Coronial

38 results for deliberate self-harm disorder

WAmental health2014-04-11

Inquest into the Death of Rutherford Sarah

28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…

Sarah Jane Rutherford, a 28-year-old woman with bipolar affective disorder and schizophrenia, died on 27 December 2009 after falling from a pedestrian bridge onto the Mitchell Free…

psychiatryintensive carerisperidone
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

Six young people aged 12-17 years died by suicide between 2010-2014 in Tasmania. All had significant mental health issues, trauma histories, and contact with child protection services or schools. The coroner identified s…

psychiatrypaediatricssystemcommunicationlamotrigine
VICinpatient2016-03-03

Finding into death of TK

18y · Female·Hypoxic brain injury secondary to hanging

An 18-year-old woman with major depressive disorder and PTSD was admitted to a psychiatric inpatient unit after expressing suicidal ideation and self-harm. S…

psychiatryintensive caresystemcommunicationfluoxetine
TAS2020-02-28

Coroner's Finding: Reid, Lena Kathleen

27y · Female·multiple injuries sustained in a motor vehicle collision

…an oncoming truck. The crash investigation found no mechanical defects in either vehicle, no evidence of deliberate self-harm, and no medical events. The collision was entirely preventable had she not driven while signif…

methamphetamine
NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

Adam Hayward, a 33-year-old with borderline personality disorder, poly-substance abuse, and a complex psychiatric history including recurrent suicidal ideation and overdo…

psychiatryemergency medicinequetiapine
TAScommunity2019-12-06

Coroner's Finding: McInerney, Robert Edward

48y · Male·gunshot wounds to the right thigh and abdomen with fatal hemorrhage

A 48-year-old man with severe chronic pain, alcohol dependence, and mental health issues called police stating he was armed with knives and wanted to be shot. Despite being extensively supported by health services that d…

psychiatryemergency medicinealcohol
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…de his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in 2003 causing hypoxic brain injury. He was appropriately transferred to…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
VICcommunity2012-11-30

Finding into death of Simon Kirwan

19y · Male·Ruptured aorta post motor vehicle incident

Simon Kirwan, 19, died by motor vehicle collision in circumstances indicating suicide after discharge from involuntary mental health care. He had made three serious suicide attempts within 7 days (overdoses, wrist lacera…

psychiatryemergency medicinediagnosticcommunicationdiazepam
NSWcommunity2017-08-17

Inquest into the death of MC

45y · Male·gunshot wound to the chest

…ken seriously by the responding officers. The coroner found the death was self-inflicted in the sense of deliberate conduct intended to provoke a lethal police response ('suicide by cop'). Critical failures included: the…

psychiatrygeneral practicecommunicationdiagnostic
NSWmental health2019-12-04

Inquest into the death of Mitchell FLOOD-SMITH

23y · Male·Multiple injuries sustained following collision with a train

A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being inv…

psychiatryparamedicinecommunicationsystemrisperidone
VIChome2020-11-16

Finding into death of Hilton Davis

50y · Male·mixed drug (oxycodone and methadone) and ethanol toxicity

…d a 7-year history of suicide attempts and mental health issues following a 2012 motor vehicle accident (deliberate self-harm) resulting in chronic pain managed with opioids. On 22 April 2018, following a violent alterca…

general practiceforensic medicinecommunicationsystemoxycodone
NSWhospital2019-11-21

Inquest into the death of Ross MARTIN

56y · Male·acute pentobarbitone toxicity

…t a proper review of Mr Martin's extensive medical history, particularly the detailed Form 1 documenting deliberate, elaborate suicide planning. The decision was based largely on Mr Martin's misleading account and limite…

psychiatrygeneral practicediagnosticcommunicationpentobarbitone
SA2015-06-24

Coroner's Finding: HARDING-ROOTS Jeremy Godfrey

47y · Male·Toxic effects of phosphine gas

Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his forme…

psychiatrygeneral practicediagnosticsystemoxazepam
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

…paint sniffing and alcohol use combined with acute anger from assault by his sister. JJ's death followed deliberate ideation, with multiple documented suicide attempts and mental health contacts in the preceding months. …

psychiatryemergency medicinediagnosticcommunicationalcohol
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

Randall Coleman, 39, died from strychnine toxicity after deliberately ingesting poison while in custody at Kingaroy watchhouse on 18 January 2007. He had secreted the vial …

emergency medicinepsychiatrycommunicationdelaystrychnine
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
SAhospital2016-07-13

Coroner's Finding: NOAKES Geoffrey Scott

43y · Male·acute neck compression due to hanging

Geoffrey Noakes, a 43-year-old man with a long history of depression and suicide attempts, was detained under the Mental Health Act on 19 February 2013 after multiple suicide attempts (knife to throat, jumping from vehic…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

…ied 6 November 2012. While the death resulted from unintended consequences of drug injection rather than deliberate self-harm, the lack of assertive post-discharge psychiatric follow-up represented a lost clinical opport…

psychiatryintensive carecommunicationdelayheroin

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