114 results for “insomnia”
59y · Male·Gunshot wound of head
…ress related to property investment losses. He had received counselling and GP management for anxiety and insomnia but access to firearms was not restricted despite documented suicide risk. Key clinical lessons: (1) Clin…
50y · Male·Mixed alcohol and drug toxicity (clozapine, paracetamol, caffeine); cardiac hype…
…consideration of more intensive monitoring strategies when patients show early relapse indicators such as insomnia and medication refusal.
45y · Male·Mixed drug toxicity
Dr JR, a 45-year-old anaesthetist, died from mixed drug toxicity after self-administering intravenous propofol and alfentanil at home. He had access to anaesthetic agents through his workplace. The coroner found this was…
17y · Female·multiple blunt force injuries after being struck by a train
17-year-old X died by suicide on 18 December 2012 after being struck by a train. She received multiple psychiatric admissions and CAMHS outpatient care from July-December 2012 for suicidal ideation, overdose attempts, an…
18y · Male·compression of the neck in keeping with hanging
… day. A police welfare check was requested but not conducted. A locum GP visit provided only sedation for insomnia without comprehensive psychiatric assessment. Key failures included: lack of handover from prison mental …
42y · Male·hanging
A 42-year-old prisoner with generalised anxiety disorder and chronic tinnitus causing significant distress died by suicide while incarcerated. In the months preceding his death, he presented repeatedly to health staff re…
38y · Male·asphyxiation by ligature
A 38-year-old man remanded in custody died by hanging in his prison cell. He faced serious criminal charges and had raised mental health concerns with prison clinicians, being prescribed antidepressants and antipsychotic…
58y · Male·Shotgun wound to the neck
Mark Edward Elliott, a 58-year-old prominent lawyer, died by suicide on 13 February 2020 following a shotgun wound to the neck. He was experiencing significant occupational and legal stress related to protracted proceedi…
24y · Male·Multiple injuries
…ienced significant stressors including language barriers, academic difficulties, relationship issues, and insomnia. His sister observed depression and suicidal ideation but he refused professional help. The coroner found…
58y · Female·Mixed drug toxicity (oxycodone, temazepam, diazepam, oxazepam, citalopram, fluox…
Amanda Jane Stapledon, 58, died from mixed drug toxicity after intentionally taking her life. She was a former councillor and community advocate who became a person of interest in an IBAC anti-corruption investigation (O…
45y · Male·Gunshot injury to the chest (self-inflicted)
Scott Andrew Blanchard, a 45-year-old Detective Sergeant with the Western Australian Police Gang Crime Squad, died from a self-inflicted gunshot wound while on duty near Kalgoorlie. In June 2015, following a trip to Thai…
Female·Hypoxic ischaemic encephalopathy due to hanging
…iencing severe postnatal depression eight weeks after giving birth. She presented to the ED with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Health Unit for three days before di…
36y · Male·Hanging
A 36-year-old male prisoner with complex psychiatric history, substance use disorder, and recent cancer diagnosis died by hanging in prison. Recent mental health assessments (within 3 days) had classified him as low suic…
31y · Male·Injuries sustained in a fall from height
…psychiatric assessment three times and displaying clear signs of psychological distress (racing thoughts, insomnia, dark thoughts, bizarre behaviour, anxiety), he did not receive a formal mental state assessment. The tre…
37y · Female·Effects of fire
Jasmine Sara Thomas, 37, died in a car fire on 24 March 2022 along with her two young children. She purchased petrol at a service station, drove to McDonald's, then set fire to the vehicle. Toxicology was negative for dr…
64y · Male·unascertained natural causes
Ralph Keat, a 64-year-old man with frontal lobe dementia, was admitted to Kingston Centre as an involuntary mental health patient on 12 April 2010. On 14 April, he was found unresponsive in the bathroom and could not be …
59y · Male·Head and chest injuries sustained in a single motor vehicle crash
A 59-year-old man died from head and chest injuries sustained in a single motor vehicle crash after consuming alcohol at a hotel. His blood alcohol level was 0.202g/100mL, approximately four times the legal driving limit…
32y · Male·Head and neck trauma (train impact)
…omplete clinical records accessible to ED staff, and failure to recognize early warning signs of relapse (insomnia) on 16 December 2008. The coroner concluded the death was 'potentially preventable' with better transitio…
34y · Male·mixed drug overdose (heroin, methadone, codeine, diazepam, nitrazepam, oxazepam …
34-year-old male with longstanding opioid and benzodiazepine dependence who overdosed following discharge from hospital. He was hospitalized on 22 September 2010 after police-observed overdose with altered consciousness.…
57y · Male·Unknown - coroner unable to determine
Peter Henrich, a 57-year-old man with a history of schizophrenia, disappeared in Tasmania between November 2017 and January 2018. His van was found abandoned near Poatina with food items expired in early November and no …
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