264 results for “conduct disorder”
63y · Female·Multiple stab wounds to neck and chest
…ease. The coroner emphasised that mental health treatment, remission decisions based on demonstrable good conduct rather than reward, and robust post-release support are essential safeguards.
25y · Female·self-immolation
…ral information from her family, who were present and able to provide crucial context. The assessment was conducted by a psychiatric nurse rather than a psychiatrist, did not adequately explore recent depression, and di…
40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…
Christine Young, a 40-year-old Aboriginal woman with paranoid schizophrenia, absconded from a locked mental health inpatient unit and walked into desert scrubland where she died. Critical clinical lessons include: (1) fa…
69y · Male·Compound Head Injury sustained in motor vehicle crash
Norman John Hasluck, aged 69, died from a compound head injury sustained in a motor vehicle crash on 9 January 2004 at the intersection of Guildford Road and Eighth Avenue, Maylands. Hasluck's vehicle was struck by a Mit…
Multiple gunshot wounds to the head, chest, abdomen and extremities (Jennifer); …
Two children, Jack (15) and Jennifer (13), were fatally shot by their father John Edwards at their home on 5 July 2018. John had a 35-year history of family violence across multiple relationships, with documented evidenc…
54y · Male·quetiapine toxicity in a man with ischaemic heart disease
Shane Pappas, a 54-year-old man with ischaemic heart disease, died from quetiapine toxicity after deliberately overdosing on multiple medications on 29 June 2021. He had experienced a recent relationship breakdown and pr…
43y · Female·Stab wounds to the chest
Kelly Thompson was fatally stabbed by her estranged partner Wayne Wood on 9 February 2014 after he forcibly entered her home. Over 39 days from initial police contact on 1 January 2014, multiple system failures contribut…
19y · Female·Stab wounds to the abdomen
Ms Abuk Derder Akek, a 19-year-old South Sudanese refugee, was fatally stabbed by her former de facto partner Makeny Banek during a violent assault at her home in Melton, Victoria on 13 March 2016. The finding identifies…
30y · Male·Hanging
…eam cell with multiple ligature points rather than receiving HRAT monitoring. The admission interview was conducted by inadequately trained staff without proper supervision. The coroner found a Notice of Concern should …
61y · Male·Complications of cutaneous burns
A 61-year-old man with severe chronic schizophrenia and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite c…
12y · Female·Raised intracranial pressure due to acute-on-chronic hydrocephalus in the contex…
Samantha Rose Spence, 12 years old, died two days after spinal fusion surgery for severe scoliosis. She had a pre-existing, asymptomatic Chiari type 1 malformation detected on pre-operative MRI of her spine. A paediatric…
36y · Male·Cannot be determined
… individuals. The coroner found significant deficiencies in the police investigation including failure to conduct timely risk assessment, inadequate canvassing of the area, failure to request triangulation despite clear…
1y · Male·Complication of burns and trauma to the mesenteric artery
A 15-month-old child died from complications of severe scalding burns (55% of body) sustained when left unsupervised in a bath of hot water (65°C) for 10-15 minutes, combined with traumatic mesenteric artery tears of unk…
31y · Female·incised wounds to the neck and arms
A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May 2014. She had made a suicide attempt at a beach two days ea…
48y · Female·Combined toxic effect of prescription and non-prescription medications including…
Lauren Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine and fluoxetine. She had undergone mu…
48y · Female·Neck compression secondary to hanging
Ms HRZ, a 48-year-old Turkish-born woman, died by suicide on Christmas Day 2020 after experiencing years of family violence. She first endured abuse from her ex-husband, then sexual coercion, assault, stalking and threat…
41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…
On 13 April 2024, Joel Cauchi stabbed 16 people at Westfield Bondi Junction, NSW, fatally wounding six: Dawn Singleton, Jade Young, Yixuan Cheng, Ashlee Good, Faraz Tahir, and Pikria Darchia. Cauchi was shot and killed b…
42y · Male·Fatal cardiac arrhythmia
A 42-year-old male with undiagnosed chronic coronary artery disease died of fatal cardiac arrhythmia at an immigration detention centre. Key contributing factors were: ingestion of methamphetamine (toxic levels) in the h…
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…
26y · Female·Multiple drug toxicity
Alissa Campbell, aged 26, died from accidental drug overdose caused by multiple prescription medications—predominantly codeine and doxepin in combination with benzodiazepines. She had accessed prescription drugs from at …
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