Coronial

95 results for depressive illness

SAhome2000-07-07

Coroner's Finding: EDGELL Debby

39y · Female·neck compression due to hanging

A 39-year-old woman with bipolar disorder, depression, substance abuse (alcohol and cannabis), and multiple past suicide attempts died by hanging at home on 11 February 1998. She had been discharged from psychiatric hosp…

psychiatryemergency medicinesystemvenlafaxine
SAmental health2000-09-22

Coroner's Finding: McQUINN Rosemary

68y · Female·glottic obstruction by food bolus

A 68-year-old woman with Huntington's disease, schizophrenia, and schizoaffective disorder died from glottic obstruction by food bolus while eating breakfast in a psychiatric hospital where she was detained under the Men…

psychiatrypathology
VICaged care2021-08-12

Finding into death of Valerie Lucy Jones

86y · Female·Plastic bag asphyxia

…al health assessment concluded her suicidal statements were due to delirium rather than major psychiatric illness, and ongoing mental health input was not recommended. The coroner found that despite references to suicid…

general medicinegeriatric medicinecommunicationsystemmirtazapine
VICcommunity2014-09-01

Finding into death of Kirstan McRae-Jansen

31y · Female·plastic bag asphyxia

… case manager RPN Zobel were reasonable and appropriate. The coroner noted Kirstan's persistent denial of illness severity, poor coping mechanisms, and increasing persecutory ideation before her death. No clinical misma…

psychiatryolanzapine
QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

Alan Kent Dyer died from a gunshot wound to the abdomen inflicted by Constable Damro during a police response to a house fire and armed person incident on 31 May 2008. Dyer had a history of depression, previous suicide a…

emergency medicinepsychiatryfluvoxamine
VIC2015-09-21

Finding into death of WJ

25y · Male·Pentobarbitone toxicity

…n and did not persist with psychological support. No suicide note was found, though documents suggesting depressive intent were later discovered. The coroner's detailed analysis found that pentobarbitone suicides in Vict…

pentobarbitone
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
VIChome2014-02-12

Finding into death of Sibel Yilmaz

24y · Female·hanging

…sessed as not at acute risk but vulnerable. The critical failure was her family's ignorance of her mental illness; she did not confide in them about her psychological struggles despite their support. Her final counselli…

psychologypsychiatrycommunicationsertraline
TAScommunity2022-01-28

Coroner's Finding: AZ 2022 TASCD 60

16y · Male·Multiple blunt traumatic injuries from fall from height

A 16-year-old boy with depression and suicidal ideation was discharged from an inpatient adolescent mental health facility in Victoria after 20 days. Two days later, he died by suicide at a cliff location he had previous…

psychiatrycommunicationdiagnosticfluoxetine
VICmental health2023-05-02

Finding into death of Duncan Stuart Sparke

48y · Male·Hanging

Duncan Sparke, a 48-year-old man with a history of suicidal ideation and depression, absconded from a locked psychiatric unit at The Alfred Hospital on 24 April 2017 while subject to a Temporary Treatment Order. He was r…

psychiatryemergency medicinesystemdelayfluoxetine
VICcommunity2021-04-14

Finding into death of JJ

70y · Male·Hanging

A 60-year-old man with recent pituitary surgery developed persistent fatigue and depressive symptoms. Despite normal cortisol levels, he remained convinced his symptoms were due to hormonal defici…

psychiatryendocrinologycommunicationsystemvenlafaxine
VIC2011-10-05

Finding into death of Stuart Hill

40y · Male·drug overdose (propofol)

…esidence with him deceased inside. The coroner found he deliberately ended his life while suffering from depressive illness. Key clinical lessons include: recognition of suicide risk in healthcare workers with mental hea…

anaesthesiapsychiatrypropofol
SAhospital2022-03-30

Coroner's Finding: Dunn, Julie Michele

56y · Female·sepsis secondary to disseminated pancreatic adenocarcinoma

… given the diagnostic difficulty of pancreatic cancer and the confounding clinical picture of psychiatric illness. Care at Lyell McEwin Hospital was appropriate throughout. The coroner made no recommendations.

general medicineoncologydiagnostictramadol
QLDhospital2007-08-17

Mental Health patient

71y · Male·hypoxic brain injury due to hanging

A 71-year-old farmer with a 10-year history of major depressive disorder with melancholic features died by hanging on 22 July 2005, three days after admission to a priv…

psychiatryemergency medicinecommunicationdiagnostictemazepam
NSWcommunity2025-09-24

Inquest into the death of Matthew Richard Lothian

37y · Male·self-inflicted gunshot wound to the head and neck

Matthew Lothian, aged 37, died from a self-inflicted gunshot wound to the head and neck on 6 January 2021 in Wollongong. He was on medical escort from custody when he seized the firearm from Correctional Services Officer…

psychiatrycorrectional healthsystemcommunicationmethadone
VIC2021-05-07

Finding into death of Joanne Finch

42y · Female·Neck compression due to self-suspension

Joanne Finch, a 42-year-old woman remanded in custody on charges related to her son's death, died by hanging in her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods of acu…

psychiatrypsychologyolanzapine
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 rescue op…

emergency medicinepsychiatry
WAhome2007-12-03

Inquest into the Death of Tedeschi

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

… found her behaviour on 11 October was likely related to cessation of venlafaxine and re-emergence of her illness, though the impulsive nature of her suicide means early intervention could have prevented it. Recommendat…

psychiatrypsychologycommunicationdelayfluoxetine
SA2000-06-16

Coroner's Finding: CURREN Michael Andrew

38y · Male·neck compression due to hanging

Michael Andrew Curren, a 38-year-old prisoner at Mobilong Prison, died by hanging on 10 June 1998. He had been assaulted five days earlier and attended medical review on the day of death, but presented as being in good s…

communicationsystemparacetamol
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

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

…taneously 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), …

psychiatrypsychologysystemcommunicationantidepressants

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