Coronial
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TAScommunity2025-06-30

Coroner's Finding: de-identified HN

42y · Male·Drowning following chest injuries sustained from jumping from the Tasman Bridge

A 42-year-old man with long-standing, well-managed paranoid schizophrenia died by suicide from the Tasman Bridge. He had been compliant with clozapine therapy for over 20 years, maintained psychiatric stability, and had …

psychiatrygeneral practiceclozapine
TAShome2025-06-24

Coroner's Finding: Infant W and Infant P

Infant W: asphyxia due to accidental overlay by parent in unsafe sleeping enviro…

Two premature infants died from unsafe sleeping environments while in the care of their parents, despite being subject to child protection notifications. Infant W (4 months) died from asphyxia due to accidental overlay i…

paediatricspsychiatrydiagnosticcommunicationmethadone
TAScommunity2025-06-20

Coroner's Finding: Haig, Jeff

60y · Male·Undetermined - likely natural causes (centriacinar emphysema) or misadventure (f…

Jeff Malcolm Haig, a 60-year-old man with multiple sclerosis and documented paranoid and delusional beliefs about being monitored, was found deceased at Low Head, Tasmania on 26 August 2022, having last been seen alive o…

neurologygeneral practicesystemalcohol
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 experienced recent workplace stress and significant grief from his brot…

forensic medicinepsychiatry
TASaged care2025-05-26

Coroner's Finding: de-identified GJ

94y · Male·aspiration pneumonia due to stroke following surgery to repair fracture of neck …

A 94-year-old man with dementia died from aspiration pneumonia following a stroke after hip surgery. The stroke and hip fracture resulted from being pushed by another resident with Alzheimer's dementia at an aged care fa…

geriatric medicineorthopaedic surgerysystemdelayoxazepam
TAShome2025-05-06

Coroner's Finding: de-identified YZ

59y · Male·Shotgun wound to the head

A 59-year-old man with a work-related shoulder injury developed anxiety and depression, later expressing suicidal ideation during mental health treatment. His general practitioners and psychologist provided appropriate m…

general practicepsychiatrycommunicationsystemescitalopram
TAShospital2025-04-11

Coroner's Finding: Decision in relation to Martin 'Marjorie' Harwood

38y · Female·end stage renal failure (Stage 5 chronic kidney disease)

Ms Harwood, a 38-year-old transgender woman with end-stage renal disease, died of natural causes following refusal of dialysis. Her mother claimed the death was suicide prompted by fear of returning to prison following a…

nephrologygeneral medicine
TAShome2025-02-05

Coroner's Finding: de-identified MS

13y · Male·asphyxia as a result of hanging

MS, a 13-year-old Year 8 student, died by suicide by hanging on 16 February 2020. In the weeks before his death, MS engaged in self-harm by cutting his arms and expressed suicidal ideation to close friends through online…

psychologypsychiatrycommunicationsystem
TAShospital2024-11-26

Coroner's Finding: de-identified FG

57y · Male·partially suspended hanging

A 57-year-old man with longstanding alcohol use disorder, anxiety, and recent-onset suicidal ideation died by hanging in hospital after a 108-day admission for orthopaedic injuries sustained from intentional jumping. He …

orthopaedic surgerypsychiatrycommunicationsystemdiazepam
TAShome2024-10-29

Coroner's Finding: Bird, Helen Frances

43y · Female·asphyxia due to hanging

Helen Bird, aged 43, was found hanging in her garage in July 2010. While initially ruled suicide, a reopened coronial investigation found the coroner believes she was killed by her husband Mark Bird. Evidence showed Hele…

general practicepsychiatrydiagnosticprocedural
TAS2024-10-03

Coroner's Finding: Martin, Thomas David Findings

33y · Male·ketoacidosis, likely alcoholic ketoacidosis

Thomas David Martin, aged 33, died of ketoacidosis between 1-2 April 2021 at Common Ground, a supported accommodation facility in Hobart. He had a long history of schizophrenia, involuntary mental health admissions, and …

psychiatrygeneral practicealcohol
TAShome2024-08-29

Coroner's Finding: De-identified PT

14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…

PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…

psychiatrypaediatricssystem
TAShome2024-08-05

Coroner's Finding: de-identified TJ

82y · Male·Self-inflicted partial contact shotgun wound of the head

An 82-year-old man with recently diagnosed myeloma died by self-inflicted shotgun wound. He had undergone intensive chemotherapy causing significant deterioration in physical health, mental state, and independence. Six w…

oncologygeneral practicecommunicationsystem
TAShome2024-04-30

Coroner's Finding: Mason, Geoffrey

38y · Male·gunshot wound to the left side of the neck resulting in basal skull fracture, su…

Geoffrey Russell Mason, aged 38, died from a gunshot wound to the neck fired by Constable Mitchell during a police response to a domestic incident on 17 February 2020 in Tasmania. Mason was intoxicated, had a long histor…

general practiceemergency medicinesystemalcohol
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

Robert Harold Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suici…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
TAScommunity2024-04-17

Coroner's Finding: QR

42y · Female·Drowning due to combined drug (tramadol, venlafaxine, diazepam, quetiapine and c…

A 42-year-old woman with bipolar disorder, chronic pain, and emphysema died by drowning while scuba diving in shallow water after a 3-year hiatus from diving. She was taking multiple CNS-depressant medications (tramadol,…

general practicepsychiatrycommunicationtramadol
TAShospital2024-03-05

Coroner's Finding: Carroll, Thomas Brian

81y · Male·traumatic brain injury

Brian Thomas Carroll, aged 81, died from traumatic brain injury sustained in a single-vehicle motor vehicle crash. He was travelling at approximately 125 km/h in an 80 km/h zone when he failed to negotiate a roundabout a…

trauma surgeryneurosurgerydiazepam
TASmental health2024-02-08

Coroner's Finding: de-identified PU

45y · Male·hanging

A 45-year-old man with a history of depression, suicidal ideation, and alcohol misuse was admitted to Spencer Clinic following a medication overdose suicide attempt. During his six-day admission, he improved clinically, …

psychiatrygeneral practice
TAScommunity2024-01-22

Coroner's Finding: de-identified TX

30y · Male·Drowning due to jumping from the Batman Bridge

A 30-year-old man with opioid use disorder, anxiety, and depression died by suicide from jumping the Batman Bridge. He had been prescribed escalating doses of clonazepam (1-8mg daily) over three years by general practiti…

general practicepsychiatrydiagnosticsystemclonazepam
TAShome2024-01-18

Coroner's Finding: KT - deidentified

47y · Female·insulin and mixed drug toxicity, the result of actions undertaken by the decease…

A 47-year-old woman with depression and a history of suicidal ideation died from insulin and mixed drug toxicity after deliberately injecting insulin from her daughter's insulin pens. She had been seen by her GP seven ti…

psychiatrypsychologycommunicationsysteminsulin

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