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QLDhospital2008-12-15

Van Putten, Patricia

49y · Female·Respiratory failure sequential to ingestion of Glyphosate due to depression and …

Patricia Van Putten, a 49-year-old retired teacher, died by suicide via glyphosate ingestion on 18 February 2006, four days after discharge from psychiatric hospitalization for a serious self-harm attempt (throat lacerat…

psychiatrygeneral practicecommunicationsystemdosulepin
SA2008-11-28

Coroner's Finding: GILL Andrew Stephen and SCHAER Simon

26y · Male·severe closed head injury associated with severe fractures of the cranial vault …

Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…

psychiatryemergency medicinecommunicationsystemclonazepam
NTcommunity2008-09-01

Inquest into the death of Peter Limbunya

78y · Male·pneumonia with dehydration and exposure to heat as contributing factors

Peter Limbunya, a 78-year-old Aboriginal elder, died from pneumonia complicated by dehydration and exposure after being left unattended at a remote airstrip following hospital discharge. He was not accompanied by a requi…

emergency medicinegeneral practicecommunicationsystem
SAhome2008-06-25

Coroner's Finding: Baby Safe Sleeping Practices

Zara Schupelius: suffocation; Callum Smith: undetermined; Jake Hackett: suffocat…

Concurrent inquests into five sudden unexpected deaths in infancy (SUDI), three attributed to suffocation and two undetermined but with suffocation as a significant possibility. All deaths occurred in infants aged 2-7 mo…

forensic medicinepaediatricssystemcommunication
SAaged care2008-06-06

Coroner's Finding: MANN Richard Lesley

45y · Male·choking on food

Richard Mann, a 45-year-old man with intellectual disability and psychiatric illness residing in an institutional setting (Strathmont Centre infirmary), died from choking on food. Critical failures in observation and mon…

psychiatrygeneral practicemedicationcommunicationhaloperidol
VIChome2008-06-04

Finding into death of Kath Bergamin

37y · Female·unlawful killing

Kath Bergamin, a 37-year-old woman, disappeared from her home in Wangaratta, Victoria on 18 August 2002. She had recently left her husband John following years of psychological and physical abuse, obtaining intervention …

psychiatrygeneral practicesystemcommunicationcitalopram
WAcommunity2008-02-25

Inquest into the Death of Kimberley Coronial Report

Multiple causes across 22 deaths: ligature compression of the neck (17 hangings)…

This coronial inquiry examined 22 deaths of Aboriginal people in the Kimberley region of Western Australia between 2000 and 2007. Seventeen were self-harm deaths, with four additional accidental deaths and one homicide. …

public healthpsychiatrysystemdelayalcohol
NThome2008-02-13

Inquest into the death of Billy Martin

33y · Male·accidental drowning

Billy John Martin, a 33-year-old man, drowned in a residential swimming pool while heavily intoxicated (blood alcohol 0.370%), having sustained recent head trauma. He had visited a doctor five days prior with post-concus…

general practiceemergency medicinesystemalcohol
SAaged care2008-02-07

Coroner's Finding: WELLS Gladys Ruth

71y · Female·undetermined

71-year-old woman found dead in unusual position at Brighton aged care facility. Her body was positioned with head resting against bed pole, with marks on neck and bruising observed by carers. The death was certified as …

geriatric medicinegeneral practicediagnosticsystem
VIC2008-01-25

Finding into death of Lee Andrew Kennedy

40y · Male·Haemorrhage from gunshot wound to chest

Lee Andrew Kennedy, a 40-year-old man with a history of mood instability, migraines, and medical treatment through a GP and psychiatrist, died from a gunshot wound to the chest inflicted by Constable Erin Levay during a …

general practicepsychiatrysystemlithium
QLDhospital2008

Maggable, Kenneth

70y · Male·Acute coronary occlusion due to extensive coronary atherosclerosis

Kenneth Maggable, a 70-year-old man with chronic obstructive pulmonary disease, asthma, and prostate cancer, presented twice to Cairns Base Hospital on 8 August 2005 with respiratory complaints. After discharge at 4:50 A…

emergency medicinegeneral practicecommunicationsystemprednisone
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…

psychiatrypsychologycommunicationdelayfluoxetine
NThome2007-11-13

Inquest into the death of Richard Kiel

37y · Male·acute heart failure caused by multiple drug toxicity (methadone and alprazolam)

Richard Mark Kiel, a 37-year-old with chronic opioid addiction, died from acute heart failure caused by lethally high levels of methadone and alprazolam, likely consumed on 9 September 2005. His GP, Dr G., prescribed the…

general practiceaddiction medicinediagnosticmedicationmethadone
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

Treenor Heather Randall, a 50-year-old registered nurse, died from mixed tablet overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed d…

general practicepsychiatrycommunicationdelayquetiapine
QLDhospital2007-10-01

Fogarty, Kevin Edward

37y · Male·Community acquired pneumonia as a result of melioidosis infection

Kevin Fogarty, a 37-year-old power lineman, died from melioidosis-related community-acquired pneumonia at Winton Hospital after a 4-day admission. He likely contracted melioidosis through occupational exposure to mud dur…

general practiceemergency medicinediagnosticcommunicationdiazepam
SAhospital2007-08-02

Coroner's Finding: GILLAM Peter Roy

44y · Male·Sepsis and pulmonary thromboemboli complicating a ruptured cerebral artery aneur…

Peter Gillam, age 44, died from sepsis and pulmonary thromboemboli complicating a ruptured cerebral aneurysm with subarachnoid haemorrhage (SAH). On 16 December 2004, his GP Dr H. referred him urgently for CT head to exc…

emergency medicinegeneral practicediagnosticcommunicationsalbutamol
NThome2007-05-18

Inquest into the death of Erfinna Patricia Lay and John Weston Quirk

Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…

Two young people died from acute multiple drug toxicity in 2005. Erfinna Lay (22, female) died from aspiration after ingesting chloral hydrate prescribed to her partner. John Quirk (27, male) died from doloxene overdose …

general practicepsychiatrymedicationcommunicationchloral hydrate
WAcommunity2007-05-02

Inquest into the Death of Hasluck

69y · Male·Compound Head Injury sustained in motor vehicle crash

Norman John Hasluck, aged 69, died from a compound head injury sustained in a motor vehicle crash on 9 January 2004 at the intersection of Guildford Road and Eighth Avenue, Maylands. Hasluck's vehicle was struck by a Mit…

neurologyemergency medicinesystemcarbamazepine
SA2007-04-26

Coroner's Finding: CHRISTOPHER Penelope Rae and TRENORDEN John

53y · Male·asphyxia from combined effects of neck compression from hanging and suffocation …

John Trenorden died by suicide in prison following his arrest for allegedly murdering his former business partner Penelope Christopher. Police correctly identified him as at-risk after he attempted to step in front of tr…

psychiatrygeneral practicecommunicationsystemallopurinol
QLD2007-04-18

Thorpe, Geoffrey

47y · Male·Myocarditis

Geoffrey Thorpe, a 47-year-old fitter, collapsed and died suddenly at work while testing solenoids with electrical equipment. Initial suspicion of electrocution was thoroughly investigated through expert electrical testi…

pathologygeneral practicesystemsertraline
154555659

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