Coronial
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NT2014-11-03

Inquest into the death of Haidar Ali Ikhtiyar

62y · Male·Self-inflicted intentional hanging

Haidar Ali Ikhtiyar, a 62-year-old Afghan asylum seeker, died by hanging in an immigration detention centre on 15 June 2013. He had experienced anxiety, depression and PTSD during detention and was under psychological ca…

psychiatrypsychologycommunicationsystem
WAhome2014-10-17

Inquest into the Death of Ethan (Subject to a Suppression Order)

15y · Male·Ligature compression of the neck (hanging)

A 15-year-old Aboriginal boy in foster care died by suicide following apparent impulsive response to adolescent boundary conflicts. Despite stable, loving foster placement since age 4, Ethan remained neurologically vulne…

psychiatrypsychologymelatonin
VIC2014-10-15

Finding into death of Benjamin Elijah Mills

31y · Male·Hanging

Benjamin Mills, a 31-year-old prisoner with depression receiving psychological support, died by hanging in his cell at Barwon Prison. Despite ongoing mental health treatment and plans for transfer to a safer unit, he was…

psychiatrypsychologysystemdelay
NSWhospital2014-08-22

Inquest into the death of Alana GOLDSMITH

21y · Female·Multiple injuries sustained from being struck by a train; death by suicide while…

Alana Goldsmith, a 21-year-old woman with long-standing anorexia nervosa, died by suicide on 22 July 2011 after stepping in front of a train at Summer Hill Railway Station. She was admitted to Wesley Eating Disorder Clin…

psychiatrygeneral practicecommunicationsystemolanzapine
VICcommunity2014-08-13

Finding into death of Frederick Russell Morgan

48y · Male·Unknown causes (presumed suicide by drowning)

Frederick Russell Morgan, a 48-year-old stockbroker, disappeared on 15 July 1971 from Mt Martha beach. He had experienced severe depression triggered by business financial crises, tax assessment concerns, and his father'…

psychiatrypsychologydiagnosticdelayantidepressant medication
SAcommunity2014-06-17

Coroner's Finding: HUGO-HORSMAN Jason William

15y · Male·compression of the neck consistent with hanging

Jason Hugo-Horsman, a 15-year-old in Year 10, died by hanging while alone at home on 9 October 2010. He had been referred to Child and Adolescent Mental Health Services (CAMHS) in December 2009 and saw various therapists…

psychiatrypsychologydiagnosticcommunicationdiazepam
NSW2014-06-06

Inquest into the death of Mandaswamy SHANKARANARAYANA

40y · Male·Suicide by hanging while on remand in custody

A 40-year-old man remanded in custody on homicide charges died by hanging in his prison cell 7 months after arrest. He had been assessed as at risk of self-harm initially and placed under 'green card' (two-person cell) s…

psychiatrypsychologysystemcommunication
NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdoses, died from multi-drug toxicity in October 2009…

psychiatryemergency medicinequetiapine
VIChospital2014-05-02

Finding into death of Lawrence Steele Billing

57y · Male·Type 2 respiratory failure secondary to aspiration pneumonia

A 57-year-old man with Down syndrome, dementia, and a history of aspiration pneumonia died from type 2 respiratory failure secondary to aspiration pneumonia. He had been in Department of Human Services residential care a…

emergency medicinegeneral medicine
NSWhome2014-04-24

Inquest into the death of SS

50y · Female·Cyanide toxicity

A 50-year-old woman with complex mental illness including depression, anxiety, and borderline personality disorder died from cyanide toxicity after ingesting potassium cyanide obtained from Sigma-Aldrich. She made four a…

psychiatrypsychologysystempotassium cyanide
VIChome2014-04-02

Finding into death of AB

34y · Female·Combined drug toxicity (propofol, sevoflurane and others)

A 34-year-old anaesthetist at Royal Melbourne Hospital died from combined drug toxicity involving propofol and sevoflurane—anaesthetic agents she accessed from unlocked theatre trolleys and administered to herself at hom…

anaesthesiageneral practicesystemcommunicationpropofol
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

Michaela Mundy, a 15-year-old with depression, was seen by CAMHS therapist Vina Hotich from July-November 2011, presenting with suicidal ideation, self-harm, and moderate-to-severe depressive symptoms. Despite evidence o…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VIChome2014-02-13

Finding into death of Daniel Malcolm John Anderson

33y · Male·toxic effects of oxycodone

A 33-year-old man died from oxycodone toxicity after his general practitioner prescribed escalating doses of the opioid for intermittent migraines over 14 months (5-30mg daily), despite a prior rejection of a pethidine a…

general practicepsychiatrydiagnosticmedicationoxycodone
VIChome2014-02-12

Finding into death of Sibel Yilmaz

24y · Female·hanging

A 24-year-old woman with longstanding depression, anxiety, and a history of self-harm and suicidal ideation died by hanging following a marital conflict. She had been under care of university counsellors and a psychologi…

psychologypsychiatrycommunicationsertraline
VICcommunity2014-01-30

Finding into death of Mihail Andrinopoulos

73y · Male·UNASCERTAINED

A 73-year-old man with significant medical comorbidities (hypertension, chronic renal failure, depression) was found deceased in Port Phillip Bay. He had recently commenced dialysis after years of progressive kidney dise…

general practicenephrology
QLDhome2013-12-06

Cook, Jenny Lee

29y · Female·Exsanguination caused by a single stab wound to left lung

Jenny Lee Cook, age 29, died from a stab wound to the chest on 19 January 2009. Police concluded suicide within 20 hours but the investigation was fundamentally inadequate. Critical evidence was not obtained: Mr Cook's m…

forensic medicinepsychiatrydiagnosticsystemmirtazapine
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
VIChome2013-10-07

Finding into death of Imanthi Mayakaduwage

17y · Female·Hanging

Imanthi Mayakaduwage, a 17-year-old high-achieving international student from Sri Lanka, died by suicide via hanging on 5 May 2012. She had documented evidence of significant psychiatric distress from March 2012, includi…

general practicepsychiatrydiagnosticcommunication
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

A 20-year-old woman with a long history of eating disorder, obsessive-compulsive behaviours, and adjustment difficulties died by suicide in October 2009. She had received treatment at the Bronte Centre in Melbourne and o…

psychiatrypsychologysystemdelaymethylphenidate
VIChome2013-04-12

Finding into death of Cody Jackson

15y · Male·asphyxiation by hanging

Cody Jackson, aged 15, died by asphyxiation from hanging in March 2009. He had a troubled family background with exposure to violence, substance abuse, and criminal activity. Cody was involved with multiple services incl…

psychiatrypsychologysystemdelay
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