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SAhome2000-09-15

Coroner's Finding: DONAGHEY Luke Francis

26y · Male·.357 magnum gunshot wounds to the chest and abdomen

Luke Donaghey, a 26-year-old man with untreated psychotic illness, was shot by police after threatening his parents with a knife. Critical clinical lesson: his general practitioner failed to utilize available mental heal…

general practicepsychiatrydiagnosticcommunicationhaloperidol
WAmental health2000-08-18

Inquest into the Death of Wendy Anne Eadie

29y · Female·asphyxiation due to ligature compression of the neck (hanging)

Wendy Anne Eadie, 29, died by suicide in Graylands Hospital's Frankland Centre on 1 November 1998 while detained following charges of unlawful wounding against her parents. She had a longstanding history of depression, c…

psychiatryforensic medicinecommunicationsystemparoxetine
SAhospital2000-05-12

Coroner's Finding: COPPING Leslie Walter

84y · Male·severe head injuries (fracture of skull on right side, subarachnoid haemorrhage,…

An 84-year-old man with severe respiratory disease, cardiac failure, poor vision and confusion fell from a first-floor hospital window, sustaining fatal head injuries. The coroner found the death was not deliberately sel…

emergency medicinegeneral practicesystemcommunication
SAaged care2000-03-24

Coroner's Finding: PRESCOTT John Victor Sheen

78y · Male·suppurative bronchitis complicating chronic obstructive airways disease (emphyse…

A 78-year-old man died of suppurative bronchitis complicating end-stage emphysema at a supported residential facility. Key clinical concerns include: (1) the general practitioner's reliance on unvetted aged care staff to…

general practicegeriatric medicinecommunicationsystemsalbutamol
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

20y · Male·Ligature Compression of the Neck (Hanging)

Steven Charles Indich, a 20-year-old Aboriginal man with schizophrenia and a long history of psychotic symptoms, violent behaviour and substance abuse, died by suicide in Smith Ward at Graylands Hospital on 13 November 1…

psychiatryintensive caresystemhaloperidol
ACT1999-08-05

In The Matter Of An Inquest Into The Death Of Ian Glen Bransby At Canberra On 14.2.98

31y · Male·extensive global cerebral hypoxia following prolonged asphyxia following attempt…

Ian Glen Bransby, a 31-year-old remandee with a history of substance abuse and depression, died from asphyxia following attempted hanging at Calvary Hospital on 14 February 1998. He had been remanded at Belconnen Remand …

psychiatrygeneral practicecommunicationsystemchlorpromazine
ACT1997

Inquest Into The Circumstances Surrounding The Death Of Shannon Robert Camden

21y · Male·Suffocation from hanging

Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…

psychiatrypsychologyproceduralsystem
WAcommunity

Inquest into the Death of Kim Martin FRANKER

36y · Male·Combined effects of trihexyphenidyl (benzhexol) toxicity, amphetamine-type stimu…

A 36-year-old man with schizoaffective disorder, substance abuse issues, and undiagnosed cardiomyopathy died from combined toxicity of benzhexol (prescribed by his GP for tardive dyskinesia), amphetamine-type stimulants,…

psychiatrygeneral practicecommunicationsystembenzhexol
WAprison

Inquest into the Death of Ian HEAD

74y · Male·cardiac arrhythmia in an elderly man with chronic obstructive pulmonary disease …

Ian Head, a 74-year-old man with chronic obstructive pulmonary disease, hypertension, and chronic kidney disease, died from cardiac arrhythmia following COVID-19 infection while imprisoned at Acacia Prison. He had receiv…

general practiceemergency medicinecommunicationsystemparacetamol
VICcommunity

Finding into death of Jacob Anton Van Berlo

19y · Male·Hanging (self-inflicted)

Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his weekly pay…

general practicepsychologycommunicationsystemsertraline
VIChospital

Finding into death of Sydney Hugh Kennedy

66y · Male·Complications of chronic lithium therapy

Sydney Kennedy, a 66-year-old man with intellectual disability and bipolar affective disorder, died from complications of chronic lithium therapy. He had been on lithium for years with annual psychiatric review, but ther…

psychiatrygeneral practicediagnosticcommunicationlithium
VIChome

Finding into death of Ross Malcolm Campbell

40y · Male·neck compression consequent upon hanging

Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a fami…

general practicepsychiatrycommunicationsystemalcohol

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