Coronial

259 results for suicidal intent

VICcommunity2010-05-24

Finding into death of Luke Axente Jurj

23y · Male·Injuries sustained in a fall from a height

…iencing depression since returning from Japan 7 weeks prior and had contacted his mother to inform her of suicidal intent. Police attended promptly after multiple calls from motorists. During the intervention, whilst the…

methamphetamine
SAhome2023-06-30

Coroner's Finding: Doran, Shane Michael

54y · Male·hanging

…lth support, and Mr Doran attended general practitioners who found no evidence of mental health issues or suicidal ideation in August 2020. A psychology appointment was scheduled for 8 September 2020. Mr Doran died befor…

general practicepsychology
VIChome2020-01-14

Finding into death of A S

46y · Female·Combined drug toxicity in a woman found in a bath

…type 2 died from combined drug toxicity. She had a long history of overdose attempts, often without clear suicidal intent, and was under care of multiple mental health services. Critical clinical lessons include: (1) imp…

psychiatrygeneral practicecommunicationsystemphentermine
NSWhome2016-08-11

Inquest into the deaths of Mr TK and Mrs TK

Female·Mrs TK: gunshot wounds to the head and left forearm inflicted by Mr TK; Mr TK: s…

… marital conflict precipitated by Mrs TK's extramarital affair with a work colleague and her expression of intent to divorce, Mr TK legally obtained a firearm under a sporting permit for target shooting. After posting a …

TAShospital2022-02-08

Coroner's Finding: Bruinewoud, Brieley Joyce

36y · Female·Traumatic closed head injury

…ollowing a palliative care approach. The coroner found no suspicious circumstances and could not determine intent, concluding she likely made an irrational decision whilst severely intoxicated rather than acting with sui…

neurosurgerytrauma surgeryalcohol
NSWhome2024-12-09

Inquest into the death of Jet Gallagher

19y · Male·In keeping with hanging

… his brother's emergency call. Jet had consumed Valium and alcohol after losing money gambling, expressed suicidal intent to his brother, and disclosed overdose with intent. When paramedics assessed him, his presentation…

paramedicinepsychiatrycommunicationdiagnosticdiazepam
NT2008-10-10

Inquest into the death of Rebecka Hans

18y · Female·Gunshot wound to the head

…ed to engage her at her Darwin River residence. She had called police early on 24 October 2007 expressing suicidal intent and requesting they care for her dogs. Police deployed negotiators, Territory Response Section, an…

NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

…nvoluntary mental health patient. He had presented to hospital multiple times over 4 days with escalating suicidal behaviour, including a dramatic attempted hanging on 10 September while intoxicated (0.18% BAC). On 14 Se…

psychiatryemergency medicinediagnosticsystemparoxetine
QLD2007-01-19

Carroll, Leon Mark

Male·Self-inflicted hanging

…d as a "smiling depressive"—someone who has already decided to end their life and deliberately masks their intent—making this death not preventable. However, systemic failures were identified: inadequate time for reasses…

psychiatrypsychologydiagnosticsystemdiazepam
VIC2014-09-11

Finding into death of Lloyd Felman

58y · Male·Amitriptyline toxicity

…resented to hospital three times with bizarre high-risk behaviours (exhaust hose scenarios) while denying suicidal intent. Despite unusual presentations, psychiatrists at both Monash and Alfred Hospitals assessed him as …

psychiatryemergency medicineamitriptyline
VIChome2025-11-04

Finding into death of Kon Maximos

62y · Male·Shotgun injury to the head

…ded: inadequate mental health assessment despite explicit suicide statements and text messages expressing suicidal intent; lack of proper evaluation during police welfare checks when Kon said 'I'm going to kill myself'; …

psychiatrypsychologydiagnosticcommunicationmirtazapine
TAS2023-06-30

Coroner's Finding: Barron Rickie Underwood

61y · Male·hanging, the result of actions undertaken by the deceased alone, voluntarily and…

…ehavioural changes (mood cycling, paranoia, frustration) in the months before his death, he concealed any suicidal intent from staff and family. Prison health services did not identify him as at-risk. The coroner found t…

psychiatrycorrectional healthsystemantidepressant medication
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

…sychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxicated with suicidal ideation and a specific plan to jump from the bridge. He was discharged on overnight leave the following …

psychiatryemergency medicinesystemalcohol
TAShome2022-06-15

Coroner's Finding: Duggan, Philip Craig

52y · Male·self-inflicted gunshot wound to the head (contact range gunshot wound to the mou…

… While the man was significantly intoxicated (BAC 0.222%), had a history of heavy drinking, and expressed suicidal intent to police, no clinical failures are evident. The attending officers' actions were commended as pro…

QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

…3-year-old man with paranoid schizophrenia, polysubstance dependence (amphetamines/cannabis), and chronic suicidal ideation died from a self-inflicted gunshot wound to the head. He had been prescribed risperidone and pro…

psychiatryforensic medicinemethamphetamine
NSWcommunity2024-05-31

Inquest into the death of BC

78y · Male·multiple blunt force injuries

…gnificant financial debt, causing profound shame and hopelessness. He contacted family members expressing suicidal intent and left a suicide note. Police arrived within minutes and one officer engaged briefly with him, b…

cardiothoracic surgerycardiology
NSW2022-07-04

Inquest into the death of W W

48y · Male·hanging

…e multiple welfare and mental health screenings at police stations and the correctional centre, he denied suicidal ideation and presented as calm throughout his custody. The coroner found no evidence of risk indicators t…

forensic medicinecorrectional healthmethamphetamine
VICaged care2011

Finding into death of Mr CR

43y · Male·hypoxic brain injury secondary to asphyxiation by ligature

…tioners, and did not increase monitoring. A psychiatrist had assessed him three days earlier and found no suicidal intent. The coroner found the death was intentional and planned, but identified critical failures in comm…

neurosurgeryrehabilitation medicinecommunicationsystem
WA2018-05-31

Inquest into the Death of John Lindsay FIELD

66y · Male·unascertained cause

…r his vehicle. Bank accounts remained untouched, ruling out financial motive. Evidence suggested possible suicidal intent, though remains were never found and cause of death could not be determined. The coroner made an o…

VIC2015-09-21

Finding into death of WJ

25y · Male·Pentobarbitone toxicity

… 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 Victoria incr…

pentobarbitone

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