41y · Male·Neck compression subsequent upon hanging
A 41-year-old man with depression, anxiety and prior suicidal ideation died by hanging on the morning of a scheduled psychology appointmen…
41y · Female·Aspiration pneumonia in the setting of a mixed drug toxicity
…evated tramadol with benzodiazepines (alprazolam, diazepam, temazepam, oxazepam) causing synergistic CNS depression. Evidence suggests Emma consumed significantly more tramadol than prescribed (up to 850mg versus 450-500…
59y · Female·mixed prescription drug and alcohol toxicity (ethanol, diazepam, fluoxetine, and…
…nd alcohol toxicity with aspiration of gastric contents. She had extensive psychiatric history including depression, PTSD, bipolar disorder, and alcohol dependence, with multiple prior suicide attempts. On 9 June 2019, a…
72y · Female·Obstruction of the airways of the neck
…reening for mood disorders using validated tools during rehabilitation or in community follow-up, despite clinical guidelines recommending this. Families received no education about the 33% risk of depression in stroke s…
67y · Male·Unascertained
…nting visits to Uruguay, and deaths of two friends in the week before disappearance. The coroner found no clinical diagnosis of depression but noted possible undiagnosed depression given family history and life circumsta…
76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…
Patricia Russell, a 76-year-old woman with metastatic bladder cancer, catatonia, and severe depression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory patient under the Mental …
76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…
Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm,…
26y · Male·neck compression in the circumstances of hanging
A 26-year-old prisoner with a history of depression died by hanging in custody at Langi Kal Kal Prison. He had been prescribed desvenlafaxine for depression…
Unknown·Michael William Dunk: gunshot wounds to upper abdomen and head. Elishka Dawn Joh…
…ed by suicide using exhaust gas inhalation combined with sedative drugs. Ms Johnson had been treated for depression in 2014 following relationship difficulties. The clinical lessons centre on recognising risk factors for…
22y · Female·Unascertained
… on or about 20 August 2018 from Sydney. She was found to be deceased, though her body was never located. Clinical lessons include recognition of depression severity with self-harm history, academic failure as a warning …
46y · Male·Unknown - possible causes include traumatic injury or dehydration in remote terr…
…able doubt based on circumstantial evidence including his poor physical health, mental health struggles (depression, alcoholism), remote and harsh terrain, lack of any contact with services or family since disappearance,…
20y · Male·Head injury
…kely following a period of deliberation on the roadside. Contributing factors included untreated anxiety-depression diagnosed in May 2008 (referrals not pursued), stress over pending university exams, and acute stress fr…
79y · Female·acute myocardial infarction and acute pulmonary oedema
… woman with stroke and cardiac history was admitted for rehabilitation but developed treatment-resistant depression. Despite comprehensive multidisciplinary management including medication trials (mirtazapine, citalopram…
59y · Male·Unascertained
Louis Naumovski, a 59-year-old man with a long history of substance use disorder, chronic pain, depression, and multiple suicide attempts, was found deceased at his home after approximately three weeks. The exac…
79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…
…79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of int…
46y · Male·Mixed drug toxicity (heroin, alcohol, diazepam)
… CCTV footage on 20 October rather than 15 October 2017. The coroner made no finding of preventability or clinical error, as this was not a medical case but rather an unintended overdose death in the community setting. T…
56y · Male·hypoxic ischaemic encephalopathy following insulin and benzodiazepine overdose
A 56-year-old man with depression, known to close friends but not formally disclosed to healthcare providers, deliberately ingested temaze…
34y · Male·Multiple injuries sustained when the car he was driving collided with a tree
A 34-year-old man with a history of depression and a previous suicide attempt died when he intentionally drove his car into a tree. He had been prescri…
16y · Male·Complications of acute alcohol intoxication
…upervision despite obvious intoxication, and was left unsupervised while unconscious on an outdoor couch. Clinical lessons: acute alcohol intoxication in young people causes respiratory depression and airway compromise r…
Male·mixed prescription drug toxicity (tramadol and diazepam)
…scription drug toxicity involving tramadol and diazepam. He had a history of chronic lower back pain and depression managed with these medications prescribed by his GP over several years. While he had previous suicide at…
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