Coronial

346 results for mental health distress

VICcommunity2021-04-30

Finding into death of Kent Thomas

68y · Male·Hanging

…ed by hanging in December 2018. He had experienced chronic tinnitus since 2013 which severely impacted his mental health and quality of life. Despite referral to mental health services and a reasonable assessment by a ps…

general practicepsychiatrydiagnosticdelayclonazepam
SAhospital2001-05-16

Coroner's Finding: ROBERTS Brian Murray

76y · Male·respiratory failure secondary to right pneumonectomy and chronic obstructive air…

…tomy 25 years prior, chronic obstructive airways disease, and recent-onset dementia was detained under the Mental Health Act at Glenside Hospital. On 21 May 2000, he collapsed with acute respiratory distress syndrome and…

psychiatryrespiratory medicineantibiotics
NSWcommunity2017-06-16

Inquest into the disappearance and suspected death of Thanagarajah SITHAMPARAPILLAI

62y · Male·undetermined

… near water. Mr Sithamparapillai had recently lost his job and was experiencing depression, psychological distress, and fleeting thoughts of self-harm. He had consulted his GP and a psychiatrist in late September 2015. W…

general practicepsychiatrydosulepin
NSW2021-11-24

Inquest into the death of Albert Metledge

75y · Male·Stab wound to the heart

…n St Peters on 6 November 2019. This was a homicide, not a medical case. Kondakov, experiencing financial distress, homelessness, and possible mental health decline after returning from Russia, fatally stabbed Mr Metledg…

TAShome2014-06-02

Coroner's Finding: Aherne, Benjamin Mark & Clements, John William

30y · Male·Benjamin Mark Aherne: gunshot wound to the head. John William Clements: suicide …

…ritically wounded Christina Rowlands, and then shot himself. The tragedy stemmed from Clements' emotional distress following relationship breakdown and disappointment regarding a proposed sexual encounter. Aherne died at…

VIC2022-02-01

Finding into death of Travis Thomas Young

42y · Male·hanging

A 42-year-old prisoner with generalised anxiety disorder and chronic tinnitus causing significant distress died by suicide while incarcerated. In the months preceding his death, he presented repeatedly to health

psychiatrygeneral practicesystemdelaymethadone
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

…y disorder, severe childhood abuse, mild intellectual disability), died by hanging in his cell. He became distressed when transferred to a different unit but was not offered psychological support despite staff awareness …

psychiatrypsychologycommunicationsystemolanzapine
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

… visit from his partner preceded his death by approximately 50 minutes. A correctional officer identified distress and potential risk but misinterpreted it as escape risk rather than mental health risk, leading to admini…

psychiatryemergency medicinediagnosticcommunication
TAS2015-10-30

Coroner's Finding: Mr S

43y · Male·multiple injuries due to motor vehicle collision with a tree

…ng distance and attempting negotiation. The death was a voluntary act by a person in severe psychological distress facing serious legal consequences. This case highlights the importance of mental health assessment and su…

forensic medicineemergency medicine
VICcommunity2013-07-09

Finding into death of June Leslie Parker

45y · Female·Presumed drowning

…ter in 2013 after she was reported missing. Evidence indicated she was experiencing significant emotional distress due to recent marital breakdown and separation from her husband. Her son described her as passionate desp…

QLD2025-10-29

Inquest into the death of Selesa Tafaifa

44y · Female·Cardiac arrest in the context of several contributory factors (physical exertion…

…se (cardiomyopathy, coronary atherosclerosis, obesity), physical exertion during restraint, psychological distress from being denied phone calls, and possible intermittent asphyxia. The coroner found the cause 'not deter…

forensic medicineemergency medicineproceduralsystemmixtard 30/70 insulin
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·Asphyxia due to hanging

…coroner investigated school bullying allegations but found no evidence of targeted bullying. Eden suffered mental anguish and, despite parental efforts, saw no other solution. The coroner found no suspicious circumstance…

VIC2012-10-19

Finding into death of Khuong An Huynh

33y · Male·Drowning

…ered the water from the beach, a ferry, or jetty. Key clinical lessons include recognising signs of acute distress or suicidal ideation in patients with substance use histories, and considering mental health assessment w…

VICcommunity2022-02-24

Finding into death of Peter Trimbos

52y · Male·Head injuries

Peter Trimbos, a 52-year-old lawyer, died by suicide following overwhelming psychological distress from multiple stressors: the deaths of his parents and father-in-law from COVID-19, and involvement in a …

general practicepsychiatrysystemdelay
WAcommunity2023-04-06

Inquest into the Suspected death of Julie CUTLER

22y · Female·unknown

…ld likely leave a note given her eloquent writing ability, compelling evidence exists of recent emotional distress. Julie had recently struggled with cancelled course enrolment and uncertain romantic circumstances, made …

SA2000-03-02

Coroner's Finding: GRAETZ Anthony Roy

28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…

…lice handling, noting they faced an unpredictable, dangerous situation with an individual who had no prior mental health contact and made no meaningful communication possible. Expert psychiatric evidence concluded that e…

forensic medicinepsychiatry
NSW2016-02-18

Inquest into the disappearance and suspected death of KH

84y · Male·The precise medical cause of death cannot be ascertained

…s could have prevented this outcome. Key learning points include recognizing warning signs of existential distress in elderly patients, documenting suicide ideation when disclosed to healthcare providers, and understandi…

SAhome2016-08-01

Coroner's Finding: BRADLEY Dwayne Scott

25y · Male·hanging

…ors were present (prolonged bail, legal uncertainty, isolation, relationship strain, financial stress), no mental health assessment or intervention occurred. The coroner made no recommendations, suggesting preventability…

methamphetamine
VIChome2022-03-18

Finding into death of Joshua Michael Perkins

27y · Male·Asphyxia due to plastic bag asphyxia with inhalation of argon gas

…ersistent depression since adolescence, described as a 'melancholic disposition', but consistently refused mental health treatment despite family encouragement. A traumatic event in 2011—being recorded while unconscious …

psychiatrygeneral practiceargon gas
VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…sk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care facility. He presented with chest pain and fever five days before death; a lower respirat…

psychiatrygeneral practicecommunicationsystemolanzapine
1218

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.