Coronial

39 results for persistent suicidal ideation

VIChome2017-06-21

Finding into death of Mrs DA

59y · Female·Multiple drug toxicity (propoxyphene, citalopram, oxazepam and others)

…severe stroke in 2006 with resultant significant disability, chronic pain, and subsequent depression with suicidal ideation. Despite psychiatric involvement and GP care, she remained resistant to supportive interventions…

rehabilitation medicinegeneral practicepropoxyphene
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

…mia secondary to hanging while an inpatient at Northern Hospital Psychiatry Unit Two. Despite expressing persistent suicidal ideation throughout his 39-day admission, he was downgraded to low-risk status after 3 weeks an…

psychiatryintensive caresystemcommunicationmirtazapine
QLDcommunity2012-07-05

Patient A

49y · Male·Hanging

…ided conscientious care with adequate monitoring, a hospital admission would have been prudent given the persistent suicidal ideation, continuing symptoms despite treatment, and the partner's expressed concerns. The coro…

psychiatrygeneral practicediagnosticcommunicationsertraline
VIChome2022-03-18

Finding into death of Joshua Michael Perkins

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

…ars old, died by asphyxiation using a plastic bag connected to an argon gas canister. He had experienced persistent depression since adolescence, described as a 'melancholic disposition', but consistently refused mental …

psychiatrygeneral practiceargon gas
VICcommunity2014-09-01

Finding into death of Kirstan McRae-Jansen

31y · Female·plastic bag asphyxia

…ychiatrist Dr H. and case manager RPN Zobel were reasonable and appropriate. The coroner noted Kirstan's persistent denial of illness severity, poor coping mechanisms, and increasing persecutory ideation before her death…

psychiatryolanzapine
NSW2025-03-24

Inquest into the death of HC

64y · Female·Unascertained

…iple joint replacements, significant depression following her daughter's death in 2006, and long-standing suicidal ideation disappeared from a cruise ship in the Tasman Sea on 17 January 2024. She had repeatedly told fam…

TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

…ithout formal diagnosis, had a history of self-harm and suicide attempts, and had explicitly communicated suicidal intent to family and friends. Her parents attempted to arrange medical treatment, but Eden refused to att…

psychiatrypaediatricssystemdelay
VICmental health

Finding into death of Rosemary Haldane

56y · Female·Combined drug toxicity

…bined drug toxicity while an inpatient at a private psychiatric hospital. She had been admitted following suicidal ideation and was initially on hourly observations. After apparent clinical improvement, she was granted a…

psychiatrygeneral practicealprazolam
VIChome2019-07-18

Finding into death of Christopher George

28y · Male·Gunshot wound to the head

Christopher George, a 28-year-old man with a history of depression and suicidal ideation, died from a self-inflicted gunshot wound while police conducted a welfare check at his home. He…

psychiatrygeneral practicesystemsertraline
VIC2021-04-28

Finding into death of Mohamed Omar

30y · Male·neck compression

…icare including medication, psychiatric reviews, and placement in a high-observation unit following acute suicidal crisis on 21 June, he was transferred to mainstream accommodation on 23 June after appearing to stabilise…

psychiatrycorrectional healthflupenthixol depot injection
NSWcommunity2009-02-27

02anonfinding

54y · Male·Died by hanging while suffering from the effects of Post-traumatic Stress Disord…

… treatment from a GP and clinical psychologist, but struggled with medication compliance and experienced persistent suicidal ideation. The clinical challenge was managing comorbid PTSD and Bipolar Disorder, with the Bipo…

general practicepsychiatrylithium
SAmental health2009-12-04

Coroner's Finding: BLUNDEN Peter Ross

54y · Male·hanging by ligature

…r the Mental Health Act, died by hanging in the shower room of Cramond Clinic open ward. He had expressed suicidal ideation throughout his admission, particularly after learning of imminent extended detention via Guardia…

psychiatryemergency medicinecommunicationsystemoxazepam
VIChome2024-11-07

Finding into death of Daniel James Mayes

35y · Male·Neck compression secondary to hanging

…s experiencing relationship trauma, online abuse, and mental health deterioration, and the importance of persistent mental health intervention despite initial refusal.

VICcommunity2020-08-28

Finding into death of Heather Telfer

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

…lation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and expressed suicidal ideation to her son and doctor. Over two years, she became increasingly estranged from family, held unrea…

general practicerespiratory medicinecommunicationsystempentobarbitone
VIChome2024-12-16

Finding into death of Geoffrey Paul McConachy

82y · Male·Incised injury to right leg

…lowing a stroke in late 2022 that caused speech impairment and severe depression. He explicitly expressed suicidal ideation and requested information about voluntary assisted dying (VAD). The coroner found he did not mee…

psychiatrygeneral practicecitalopram
VIChospital2017-12-14

Finding into death of Craig Michael Akerblom

31y · Male·Hypoxic ischaemic brain injury secondary to hanging

…atrist, psychologist, dietician) but there was no coordinated care plan. In April 2015, he presented with suicidal ideation and paranoid thoughts; psychiatric admission was suggested but he declined. His psychiatrist had…

general practicepsychiatrycommunicationsystemvenlafaxine
VIC2023-12-01

Finding into death of JCS

36y · Female·plastic bag asphyxia

A 36-year-old woman with longstanding severe mental illness, including recurrent suicidal ideation and self-harm, died in custody at Dame Phyllis Frost Centre from plastic bag asphyxia on 29 Augu…

psychiatrypsychologysystem
SAmental health2007-02-22

Coroner's Finding: CULO John

44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide

A 44-year-old man with chronic bipolar disorder and severe depression died by suicide while detained under the Mental Health Act at a psychiatric hospital. He was hit by a semi-trailer after absconding from an open ward.…

psychiatrychlorpromazine
VICmental health2016-05-13

Finding into death of Shaun Luke Beagley

33y · Male·Mixed drug toxicity

…rch 2014, RPN Pollock approved overnight leave after brief assessment, though Shaun had reported fleeting suicidal ideation in the preceding 48 hours and had not shown improvement in withdrawn behaviour. Critical omissio…

psychiatryassessmentcommunicationheroin
QLD2006-02-03

Crossman, Troy Samuel

33y · Male·Self-inflicted hanging

…ntre, died by hanging in his cell on 17 March 2004. He had an extensive documented history of depression, suicidal ideation, and previous suicide attempts. In the days before his death, fellow prisoners observed concerni…

psychiatrycorrectional healthcommunicationsystem

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