Coronial

273 results for acute mental illness

QLD2010-10-08

Barker, Jeremy Dylan

27y · Male·Hanging

…ng using a bed sheet attached to exposed window bars in the toilet. Critical failures included: housing an acutely suicidal patient in an area with accessible hanging points despite prior staff warnings about this risk;…

psychiatrycorrectional healthcommunicationsystemcarbamazepine
VICmental health2015-02-02

Finding into death of CB

27y · Female·hanging

…isorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She had presented with acute suicidality following relationship breakdown and job loss, with two recent suicide attempts including hang…

psychiatryemergency medicinediagnosticcommunicationquetiapine
SA2006-04-28

Coroner's Finding: WALKER Darryl Kym

31y · Male·hanging (self-inflicted)

… agitation and aggressive behaviour during a blood sugar check. Nursing staff recognised his deteriorating mental state and arranged urgent psychiatric review and transfer, but Walker was left alone in Unit 7 without ade…

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
NSWmental health2011-06-23

Djordevic final

32y · Female·hypoxic brain injury as a result of a cardiac arrest due to positional asphyxia …

…-controlled on clozapine, became pregnant. Poor communication between her general practitioners, community mental health service, and the hospital meant the hospital was unaware of her mental illness. After delivery, she…

obstetricsgeneral practicecommunicationsystemclozapine
WAcommunity2017-09-06

Inquest into the Death of Mamadou Hady DIALLO

39y · Male·multiple injuries from motor vehicle collision

A 39-year-old man with chronic paranoid schizophrenia on a Community Treatment Order died by suicide in a head-on motor vehicle collision. He had been appropriately managed on depot antipsychotic medication with generall…

psychiatrygeneral practicecommunicationdiagnosticrisperidone
VIChome2014

Finding into death of Kathy Louise Tranter

48y · Female·head injuries from multiple blunt force trauma including punching, elbowing and …

…killed by her 20-year-old son who was an involuntary psychiatric patient at Orygen Youth Health (OYH) with acute paranoid schizophrenia. The son was granted overnight leave on 3 March 2009 despite several documented con…

psychiatryemergency medicinediagnosticcommunicationrisperidone
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

…a, died from intentional inhalation of tissue paper while admitted to Baringa aged psychiatry unit under a Mental Health Act order. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trau…

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
VIChospital2021-09-02

Finding into death of Robena May Lloyd

58y · Female·Enterococcus faecalis sepsis and acute renal failure

…-year-old woman with intellectual disability and schizophrenia, died from enterococcus faecalis sepsis and acute renal failure on 7 August 2009. She presented to Angliss Hospital ED on 31 July with urinary retention pos…

emergency medicinenephrologydiagnosticcommunicationtrimethoprim
TAS2022-04-29

Coroner's Finding: Lavoipierre, Andre Marc

41y · Male·exsanguination (hypovolemic shock complicating acute blood loss) due to fistula …

…Lockwood) found him with facial blood but failed to call an ambulance despite clear indicators of serious illness. The coroner found this decision wrong and that earlier medical intervention would nearly certainly have …

psychiatrygeneral practicecommunicationdelayfluoxetine
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

45y · Female·Compression of the neck in circumstances of hanging

…eeks she became severely distressed with major depressive disorder and insomnia. Despite clear evidence of acute distress on 15 March 2018 (a breakdown at work), she returned to work the next day with responsibilities u…

psychiatrypsychologysystemcommunicationantidepressants
VICcommunity2021-06-28

Finding into death of Sestilio Malaspina

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest. Hassan Khalif Shire Ali: gunshot wo…

…n SIU procedures, intelligence gaps, delayed CVE referral, and premature risk downgrading were identified. Mental health concerns were noted but not conclusively linked to the attack. The police response was appropriate …

psychiatryemergency medicinesystemcommunicationcannabis
QLDcommunity2013-11-11

Pollini, Brett Andrew

43y · Male·Hanging

Brett Andrew Pollini, a 43-year-old fire station officer with bipolar affective disorder, died by suicide following a distressing telephone call with the Child Support Agency (CSA) regarding a substantial increase in chi…

psychiatrypsychologycommunicationsystemsodium valproate
SAhospital2016-07-13

Coroner's Finding: NOAKES Geoffrey Scott

43y · Male·acute neck compression due to hanging

…y Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehicle) and…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

…e to engage with him following recent bilateral ECT; (3) failure to escalate concerns about his incomplete mental state assessments; and (4) insufficient environmental safeguards including access to ligature points. The …

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
SAmental health2003-01-10

Coroner's Finding: MYNHART Johann George

77y · Male·bilateral pulmonary emboli complicating deep vein thrombosis (left calf)

A 77-year-old man with dementia died from bilateral pulmonary emboli complicating deep vein thrombosis of the left calf. He was hospitalised for dehydration and diabetes management, then returned to psychiatric care. On …

psychiatryemergency medicinecommunicationdelay
NSWhome2025-03-04

Inquest into the death of ML

1y · Female·complications of acute bronchiolitis arising from Respiratory Syncytial Virus (R…

A 17-month-old First Nations child died from acute bronchiolitis due to respiratory syncytial virus (RSV) infection in inadequate accommodation following par…

paediatricscorrectional healthsystemcommunicationmarijuana
NSWhospital2019-11-21

Inquest into the death of Ross MARTIN

56y · Male·acute pentobarbitone toxicity

Ross Martin, a 56-year-old man with a long history of depression, died from acute pentobarbitone (Nembutal) toxicity obtained online, combined with toxic levels of zopiclone, less than two…

psychiatrygeneral practicediagnosticcommunicationpentobarbitone
VIChome2016-04-04

Finding into death of Frank Edward Frood

47y · Male·Bronchopneumonia on a background of methadone and benzodiazepine use

Frank Frood, a 47-year-old man with a 20-year history of heroin use and opioid replacement therapy (ORT) on methadone, died from bronchopneumonia with a background of methadone and benzodiazepine use. He suffered chronic…

general practiceaddiction medicinemedicationsystemmethadone
VICcommunity2020-07-13

Finding into death of Cameron Andrew MacLellan

44y · Male·Multiple injuries sustained in a motorcycle incident

A 44-year-old man with complex psychiatric history and substance abuse was killed in a motorcycle collision while driving unlicensed and under the influence of methylamphetamine. A 92-year-old driver, disoriented after b…

psychiatryaddiction medicinesystemdelaymethamphetamine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.