Coronial

273 results for depressive disorder

VIChome2014-12-10

Finding into death of Phoebe Handsjuk

24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…

Phoebe Handsjuk, a 24-year-old woman with a history of depression, anxiety, and alcohol abuse, was found deceased in the refuse room of her apartment building on 2 December 2010. The coroner found she entered a garbage c…

psychiatrypsychologycommunicationsystemzolpidem
WAhome2016-09-30

Inquest into the Death of Janene DEVINE

48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…

A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receiving training and instruction…

neurologygastroenterologysystemdelay
VIChome2023-04-13

Finding into death of Martin William Sheahan

57y · Male·Gunshot wounds to the head and abdomen

Martin Sheahan, 57, was fatally shot by Glenn Usher-Clarke at his home on 26 January 2022. Usher-Clarke, who held a NSW firearms licence and permit to acquire, legally purchased a shotgun in Victoria on 17 December 2021 …

general practicepsychiatrycommunicationsystemmirtazapine
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

A 53-year-old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webst…

psychiatrygeneral practicesystemcommunicationpropranolol
QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

Alan Kent Dyer died from a gunshot wound to the abdomen inflicted by Constable Damro during a police response to a house fire and armed person incident on 31 May 2008. Dyer had a history of depression, previous suicide a…

emergency medicinepsychiatryfluvoxamine
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

31-year-old with bipolar disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…

psychiatryemergency medicinesystemalcohol
WA2017-03-07

Inquest into the Death of Barry Matt STUART

49y · Male·ligature compression of the neck (hanging)

Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…

psychiatrygeneral practicemedicationsystemolanzapine
VIChospital2016-02-15

Finding into death of Mairi Elizabeth Noble

57y · Female·Injuries sustained when struck by a train

Mairi Elizabeth Noble, a 57-year-old woman with a history of alcoholism who achieved sobriety, presented to the Northern Hospital ED twice in the days before her death by suicide. She was discharged prematurely on 21 Feb…

emergency medicinepsychiatrycommunicationsystemmirtazapine
SAhome2004-01-29

Coroner's Finding: ARANY Eva and Jeno

Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…

An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identifying he owned seven firearms and pos…

psychiatrygeriatric medicinecommunicationsystemparoxetine
NSWhome2021-04-30

Inquest into the deaths of Gabriella THOMPSON and Tafari WALTON

27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…

…ortunity to intervene. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to man…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIChome2014-05-15

Finding into death of Georgia Susan Cheal

31y · Female·Pneumonia; combined drug toxicity (including marijuana), smoking, pathological o…

Georgia Cheal, a 31-year-old with complex medical history including chronic pain, major depression, and obesity, died from pneumonia exacerbated by combined drug toxicity from multiple prescription medications, cannabis,…

general practicepsychiatrycommunicationsystemoxycodone
NSWhospital2018-05-03

Inquest into the death of Naomi Watson Ley

33y · Female·hanging, self-inflicted with intention of taking her own life

Naomi Watson Ley, a 33-year-old woman with a history of depression and borderline personality disorder, was admitted to Royal North Shore Hospital following suicidal ideation after medication changes (moclobe…

psychiatryemergency medicinediagnosticcommunicationmoclobemide
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand in prison. The coroner found no demonstrabl…

psychiatrypsychologycommunicationsystemcitalopram
NSWhospital2018-04-27

Inquest into the death of Matthew Wilson Leary

25y · Male·drowning

Matthew Leary, 25, died by suicide at Watsons Bay on 28 November 2014 after three psychiatric admissions in one month. Key clinical lessons: mental health clinicians at Prince of Wales Hospital and St Vincent's Hospital …

psychiatryemergency medicinediagnosticcommunicationcitalopram
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

Gerard Helliar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 after an involuntary admiss…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
NSWprison2023-07-14

Inquest into the death of GS

43y · Male·Hanging

GS, a 43-year-old man with complex mental health history (depression, anxiety, borderline personality disorder, substance use), died by hanging in Goulburn Correctional Centre after 183 days in custody. The critical …

psychiatrygeneral practicediagnosticcommunicationsertraline
VIChospital2012-08-02

Finding into death of Elsinore Mitchell

74y · Female·right lower lobe pneumonia (Staphylococcus aureus)

A 74-year-old woman admitted for depression and functional decline following aortic valve replacement received 15mg Nitrazepam instead of prescribed 15mg Mirtazapine due to drug name confusion. The sedation caused aspira…

general medicinepsychiatrymedicationcommunicationnitrazepam
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

…ina Hotich from July-November 2011, presenting with suicidal ideation, self-harm, and moderate-to-severe depressive symptoms. Despite evidence of clinical deterioration, risk escalation, and concerning features (possible…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VICmental health2012-04-30

Finding into death of Travis Andrew McNees

18y · Male·Multiple injuries due to impact by train

Travis McNees, 18-year-old male, died by suicide on 4 October 2010 after absconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdose following relationship breakdo…

psychiatryemergency medicinecommunicationsystemparacetamol
19101114

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