Coronial

9 results for ligature mark

VIChome2010-10-29

Finding into death of Lachlan McCann

2y · Male·Hypoxic Ischaemic Brain Injury in circumstances of Ligature strangulation (Blind…

Lachlan McCann, a healthy 2-year-old, died from hypoxic ischaemic brain injury following ligature strangulation by a blind cord. While playing on a couch beneath a window, he became entangled in an unsec…

paediatricsintensive caresystem
SAmental health2025-04-17

Coroner's Finding: Furlan, Mark John & Miller, Richard John

50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…

… men died by hanging while detained under inpatient treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found he…

psychiatryemergency medicinediagnosticcommunicationescitalopram
WAhome2017-03-30

Inquest into the Death of Troy William MURRAY

34y · Male·ligature compression of the neck (hanging)

…erns about suspicious circumstances were resolved through investigation. The coroner found he fashioned a ligature from a drawstring and sarong while intoxicated and depressed. Clinical lessons include: recognising suici…

psychiatrygeneral practicecommunicationamphetamine
QLDpolice custody2005-04-07

Hope Vale man

27y · Male·asphyxia caused by self-inflicted hanging

…hs, and 3 weeks experience) and no formal custody awareness training failed to conduct a basic search for ligature materials or monitor the detainee. The van had multiple hanging points and poor internal visibility. Cont…

forensic medicinecorrectional healthproceduralsystemalcohol
WAcommunity2022-12-12

Inquest into the Death of Lewis Henry Mark WESTON

22y · Male·ligature compression of the neck (hanging)

Lewis Weston, aged 22, died by suicide on 3 November 2020 while subject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsyc…

psychiatryemergency medicineolanzapine
ACT1999-06-28

Inquest Into The Manner And Cause Of Death Of Mark Robert Watson

17y · Male·Cerebral ischaemia caused by hanging at Quamby Youth Detention Centre at approxi…

Mark Watson, a 17-year-old boy charged with assault, was detained at Quamby Youth Detention Centre. During his s…

psychiatrypsychologysystemsupervision
WAmental health2016-03-02

Inquest into the Death of Mark Warton BENNETT-ROBERTSON

25y · Male·ligature compression of the neck (hanging)

A 25-year-old man with dexamphetamine-induced psychosis died by suicide while an involuntary psychiatric patient. He was transferred from a locked to an open ward on 19 April 2013 after appearing to improve clinically. H…

psychiatryemergency medicinecommunicationdexamphetamine sulphate
WAcommunity2019-07-17

Inquest into the Death of Mark Quenton FLEURY

38y · Male·ligature compression of the neck (hanging)

Mark Quenton Fleury, a 38-year-old man with paranoid schizophrenia, died by suicide on 14 February 2016 while su…

psychiatryemergency medicinecommunicationsystemrisperidone
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

…n 5 December. Clinical lessons include: (1) inadequate examination and documentation of suspicious bruising/marks on 4 December suggesting possible suicide attempt—the coroner found records contradictory and unclear abou…

psychiatryintensive carediagnosticcommunicationsertraline

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