Coronial

76 results for attention deficit disorder

VIChome2025-08-07

Finding into death of Emma Louise Terrill

41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity

…g versus 450-500mg daily prescribed dose). She had complex psychiatric history (ADHD, depression, bipolar disorder, anxiety, eating disorder) and chronic pain managed with polypharmacy. While clinicians' prescribing had …

general practicepsychiatrysystemtramadol
VIChospital2024-12-02

Finding into death of S K

25y · Male·Gunshot injury to the head

SK, a 25-year-old man with ADHD, borderline personality disorder, PTSD, depression and anxiety, died from a self-inflicted gunshot wound while handling an unregistered re…

emergency medicinepsychiatrysystemdelaymethamphetamine
WA2016-10-07

Inquest into the Death of Gerardus Gerritt HEIJNE

49y · Male·Ligature compression of the neck (hanging)

A 49-year-old sentenced prisoner died by suicide via ligature compression of the neck at Acacia Prison in Western Australia. The deceased had a psychological profile characterised by denial and minimisation of adverse ex…

psychiatrygeneral practicedelaycitalopram
WAcommunity2024-10-22

Inquest into the Death of Karl Jonathan TURNER

49y · Male·combined drug toxicity

Karl Turner, a 49-year-old man with schizoaffective disorder and chronic polysubstance use, died from combined drug toxicity (heroin, morphine, pregabalin, methylamph…

psychiatryintensive caresystemdelaymorphine
QLD2015-03-24

E, aged 14 - Non-inquest findings

14y · Male·hanging

A 14-year-old Aboriginal boy died by suicide by hanging at his school. He had experienced childhood trauma including neglect, domestic violence, and parental separation. He was living with his paternal grandmother after …

psychiatrygeneral practicediagnosticmarijuana
QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

A 33-year-old man with paranoid schizophrenia, polysubstance dependence (amphetamines/cannabis), and chronic suicidal ideation died from a self-inflicted gunshot wound to the head. He had been prescribed risperidone and …

psychiatryforensic medicinemethamphetamine
WAhospital2017-07-11

Inquest into the Death of Beasley (also known as Graeme Leslie Syme)

49y · Male·Complications of penetrating sharp force injuries through the chest and abdomen …

Graeme Leslie Syme (Beasley), a 49-year-old male on parole with methamphetamine use history, died from penetrating chest and abdominal stab wounds he self-inflicted. Key clinical lessons: his case involved self-harm foll…

emergency medicinetrauma surgerysystemdelaymethamphetamine
VIChome2026-02-17

Finding into death of Laurence Mark O'brien

22y · Male·Mixed drug toxicity (tapentadol, clonazepam, citalopram, amphetamine, olanzapine…

…cluding prescribed opioids, benzodiazepines, and unprescribed ketamine. He had a documented substance use disorder and engaged in prescription shopping. Three general practitioners failed to check SafeScript (Victoria's …

general practicepsychiatrymedicationsystemtapentadol
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

Devan Ginbey, a 20-year-old with longstanding mental health issues including depression, psychosis, ADHD, and substance abuse, presented to Peel ED on 12 January 2022 with self-harm and active suicidal ideation with a st…

emergency medicinepsychiatrysystemdelay
WAcommunity2025-10-24

Inquest into the Suspected Death of Guido MICHEL

54y · Male·unascertained cause

Guido Michel, a 54-year-old electrician with longstanding mental health issues including depression, ADHD, and previous suicide attempts, disappeared in late January 2022 after entering State Forest near Flint, WA with c…

psychiatrygeneral practicesystemcommunicationdextroamphetamine
VIChome2021-02-25

Finding into death of MrP

24y · Male·Gunshot wound to the head

A 24-year-old man with bipolar disorder and ADHD died by gunshot wound to the head approximately 5 months after a serious suicide attempt by over…

psychiatrygeneral practicediagnosticsystemmethylphenidate
QLDhospital2024-03-07

KLUMPER Joshua William

17y · Male·Hanging

17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), multiple suicide attempts, and…

psychiatryemergency medicinecommunicationsystemcannabis
WAcommunity2024-12-06

Inquest into the death of Jaxon Charles Kinnane

22y · Male·Immersion in water (drowning) in a man with combined drug effect

Jaxon Charles Kinnane, 22, drowned in the Swan River on 12 October 2020. He had chronic schizophrenia with persistent delusional beliefs (microchip in ear) and was a polysubstance user, particularly methylamphetamine. He…

psychiatrycorrectional healthcommunicationsystempaliperidone
NSW2025-03-06

Inquest into the death of Leah Jane Porter

50y · Female·hanging

A 50-year-old woman with severe borderline personality disorder and ADHD died by hanging in immigration detention. The coroner found her mental health monitoring and tre…

psychiatrygeneral practicecommunicationsystemmethylphenidate
VIChome2026-04-17

Finding into death of Harrison William Ladd

25y · Male·Combined drug toxicity

…nazepam, dexamphetamine, codeine, diazepam and pholcodine. He had complex mental health and substance use disorder requiring specialist addiction care unavailable in his regional location. Multiple GPs prescribed benzodi…

general practicepsychiatrymedicationcommunicationclonazepam
VIChome2022-08-31

Finding into death of B L

28y · Male·neck compression consequent upon hanging

A 28-year-old man with severe personality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health se…

psychiatryemergency medicinecommunicationsystemsodium valproate
VICpsychiatric inpatient unit2020-01-31

Finding into death of Damon Brenden Amiet

25y · Male·Injuries sustained when struck by a train (suicide)

Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpati…

psychiatryemergency medicinecommunicationsystemolanzapine
NSWhome2024-03-26

Inquest into the death of MO

6y · Unknown·methadone toxicity

A 6-year-old boy died from methadone toxicity after ingesting his parents' takeaway methadone mixed in juice at home. Both parents were on the NSW Opioid Treatment Program (OTP). The prescribing physician increased metha…

addiction medicinepaediatricsdiagnosticcommunicationmethadone
VIChospital2024-09-26

Finding into death of FH C

11y · Male·Sepsis

An 11-year-old boy with autism spectrum disorder (ASD level 3), ADHD, and obesity died from sepsis on 20 June 2022. He presented to Rosebud Hospital ED on…

emergency medicinepaediatricsdiagnosticcommunicationrisperidone
NTmental health2019-09-27

Inquest into the death of Jordan Allen

34y · Male·self-inflicted hanging

34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamp…

psychiatryemergency medicineclinicalcommunicationdexamphetamine sulfate

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