Coronial

389 results for severe depression

NTcommunity2026-01-23

Inquest into the death of Kumanjayi Johnson

45y · Male·Environmental exposure and dehydration

A 45-year-old Aboriginal man with severe cognitive impairment (6.5-year-old equivalent English comprehension), traumatic brain injury, epilepsy and…

geriatric medicinepsychiatrycommunicationsystem
VIChome2021-09-21

Finding into death of Marilyn June Burdon

70y · Female·Gunshot wounds to the head and chest

Marilyn June Burdon, aged 70, was fatally shot by her intimate partner Charles Bisucci on 21 August 2017 in Kew, Victoria. Bisucci subsequently took his own life. Critical systemic failures enabled this preventable intim…

psychiatryforensic medicinediagnosticsystem
QLDhospital2021-01-20

Palhares, Fabiana - Non-inquest findings

34y · Female·Head injuries from blunt force trauma (multiple blows from axe); abdominal injur…

A 34-year-old pregnant woman died from severe head and abdominal injuries inflicted by her estranged partner in a domestic violence homicide. The death …

emergency medicinepsychiatrydiagnosticcommunicationmirtazapine
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

…Unit; discharged from Yarrabah hospital to die by suicide hours later. Patrick Lusk (66) was admitted with severe depression but received inadequate mental state and risk assessment; discharged after 48 hours without pro…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

…ducted despite clinical deterioration postpartum. AW spent 462 days in an unsuitable acute ward, developed severe alcohol dependence unchecked by behavioural management, and died on the day of a Mental Health Review Trib…

psychiatrydiagnosticcommunicationhaloperidol
VIChospital2013-04-22

Finding into death of Evelyn Wright

62y · Female·Hypoxic brain injury complicating mixed drug toxicity

… She had presented after a suspected overdose of prescription medications on 5 September in the context of severe marital breakdown and a prior serious suicide attempt in July. The coroner found her suicide risk was asse…

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
TAScommunity2015

Coroner's Finding: Youth Suicide

suicide by hanging or other means

…tion risk assessment (particularly cumulative harm analysis), inadequate mental health services with CAMHS severely under-resourced, media reporting breaching Mindframe guidelines following Child 3's death possibly contr…

psychiatrypaediatricssystemcommunicationlamotrigine
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

…ychotic symptoms and self-harm risk. When readmitted on 13 April, initial calm presentation masked ongoing severe psychosis. At hospital, he became agitated and was restrained prone for over 30 minutes while receiving tw…

psychiatryemergency medicinediagnosticmedicationolanzapine
NTcommunity2020-12-15

Inquest into the death of Fionica James, Katurah Mamarika, Layla Leering

Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…

…mote NT communities, all with documented histories of sexual abuse, domestic violence, STIs, injuries, and severe trauma. All were known to government agencies. Fionica was pursued by an adult male who threatened her fam…

paediatricspsychiatrydiagnosticcommunicationalcohol

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