Coronial

271 results for mental_health_crisis

NSWhome2017-03-30

Inquest into the death of John Inman BALE

60y · Male·single gunshot wound to the head, self-inflicted

A 60-year-old man with bipolar disorder, depression, and recent bereavement made a 000 call stating suicidal intent with a firearm. A PoliceLink telephonist (Mr Tant) engaged him for 17 minutes in skilled de facto negoti…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChome2025-04-11

Finding into death of EDH

32y · Female·mixed drug toxicity including phenobarbitone

A 32-year-old woman with borderline personality disorder and depression died by intentional self-administration of pentobarbitone (Lethabarb) accessed from her workplace. She had experienced extensive family violence in …

psychiatrypsychologysystemcommunicationpentobarbitone
SAhome2019-08-14

Coroner's Finding: KUSKOFF Alexander Peter

50y · Male·gunshot wounds to chest and abdomen

Alexander Kuskoff, aged 50, was fatally shot by STAR Group officer DA on 16 September 2015 following a mental health crisis. Kuskoff displayed florid psychotic symptoms including paranoid delusions, was heavily armed, an…

psychiatryemergency medicinecommunicationsystem
QLD2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

Two young UK backpackers, Mia Ayliffe-Chung (20) and Thomas Jackson (30), were fatally stabbed at a Queensland hostel on 23 August 2016 by a French backpacker, Smail Ayad, who was psychotic and cannabis-intoxicated. Ayad…

psychiatryemergency medicinesystemcommunicationcannabis
NSWhospital2018-06-26

Finding into death of Luke John De Piazza

34y · Male·hanging

Luke De Piazza, a 34-year-old man with long-standing mental health issues, died by hanging on 3 March 2017. Six days prior, he had voluntarily discharged from a psychiatric inpatient unit. On the day of death, he present…

psychiatryemergency medicinesystemcommunicationolanzapine
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

A 29-year-old woman with personality disorders and depression called Perth Clinic at 11:11pm reporting she had overdosed on multiple medications (lamotrigine, doxylamine, venlafaxine, valproic acid, codeine, morphine). S…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

Fazel Chegeni Nejad, a 34-year-old Iranian asylum seeker, died from ligature compression of the neck in the jungle near Christmas Island immigration detention centre on 8 November 2015. He had spent 1,477 days in detenti…

psychiatrygeneral practicesystemcommunicationmirtazapine
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

A 39-year-old First Nations man with severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; …

emergency medicineparamedicinediagnosticcommunicationpetrol
VIC["community", "home"]["2010-03-03", "2010-02-25"]

Finding into death of Bayden Roy Smith

[47, 77]y · ["male", "female"]·["gunshot injury to head (self-inflicted)", "neck compression"]

Two coronial findings are provided. First, Bayden Roy Smith, 47, died by self-inflicted gunshot wound hours after crisis mental health assessment at Broadmeadows Police Station. The CAT team assessed him as low-risk and …

psychiatryemergency medicinediagnosticcommunication
WAcommunity2022-04-01

Inquest into the Death of Cherdeena Shaye WYNNE

26y · Female·hypoxic ischaemic encephalopathy and bronchopneumonia in a woman with methylamph…

Ms Cherdeena Wynne, a 26-year-old Noongar Yamatji woman, died from hypoxic ischaemic encephalopathy and bronchopneumonia following cardiac arrest during police restraint on Albany Highway. She was intoxicated with methyl…

psychiatryemergency medicineproceduralcommunicationmethamphetamine
VIChome2021-09-08

Finding into death of DA

38y · Male·Mixed drug toxicity

DA was a 38-year-old man who died from mixed drug toxicity involving sedating medications and alcohol. He had longstanding severe anxiety and became dependent on codeine and benzodiazepines, initially obtained from multi…

general practicepsychiatrycommunicationsystemcodeine
VICcommunity2015-04-13

Finding into death of KJ

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

KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, including childhood sexual abuse aged 6, and subsequently developed depre…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
NSW2015-10-27

Inquest into the death of Kevin Norris

38y · Male·Combined effects of methylamphetamine toxicity, violent struggle, and positional…

Kevin Norris, 38, died in police custody after methamphetamine intoxication, violent police restraint at McDonald's, and positional asphyxia at Bowral Police Station. He had schizophrenia and was on a Community Treatment…

emergency medicineintensive caredelaycommunicationmethamphetamine
WAcommunity2020-11-04

Inquest into the Death of Andrew John KEY

49y · Male·incised injury to the neck

Andrew Key, a 49-year-old man with bipolar affective disorder, died by suicide on 11 August 2015 after self-inflicting a neck injury while being restrained by police. Clinical lessons emerged regarding mental health asse…

psychiatryemergency medicinecommunicationsystemquetiapine
VIChome2014-11-11

Finding into death of Tamara Ann Burt

32y · Female·Alcoholic ketoacidosis

Tamara Burt, 32, died of alcoholic ketoacidosis after isolating in her room and drinking excessively. She had bipolar affective disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite o…

psychiatryaddiction medicinesystemcommunicationquetiapine
SAcommunity2004-09-10

Coroner's Finding: CORNISH Peter Henry

43y · Male·aspiration of vegetable matter with occlusion of the upper airway

Peter Cornish, a 43-year-old man with a 17-year history of bipolar disorder, died on 25 September 2001 from aspiration of vegetable matter while experiencing a severe manic episode. In the two weeks before his death, mul…

psychiatryemergency medicinediagnosticsystemcannabis
SA2011-06-08

Coroner's Finding: MORRIS Julia Hisae and JAST Raymond Glen

Unknown·Gunshot wound to the head (self-inflicted)

Two suicides occurred at a commercial firing range where individuals gained easy access to firearms. Julia Morris, 23, with documented borderline personality disorder and recent suicide attempt, was discharged from hospi…

psychiatryemergency medicinesystemcommunication
VICmental health2022-06-29

Finding into death of Melissa Gaultier

34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…

Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings from Monash Health that sh…

psychiatryobstetricscommunicationdiagnostic
NSW2025-01-16

Inquest into the death of Tammy Michelle Shipley

47y · Female·hyponatraemia arising from primary polydipsia and complications of schizoaffecti…

Tammy Michelle Shipley, a 47-year-old Aboriginal woman with chronic schizoaffective disorder and bipolar disorder, died in custody on 20 December 2022 from hyponatraemia arising from primary polydipsia. She was arrested …

psychiatryemergency medicinediagnosticcommunicationbuprenorphine
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

Todd McKenzie, a 40-year-old man with treatment-resistant schizophrenia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. Todd became acutely psychotic, waving a knife and expressi…

psychiatryforensic medicinediagnosticcommunication

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