y · Female·Aspiration pneumonia

A 51-year-old woman with Sturge-Webber syndrome and poor swallowing ability presented to hospital with a cough and was admitted on 15 December 2017, following a choking incident at her group home. She died on 23 December…

general practicerespiratory medicinecommunicationsystem
VIChome2022-03-08

Finding into death of David Charles Shaw

57y · Male·Ischaemic and valvular heart disease

David Charles Shaw, 57, died of ischaemic and valvular heart disease with severe coronary artery atherosclerosis. He was enrolled in MePACS, a medical alarm service requiring daily button activation between 6-11am. When …

general practicecardiologysystemdelay
VIChospital2022-02-28

Finding into death of Stephen David Johnston

64y · Male·Aspiration pneumonia with cerebral palsy as a contributing factor

A 64-year-old man with cerebral palsy, intellectual disability, dysphagia, and recurrent respiratory infections died of aspiration pneumonia. He was receiving disability support services through Melba Support Services. I…

general practicepalliative caresystem
TAS2022-02-24

Coroner's Finding: Scott, Paul Stephen

61y · Male·asphyxial death due to hanging

Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and complex psychiatric presentation. Despite …

psychiatrygeneral practicesystemcommunicationvenlafaxine
VICcommunity2022-02-24

Finding into death of Peter Trimbos

52y · Male·Head injuries

Peter Trimbos, a 52-year-old lawyer, died by suicide following overwhelming psychological distress from multiple stressors: the deaths of his parents and father-in-law from COVID-19, and involvement in a highly publicise…

general practicepsychiatrysystemdelay
VICcommunity2022-02-18

Finding into death of Roger David Batchelor

57y · Male·Hypoxic ischaemic encephalopathy secondary to prolonged downtime due to upper ai…

A 57-year-old man with intellectual disability and a documented history of choking died from hypoxic ischaemic encephalopathy following airway obstruction by food at a day activities program. Despite having a choking man…

general practicespeech pathologycommunicationsystempantoprazole
SA2022-02-09

Coroner's Finding: Curran, Michael Anthony

62y · Male·metastatic hepatocellular carcinoma

Michael Anthony Curran, a 62-year-old prisoner, died from metastatic hepatocellular carcinoma in 2015. He had been diagnosed with hepatitis C in 2005, which is a significant risk factor for liver cancer. A liver biopsy i…

hepatologygastroenterologydiagnosticsystemribavirin
VIC2022-02-03

Finding into death of Wayne Myhill

54y · Male·Neck injuries sustained in a fall - fracture of the fifth cervical vertebra (car…

Wayne Myhill, aged 54, died from a cervical spine fracture (C5 level) sustained in a fall at his group home in Ararat, Victoria. He had cerebral palsy, intellectual disability, Lennox-Gastaut syndrome with frequent seizu…

neurologygeneral practicesystemdelaylamotrigine
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