Coronial

271 results for mental_health_crisis

QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

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…

psychiatryemergency medicinecommunicationsystemmethamphetamine
SAhome2000-09-15

Coroner's Finding: DONAGHEY Luke Francis

26y · Male·.357 magnum gunshot wounds to the chest and abdomen

Luke Donaghey, a 26-year-old man with untreated psychotic illness, was shot by police after threatening his parents with a knife. Critical clinical lesson: his general practitioner failed to utilize available mental heal…

general practicepsychiatrydiagnosticcommunicationhaloperidol
WAhome2016-07-21

Inquest into the Deaths of Jessica Rose CUZENS and Jane Lesley Margaret CUZENS and Heather GLENDINNING

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Lesley Margaret Cu…

Heather Glendinning, severely mentally ill with chronic paranoid delusions exacerbated by cannabis abuse and stress from family court proceedings, killed her daughters Jane and Jessica on 5 December 2011, then took her o…

psychiatrygeneral practicecommunicationsystemcannabis
NSWcommunity2012-11-14

Inquest into the death of Roberto Laudisio CURTI

21y · Male·undetermined causes, in the course of being restrained by members of the NSW Pol…

Roberto Laudisio Curti, a 21-year-old Brazilian, died on 18 March 2012 during police restraint in Sydney after consuming LSD which induced a psychotic state. After a convenience store incident was misclassified as an arm…

psychiatrytoxicologycommunicationsystemLSD
VIChome2015-11-27

Finding into death of Sherry Ann Robinson

38y · Female·multiple stab injuries to the chest and abdomen

A 38-year-old woman was fatally stabbed by her former partner, Bradley Carolus, in May 2010. Three days before the homicide, Carolus had been apprehended by police under mental health legislation following a volatile epi…

psychiatryemergency medicinecommunicationsystemquetiapine
NSWcommunity2021-07-30

Inquest into the death of A J

36y · Male·multiple injuries consistent with a fall from a height

A 36-year-old man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiat…

psychiatrycorrectional healthcommunicationdelaysertraline
VICcommunity2014-04-24

Finding into death of Mark Bethell

32y · Male·Valproic Acid Overdose

Mark Bethell, a 32-year-old with bipolar affective disorder and borderline personality disorder, died from valproic acid overdose at a crisis accommodation facility. He was admitted to John Cade Psychiatric Unit followin…

psychiatryemergency medicinediagnosticcommunicationsodium valproate
NSWcommunity2021-06-08

Inquest into the death of Zhong Liu

54y · Male·Unable to be ascertained. Multiple contributing factors identified: arrhythmogen…

54-year-old man with schizophrenia died after acute mental health crisis during police response. Contributing factors included: arrhythmogenic cardiomyopathy (undetected cardiac condition); combined doxepin and venlafaxi…

psychiatrygeneral practicemedicationcommunicationdoxepin
VIChospital2020-10-21

Finding into death of Anthony Lansell Churches

70y · Male·Cyanide Toxicity

Anthony Lansell Churches, a 70-year-old man with a history of substance use and criminal offences, died from cyanide toxicity after absconding from St Vincent's Hospital's Emergency Department. He had been placed on an i…

emergency medicinepsychiatrycommunicationsystemcyanide
VIChospital2025-07-03

Finding into death of JV M

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 …

psychiatryemergency medicinecommunicationsystemsertraline
WAcommunity2008-07-18

Inquest into the Death of Oombulgurri

Boyd Lyle Scotty Farrer: Ligature compression of the neck (hanging); Esmay Alber…

Five Aboriginal people died in Oombulgurri, a remote East Kimberley community, between March 2005 and April 2006: four by suicide and one in a motor vehicle accident. Boyd Farrer (16), Alicia Rex (15), Paul Mitchell (21)…

systemdelayalcohol
WAmental health2022-02-25

Inquest into the Death of Jordan James WILLIAMS

20y · Male·head and neck injuries sustained when struck by train

Jordan James Williams, 20, died after being struck by a train following two absconsions from Kalgoorlie Health Campus mental health unit on 24 August 2018. He was involuntarily admitted with first-episode psychosis. Crit…

psychiatryemergency medicinesupervisioncommunicationolanzapine
NSW2020-02-13

Inquest into the death of LP

34y · Male·Foreign body aspiration

A 34-year-old man died by foreign body aspiration while in custody at a correctional centre, three days after arrest for a serious violent crime. He fashioned an airway obstruction from toilet paper and meal pack plastic…

psychiatrycorrectional healthsystemcommunication
NSWhome2023-04-14

Inquest into the death of Stanley Leonard RUSSELL

45y · Male·gunshot wound to the chest with associated significant blood loss

Stanley Russell, a 45-year-old Aboriginal man with mild intellectual disability, was shot dead by NSW police executing a bench warrant at his home on 9 November 2021. He had suffered childhood sexual abuse, his brother d…

forensic medicineemergency medicinediagnosticcommunicationmethamphetamine
VIC2022-07-15

Finding into death of Wiki Raymond Lowe

35y · Male·hanging

Two inmates at Karreenga Correctional Centre died by hanging within four months of each other in 2017. Mr Lowe, aged 35, died on 7 March 2017 after learning he faced a longer prison sentence than expected. Mr Thomas, age…

psychiatrycorrectional healthcommunicationsystem
NSWhome2024-11-28

Inquest into the death of Michael Peachey

27y · Male·Cardiac arrest due to cardiac arrhythmia triggered by prone restraint (some of w…

Michael Peachey, a 27-year-old First Nations man, died in custody following a police-initiated restraint during an acute psychotic episode. Over preceding days, his family repeatedly sought mental health intervention. On…

emergency medicinepsychiatryproceduralcommunicationdroperidol
QLD2008-03-17

Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael

gunshot wounds; multiple deaths during police interventions with mentally ill in…

Between October 2003 and February 2006, Queensland police shot and killed four young men suffering from severe mental illness during crisis situations. In all four cases, the shootings were legally justified as the offic…

psychiatryemergency medicinediagnosticcommunicationantipsychotic medications
TAShospital2019-09-26

Coroner's Finding: Peck, Edward Paisley

23y · Male·injuries sustained in fall from Tasman Bridge and/or drowning after submersion i…

A 23-year-old man with bipolar disorder, polysubstance dependence, and chronic self-harm died by jumping from the Tasman Bridge hours after psychiatric discharge. Despite two suicide attempts within 48 hours preceding as…

psychiatryemergency medicinecommunicationdiagnosticlithium carbonate
NSWhome2023-09-08

Inquest into the death of BW

31y · Male·hanging

B W, aged 31, died by hanging following emergency police removal of his daughter from his care under the Care and Protection Act. The removal occurred in early hours of 17 April 2020 during COVID-19 lockdown. B W had lon…

paediatricspsychiatrycommunicationsystemalcohol
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

Mr Bloomfield, a 53-year-old man with complex psychiatric and substance abuse history, was apprehended by police under section 10 Mental Health Act after threatening to self-immolate due to distress about power cuts at h…

emergency medicinepsychiatrycommunicationsystem

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