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QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. Following an altercation with another patient, he was transferred to H Floor …

psychiatryemergency medicinesystemproceduralsertraline
QLDmental health2007-06-01

Huntington, Sparka Isarva aka Huntington, James Philip

31y · Male·Undetermined; most likely coronary atherosclerosis leading to arrhythmia, but as…

Sparka Huntington, a 31-year-old forensic mental health patient with a history of schizophrenia, violence, and drug use, died during physical restraint by hospital security officers and nursing staff on 14 December 2003.…

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
QLDmental health2007-05-25

Mental Health patient

Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…

A woman with major depressive disorder and psychotic features died by suicide at a shopping centre car park on 21 September 2004, six days after admission to Belmont Private Hospital under an involuntary treatment order.…

psychiatryemergency medicinecommunicationsystemmirtazapine
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
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…

psychiatrypsychologysystemcommunication
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
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

Andrew Lather, aged 24, died at Charters Towers Rehabilitation Unit on 6 March 2004 from aspiration of gastric contents due to drug toxicity after ingesting approximately 150 tablets from a medication drawer beside his b…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

Corey McGeary, a 20-year-old remand prisoner with chronic risk factors for self-harm (history of suicide attempts, schizophrenia, personality disorder, severe childhood abuse, mild intellectual disability), died by hangi…

psychiatrypsychologycommunicationsystemolanzapine
QLDhome2007-02-06

Marshall, Maxwell John

48y · Male·Undetermined

Maxwell Marshall, aged 48, died in December 2003 from undetermined causes after receiving escalating doses of oxycodone (Oxycontin) for post-Guillain-Barré neuropathic pain reaching 680mg daily—among the highest 1% of pr…

general practicepain medicinediagnosticcommunicationoxycodone
QLD2007-01-19

Carroll, Leon Mark

Male·Self-inflicted hanging

Leon Mark Carroll died by hanging in prison while on remand for sexual offences. Initial assessment identified significant suicide risk, but this was reversed by the High Risk Assessment Team after only 5-6 minutes consi…

psychiatrypsychologydiagnosticsystemdiazepam
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony on 31 December 2002. He had been admitted to Long…

psychiatryemergency medicinemedicationcommunicationacuphase
SAhospital2007-01-03

Coroner's Finding: FOOT Brodie Sian

23y · Female·drowning and citalopram overdose

23-year-old woman with major depressive disorder presented to multiple healthcare providers on 17 March 2004 with suicidal ideation. She was referred to Flinders Medical Centre Emergency Department by her GP, where she w…

general practiceemergency medicinediagnosticproceduralcitalopram
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was t…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…

Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

Helen Jeffery, aged 38, died by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal …

psychiatryemergency medicinesystemcommunication
QLD2006-10-31

Ali-Haapala, Anita

20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…

Anita Elsa Ali-Haapala, a 20-year-old with a long history of mental health issues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosi…

psychiatrydelaysystem
SA2006-10-18

Coroner's Finding: TURNER Barry Michael and GLENNIE Troy Michael

Neck compression due to hanging (self-inflicted)

Two men, Barry Michael Turner (35) and Troy Michael Glennie (28), died by hanging in Adelaide Remand Centre while on remand. Both had expressed suicidal ideation and were being monitored via 'yellow sheet' daily nursing …

psychiatrycorrectional healthsystemcommunicationquetiapine
SAhospital2006-09-25

Coroner's Finding: McLEOD Peter Malcholm

28y · Male·Acute Dopamine Imbalance Syndrome

A 28-year-old man with first-episode psychosis presented with command auditory hallucinations after a motor vehicle accident. An EEG ordered to exclude organic causes showed very abnormal findings suggestive of partial s…

psychiatryneurologycommunicationdiagnosticrisperidone
SA2006-09-25

Coroner's Finding: BROOKS Neil James and FOSTER Tracy Jayne

43y · Male·suffocation by plastic bag (Neil Brooks); neck compression due to strangulation …

Two deaths investigated in joint inquest: Tracy Jayne Foster died by strangulation in December 2002; Neil James Brooks, her partner charged with her murder, died by suffocation while on remand in May 2003. The coroner id…

psychiatrycorrectional healthcommunicationsystemzopiclone
175767783

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