Coronial

68 results for self_harm_history

QLD2021-05-24

Ahquee, Dylon James

19y · Male·Hanging

Dylon James Ahquee, aged 19, died by hanging in Townsville Correctional Centre on 26 December 2015. Despite documented self-harm and suicidal ideation as a juvenile, no Self-Harm Episode History flag was raised at adult …

correctional healthpsychologydiagnosticsystem
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted …

psychiatrygeneral medicinesystemcommunicationmirtazapine
QLD2010-05-20

Cockshutt, Andrew James

33y · Male·hanging

Andrew Cockshutt, a 33-year-old serving life imprisonment, died by hanging in his cell at Lotus Glen Correctional Centre on 3 July 2008. He had a documented history of emotionally turbulent relationships with fellow pris…

systemcommunicationdiazepam
WAhome2002-07-05

Inquest into the Death of Bradley William Rapley

22y · Male·Hypoxic Ischaemic Encephalopathy due to suffocation

Bradley William Rapley, aged 22, died from hypoxic ischaemic encephalopathy on 2 September 1999 at Fremantle Hospital after a suicide attempt by suffocation in a Casuarina Prison cell on 25 August 1999. Rapley was a pris…

psychiatrygeneral practicesystemcommunicationdosulepin
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

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

Dylan Charlton-Smith, aged 25, died by hanging while in custody at Fulham Correctional Facility. A stressful visit from his partner preceded his death by approximately 50 minutes. A correctional officer identified distre…

psychiatryemergency medicinediagnosticcommunication
TAShome2024-08-29

Coroner's Finding: De-identified PT

14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…

PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…

psychiatrypaediatricssystem
NSWhome2026-04-21

Inquest into the death of Michael

28y · Male·In keeping with Hanging

A 28-year-old man with a history of depression, anxiety, and previous self-harm died by hanging during a police response to a domestic violence incident. Police attended after his sister reported he had breached an ADVO …

emergency medicineparamedicinesystemcommunicationvenlafaxine
WA2004-12-14

Inquest into the Death of Damien George Garlett

18y · Male·Ligature compression of the neck (hanging)

Damien George Garlett, an 18-year-old Aboriginal remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 4 April 2003. He had a history of self-harm, drug-induced psychosis, violent offence…

psychiatrypsychologydiagnosticcommunication
SAhome2017-11-17

Coroner's Finding: KEANE Shaun Martin

31y · Male·carbon monoxide toxicity

Shaun Martin Keane, aged 31, died by carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and…

psychiatrypsychologycommunicationsystemmethamphetamine
SA2018-01-17

Coroner's Finding: COSTI John Steve

39y · Male·neck compression (due to hanging) and plastic bag asphyxia

John Steve Costi, aged 39, died by suicide in Adelaide Remand Centre on 27 November 2013. He fashioned a ligature from bedding strips and hanged himself using an unusual hanging point in his single cell between 4am and 6…

correctional healthpsychologysystemdelay
WA2025-07-03

Inquest into the Death of Nathan Barreto SEXTON

31y · Male·Gunshot injury to the head and neck (self-inflicted)

Nathan Barreto Sexton, 31 years old, died by suicide on 21 October 2023 near Merredin, Western Australia, from a self-inflicted gunshot wound to the head and neck. Prior to his death, he had committed serious armed offen…

methamphetamine
QLD2018-06-20

Holstein, Zachary James David

23y · Male·Hypoxic-ischaemic encephalopathy due to hanging

Zachary James David Holstein, age 23, died by suicide by hanging in Woodford Correctional Centre on 8 February 2016 (declared extinct 12 February 2016). He had a history of substance abuse, self-harm, and mental health d…

psychiatrycorrectional healthdelaysystemmirtazapine
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

Eden Jayde Westbrook, a 15-year-old high school student, died by suicide on 17 February 2015. She had experienced depression for some time without formal diagnosis, had a history of self-harm and suicide attempts, and ha…

psychiatrypaediatricssystemdelay
WA2019-02-06

Inquest into the Death of William John DAVIS

37y · Male·Subarachnoid haemorrhage due to ruptured berry aneurysm of the right middle cere…

A 37-year-old male prisoner with Ehlers-Danlos Syndrome died from subarachnoid haemorrhage due to a ruptured berry aneurysm at Karnet Prison Farm. He collapsed suddenly while appearing well minutes earlier. The coroner f…

psychiatryneurology
VIC2024-04-15

Finding into death of Angela Christy Tulloh

44y · Female·hypothermia in the setting of methylated spirits ingestion

Angela Tulloh, a 44-year-old NDIS participant with autism, intellectual disability, and borderline personality disorder, died from hypothermia following ingestion of methylated spirits. She had a long history of self-har…

psychiatryforensic medicinemethylated spirits
NSWcommunity2023-03-28

Inquest into the disappearance and suspected death of Beilin Zhang

22y · Female·Unascertained

Beilin Zhang, a 22-year-old international student, disappeared on or about 20 August 2018 from Sydney. She was found to be deceased, though her body was never located. Clinical lessons include recognition of depression s…

psychiatrypsychology
NSWcustody2024-08-08

Inquest into the death of Phillip Boney

43y · Male·hanging

Phillip Mitchell Boney, a 43-year-old First Nations man, died by hanging in a correctional centre cell containing an obvious ligature point (exposed metal railings). He was under extended supervision in the community whe…

psychiatrygeneral practicecommunicationsystemmirtazapine
SAhome2020-07-09

Coroner's Finding: HALES Fiona Joy

33y · Female·hanging

Fiona Joy Hales, aged 33, died by hanging at her home while subject to home detention and bail conditions. She had a 5-year history of methamphetamine addiction, previous suicide attempts (2007/2008 and December 2016), a…

psychiatryaddiction medicinemethamphetamine
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

Amie Maree O'Shea, aged 39, died from mixed prescription drug and alcohol toxicity on 19-20 May 2019. She consumed excessive alcohol at a social gathering then ingested multiple CNS depressants (tapentadol, tramadol, pro…

pathologytoxicologytapentadol
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

Nicholas Lobo, aged 60, died by drowning with elevated blood alcohol (0.21%). He was discharged from acute psychiatric inpatient care to a rehabilitation facility on a Community Treatment Order after recent diagnosis of …

psychiatry

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