Coronial

273 results for depressive disorder

QLD2018-06-28

Hamilton, Blair Andrew

54y · Male·Extensive burns due to detonation of LPG gas cylinder

A 54-year-old man with chronic severe depression, grief from his wife's sudden death, severe debilitating skin condition, and alcohol dependence called emergency services on 12 December 2015, warning them not to approach…

psychiatrygeneral practiceproceduralcommunicationvenlafaxine
NSWhospital2017-08-07

Inquest into the death of AB

27y · Female·hanging, self-inflicted with intention of taking own life

A 27-year-old Aboriginal woman with borderline personality disorder died by suicide within hours of discharge from an emergency department. She presented after her GP attemp…

emergency medicinegeneral practicediagnosticcommunication
TAS2015-08-01

Coroner's Finding: Leemhuis, Leah Maree

46y · Female·Multiple severe trauma suffered in a motor vehicle accident

A 46-year-old woman died in a head-on motor vehicle collision after her car drifted across the centre line on the Bass Highway. She had reported feeling tired earlier that morning and had intended to pull over to sleep. …

psychiatrygeneral practicecommunicationdiazepam
VIChospital2024-07-25

Finding into death of Nathan Ruan Roy Greenwood

18y · Male·Sodium nitrite toxicity

…s in mental health service accessibility contributed to a young person remaining isolated with untreated depressive symptoms and access to lethal means.

general practicepsychiatrysystemdelaysodium nitrite
SA2006-05-01

Coroner's Finding: HULSINGA Michael John

27y · Male·left temporal intracerebral haemorrhage due to arteriovenous malformation

Michael John Hulsinga, a 27-year-old male inmate with schizophrenia, died in custody from a spontaneous intracerebral haemorrhage due to arteriovenous malformation. He collapsed suddenly while eating dinner in his cell a…

forensic medicinepsychiatrysystemcommunicationsertraline
WAmental health2000-08-18

Inquest into the Death of Wendy Anne Eadie

29y · Female·asphyxiation due to ligature compression of the neck (hanging)

Wendy Anne Eadie, 29, died by suicide in Graylands Hospital's Frankland Centre on 1 November 1998 while detained following charges of unlawful wounding against her parents. She had a longstanding history of depression, c…

psychiatryforensic medicinecommunicationsystemparoxetine
VICcommunity2021-04-14

Finding into death of JJ

70y · Male·Hanging

A 60-year-old man with recent pituitary surgery developed persistent fatigue and depressive symptoms. Despite normal cortisol levels, he remained convinced his symptoms were due to hormonal defici…

psychiatryendocrinologycommunicationsystemvenlafaxine
WAhospital2024-11-13

Inquest into the death of Chloe Grace Tupper

31y · Female·organ failure due to anorexia nervosa

…e; lack of coordinated transition from paediatric to adult services; absence of a robust statewide eating disorder service requiring her care to be fragmented across public, private, and primary care settings; and failur…

psychiatrypaediatricssystemcommunicationmirtazapine
VICmental health2019-05-17

Finding into death of Thi Ha Do

42y · Female·Incised injury to the neck

A 42-year-old woman with depression and suicidal ideation died by self-inflicted neck laceration while admitted to a psychiatric inpatient unit. She had been assessed as low risk and placed on 30-minute observations. Cli…

psychiatryforensic medicinesystemcommunicationmirtazapine
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement …

paediatricsaddiction medicinesystemcommunicationinhalant
NSWhome2018-04-26

Inquest into the death of FW

79y · Male·external neck compression as a result of hanging

A 79-year-old man with bipolar affective disorder and a documented history of medication non-compliance died by suicide while living in rural NSW. He had b…

psychiatrygeneral practicecommunicationsystemrisperidone
VIC2025-12-18

Finding into death of Chao Liang Mai

56y · Male·Hanging

Chao Liang Mai, a 56-year-old remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018. Critical systemic failures included: (1…

psychiatryemergency medicinesystemcommunication
NSWmental health2025-03-31

Inquest into the Death of G.P.

41y · Male·Multiple traumatic injuries

This inquest examined the death of a 40-year-old man who died by suicide following a fall from a cliff. He had three involuntary admissions to mental health facilities in a fortnight before his death. Critical clinical l…

psychiatryemergency medicinediagnosticcommunicationlisdexamfetamine
VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication difficul…

psychiatryintensive carediagnosticcommunication
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she accesse…

psychiatryemergency medicinesystemproceduralmirtazapine
WAcommunity2018-09-20

Inquest into the Death of Scott Andrew BLANCHARD

45y · Male·Gunshot injury to the chest (self-inflicted)

Scott Andrew Blanchard, a 45-year-old Detective Sergeant with the Western Australian Police Gang Crime Squad, died from a self-inflicted gunshot wound while on duty near Kalgoorlie. In June 2015, following a trip to Thai…

psychiatryemergency medicinecommunication
VIChospital2011-05-04

Finding into death of Ms P

30y · Female·Multi organ failure from hydrochloric acid ingestion

Ms P, a 30-year-old woman with recent-onset depression and anxiety, died from multi-organ failure following intentional hydrochloric acid ingestion on 22 September 2008. She had presented to mental health services on 18 …

psychiatrygeneral practicecommunicationsystemtemazepam
VICcommunity2019-10-30

Finding into death of Sanaya Sahib

1y · Female·Suffocation

Sanaya Sahib, age 14 months, died from suffocation on 9 April 2016. Her mother, Sofina Nikat, deliberately suffocated her and left her body in Darebin Creek. Ms Nikat was experiencing significant social isolation, family…

obstetricspsychiatrysystemdelaymethamphetamine
NSWhome2023-08-22

Inquest into the death of George Campbell

17y · Male·hydrocarbon toxicity (petrol inhalation)

George Campbell, an Aboriginal youth with complex trauma, ADHD, and emerging volatile substance misuse, died aged 17 from hydrocarbon toxicity after inhaling petrol. While living with supportive kinship carers (Paul and …

paediatricspsychiatrycommunicationsystempetrol
WA2025-11-28

Inquest into the Death of Cleveland Keith DODD

16y · Male·complications of ligature compression of the neck (hanging)

A 16-year-old Aboriginal youth, Cleveland Keith Dodd, died by suicide via hanging in Unit 18, a youth detention centre housed within an adult maximum-security prison in Western Australia. The coroner found Cleveland's de…

psychiatrypsychologyproceduralcommunication
110111214

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