Coronial

70 results for workplace stress

VIChome2023-08-14

Finding into death of Anuruddha Bandara Abeysinghe

51y · Male·asphyxiation due to diffusion of exhaust fumes into a car

A 51-year-old man died by suicide following workplace termination. After being stood down for attending work alcohol-affected on 17 July 2020, Mr Abeysinghe e…

communicationsystemalcohol
QLD2021-08-20

Caramin, Olivier Max - Non-inquest findings

27y · Male·multiple organ failure due to or as a consequence of heat stroke

…and the farm operator $100,000. Key preventive measures identified included thermal risk assessments, heat stress training, acclimatisation protocols, provision of shade structures, rescheduling to cooler times, and adeq…

occupational and environmental healthemergency medicinesystemdiagnostic
QLDcommunity2012-09-14

Isles, MIchael

58y · Male·gunshot wounds

…flicted gunshot wounds, likely on 23 September 2009. Contributing factors included prolonged investigative stress, lack of trust in management, mental health vulnerability, and a one-page suicide note found at his home e…

general practicepsychiatrysystemcommunicationfluoxetine
VIC2017

Finding into death of Jacinta Mary Dwyer

50y · Female·Hanging

…s in particular jurisdictions; work allocation prioritized court workload over individual readiness; and workplace pressures (large lists, long hours, travelling to multiple courts) compounded stress. The coroner noted …

psychiatrygeneral practicesystemcommunicationcitalopram
NSW2015-12-18

Inquest into the death of Officer A

43y · Female·External neck compression due to self-inflicted hanging

…wareness among senior police is inadequate. The case demonstrates failures in injury management systems, workplace culture issues including inappropriate relationships between supervisors and subordinates, and insuffici…

psychiatrypsychologydiagnosticsystemprescription medication
NSW2012-10-04

Inquest into the death of Marcus WILSON

19y · Male·Complications arising from hyperthermia, including total organ failure, rhabdomy…

…ng caffeine and sugar, which caused net fluid loss. The employer Pride Insulation failed to implement heat-stress management protocols, had minimal safety culture, and provided inadequate training. Critical lessons inclu…

emergency medicineoccupational and environmental healthsystemcommunication
VICcommunity2020-12-04

Finding into death of Barry Scott Collins

49y · Male·Probable suicide by drowning; medical cause of death unable to be determined in …

…ortance of timely coronial investigation of long-term missing persons and demonstrates how seemingly minor stressors can have fatal consequences in vulnerable individuals. The 32-year delay in coronial referral underscor…

VICcommunity2014-06-30

Finding into death of Lewis John Muratori

50y · Male·Multiple injuries as a result of being struck by a train

…encing a cascade of adverse events. In October 2009, he attended work while intoxicated following personal stress, leading to reporting to the Nurses Board of Victoria. Subsequent suspension from practice, combined with …

psychiatryemergency medicinecommunicationsystemaurorix
VIChospital2010-12-10

Finding into death of Angela Budaj

60y · Female·haemopericardium following thoracic aortic dissection Type A

…d that cardiology consultation should have been sought before discharge. Inadequate ED staffing and high workplace pressure compromised management. While appropriate care might have improved survival chances, causation …

emergency medicinecardiologydiagnosticcommunicationibuprofen
VIC2020

Finding into death of Stephen Myall

59y · Male·Hanging

…. He was a dedicated judicial officer with exceptional work ethic but experienced significant occupational stress from increasing court workloads (up to 90 cases daily), pressure to ensure justice for unrepresented perso…

VIChome2012-10-31

Finding into death of Maree Elizabeth Hoy

41y · Female·CARBON MONOXIDE TOXICITY

… died by carbon monoxide toxicity the same day. The coroner found the sudden termination was a significant stressor contributing to her decision to take her own life. The finding highlights that termination of employment…

citalopram
VIC2017-04-20

Finding into death of Helen Julia Mok

49y · Female·Multi-drug toxicity from intentional self-administration of intravenous fentanyl…

…venous fentanyl and midazolam accessed from her employer's medication safe. The coroner examined whether workplace factors contributed to her suicide. While evidence showed she had depression, work-related injuries, exp…

paramedicinepsychiatrysystemfentanyl
NThome2018-07-25

Inquest into the death of Paula Schubert

53y · Female·self-inflicted hanging

Paula Schubert, a 53-year-old with schizophreniform psychosis, died by hanging after experiencing workplace stress and abandonment by mental health services. Her employer initiated a demotion process despite her …

psychiatrygeneral practicecommunicationsystemrisperidone
SAmental health2011-07-13

Coroner's Finding: FARMER John Sydney

34y · Male·hanging

…ion at Woodleigh House. He had attempted suicide by carbon monoxide poisoning two days earlier following workplace stress, shoulder injury, loss of driver's licence, grief, and alcohol abuse. Dr S. discharged him on For…

psychiatryemergency medicinediagnosticcommunicationcitalopram
VIChome2023-05-10

Finding into death of P A

26y · Female·Pentobarbitone toxicity

…6-year-old veterinary nurse, died by suicide on 12 September 2021 using pentobarbitone accessed from her workplace. She had a history of depression and anxiety managed by her GP with antidepressants, but had become non-…

general practicepsychiatrysystempentobarbitone
QLDcommunity2017-03-16

Trott, Leila Michelle

38y · Female·Drowning/Immersion due to coronary artery atheroma

…rior descending artery. While swimming, she likely suffered a cardiac arrhythmia secondary to exertion and stress, became unconscious, and drowned. The coroner found her employer had taken reasonable safety precautions a…

emergency medicineretrieval medicinecommunicationsystem
QLDPodcast2018-09-05

Maynard, Marcia Anne Kathleen

63y · Female·Insulin overdose (suicide)

…est into a prisoner's death where her nursing care was being scrutinised. While she received appropriate workplace support including counselling and legal representation, she became increasingly anxious about the inques…

correctional healthgeneral practicecommunicationinsulin
NSW2018-04-20

Inquest into the death of Stephen Hodge

51y · Male·combined effect of gunshot injuries to the chest and abdomen

…hen knife. He had consumed substantial alcohol and possibly an excessive dose of citalopram. Following a workplace conflict with his manager and severe intoxication, Hodge purchased a knife, pursued his manager into the…

emergency medicinepsychiatrycommunicationsystemalcohol
VIChome2025-04-11

Finding into death of EDH

32y · Female·mixed drug toxicity including phenobarbitone

…r and depression died by intentional self-administration of pentobarbitone (Lethabarb) accessed from her workplace. She had experienced extensive family violence in a coercive relationship, including sexual assault, phy…

psychiatrypsychologysystemcommunicationpentobarbitone
QLDhospital2024-03-07

KLUMPER Joshua William

17y · Male·Hanging

17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), m…

psychiatryemergency medicinecommunicationsystemcannabis

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