243 results for “relationship breakdown”
22y · Male·Hanging
A 22-year-old man with depression, alcohol addiction, and recent significant losses (parents, sister, friend) presented to Frankston ED on 14 January 2018 with active suicidal ideation and a specific plan to hang himself…
27y · Male·Multiple gunshot wounds
Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…
58y · Female; male·Lynette: Thermal injuries (extensive burns) and complications thereof; Alan: Nec…
Two related deaths from domestic violence murder-suicide. Lynette Thompson (58, Aboriginal woman) died from severe burns inflicted by her partner Alan Fletcher (59) on 8 November 2020; Alan subsequently died by hanging. …
26y · Male·Plastic bag asphyxia in the setting of a vitiated atmosphere with inert gases
Jack Watson, 26, died by intentional asphyxiation with inert gas on 2 August 2016. He had a long history of mental health issues including ADHD, depression and suicidal ideation. Following acute psychiatric admission to …
32y · Male·neck compression in the circumstances of hanging
Jesse Bird, a 32-year-old Torres Strait Islander veteran, died by suicide in June 2017 after struggling to navigate the Department of Veterans' Affairs (DVA) compensation system. He served in Afghanistan in 2009, develop…
39y · Male·Strychnine toxicity
…t on 16 January, despite police searches. The coroner found that Coleman was suffering from depression, relationship breakdown, legal stressors, and was receiving counselling. He had formulated a clear plan to end his li…
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…
53y · Male·Cervical spine distraction and hanging
A 53-year-old man with chronic treatment-resistant depression and chronic suicidality was admitted to Northern Hospital following a serious suicide attempt. He was assessed as high-risk but discharged after 19 days with …
36y · Male·Multiple Sharp Force Injuries to Chest and Neck
Mr J, a 36-year-old with a history of first-episode psychosis (2012) and relapse (2014) both associated with methamphetamine use, ceased antipsychotic medication in September 2019 with GP support after achieving 3 years …
19y · Female·multiple injuries sustained in a train incident
JVM was a 19-year-old with major depressive disorder, anxiety, and possible first-episode psychosis who died by suicide after jumping in front of a train. She had multiple psychiatric admissions and was under care of St …
17y · Male·hydrocarbon toxicity (petrol inhalation)
… casework. Six different caseworkers were assigned between 2015-2018, preventing continuity of care and relationship-building. George's suspected solvent misuse (documented since 2015) was not meaningfully addressed desp…
26y · Female·compression of the neck consequent upon hanging
Palma Castro, a 26-year-old woman with adjustment disorder and benzodiazepine dependence, died by hanging after two Emergency Department presentations within 5 hours on 17-18 February 2011. She presented following a suic…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) on a rural road. The coroner found he intentionally took his o…
27y · Female·Hanging
Ms YPM, a 27-year-old woman with a long history of borderline personality traits, depression, anxiety and eating disorder, died by hanging on 17 May 2020. In the preceding two weeks, she presented to Alfred Hospital foll…
26y · Male·severe closed head injury associated with severe fractures of the cranial vault …
Two remand prisoners died by jumping from mezzanine floors at Adelaide Remand Centre. Andrew Gill (26) died 2 June 2005 after jumping 1 June; Simon Schaer (70) died 15 December 2005. Critical failure: police possessed in…
34y · Male·hanging
A 34-year-old man died by hanging in a correctional centre in December 2018. He was placed on a mental health waitlist in June 2018 but was never seen by a mental health nurse due to insufficient staffing—only 1.5 FTE po…
Male·Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposure in cont…
Four separate inquests into the deaths of Kunmanara Ward (19), Kunmanara Ken (35), Kunmanara Ryan (25), and Kunmanara Cooper (27) on the Anangu Pitjantjatjara Lands between May 2003 and March 2004. Three deaths were by h…
12y · Female·acute septicaemia resulting from osteomyelitis of the left femur
A 12-year-old Aboriginal girl died from septicaemia caused by untreated osteomyelitis of the left femur. Three weeks after a sports injury, despite evidence of severe and deteriorating illness including inability to walk…
44y · Female·Hanging
Kerry-Ellen Knight, aged 44, died by suicide in custody at Silverwater Women's Correctional Centre on 5 March 2021 after only 6 days in custody. She was in COVID-19 quarantine in an old-style cell with prominent hanging …
2y · Female·drowning
A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the chil…
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