Coronial

447 results for self-harm history

NSWcommunity2023-03-28

Inquest into the disappearance and suspected death of Beilin Zhang

22y · Female·Unascertained

…sed, though her body was never located. Clinical lessons include recognition of depression severity with self-harm history, academic failure as a warning sign, and the critical need for mental health support in isolated…

psychiatrypsychology
TAShospital2021-07-26

Coroner's Finding: Sowden, James Robert

65y · Male·Self-inflicted incised and stab wounds to neck and incised wounds to wrists

James Robert Sowden, aged 65, died by self-inflicted neck and wrist wounds on 28-29 March 2018. He had a history of depression with paranoid features (diagnosed 2003) and autoimmune thyroiditis. In the week before deat…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VIChome2014-02-12

Finding into death of Sibel Yilmaz

24y · Female·hanging

A 24-year-old woman with longstanding depression, anxiety, and a history of self-harm and suicidal ideation died by hanging following a marital conflict. She had been under care …

psychologypsychiatrycommunicationsertraline
NSWhome2025-05-09

Inquest into the death of Malcolm Brown

33y · Male·sharp force injuries of the neck

Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to hi…

psychiatrytoxicologycommunicationdelaymethamphetamine
QLDhome2013-09-24

Taylor, Scott Matthew

38y · Male·Multiple self-inflicted stab wounds to the chest causing significant internal or…

…stabbed himself repeatedly in the chest with a fillet knife. Officers deployed a Taser twice to stop the self-harm, and Taylor was handcuffed and placed in recovery position. Paramedics found him in cardiac arrest; resu…

emergency medicineparamedicine
QLD2013-04-18

McCarty, Lawrence

45y · Male·exsanguination due to incised wound to neck

…records before prescribing sertraline, and medication was not formally flagged for monitoring despite his history; (3) no referral to mental health services occurred despite previous self-harm episode in records; (4) me…

general practicepsychiatrydiagnosticcommunicationsertraline
NSWhome2026-04-21

Inquest into the death of Michael

28y · Male·In keeping with Hanging

A 28-year-old man with a history of depression, anxiety, and previous self-harm died by hanging during a police response to a domestic vio…

emergency medicineparamedicinesystemcommunicationvenlafaxine
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

…and substance use disorder (methamphetamine), presented to police in a severely agitated state following self-harm with a broken bottle. Police attended to apprehend him under Mental Health Act provisions for assessment…

psychiatryemergency medicinemethamphetamine
VIC2015-03-26

Finding into death of Dalvir Singh

27y · Male·Hanging

…e failed to convey his previous suicide attempt; Immigration Department failed to action a warning about self-harm history. Clinically, staff conducting initial self-harm assessments failed to adequately document distre…

general practicepsychiatrycommunicationsystembuprenorphine/naloxone
VIChome2022-08-26

Finding into death of David Patrick Hardisty

32y · Male·Mixed drug toxicity

A 32-year-old man with bipolar disorder and substance abuse history died from mixed drug toxicity (oxycodone 0.7 mg/L, tramadol, benzodiazepines, cannabis and amphetamines).…

emergency medicineparamedicinecommunicationdiagnosticoxycodone
VIChome2024-10-11

Finding into death of XY XY

16y · Male·Gunshot wound to the head

A 16-year-old boy with autism spectrum disorder and history of self-harm died from a self-inflicted gunshot wound. He had attended Headspace for mental health suppor…

psychiatrygeneral practicecommunicationsystem
SAhome2017-11-17

Coroner's Finding: KEANE Shaun Martin

31y · Male·carbon monoxide toxicity

…y carbon monoxide toxicity while on home detention bail following arrest for assault. He had a documented history of suicidal ideation, including a previous gassing attempt in 2010, and had experienced significant traum…

psychiatrypsychologycommunicationsystemmethamphetamine
SA2019-05-08

Coroner's Finding: WILLIAMS Steven Malcolm

31y · Male·acute neck compression by ligature

…stody at Yatala Labour Prison on 1 January 2015 from acute neck compression by ligature. He had a 12-year history of schizophrenic disorder previously managed with antipsychotics, which he had discontinued two and a hal…

psychiatrypsychology
SA2008-06-06

Coroner's Finding: FORSAITH Renald Lance

51y · Male·neck compression due to hanging

A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk during nine m…

psychiatrycorrectional healthsystem
VIChospital2017-08-16

Finding into death of Ingrid Mary Marr

30y · Female·Hanging

A 30-year-old woman with borderline personality disorder, substance abuse history, and exposure to multiple family suicides (father, close friend, partner's mother) presented to Emergency…

psychiatryemergency medicinealcohol
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

…responses rather than health-based interventions. Mental health assessment did not occur despite his S4 (self-harm history) rating. While staff made vigorous resuscitation efforts, the coroner found the decision to addr…

psychiatryemergency medicinediagnosticcommunication
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·Asphyxia due to hanging

…from voluntary asphyxia with intention to end her life. Eden had suffered from depressive illness, with a history of self-harm and previous suicide attempts. Her family was extremely concerned and attempted to arrange m…

NSW2022-03-24

Inquest into the death of NG

Male·consistent with the history of hanging

…nces and refused bail. Justice Health conducted initial screening, diagnosed situational crisis with low self-harm risk, and maintained monitoring for hypertension. The deceased reported the psychological support unhelp…

psychiatrygeneral practice
VIChome2020-08-11

Finding into death of Angel Louise Hensgen

13y · Female·Acute paracetamol toxicity

Angel Hensgen, aged 13, died from acute paracetamol toxicity following intentional self-harm with an excessive overdose. She was exposed to intense cyberbullying, distressed by family relationships…

general practicetoxicologycommunicationsystemparacetamol
VIC2024

Finding into death of J Q

16y · Female·Plastic bag asphyxia

A 16-year-old girl with a history of suicidal ideation and self-harm died by plastic bag asphyxia using argon gas purchased from a hardware…

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