Coronial
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VICcommunity2013-02-22

Finding into death of Geoffrey Wearne

54y · Male·Likely suicide by drowning; unascertained due to absence of body

… engineer, disappeared on 3 July 2011 following relationship counselling that distressed and worsened his anxiety. He left notes suggesting suicidal intent, referencing the ocean and Gunnamatta. His car was found at Gun…

general practicecommunicationsystem
VICcommunity2020-08-28

Finding into death of Heather Telfer

69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…

Heather Telfer, a 69-year-old woman with longstanding asthma, chronic health anxiety, and significant social isolation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 …

general practicerespiratory medicinecommunicationsystempentobarbitone
TAScommunity2018-06-20

Coroner's Finding: MB

23y · Male·mixed prescription drug toxicity (tramadol and alprazolam)

…d prescription drug toxicity (tramadol and alprazolam) at a camping site. He had a history of depression, anxiety, self-harm, and previous overdose attempts. His mother provided unprescribed tramadol in a first-aid kit,…

general practicepsychiatrymedicationcommunicationtramadol
VICcommunity2016-08-09

Finding into death of Nicolas Russell Miles

22y · Male·Head and neck injuries sustained in a train incident

…r deliberately lying on railway tracks in front of a moving train on 12 January 2015. He had a history of anxiety, psychosis, and attention deficit disorder, and had ceased antidepressant medication two months prior to …

general practicepsychologyescitalopram
WA2023-12-21

Inquest into the Death of Shane Nathan ROBERTS

41y · Male·Ligature compression of the neck (hanging)

…ied by ligature compression (hanging) in Hakea Prison on 24 June 2019. He had pre-existing depression and anxiety treated with citalopram. A prison doctor referred him to the Mental Health Team (MHT) on 7 May 2019 when …

correctional healthgeneral practicesystemdelaycitalopram
SAhome2020-10-12

Coroner's Finding: BABAKHANI Sina

21y · Male·heroin toxicity

…een engaged in a methadone program and psychological treatment for heroin addiction, PTSD, depression and anxiety since June 2015. Despite medical supervision and documented heavy heroin use ($600-750/day initially), he…

addiction medicinepsychiatryheroin
NSW2020-01-24

Inquest into death of MW

52y · Male·Hanging

…ning tool, indicating mild psychological distress. A psychologist saw him twice in early February, noting anxiety about his situation and inability to make phone calls. Dr B. prescribed mirtazapine for sleep on 10 Febru…

general practicepsychiatrymirtazapine
VICcommunity2014-02-03

Finding into death of Pratik Dugar

27y · Male·Multiple injuries sustained when struck by a train

A 27-year-old man with a history of anxiety disorder and depression died by suicide, placing himself in front of a train. He had presented to emergen…

general practicepsychiatrysertraline
VIChome2017-04-19

Finding into death of Lauren Pilkington

20y · Female·Asphyxia secondary to inhalation of helium

…ington, a 20-year-old postgraduate student, died by asphyxia from helium inhalation. She had a history of anxiety and previous suicide attempt, and was recently discharged from voluntary psychiatric admission at Delmont…

psychiatrygeneral practicesystemdelayfluoxetine
TAScommunity2021-09-02

Coroner's Finding: Sterling, Barbara Lynette

69y · Female·Drowning

…or to her death, there was evidence of deteriorating mental health including reported paranoid behaviour, anxiety, and depression documented in her GP records. However, the coroner could not definitively establish wheth…

forensic medicinegeneral practice
TAShome2023-05-01

Coroner's Finding: Koeter, Jacqueline Francis

59y · Female·Global hypoxic brain injury due to mixed drug toxicity, specifically alprazolam …

A 59-year-old woman with a 30-year history of alprazolam dependence for anxiety disorder died from global hypoxic brain injury following cardiac arrest caused by mixed drug toxicity, wi…

general practicepsychiatryalprazolam
VIChome2011-08-15

Finding into death of James Martin Todd

41y · Male·Neck compression subsequent upon hanging

A 41-year-old man with depression, anxiety and prior suicidal ideation died by hanging on the morning of a scheduled psychology appointment. He had …

general practicepsychiatrysystemdelayparoxetine
VIC2022-04-19

Finding into death of Mr BB

29y · Male·Multiple injuries sustained in a fall from a height

…d presented to his GP in July 2019 with lethargy and withdrawal (K10 score 16), and in December 2019 with anxiety and low mood following a marijuana reaction (K10 score 18). He was referred to a psychologist who diagnos…

general practicepsychologydiagnosticdelay
NSWhome2020-03-16

Inquest into the death of Christina BURGESS

50y · Female·unknown

…tion could not establish a cause of death due to advanced decomposition. She had a history of depression, anxiety, and obsessive-compulsive disorder with hoarding behaviours. A letter found at her apartment suggested sh…

psychiatrygeneral practicesystemcommunication
VIC2017-02-28

Finding into death of Daniel Christian McKindley

40y · Male·Injuries sustained in a fall from height

…ained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated by his GP with antidepressants (mirtazapine then sertraline) and was referred to psychology, but …

general practicepsychiatrydiagnosticcommunicationmirtazapine
TAScommunity2025-06-30

Coroner's Finding: de-identified EW

18y · Male·Death by suicide; cause cannot be definitively determined as body not recovered,…

An 18-year-old male with depression and anxiety died by suicide on 16 August 2022, jumping from the Tasman Bridge. He had been diagnosed with depression …

general practicepsychiatryantidepressant medication
SAhome2019-03-08

Coroner's Finding: BIRD David Michael

43y · Male·neck compression due to hanging

…ichael David Bird, aged 43, died by hanging at his home while on home detention bail. He had a history of anxiety, depression, and chronic pain, managed by a psychiatrist (Dr T.) with weekly appointments described as hi…

psychiatrygeneral practicequetiapine
SAhome2025-11-27

Coroner's Finding: Christian, Jake Nicholas

27y · Male·heroin toxicity

A 27-year-old man died from heroin toxicity while on home detention bail. He had a history of depression, anxiety, and substance use (cannabis, methamphetamine, heroin). During home detention, he was compliant, engaged …

psychiatrygeneral practiceheroin
SA2024-08-08

Coroner's Finding: Howard, Peter Kevin

59y · Male·inhalation of products of combustion and effects of heat

…ed by overfilled containers in a confined space. While Howard experienced documented workplace stress and anxiety over 27 years, his GP and mental health providers had not identified imminent suicide risk. Orora's manag…

general practicepsychiatrycommunicationdelay
VICcommunity2026-02-19

Finding into death of Kathleen Smith

53y · Female·Unascertained (presumed drowned)

…eared on 15 July 2024 and is presumed to have drowned at Sorrento Back Beach. She was experiencing severe anxiety about upcoming foot surgery due to severe flatfoot deformity and osteoarthritis. Her GP recommended psych…

general practiceorthopaedic surgerycommunicationdelaysertraline
1223

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