Coronial

95 results for adolescent suicide

VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

…datory police training in youth mental health crisis recognition and management, including understanding adolescent brain development and tailored communication strategies.

psychiatrycommunicationsystemalcohol
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 expos…

paediatricspsychiatrydiagnosticsystem
NSWhome2017-10-13

Inquest into the death of D T

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

…h assessment, initiated antidepressant therapy without proper screening or follow-up, failed to recognise suicide risk, and showed insufficient empathy or care. The child's school appropriately escalated concerns about …

general practicepsychiatrydiagnosticcommunicationfluoxetine
VIChome2013-04-12

Finding into death of Cody Jackson

15y · Male·asphyxiation by hanging

…al activity. Cody was involved with multiple services including Child Protection, Youth Justice, and the Adolescent Forensic Health Service. Despite psychiatric assessments identifying depression, anger issues, and traum…

psychiatrypsychologysystemdelay
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
NSWhome2019-02-26

Inquest into the death of Emily

Female·self-inflicted death

Emily, a child in out-of-home care since infancy, died by suicide in 2014. She had early childhood trauma, attachment difficulties, and anxiety managed by a psychologist f…

psychologypsychiatrycommunicationsystem
TAShome2025-02-05

Coroner's Finding: de-identified MS

13y · Male·asphyxia as a result of hanging

MS, a 13-year-old Year 8 student, died by suicide by hanging on 16 February 2020. In the weeks before his death, MS engaged in self-harm by cutting his arm…

psychologypsychiatrycommunicationsystem
VIChome2011-08-10

Finding into death of B

17y · Male·Hanging

…iend notified his brother of her concerns, but communication arrived too late. The coroner examined youth suicide epidemiology in Victoria, finding rates remained steady 2000-2010 despite media concerns. Key findings: 6…

VIChome2020-08-11

Finding into death of Angel Louise Hensgen

13y · Female·Acute paracetamol toxicity

…vention with N-acetylcysteine within 24 hours of overdose could have averted death. Key clinical lesson: adolescent mental health presentations require holistic assessment, active family engagement, documentation of risk…

general practicetoxicologycommunicationsystemparacetamol
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·Asphyxia due to hanging

…tion to end her life. Eden had suffered from depressive illness, with a history of self-harm and previous suicide attempts. Her family was extremely concerned and attempted to arrange medical appointments, which Eden re…

VIC2012-06-27

Finding into death of Allem Halkic

17y · Male·Multiple injuries sustained when jumping from the West Gate Bridge

…o be appropriate and timely. The inquest noted the West Gate Bridge had become a significant location for suicide by jumping. Temporary safety barriers were subsequently installed in April 2009, with permanent barriers …

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 board and fell onto a train roof instead of in front of it. During a police resc…

emergency medicinepsychiatry
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
QLDcommunity2016-05-06

Coleman, Kyle Jack

17y · Male·Gunshot wound from discharge of Mossberg bolt action shotgun

…ely false statements to police about Kyle's whereabouts and the weapons taken. James subsequently died by suicide when the investigation indicated his deception would be exposed. Clinical lessons include recognition tha…

alcohol
NSWcommunity2011-07-22

01ab 092558 redacted

15y · Male·multiple blunt force injuries as a result of being hit by a train

…dal ideation, was prescribed Lexapro (escitalopram) by his GP despite it not being registered for use in adolescents. The coroner identified significant failures in clinical communication: the patient was not adequately …

general practicepsychiatrymedicationcommunicationescitalopram
VIChome2014-11-28

Finding into death of Taylah Geordon Mahon

14y · Female·Hanging

… was well-supported and her death could not have been reasonably foreseen. The investigation identified a suicide cluster in Greater Geelong in 2009 and made recommendations for enhanced suicide prevention frameworks, m…

dermatologygeneral practiceisotretinoin
VIChome2020-12-01

Finding into death of Mitchell Boyd Branson

20y · Male·Hanging

… of mental illness including PTSD stemming from exposure to traumatic internet imagery at age 10, a prior suicide attempt in 2015, and a suicide attempt by drug ingestion in May 2019. Despite concerning signs—including …

psychiatrygeneral practicecommunicationdelayalcohol
VIChome2014-11-28

Finding into death of Zachary Stanely Harvey

15y · Male·Hanging

…ng behaviour. An autopsy revealed scars consistent with prior self-harm. The death occurred during a 2009 suicide cluster in Greater Geelong affecting seven young people aged 18 and under (compared to one death in 2007 …

psychiatrypublic health
WAhome2007-12-03

Inquest into the Death of Tedeschi

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

…-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 at home. She had …

psychiatrypsychologycommunicationdelayfluoxetine
VIChome2014-11-28

Finding into death of Stephanie Jean Winberg

18y · Female·Compression of the neck in circumstances of hanging

…e with regular monitoring for suicidal ideation. The coroner noted the Geelong region experienced a youth suicide cluster in 2009. Her parents and treating clinicians provided comprehensive support. The coroner emphasis…

psychiatrypsychologyfluoxetine

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