Coronial

346 results for mental health distress

VIChome2023-01-17

Finding into death of Steven John Bamblett

29y · Male·Hanging

…wing service of a Family Violence Intervention Order application. He had a documented history of untreated mental illness with frequent suicidal ideation, suspected ADHD, and repeated self-harm behaviour during family vi…

psychiatryforensic medicinecommunicationsystemcannabis
NSW2020-01-24

Inquest into death of MW

52y · Male·Hanging

…denied suicidal ideation and scored 21/50 on the Kessler 10 screening tool, indicating mild psychological distress. A psychologist saw him twice in early February, noting anxiety about his situation and inability to make…

general practicepsychiatrymirtazapine
VIChome2012-10-09

Finding into death of Li Zhen Gao

47y · Female·Neck compression subsequent upon hanging

…p difficulties documented by her GPs. After her husband left in July 2010, she showed increasing signs of distress but did not disclose suicidal ideation. Her GPs recognised mental health difficulties and attempted refer…

general practicepsychiatrydiagnosticcommunication
TAScommunity2025-06-04

Coroner's Finding: Mead, Dion Charles

45y · Male·thermal burns sustained in a motor vehicle fire

A 45-year-old man with a history of poor mental health died from thermal burns following a deliberate single-vehicle crash into a brick wall. He had exper…

forensic medicinepsychiatry
WAcommunity2018-06-22

Inquest into the Death of Isiah Duane KEARING

20y · Male·ligature compression of the neck (hanging)

…eing arrested, feeling unfairly targeted. Key clinical lessons: young people experiencing acute emotional distress combined with intoxication and substance use are at acute risk of impulsive self-harm. Risk assessment sh…

forensic medicineemergency medicinesystemalcohol
NSWhome2020-03-16

Inquest into the death of Christina BURGESS

50y · Female·unknown

…order with hoarding behaviours. A letter found at her apartment suggested she was in severe psychological distress, isolated, and without support. She had not engaged with mental health services after a 2012 crisis asses…

psychiatrygeneral practicesystemcommunication
VICcommunity2017-07-10

Finding into death of Khodayar Amini

29y · Male·Effects of fire

…and after deliberately pouring petrol over himself and igniting it. He had been diagnosed with significant mental health issues during immigration detention and was distressed about an upcoming Department of Immigration …

psychiatryemergency medicinecommunicationsystem
VICcommunity2019-10-09

Finding into death of Michael Travis Kidd

35y · Male·Clozapine toxicity

…clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, reporting auditory hallucinations and paranoia. Staff observed him snoring extensive…

psychiatryforensic medicinecommunicationsystemclozapine
VIChome2012-10-09

Finding into death of Sue Hui Wang

15y · Female·compression of the neck

…he context of acute family stress following her parents' separation on 22 July 2010. Sue showed emotional distress in the preceding weeks but had no prior mental health interventions or documented safety assessment. Medi…

general practiceforensic medicinecommunicationdelay
NSWhome2017-03-15

Inquest into the death of Meaghan Gardner

44y · Female·Acute bronchopneumonia complicating multi-drug toxicity (alprazolam, opiates, be…

…zepines, hydrocodone, quetiapine, and cannabinoids). On 3 November 2015, while suffering from respiratory distress and significantly intoxicated, she was observed by her neighbour Livy Taban making sounds suggesting seve…

respiratory medicinepsychiatrydelaycommunicationalprazolam
NT2008-10-10

Inquest into the death of Rebecka Hans

18y · Female·Gunshot wound to the head

Rebecka Hans, a 18-year-old woman, died from a self-inflicted gunshot wound to the head while police negotiators attempted to engage her at her Darwin River residence. She had called police early on 24 October 2007 expre…

NT2018-02-07

Inquest into the death of Vernon Bonson

31y · Male·Self-inflicted hanging

…ly members rather than formal police complaints. The night before his death, CCTV showed he was extremely distressed, pacing throughout the night, preoccupied with rape allegations and potential 15-year imprisonment. He …

systemdelay
VIChome2019-12-13

Finding into death of Kyle Horne

19y · Male·Hanging

…ing on 15 March 2018 following relationship breakdown. He presented to his GP on 8 March 2018 requesting a Mental Health Care Plan, citing relationship stress and depression, and was referred to a psychologist. On 13 Mar…

general practicepsychiatrydiagnostic
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

… appointments. The coroner found no evidence of targeted bullying at school, though Eden experienced some distress there and online. Eden's death highlights the critical need for early mental health intervention in adole…

psychiatrypaediatricssystemdelay
SAhospital2013-07-22

Coroner's Finding: SMITH Trevor John

62y · Male·extensive small cell lung cancer

…d 62, died from extensive small cell lung cancer at Royal Adelaide Hospital on 18 March 2011. He was under Mental Health Act detention when he developed delusions and delirium during his final illness. The coroner found …

oncologycardiothoracic surgerysystemdelaydexamethasone
NTcommunity2009-10-19

Inquest into the death of Clifton Wayne Pamkal

22y · Male·Intentional self-inflicted gunshot wound to the head

…ere he worked and took his own life. Police action was reasonable and compassionate. Key clinical lessons: mental health assessment occurred appropriately; he did not meet criteria for involuntary detention; he had previ…

psychiatryemergency medicine
NSWhome2015-06-19

Inquest into the death of Peter JUNGHANS

30y · Male·self-inflicted gunshot wound to the head

Peter Junghans, a 30-year-old man involved in cannabis dealing, became increasingly paranoid after his arrest in March 2013 for drug supply offences. He believed his friend Matthew Thomas had informed police about his il…

cannabis
QLDhome2015-10-19

Rivett, Brent William

45y · Male·gunshot wound to the head (self-inflicted)

Brent William Rivett, a 45-year-old man experiencing relationship breakdown, unemployment, and financial distress, took two hostages at a Brisbane residence on 26 December 2013 while armed with a sawn-off shotgun. Polic…

forensic medicineemergency medicinechloroform
QLDhome2015-07-08

O'Rourke, Lachlan Maurice - Non-inquest findings

42y · Male·Gunshot wound to the head (self-inflicted)

…cted. The death represents a homicide-suicide incident driven by relationship breakdown and psychological distress. Key clinical lesson: heightened vigilance for suicide risk in individuals with criminal history, family …

doxylamine
TAShome2022-07-21

Coroner's Finding: Moran, Kayla Maree

31y · Female·hanging

…g surgery, relationship breakdown, and housing insecurity. Clinical notes documented severe psychological distress (K10 score of 31 indicating severe mental disorder) yet she was cleared to return to work. She concealed …

general practicepsychiatrydiagnosticcommunication

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