Coronial

81 results for adolescent depression

NSWhome2017-10-13

Inquest into the death of D T

13y · Male·Self-inflicted (manner recorded as intentionally self-inflicted; specific method…

A 13-year-old boy with depression, migraine, school refusal and family instability died by intentional self-inflicted means. His general p…

general practicepsychiatrydiagnosticcommunicationfluoxetine
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

Aaron, aged 14, died by suicide from a fall from an 11th-floor balcony. Over 12 years, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendanc…

paediatricspsychiatrydiagnosticsystem
NSW2015-04-02

Inquest into the death of SR

18y · Male·combination of blunt force injuries to chest and head from falling onto train ro…

An 18-year-old with depression and recent psychological trauma jumped from a railway bridge intending suicide. He struck a destination …

emergency medicinepsychiatry
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·Asphyxia due to hanging

Eden Jayde Westbrook, a 15-year-old year 10 student, died by hanging at Fisherman's Memorial Park, St Helens, Tasmania on 17 February 2015. The coroner found she died from voluntary asphyxia with intention to end her lif…

VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

…med educational pathways. Clinicians and service coordinators should recognise vulnerability clusters in adolescents, ensure culturally-attuned approaches for Aboriginal youth, maintain unified case leadership rather tha…

paediatricsaddiction medicinesystemcommunicationinhalant
NSW2016-09-12

Inquest into the death of M

15y · Female·hypoxic brain damage due to multiple drug toxicity

A 15-year-old girl in out-of-home residential care died from accidental overdose of heroin and methylamphetamine (speedballing) in her bedroom while a known drug user was present. She had complex trauma from childhood ab…

emergency medicinetoxicologydelaysystemheroin
SAhome2003-09-25

Coroner's Finding: SAMMUT-SMITH Jason Peter

16y · Male·fresh water drowning

Jason Sammut-Smith, a 16-year-old boy, died by fresh water drowning on 1 December 2001. The coroner found extensive evidence of physical abuse inflicted over months, including numerous bruises, abrasions, and injuries co…

forensic medicineemergency medicinesystemdelaydiazepam
VIChome2014-11-28

Finding into death of Taylah Geordon Mahon

14y · Female·Hanging

… by a dermatologist who reviewed her regularly. Expert opinion confirmed isotretinoin's association with depression and suicidal ideation, though no definitive causal link exists. Her family, who were closely involved an…

dermatologygeneral practiceisotretinoin
VIChospital2016-08-31

Finding into death of Nathan Dimech

17y · Male·Global cerebral ischaemic injury and aspiration pneumonia post cardiac arrest du…

Nathan Dimech, a 17-year-old with intellectual disability and substance abuse issues, died from methadone toxicity after consuming his father's opioid replacement therapy (ORT) dose from a refrigerator. Nathan's father, …

general practicepharmacycommunicationsystemmethadone
QLDcommunity2008-11-05

Boyd, Melanie Kate

Female·death by drug toxicity

Melanie Boyd, a teenager, died from drug toxicity at an unsupervised youth party where she consumed illicit drugs, prescription medications, and excessive alcohol. The inquest revealed critical failures in recognising he…

emergency medicinetoxicologydelaycommunicationillicit drugs
NSWcommunity2008-01-24

Coroner's Finding: Vanessa Ann Anderson

16y · Female·Respiratory arrest due to the depressant effect of opiate medication

…mitted to Royal North Shore Hospital. She died from respiratory arrest due to opioid-induced respiratory depression, which was entirely preventable. Multiple clinical failures compounded: anticonvulsant medication (Dilan…

neurosurgeryanaesthesiamedicationcommunicationoxycodone
VIChome2024-12-12

Finding into death of L G

16y · Male·Complications of acute alcohol intoxication

…ous on an outdoor couch. Clinical lessons: acute alcohol intoxication in young people causes respiratory depression and airway compromise risk; loud snoring during unconsciousness indicates severe CNS depression requirin…

emergency medicinetoxicologydelaysystemalcohol
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

… Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 October 2004…

psychiatrypsychologycommunicationdelayfluoxetine
VICcommunity2025-04-14

Finding into death of Jodus Tenetahi Murphy

18y · Male·Unascertained; likely hypothermia possibly in combination with drowning

Jodus Murphy, 18, disappeared from his mother's home on 12 May 2023 and was found deceased near the Goulburn River on 14 June 2023. He had experienced significant life disruption following his grandparents' relocation to…

forensic medicinetoxicologymethamphetamine
QLDhome2022-06-17

CJ - Non-inquest findings

14y · Male·Hanging

…ate interagency coordination, and a critical absence of trauma-informed responses to a highly vulnerable adolescent.

paediatricspsychiatrydiagnosticcommunicationcannabis
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

HM, a 15-year-old boy with suspected autism spectrum disorder and depression, died from spontaneous gastric perforation with early peritonitis secondary to acute gastric distension.…

paediatricspsychiatrysystemdelaylovan
NSWcommunity2023-08-25

Inquest into the death of SG

15y · Male·Hanging

A 15-year-old Aboriginal boy with complex trauma history, including physical abuse, parental mental illness, and 40+ child protection reports, disclosed a suicide attempt to his school counsellor in December 2019. A mand…

psychiatrypaediatricscommunicationsystem
VIChome2024-01-25

Finding into death of Lachlan John Howe

13y · Male·Hanging

…nizing family violence as a primary mental health stressor requiring targeted intervention, not treating adolescent suicidality in isolation, ensuring timely mental health referrals are completed and followed up, and con…

paediatricspsychiatrycommunicationsystem
VIChome2012-10-09

Finding into death of Sue Hui Wang

15y · Female·compression of the neck

Sue Hui Wang, a 15-year-old student, died from compression of the neck between 16-19 September 2010 at her home in Balwyn, Victoria. The coroner found the exact circumstances of death unknown, unable to determine definit…

general practiceforensic medicinecommunicationdelay
VIChome2012-07-18

Finding into death of Joshua Meloury_Kaup

15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)

…essons include: ensuring safe storage of potentially dangerous medications in households with vulnerable adolescents; considering withdrawal effects and sleep disturbance management during medication transitions; and cle…

paediatricspsychiatrysystemcommunicationmorphine

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