243 results for “relationship breakdown”
22y · Male·Consistent with drowning
Michael Atakelt, aged 22, died from drowning in the Maribyrnong River on 26 June 2011. He was last seen alive at 7:07pm at Newmarket railway station. His body was found 11 days later near Raleigh Road Bridge. The coroner…
Male·Multiple injuries as a result of being struck by a Track Machine in a railway in…
Two Queensland Rail workers died when struck by a track machine while performing railway maintenance at Mindi in December 2007. The Coroner identified multiple contributing factors: defective lighting on the machine, ina…
19y · Male·hypoxic brain injury following asphyxia due to hanging
…empts and self-harm incidents; (4) lack of focused psychological treatment; (5) absence of a key worker relationship; (6) poor integration with emergency services. The coroner concluded his death was regrettably foreseea…
45y · Male·Self-inflicted burns (80-90% full and partial thickness burns across body)
Stephen Mawer, a 45-year-old man with longstanding depression, anxiety and suicidal ideation, died from severe burns sustained when he deliberately set himself alight during a police siege at his home. He had recently be…
29y · Male·ligature compression of the neck (hanging)
Brett Ashley Duturbure, aged 29, died by suicide via hanging at Wyndham Work Camp on 14 November 2019. The coroner identified critical systemic failures in the Department of Justice's management of his care. The Departme…
46y · Male·blunt force injuries from motor vehicle collision with a tree
A 46-year-old Aboriginal man died by suicide following a motor vehicle collision with a tree while being pursued by police responding to a welfare check. He had a complex history of depression, amphetamine addiction (ice…
36y · Male·Hypoxic Ischaemic Encephalopathy
Brenden Montgomery, aged 36, died from hypoxic ischaemic encephalopathy after hanging himself on 30 December 2019 while police were present outside his home. He had a long-standing history of depression and anxiety, prev…
33y · Male·hanging
Brian Dewson, a 33-year-old man with a 12-year history of drug and alcohol abuse, multiple psychiatric assessments (antisocial personality disorder, depression), and prior suicide risk designations died by hanging in Por…
43y · Male·asphyxiation by ligature
A 43-year-old man in remand at Parklea Correctional Centre died by suicide via asphyxiation by ligature in July 2016. He was suffering from major depression and anxiety triggered by criminal charges. Expert psychiatric e…
24y · Female·Pentobarbitone toxicity
24-year-old Daniella Sessarego died from pentobarbitone toxicity following intentional ingestion. She had borderline personality disorder and depression with a history of self-harm and suicidality. On 12 August 2014, she…
60y · Male·burn wounds and the consequences thereof
CD, a 60-year-old man with long-standing psychiatric history (schizophrenia/schizoaffective disorder) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with paranoid ideati…
44y · Male·multiple injuries from fall from cliff
A 44-year-old man with familial Mediterranean fever (FMF) and bipolar affective disorder with drug-induced psychosis died following a fall from a cliff at Vaucluse during a police rescue operation. He had been managing s…
52y · Female·Plastic bag asphyxia and asphyxia in the setting of an irrespirable environment
Diane Bell, a 53-year-old woman with delusional disorder and chronic suicidal ideation, died by argon gas inhalation in June 2017. She had been under care of North West Area Mental Health Service with a Community Treatme…
21y · Female·Compression of the neck secondary to hanging
Lillian Rose Thomas, 21, died by hanging on 17 November 2021 at her home in Kyabram, Victoria. She had complex mental health conditions including CPTSD, anxiety, depression, OCD, and personality disorder traits, with a h…
50y · Male·Neck compression and hanging
BE, a 50-year-old former Australian Army veteran with PTSD, depression, and past polysubstance use, died by suicide via hanging. He had been engaged with psychiatric care since 2021, showing improvement with EMDR therapy…
40y · Male·Gunshot wound to the head, self-inflicted
Tony Loguancio, a 40-year-old man with a history of serious violent and sexual offences, died from a self-inflicted gunshot wound during a 43-hour police siege at a residential property in Glenroy, Victoria. He was a hig…
47y · Female·plastic bag asphyxia
A 47-year-old woman with depression following relationship breakdown was admitted involuntarily to St Vincent's Mental Health with high suicide risk. After 2 days…
44y · Male·Cardiomegaly
…W. remained unaware of these incidents until after cardiac arrest. While the coroner found no causative relationship between documentation failures and death, recommending ongoing education on contemporaneous documentati…
37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…
MWJ, aged 37, was fatally stabbed by his intimate partner EW on 24 December 2016 during an escalating domestic argument. The coroner identified significant systemic failures in Community Corrections management of both of…
34y · Male·head and neck trauma (train impact)
Simon MacQueen, a 34-year-old man with chronic schizophrenia and recurrent suicidality, died by stepping in front of a train on 15 December 2008. He had been discharged from inpatient psychiatric care on 12 November 2008…
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