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VIChospital2011-06-07

Finding into death of Angelo Lombardo

46y · Male·Coronary artery atherosclerosis

Angelo Lombardo, 45-year-old with schizophrenia, was detained by police under Mental Health Act and brought to ED after acute behavioural disturbance. He received 6mg clonazepam and 20mg olanzapine IM in the ambulance ba…

emergency medicinepsychiatrymedicationsystemclonazepam
VICaged care2011-05-20

Finding into death of Lena Divola

59y · Female·Subdural haemorrhage from blunt force trauma to head sustained in a backwards fa…

Lena Divola, a 59-year-old woman with intellectual disability, schizophrenia, and depression living in supported accommodation, sustained a head injury on 24 December 2007 when she fell backwards from a walker being push…

general practicepsychiatryproceduralcommunicationwarfarin
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

Aaron, aged 14, died by suicide from a fall from an 11th-floor balcony. Over 12 years, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendanc…

paediatricspsychiatrydiagnosticsystem
VIChospital2011-05-04

Finding into death of Ms P

30y · Female·Multi organ failure from hydrochloric acid ingestion

Ms P, a 30-year-old woman with recent-onset depression and anxiety, died from multi-organ failure following intentional hydrochloric acid ingestion on 22 September 2008. She had presented to mental health services on 18 …

psychiatrygeneral practicecommunicationsystemtemazepam
WAmental health2011-04-21

Inquest into the Death of Barnes

50y · Female·acute heart failure in association with acute on chronic obstructive airways dis…

Donna Lillian Barnes, a 50-year-old woman with chronic schizophrenia and multiple physical comorbidities including morbid obesity, asthma, and poor mobility, died of acute heart failure associated with acute-on-chronic o…

psychiatrygeneral medicinecommunicationsystemantibiotics
VICaged care2011-04-14

Finding into death of Anderina Laura Sanderson

89y · Female·Ischaemic heart disease in a woman with a history of recent assault

Mrs Anderina Sanderson, 89, died from ischaemic heart disease four days after being assaulted by a male resident with dementia in an aged care facility. The forensic pathologist concluded the assault accelerated her decl…

geriatric medicinepsychiatrysystemcommunicationparacetamol/codeine
VICcommunity2011-03-30

Finding into death of Geoffery Reginald Bragge

26y · Male·amylobarbital overdose

Geoffrey Reginald Bragge, aged 26 at presumed death, disappeared on 31 August 1971 following discharge from St Vincent's Hospital psychiatric unit after treatment for a drug overdose. Unidentified remains found in the Ya…

psychiatryemergency medicinecommunicationsystemamylobarbital
QLDhome2011-03-25

Clarke, Daniel James

36y · Male·Gunshot wound to the forehead

A 36-year-old man with a 10-year history of forensic mental health order died by gunshot wound during a siege after police arrived to enforce psychiatric hospitalisation. The coroner found mental health care was appropri…

psychiatrycorrectional healthcommunicationsystem
NSWhospital2011-03-04

Williammackenzie 2011 03 04 12 58 08 816

60y · Male·Multiple injuries sustained after jumping from 15th storey home unit

William MacKenzie, a 60-year-old with a five-year history of bipolar affective disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital on 9 June 2008 with suicidal ideation after being found …

psychiatryemergency medicinediagnosticproceduralolanzapine
QLDhome2011-02-09

Spicer, Phillip Glenn

53y · Male·Incised wound to the neck with consequential exsanguination from jugular vein la…

Phillip Spicer, 53, died from self-inflicted neck lacerations during a mental health crisis. He had recently moved to live with his son and presented with acute onset delusional thoughts. When police responded to a welfa…

emergency medicinepsychiatrysystem
NThome2011-02-04

Inquest into the death of Emma Jane Claridge

19y · Female·neck compression due to hanging

Emma Jane Claridge, 19, died by hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatric ward where she was a voluntary patient. She had been admitted following a…

psychiatrycommunicationsystemrisperidone
VICaged care2011

Finding into death of Mr CR

43y · Male·hypoxic brain injury secondary to asphyxiation by ligature

A 43-year-old man died from hypoxic brain injury due to asphyxiation by ligature while an inpatient at a rehabilitation centre. He had undergone spinal surgery for back pain and cauda equina syndrome but was failing to i…

neurosurgeryrehabilitation medicinecommunicationsystem
VIChospital2011

Finding into death of PB

40y · Male·carbon monoxide poisoning

A 40-year-old male sex offender on community-based orders died by carbon monoxide poisoning on 24 August 2009, two days after a serious suicide attempt involving his car. He had been assessed at Frankston Hospital ED on …

emergency medicinepsychiatrydiagnosticcommunication
QLDcommunity2010-12-16

Bell, Jennifer Elizabeth

34y · Female·Multiple injuries from pedestrian motor vehicle collision; suicide by stepping i…

Jennifer Bell, a 34-year-old woman with severe postnatal depression, obsessive-compulsive disorder, and borderline personality disorder, died by suicide on 2 October 2007 after stepping into the path of a truck. She had …

psychiatrygeneral practicecommunicationsystemstillnox
NSWhome2010-12-13

Coroner's Finding: Paul Justyn Brauer

64y · Male·Large pulmonary embolus (origin undetermined)

Paul Brauer, 64, died of pulmonary embolus at Leeton District Hospital following a complex admission involving psychiatric depression, atrial fibrillation, urinary retention, and multiple comorbidities. The coroner ident…

psychiatrygeneral medicinediagnosticmedicationlactulose
SA2010-11-19

Coroner's Finding: PARKER Laura

40y · Female·hypoxic encephalopathy and epilepsy with diffuse fibrillary astrocytoma within t…

Laura Parker, a 40-year-old woman with a long history of epilepsy, borderline personality disorder, and recent seizures, died at the Royal Adelaide Hospital on 16 March 2008 from hypoxic encephalopathy caused by cardiac …

neurologypsychiatrydiagnosticcommunicationvigabatrin
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
NSWcommunity2010-10-15

Coroner's Finding: Charmaine Margaret Dragun

29y · Female·Effects of multiple injuries sustained when she projected herself from the top o…

Charmaine Dragun, a 29-year-old newsreader, died by suicide at The Gap on 2 November 2007. She was diagnosed with depression and treated with escalating doses of antidepressants (Efexor, then Lexapro) by multiple health …

general practicepsychiatrydiagnosticmedicationsertraline
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

34y · Male·Long drop hanging resulting in complete decapitation

Jason Jenkins, aged 34, died by suicide (long drop hanging resulting in complete decapitation) on 17 June 2006, approximately 6 weeks after discharge from psychiatric admission on a Community Treatment Order. He had a 15…

psychiatryaddiction medicinesystemcommunicationmarijuana
QLD2010-10-08

Barker, Jeremy Dylan

27y · Male·Hanging

Jeremy Barker, a 27-year-old man with bipolar disorder, recent suicide attempts, and explicit stated intention to hang himself, was admitted to Arthur Gorrie Correctional Centre's medical unit for observation as an 'at-r…

psychiatrycorrectional healthcommunicationsystemcarbamazepine
170717283

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