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VICmental health2024-09-30

Finding into death of Erol Elmas

31y · Male·undetermined

Erol Elmas, a 31-year-old man with schizoaffective disorder, died in custody at Thomas Embling Hospital on 30 November 2022. The cause of death remains undetermined despite thorough pathological investigation. Mr Elmas w…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
NSWmental health2024-09-30

Inquest into the disappearance and suspected death of KL

62y · Male·not stated - body never found

KL, a 62-year-old journalist with a long history of depression, anxiety, and alcohol use disorder, was admitted to St Vincent's Hospital's psychiatric units (PECC and Caritas) in June 2020 following suicidal ideation. Af…

psychiatrygeneral practicecommunicationsystemvenlafaxine
QLDmental health2024-09-17

Inquest into the death of Chloe Jane Campbell

32y · Female·Hypoxic-ischaemic encephalopathy due to hanging

Chloe Jane Campbell, aged 32, died by suicide while an involuntary inpatient with borderline personality disorder, complex PTSD, and chronic suicidal ideation. She was admitted 18-30 April 2019 after ceasing medications …

psychiatryintensive caresystemlorazepam
SAhospital2024-09-13

Coroner's Finding: Zarrella, Dominic

88y · Male·aspiration pneumonia complicating vascular dementia and metastatic prostate canc…

An 88-year-old man with vascular dementia, metastatic prostate cancer, and chronic kidney disease died of aspiration pneumonia 15 days after admission to hospital under a Mental Health Act inpatient treatment order. He w…

oncologypsychiatry
SAhome2024-09-13

Coroner's Finding: Sulley, Matthew Wade

46y · Male·neck compression due to hanging

Matthew Wade Sulley, aged 46, died by hanging while on home detention under Department for Correctional Services supervision. He had a significant psychiatric history including previous suicide attempt by hanging (1997),…

forensic medicinepsychiatrycommunicationsystemmethamphetamine
SAhome2024-09-13

Coroner's Finding: McKinley-Glen, Haydn James

22y · Male·neck compression due to hanging

A 22-year-old man with treatment-resistant schizophrenia died by hanging while under guardianship with special powers of detention in supported independent living. He had attempted suicide by drinking bleach one month pr…

psychiatryemergency medicinepaliperidone
WAhome2024-09-11

Inquest into the Death of Stephen Kenneth SHERWOOD

31y · Male·ligature compression of the neck (hanging)

Stephen Sherwood, a 31-year-old Aboriginal man with untreated mental health issues and history of methylamphetamine use, died by suicide on 13 April 2022. He had attempted suicide by wrist-cutting on 30 March 2022 and th…

psychiatryemergency medicinecommunicationmethamphetamine
QLDhomePodcast2024-09-11

Inquest into death of ABC (a pseudonym)

Unknown·VAD oral substance toxicity; underlying conditions: ischaemic heart disease, emp…

An elderly person (ABC) died from self-administering a voluntary assisted dying (VAD) oral substance that had been prescribed for their spouse but not collected for return after the spouse died. ABC was grieving, suffere…

palliative caregeneral practicesystemdelayvad oral substance
SAhome2024-09-02

Coroner's Finding: Woods, Travis John

36y · Male·hanging

Travis John Woods, 36, died by hanging while on home detention bail in South Australia on 10 February 2021, classified as a death in custody. He had a long history of methamphetamine dependence, unresolved trauma, PTSD, …

forensic medicinegeneral practicemethamphetamine
NSWmental health2024-08-30

Inquest into the death of Corey SELBY

48y · Male·Gunshot wound to the chest during a police operation

Corey Selby, aged 48, died from a gunshot wound to the chest on 19 January 2023 outside Tenterfield Police Station after deliberately provoking police to shoot him. He had a complex mental health presentation comprising …

psychiatrygeneral practicesystemduloxetine
TAShome2024-08-29

Coroner's Finding: De-identified PT

14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…

PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…

psychiatrypaediatricssystem
VIChome2024-08-29

Finding into death of A S

19y · Female·sodium nitrite toxicity

This finding concerns the death of a 19-year-old transgender woman (referred to as 'AS') who died from sodium nitrite toxicity on 9 May 2021. She ingested sodium nitrite during a video call with a friend in NSW. AS had a…

psychiatryendocrinologysystemsodium nitrite
VICcommunity2024-08-29

Finding into death of Bridget Flack

28y · Female·compression of the neck and hanging

28-year-old Bridget Flack, a transgender woman experiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasing…

psychiatrypsychologycommunicationsystemescitalopram
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …

psychiatrypsychologysystemescitalopram
WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…

psychiatryemergency medicinehaloperidol
VIChome2024-08-28

Finding into death of Ryley Ann Cox

Unknown·Sodium nitrite toxicity

Two deaths from sodium nitrite toxicity: Laurence Cox (63) and his daughter Ryley Cox (32). Laurence had a history of depression, anxiety, chronic pain, and medical conditions including emphysema and legal blindness, and…

psychiatrypsychologysodium nitrite
VIChome2024-08-28

Finding into death of Laurence John Cox

Sodium nitrite toxicity

A 63-year-old man with a history of depression, anxiety, and chronic medical conditions including emphysema and blindness, and his 32-year-old daughter with depression, anorexia, and substance abuse, died from sodium nit…

psychiatrypsychologysodium nitrite
ACT2024-08-22

Inquest Into The Death Of Luke Anthony Rich

27y · Male·suicide by hanging

Luke Anthony Rich, age 27, died by suicide by hanging in a prison cell in the Alexander Maconochie Centre (ACT) on 1 February 2022, one day after being remanded in custody on domestic violence allegations. The coroner fo…

psychiatrycorrectional healthsystemcommunicationcocaine
NSW2024-08-22

Inquest into the death of Russell Zaska

33y · Male·hanging

Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…

psychiatrycorrectional healthsystemdelayolanzapine
QLDcommunity2024-08-21

Inquest into the deaths of Charmaine, Aaleyn, Matilda, Wyatt, and Zaidok McLeod

Female·multiple injuries from motor vehicle collision (for all five deceased)

Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…

psychiatryemergency medicinesystemcommunicationfluvoxamine

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