Coronial

240 results for acute mental health crisis

TAScommunity2015-07-29

Coroner's Finding: Rivelli, Andrea

27y · Male·Self-inflicted wounds

…uicide on 18 November 2014 after self-inflicting penetrating neck wounds. He had no identified significant mental illness in the period before death, maintained positive relationships, and appeared happy during his trave…

VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

…rting Adam was psychotic with paranoid delusions. Victoria Police officers assessed Adam using section 351 Mental Health Act and concluded he did not meet the threshold for compulsory detention based on his calm presenta…

psychiatrypsychologysystemcommunication
VIChome2014-10-06

Finding into death of Peter Andrew McNay

50y · Male·hanging

…ar-old male with long-standing substance abuse history (alcohol, marijuana, heroin until 2009) and complex mental health issues including depression, anxiety, personality traits, and multiple prior suicide attempts. Foll…

psychiatryaddiction medicinealcohol
TAScommunity2021-10-15

Coroner's Finding: Lacroix, Adrian

43y · Male·head, chest and abdominal injuries sustained when intentionally stepping into th…

Adrian Steven Lacroix, a 43-year-old man with a long history of mental health problems, severe depression, and suicidal ideation since 2013, died by suicide on 6 March 2021. On …

psychiatryemergency medicinealcohol
NSWcommunity2016-03-24

Inquest into the disappearance and suspected death of Peter Millett

45y · Male·unable to determine

…nia, disappeared on 27 August 2013 and is presumed deceased. In the weeks preceding his disappearance, his mental health deteriorated significantly—he exhibited rapid speech, paranoid ideation about conspiracies, and app…

general practicepsychiatryzyprexia
NSWcommunity2018-10-24

Inquest into the death of Michael Joyce

28y · Male·Multiple injuries sustained from fall from cliff

… Joyce, 28, died after stumbling and falling from a cliff at Dunningham Reserve, Coogee while experiencing mental disturbance. He had a history of insomnia-related mental health issues (previous psychosis, hospitalisatio…

emergency medicinepsychiatrytemazepam
SAhospital2026-05-28

Coroner's Finding: Sargeant, Gary Dale

36y · Male·Drowning

…argeant, a 36-year-old Royal Australian Air Force member, died by drowning after absconding from Edinburgh Health Centre during an acute mental health crisis. Critical clinical failures included: a clinical psychologist'…

general medicinepsychiatrydiagnosticprocedural
WAcommunity2022-06-09

Inquest into the Death of Desmond Edward JACK

33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)

…Harrison on 28 March 2019. Jack had deteriorated significantly over preceding days despite engagement with mental health services; he had refused voluntary hospital admission despite his mother's concerns. When police at…

psychiatryemergency medicinesystemmirtazapine
VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

…ing as at December 2008. Police had received inadequate training in recognizing vulnerable young people in acute psychiatric crisis, conducting effective risk assessment, or using evidence-based de-escalation techniques…

psychiatrycommunicationsystemalcohol
TAScommunity2022-02-22

Coroner's Finding: BL de-identified

47y · Male·Extensive burns sustained in a deliberately set fire

…preceding weeks with suicidal thoughts, was prescribed medication, and received follow-up care including a Mental Health Plan and psychologist referral. Despite professional support and encouragement from family and frie…

psychiatryemergency medicine
NSWcommunity2018-07-30

Inquest into the death of Courtney Topic

22y · Female·gunshot wound to the chest

Courtney Topic, a 22-year-old woman with undiagnosed schizophrenia in acute psychosis, was fatally shot by police in February 2015 after leaving home with a large knife. She was unab…

psychiatryemergency medicinecommunicationsystemfluoxitane
NSWcommunity2024-11-26

Inquest into the death of Andrew Chee Quee

51y · Male·gunshot wound to the chest

…justified use of force. Key clinical lesson: this case highlights the challenges police face responding to mental health crises, particularly when individuals are at immediate imminent risk and have acute suicidality wit…

psychiatrypsychologyalcohol
VIChome2012-10-09

Finding into death of Sue Hui Wang

15y · Female·compression of the neck

…cted by her mother, Li Zhen Gao, who died by suicide in the garage. Sue's death occurred in the context of acute family stress following her parents' separation on 22 July 2010. Sue showed emotional distress in the prec…

general practiceforensic medicinecommunicationdelay
VIChome2023-10-10

Finding into death of Abdurrahman Coskun

53y · Male·Neck compression in the circumstances of hanging

A 53-year-old man with sudden-onset major depression died by hanging after being discharged from acute mental health crisis services. He presented with depressive symptoms, suicidal ideation with vague plans, …

psychiatrygeneral practicecommunicationsystemmirtazapine
NSWhome2021-04-16

Inquest into the death of WW

Male·gunshot wound to the head, intentionally self-inflicted

… in the deceased's self-inflicted fatal injury. No medical intervention was involved in this death, and no healthcare-related failures are applicable as this was not a medical case. The coroner established the cause of d…

psychiatryemergency medicinecommunicationsystem
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

… use. He explicitly stated suicidal intent to multiple contacts. Clinical learning includes recognition of acute mental health crisis in patients with polysubstance abuse, untreated depression, and multiple stressors. E…

intensive careemergency medicinediagnosticsystemmethamphetamine
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 though…

emergency medicinepsychiatrysystem
NSWhospital2024-01-30

Inquest into the death of Subash Subedi

26y · Male·Not able to be determined - skeletalised remains

…torway between February 2018 and April 2019. He presented to Westmead Hospital ED on 14 February 2018 with acute mental health symptoms, including disorientation and dehydration following cannabis use and a period of er…

emergency medicinepsychiatrycommunicationsystemolanzapine
VICcommunity2016-12-14

Finding into death of Jake James-Kotsanas

23y · Male·Haemorrhage from incised wounds to the neck and wrists

…nflicted knife wounds to his neck and wrists while experiencing a drug-induced psychotic episode following acute methylamphetamine intoxication. He had a complex trauma history including childhood domestic violence expo…

psychiatrytoxicologymethamphetamine
NSWhome2011-10-14

Coroner's Finding: Adam Quddus Salter

36y · Male·Gunshot wound to chest

Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself mul…

general practicepsychiatrydiagnosticsystemefexor xr
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