Coronial

51 results for compulsive disorder

VICmental health2012-03-23

Finding into death of Adrian Martin Young

39y · Male·Compression of the neck consequent upon hanging

Adrian Young, a 39-year-old voluntary inpatient with severe treatment-resistant depression and chronic anxiety, died by hanging while on day leave from the Melbourne Clinic. He had been under psychiatric care since 2008 …

psychiatryforensic medicineclonazepam
VIChome2024-10-16

Finding into death of Deborah Christine Barker

63y · Female·Unascertained (natural causes) - favoured mechanism sudden cardiac arrhythmia

Deborah Christine Barker, a 63-year-old woman with intellectual disability living in specialist disability accommodation, was found unresponsive in the toilet and declared deceased at 7:32pm on 13 May 2022. Autopsy revea…

forensic medicinepsychiatrycitalopram
VIChospital2013-09-23

Finding into death of Anthony Ian Gaylard

56y · Male·Hypoxic ischaemic encephalopathy following cardiac arrest

Anthony Gaylard, a 56-year-old man with severe intellectual disability living in residential care, suffered a cardiac arrest on 14 September 2012 (note: document states 2007 in one place, 2012 elsewhere; finding date is …

cardiologyneurology
VIC2024-09-23

Finding into death of Silvio Rolfo

55y · Male·Sudden and unexpected death in epilepsy

Silvio Rolfo, a 55-year-old man with lifelong intellectual disability, autism, and longstanding infrequent epilepsy, died from sudden unexpected death in epilepsy (SUDEP) at his supported living residence. He was found o…

general practiceneurologybenztropine
VIChospital2026-04-27

Finding into death of Carol Rae Street

49y · Female·Coronary artery atherosclerosis in the setting of pulmonary valve replacement fo…

Carol Rae Street, age 49, died at Royal Melbourne Hospital on 13 September 2025, three days after undergoing percutaneous pulmonary valve insertion for pulmonary regurgitation related to tetralogy of fallot. She was foun…

cardiothoracic surgeryintensive care
VIChome2014-04-30

Finding into death of Nathan Troy Chalkley

27y · Male·Toxicity to heroin

…dation where other drug users resided, leading to fatal overdose. Clinical lessons include: substance use disorders require intensive, genuine engagement rather than compliance theatre; pre-release assessment identified …

psychiatryforensic medicinesystemheroin
VIChome2025-08-13

Finding into death of Lillian Rose Thomas

21y · Female·Compression of the neck secondary to hanging

…oria. She had complex mental health conditions including CPTSD, anxiety, depression, OCD, and personality disorder traits, with a history of chronic suicidality, self-harm, and a prior suicide attempt. In the early morni…

psychiatrygeneral practicesystemdelayprazosin
VIC2025-09-10

Finding into death of Tracie Lyndal Markwick

54y · Female·choking on a food bolus in a woman with an intellectual disability and other med…

Tracie Lyndal Markwick, a 54-year-old woman with intellectual disability and dysphagia, died from choking on food at her day placement centre. She had a documented mealtime management plan indicating mild-to-moderate cho…

speech pathologyemergency medicineamisulpride
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suicidal intent. Despit…

psychiatryintensive carediagnosticsystem
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

…s against police, but identified Peter's untreated mental health conditions (PTSD, borderline personality disorder, chronic suicidality), substance use, and easy access to a realistic gel blaster as contributing factors.…

emergency medicinetrauma surgerysystemmethamphetamine
VICcommunity2024-11-13

Finding into death of N A

59y · Male·compression of the neck secondary to hanging

A 59-year-old man with treatment-resistant depression, anxiety, and suicidal ideation died by hanging while on weekend leave from psychiatric care. He had been hospitalised four times in 2021 and was receiving electrocon…

psychiatrypsychologycommunicationsystemvenlafaxine
TAShome2018-07-06

Coroner's Finding: Godley, David Geoffrey

30y · Male·Exsanguination due to self-inflicted multiple stab and incised wounds

David Geoffrey Godley, aged 30, died from exsanguination due to self-inflicted multiple stab and incised wounds to his neck, chest, and head on 24 April 2016 in Tasmania. He had a long history of psychosis and depression…

psychiatryemergency medicinedelaymethamphetamine
VIChome2013-03-05

Finding into death of Peter Harold Ralph Quin-Conroy

49y · Male·Gunshot injury to the head

…3 August 2010. He had a 15-year history of schizophrenia (paranoid type), major depression, mixed anxiety disorder, and auditory hallucinations, including command hallucinations instructing self-harm. He was treated by D…

general practicepsychiatrycommunicationsystem
VIC2020-04-06

Finding into death of Robert James Lawerence

29y · Male·Shotgun wound to the head

Robert James Lawrence, a 29-year-old man with complex mental health needs including ADHD, depression, anxiety, Tourette's syndrome, and borderline personality traits, died from a self-inflicted shotgun wound. He held a C…

psychiatrypsychologycommunicationsystem
TAShome2025-12-11

Coroner's Finding: de-identified SH

57y · Female·aspiration of gastric contents caused by combined drug and alcohol toxicity resu…

A 57-year-old woman with complex medical and mental health conditions died from aspiration of gastric contents caused by combined drug and alcohol toxicity. She had severe chronic pain following abdominal surgeries, opio…

general practicepharmacologymedicationmethadone
VIChome2025-07-30

Finding into death of William Charles Heddergott

50y · Male·plastic bag asphyxia in the setting of ethanol intoxication and blunt force head…

William Heddergott, 50, died from asphyxiation with head injuries while intoxicated, in circumstances suggesting his mother Erica (who pleaded guilty to murder) perpetrated fatal family violence. Clinical lessons include…

psychiatrypsychologycommunicationsystemalcohol
QLDhome2009-03-16

Blake, Melissa Maree

Female·Drowning (suicide)

Melissa Maree Blake died by suicide by drowning on 16 January 2007 while receiving community-based treatment for psychotic depression, which developed following a miscarriage. She was referred to Sunshine Coast Mental He…

psychiatrygeneral practicemedicationcommunicationescitalopram
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

Peter James Wilson, 41-year-old male with complex mental health history including bipolar affective disorder, anxiety, OCD, and possible schizophrenia, died by suicide on 1 November 2021 after self-immolating with …

psychiatryintensive carecommunicationsystempaliperidone
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

45y · Female·Compression of the neck in circumstances of hanging

…in an organisationally toxic workplace. Within weeks she became severely distressed with major depressive disorder and insomnia. Despite clear evidence of acute distress on 15 March 2018 (a breakdown at work), she return…

psychiatrypsychologysystemcommunicationantidepressants
NSW2022-08-18

Inquest into the death of Gavin Ellis

31y · Male·hanging

Mr Gavin Ellis, 31 years old, died by hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm h…

psychiatrycorrectional healthdiagnosticcommunicationaripiprazole

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.