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VIChospital2010-03-24

Coroner's Finding: Janet Carol Rosse

32y · Female·Mexiletine toxicity

Janet Rosse was a 32-year-old woman with hyperkalaemic periodic paralysis, a genetic neurological condition causing recurring paralytic episodes and chronic pain, and a concurrent history of major depression and anxiety.…

neurologypsychiatrycommunicationsystemmexiletine
QLDhome2010-03-05

Child at Mackay

15y · Female·Ligature compression of the neck (hanging)

A 15-year-old Aboriginal girl died by suicide by hanging on 29 November 2007. She had a transient lifestyle with unstable housing, moved frequently between relatives, was not regularly attending school, and engaged in su…

paediatricspsychiatrysystemdelayalcohol
VIC2010-02-17

Finding into death of Trevor Frawley

40y · Male·gunshot wound to head

Trevor Frawley, a 40-year-old man with a history of psychiatric illness and documented suicide risk, died from a self-inflicted gunshot wound to the head while attending pistol shooting instruction at a private range. He…

psychiatryforensic medicinesystemcommunication
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrabl…

psychiatrypsychologycommunicationsystemcitalopram
VIC2010-02-08

Finding into death of Craig Walter Stevens

34y · Male·Hypoxic-ischaemic brain injury caused by hanging

Craig Stevens, aged 34, died from hypoxic-ischaemic brain injury following a suicide by hanging on 17 June 2008. Despite police intervention, critical delays in cutting the ligature around his neck prevented timely resus…

psychiatrygeneral practicesystemdelaysertraline
WAhospital2010-02-04

Inquest into the Death of Hudson

20y · Male·Ligature compression of the neck (hanging)

Allan Kevin Hudson, a 20-year-old male with a history of depression, suicidality, substance abuse and previous sexual trauma, died by hanging on 13 August 2006 at Sir Charles Gairdner Hospital's psychiatric ward D20. He …

psychiatryemergency medicinediagnosticcommunicationcarbamazepine
VIC2010-01-14

Finding into death of Sharkia Handy

14y · Female·hanging

Sharkia Handy, a 14-year-old girl in out-of-home care, died by hanging in December 2007. She had significant unaddressed mental health concerns including suicidal ideation, self-harm, and grief following peer suicides. T…

paediatricspsychiatrycommunicationsystem
VICmental health2010-01-12

Finding into death of Claire Winifred Buckler

66y · Female·unknown

Claire Winifred Buckler, a 66-year-old voluntary psychiatric patient at Bendigo Psychiatric Facility, disappeared on 11 July 1977 while resident in the Capricornia Ward. Her remains were discovered on 25 September 1977 i…

psychiatrysystem
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…

psychiatryemergency medicinesystemalcohol
VICcommunity2010

Finding into death of Mikael Chandra Rohan

14y · Male·head injuries when struck by a train

Mikael Rohan, a 14-year-old with a history of separation anxiety, attachment disorder, and sleep disturbance, died after stepping in front of a train on 16 November 2010. He had recently been distressed about a reported …

psychiatrygeneral practicediagnosticcommunicationtemazepam
QLDmental health2009-12-16

Shishko, Peter

47y · Male·abnormal heart rhythm (arrhythmia) induced by atherosclerosis, occurring in the …

Peter Shishko, a 47-year-old man with bipolar affective disorder, died in a mental health facility while in involuntary detention. He suffered a fatal cardiac arrhythmia on a background of severe coronary atherosclerosis…

psychiatrycardiologydiagnosticsystemdiazepam
NSW2009-12-08

Inquest into the death of rebekah lawrence

34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…

Rebekah Anne Lawrence, a 34-year-old woman, died on 20 December 2005 after jumping from a second-floor window at her workplace (Royal Australian College of Physicians) in Sydney. Two days after attending an intensive sel…

psychiatrysystemcommunication
SAmental health2009-12-04

Coroner's Finding: BLUNDEN Peter Ross

54y · Male·hanging by ligature

Peter Ross Blunden, a 54-year-old man with chronic schizophrenia detained under the Mental Health Act, died by hanging in the shower room of Cramond Clinic open ward. He had expressed suicidal ideation throughout his adm…

psychiatryemergency medicinecommunicationsystemoxazepam
SAhospital2009-11-25

Coroner's Finding: WILMAN Joyce Millicent (aka Bracegirdle)

62y · Female·gastric necrosis and perforation due to strangulated diaphragmatic hernia

Joyce Wilman, 62, died from gastric necrosis and perforation due to strangulated para-oesophageal hernia whilst detained under Mental Health Act at Queen Elizabeth Hospital. She presented with vomiting and abdominal pain…

psychiatrygastroenterologydiagnosticcommunication
VICcommunity2009-10-23

Finding into death of Gregory Ram Biggs

27y · Male·external blood loss due to laceration of right axillary artery from single gunsh…

Gregory Biggs, age 27, died from a gunshot wound to the upper right back inflicting a laceration of the right axillary artery. He was shot by Sergeant Samuel Cahir after being observed wielding samurai swords in Carlton …

emergency medicineforensic medicinecommunicationsystemMDMA
QLDhome2009-10-16

Anderson, Andrew Scott

14y · Male·gunshot wound to the head

Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…

psychiatrypaediatricsdiagnosticcommunicationmarijuana
SApsychiatric ward2009-10-01

Coroner's Finding: RODRIGUEZ Antonio

49y · Male·hanging (suicide)

Antonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adelaide Hospital. He had been admitted with severe depression and active su…

psychiatrydiagnosticcommunicationolanzapine
QLDaged care2009-10-01

Streader, Leon

68y · Male·coronary atherosclerosis worsened by heat stroke

Leon Streader, a 68-year-old man with schizophrenia, epilepsy, obesity, and coronary artery disease, died from coronary atherosclerosis worsened by heat stroke whilst residing in a level-3 accredited hostel on an extreme…

general practicepsychiatrysystemdelaybenztropine
SAhospital2009-09-11

Coroner's Finding: VON SPRECKELSEN Hans Heinrich

41y · Male·end-stage liver disease and pneumonia

Hans Heinrich von Spreckelsen, aged 41, died of end-stage liver disease and pneumonia while detained under the Mental Health Act at Flinders Medical Centre. He had hepatitis C and alcohol abuse history, with severe hepat…

gastroenterologypsychiatrysystemcommunicationlactulose
SAhospital2009-09-11

Coroner's Finding: LANGFORD Peter

64y · Male·hospital-acquired pneumonia on a background of end-stage cryptogenic liver cirrh…

Peter Langford, aged 64, died of hospital-acquired pneumonia complicated by end-stage cryptogenic liver cirrhosis after a 43-day admission to Flinders Medical Centre. He presented with severe cellulitis requiring amputat…

gastroenterologygeneral medicinesystemlactulose
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