Coronial

332 results for social isolation

SAmental health2025-03-06

Coroner's Finding: Fowles, Wayne Lincoln

59y · Male·hanging

A 59-year-old man with major depression and psychotic features was lawfully detained under an inpatient treatment order at Noarlunga Hospital's Morier Ward. He was appropriately managed, initially in the high-dependency …

psychiatryemergency medicinelorazepam
NSWhome2023-08-08

Inquest into the death of Atilla Demirer

61y · Male·Could not be determined on the available evidence

…methylated spirits and drug paraphernalia in the unit, suggesting possible substance use. The deceased was socially isolated with minimal recent contact from friends or family, had a history of mental health issues follo…

pathologyforensic medicine
VIC2016-04-01

Finding into death of Dianne Chi

23y · Female·blood loss from an abdominal stab wound and from incised injuries to the head

…tance of mental health screening and intervention, particularly in individuals presenting with depression, social isolation, and expressed suicidal ideation. Earlier recognition of Pham's mental health deterioration and …

pathologyforensic medicine
TAShome2018-02-05

Coroner's Finding: Dunk, Michael & Johnson, Elishka

Unknown·Michael William Dunk: gunshot wounds to upper abdomen and head. Elishka Dawn Joh…

…ide-suicide: relationship breakdown, untreated or inadequately managed depression, access to firearms, and social isolation. While this case does not involve medical error, it highlights the importance of mental health a…

forensic medicinegeneral practiceoxazepam
NSWhome2017-12-20

Inquest into the death of Bodo Cazimir

64y · Male·undetermined due to advanced decomposition

…al conditions who refuse care, and the challenge of monitoring reclusive patients. Earlier intervention or social support when the tumour was discovered might have altered the outcome, though his refusal of treatment pre…

general practicepathology
VICcommunity2020-08-28

Finding into death of Heather Telfer

69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…

Heather Telfer, a 69-year-old woman with longstanding asthma, chronic health anxiety, and significant social isolation, died from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and express…

general practicerespiratory medicinecommunicationsystempentobarbitone
QLD2009-10-15

McBride, Edward Alexander

30y · Male·Electrocution from high-voltage electrical current (110,000 V)

…ope around his neck as a backup mechanism. The inquest identified several contributing contextual factors: social isolation and low peer acceptance within his military unit; frustration with the medical discharge process…

NSWhome2017-03-07

Inquest into the death of Louis NAUMOVSKI

59y · Male·Unascertained

…entional or unintentional opioid overdose, or cardiac/respiratory complications. He had chronic dysthymia, social isolation, and poor engagement with addiction and mental health services. Clinical lessons include the cha…

addiction medicinepain medicinefentanyl
NSWhome2015-10-23

Inquest into the death of Mary-Anne TURNER

58y · Female·Unknown - cause and manner of death remain undetermined

…mphysema, severe prescription drug addiction), mental health issues including depression, and recent psychosocial stressors (relationship separation, family conflict). No evidence of trauma, foul play, or suicide intent …

pathologytoxicologymethadone
TAShome2017-12-13

Coroner's Finding: Ross, Ronald Charles

66y · Male·Unable to be determined due to advanced decomposition; coroner noted likely medi…

… medical review in patients with chronic vascular disease and multiple comorbidities; (2) recognition that social isolation and reduced healthcare engagement significantly increase mortality risk; (3) the need for proact…

general practicevascular surgerydelay
VIChome2022-04-07

Finding into death of Mrs A

77y · Female·Neck compression in the setting of blunt force trauma to the head

…stressors including potential separation, financial disputes, Mr B's declining health, and COVID-related isolation. Mr B appeared to have an undiagnosed mental health condition with documented mood swings and manic beha…

TAShome2022-10-31

Coroner's Finding: Lampkin, Christopher Maxwell

57y · Male·hanging

…19, he expressed desire to return to psychological treatment but this referral did not eventuate. He was a socially isolated individual who kept to himself despite living near friends. The coroner found he was treated ap…

general practicepsychiatryantidepressant
VIChome2022-04-07

Finding into death of Mr B

75y · Male·Effects of fire

…d multiple stressors including health decline, relationship separation, financial disputes, and COVID-19 isolation. While healthcare providers were involved with the couple's medical needs (gastroenterology, general pra…

general practicegastroenterology
VIChome2013-08-21

Finding into death of Katarina Sonia Novakovic

47y · Female·INCISED INJURY TO THE NECK

…italopam on 10 September 2010 for emerging depressive illness following her parents' deaths and increasing social isolation. Two days before her death, a case manager completed a risk assessment and found her stable, den…

psychiatrygeneral practicecommunicationdelayolanzapine
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

…nitis secondary to acute gastric distension. He had dysfunctional eating patterns, poor school attendance, social isolation, and refused medical follow-up. HM did not communicate symptoms to parents; acute illness was on…

paediatricspsychiatrysystemdelaylovan
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

…oarding and poor living conditions; coordination between health, housing and community services to prevent social isolation and enable health monitoring.

general practiceforensic medicineamitriptyline
VICcommunity2019-10-30

Finding into death of Sanaya Sahib

1y · Female·Suffocation

…kat, deliberately suffocated her and left her body in Darebin Creek. Ms Nikat was experiencing significant social isolation, family violence from her husband and in-laws, depression, parenting difficulties, and stress. C…

obstetricspsychiatrysystemdelaymethamphetamine
VICcommunity2024-04-19

Finding into death of Michael Molony

68y · Male·Unknown; likely suicide by unknown means

…l histories and treatment claims through direct communication with relevant medical centres, and recognize social isolation, financial stress, and unverified health concerns as suicide risk factors requiring proactive en…

oncologypublic healthcommunication
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

…Health Centre on 19 August for assessment and denied current suicidal plans, though reported significant isolation and despair. He failed to attend a scheduled drug health appointment on 21 August and had no documented …

psychiatrygeneral practicecommunicationsystemmethamphetamine
NSWhome2014-02-06

Inquest into the death of Natalie Jean WOOD

79y · Female·Unascertained

…. Key lessons include the vulnerability of isolated elderly persons living alone, the importance of robust social care follow-up after hospital discharge (especially when family support is unavailable), and consideration…

neurologygeneral practicesystem

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