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WAhospital2009-08-13

Inquest into the Death of Greeuw

45y · Female·aspiration of vomitus with bowel obstruction due to faecal impaction

Vicki Margaret Greeuw, a 45-year-old woman with schizoaffective disorder, died on 13 May 2007 at Albany Regional Hospital from aspiration of vomitus secondary to bowel obstruction due to severe faecal impaction. She had …

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
SAhospital2009-08-12

Coroner's Finding: HOPE Maria Kate

55y · Female·hypoxic brain injury complicated by aspiration pneumonia

A 55-year-old woman with chronic schizophrenia died from hypoxic brain injury after suffocating herself with a plastic bin liner while hospitalised in a rural hospital. She was admitted following a disturbance where she …

general practicepsychiatrycommunicationdiagnosticolanzapine
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial on his person at arrest on 16 January, despite p…

emergency medicinepsychiatrycommunicationdelaystrychnine
QLD2009-07-03

Stanford, Tony John

36y · Male·Hanging

Tony Stanford, a 36-year-old remand prisoner with depression and a history of suicide attempt, died by hanging in his cell at Arthur Gorrie Correctional Centre on 19 September 2006. He was on a risk management plan requi…

psychiatrypsychologysystemcommunication
QLDcommunity2009-06-19

Hatch, Clay

34y · Male·gunshot wound to the neck

Clay Hatch, aged 34, with longstanding schizophrenia and recent amphetamine use, became acutely psychotic and took a supermarket cashier hostage at knifepoint after attempting to locate a gun shop. During police response…

psychiatryemergency medicinecommunicationsystemamphetamine
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

Two deaths resulted from police restraint in prone positions. David Gurralpa, a 39-year-old Aboriginal man with pre-existing coronary artery disease, died of sudden cardiac arrest following police restraint during a dome…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
NTcommunity2009-06-04

Inquest into the death of Kunmanara Forbes

15y · Female·Hanging (self-inflicted)

A 15-year-old Aboriginal girl in a remote Central Australian community died by suicide following a year marked by petrol sniffing, sexual abuse concerns, and reported suicide attempts. She suffered multiple sexually tran…

paediatricspsychiatrycommunicationsystem
VIChome2009-06-02

Finding into death of Mark Andrew Downie

32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam

Mark Downie, aged 32, died from an overdose of chlorpromazine, mirtazapine, and diazepam at home on 16 January 2007, eleven days after discharge from psychiatric hospital. He had a history of depression, polysubstance ab…

psychiatrysystemdelaychlorpromazine
SA2009-05-19

Coroner's Finding: O'KEEFFE Daniel William Barry

34y · Male·hypoxic encephalopathy following hanging

Daniel O'Keeffe, a 34-year-old male with amphetamine abuse and depression, died from hypoxic encephalopathy following hanging in Adelaide Remand Centre on 7 February 2007. He had attempted self-harm twice in custody afte…

psychiatryintensive caresystemcommunicationcitalopram
QLDaged care2009-05-05

Hoy, Raleigh

41y · Male·Dilated cardiomyopathy

Raleigh Hoy, a 41-year-old man with schizophrenia and autistic spectrum disorder, died of dilated cardiomyopathy at a residential care facility (Tarampa After Care Centre) in Queensland in January 2007. While his mother …

psychiatrygeneral practicecommunicationsystemclozapine
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

Paul James Guarini, a 38-year-old university student with a history of relationship difficulties, suicide attempts, and depression, died by hanging in Cowdy ward at Royal Darwin Hospital on 14 September 2007, within 10 m…

psychiatryemergency medicinediagnosticsystemparoxetine
ACT2009-03-27

Inquest Into The Death Of Tania Pauline Lioulios Nee Chacos

42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…

Tania Pauline Lioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental heal…

psychiatryemergency medicinediagnosticcommunicationalprazolam
QLDhospital2009-03-20

Wright, Liam John and Powell, Charles Michael

Male·Multiple injuries due to train over-run (suicide by train)

Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open ward on 14 July 2006 de…

psychiatryemergency medicinediagnosticcommunicationolanzapine
QLDhospital2009-02-09

Clarke, Jon Edward Norman

22y · Male·multi-organ failure secondary to heatstroke

Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…

psychiatryintensive caresystemdelayclozapine
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
QLDhospital2008-12-15

Harris, Robert

60y · Male·asphyxia sequential to hanging due to depression

Robert Harris, a 60-year-old man with depression, made two suicide attempts within 24 hours. After the first attempt on 27 June 2006, he was discharged from Cairns Base Hospital Emergency Department with a plan to attend…

psychiatryemergency medicinecommunicationdiagnosticfluvoxamine
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emer…

psychiatryemergency medicinediagnosticcommunicationcitalopram
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
SAaged care2008-11-06

Coroner's Finding: CECERE Rolando

71y · Male·Positional asphyxia

A 71-year-old man with severe dementia died from positional asphyxia when his neck became wedged in a gate at an aged care facility. He had demonstrated multiple escape attempts within days of admission, with staff docum…

geriatric medicinepsychiatrysystemdelay
SAhospital2008-10-24

Coroner's Finding: DITTMAR Damien Paul

35y · Male·neck compression due to hanging

A 35-year-old man with chronic depression, alcohol dependence and amphetamine abuse was detained at the Queen Elizabeth Hospital Emergency Department on 15 May 2006 after presenting intoxicated with suicidal ideation. He…

psychiatryemergency medicinecommunicationsystemalcohol
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