Coronial

690 results for hanging

WAprison2025-09-16

Inquest into the Death of Owen Duker Nugget WEAZEL

41y · Male·ligature compression of the neck (hanging)

…ka man with chronic mental health issues, substance use disorder and previous suicide attempts, was found hanging in his cell at Albany Regional Prison on 10 August 2023. He had been remanded in custody on 27 May 2023 a…

psychiatrypsychologysystemcommunicationamitriptyline
VIC2021-03-18

Finding into death of Stanley Bruce Weaver

61y · Male·Hanging

…uce Weaver, a 61-year-old firefighter with a history of depression and previous suicide attempts, died by hanging at his workplace on 26 August 2019. His wife had reported concerns about medication stockpiling and suici…

psychiatrygeneral practicesystemdiazepam
VIChospital2015-04-02

Finding into death of Maria Teresa Nigro

53y · Female·hanging

…2009. Despite a risk assessment on 9 February 2009 that scored her with no suicidal ideation, she died by hanging that night using a dressing gown cord. Key clinical shortfalls identified: (1) nursing observations reduc…

psychiatrycommunicationsystemsertraline
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

…eassess his mental state before departure were missed due to staff preoccupation. He subsequently died by hanging. The coroner identified systemic issues: severe mental health bed shortage, absence of appropriate mental…

emergency medicinepsychiatrysystemdelay
NSW2022-12-15

Inquest into the death of YAKAMURRO - Findings

15y · Male·Neck compression due to hanging

Yakamurro, a 15-year-old First Nations boy in Territory Families care, died by hanging in NSW in December 2018. The coroner found multiple systemic failures contributed to his death. Key failu…

systemcommunication
VIChome2023-10-02

Finding into death of Student KCM

29y · Female·hanging

A 29-year-old international medical graduate student from Bangladesh died by hanging in July 2020. She was studying a Master of Public Health at Deakin University but had failed multiple uni…

public healthpsychiatrysystem
VICprison2014-01-24

Finding into death of Adam Sasha Omerovic

40y · Male·Ligature compression of the neck in circumstances of being hanged

…a 40-year-old man with a long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been remanded on armed robbery charges and…

psychiatrycorrectional healthdiagnosticsystemescitalopram
VIChome2020-09-28

Finding into death of JC

17y · Male·Hanging

…istory of mental health concerns, prior suicide pact attempt, and escalating aggressive behaviour died by hanging shortly after being excluded from his home via a Family Violence Intervention Order (FVIO). He was arrest…

psychiatryemergency medicinesystemcommunicationdiazepam
VIChome2022-03-10

Finding into death of PFS

50y · Female·Hanging

A 50-year-old woman died by hanging in December 2017 after a relationship characterised by family violence and her own depression. She had be…

psychiatrypsychologycommunicationsystemsertraline
WA2018-03-08

Inquest into the Death of Moses SOKIRI

31y · Male·bronchopneumonia and hypoxic brain injury following ligature compression of the …

… Moses Sokiri died on 26 October 2014 from bronchopneumonia and hypoxic brain injury following suicide by hanging at Greenwood train station on 12 October 2014. The deceased was in acute mental health crisis with a rece…

psychiatryemergency medicinecommunicationsystemvenlafaxine
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

Gina Valera, a 49-year-old woman with a history of depression and three prior suicide attempts, died by hanging in Brisbane Women's Correctional Centre nine days after admission on remand for attempted murder. She had…

psychiatrycorrectional healthcommunicationsystemmirtazapine
SAhome2002-01-03

Coroner's Finding: THOMSON Wayne Mark

47y · Male·neck compression due to hanging

Wayne Mark Thomson, aged 47, died by hanging on 14 February 2000. He made multiple attempts to seek help for suicidal ideation in the preceding three …

general practicepsychiatrydiagnosticcommunicationfluoxetine
QLDhome

Naidu, Alvin

15y · Male·Hypoxic ischaemic brain injury, due to hanging

A 15-year-old boy died from hypoxic-ischaemic brain injury following a hanging attempt on 10 November 2004. The death occurred hours after his parents were informed by the school that …

systemcommunicationvibra-tabs
NSWmental health2023-12-15

Inquest into the death of CC

33y · Male·Hanging

…but not recorded in medical notes or communicated to treating doctors. At 2.20pm on 15 June, CC was found hanging in his ensuite bathroom using a ligature made from bedding. Despite prompt CPR, he died. The coroner foun…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

37y · Male·Hanging, self-inflicted with intention of taking own life

…cide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on 15 February 2010. His toxicology showed therapeutic levels of Clopixol (antipsychotic) an…

psychiatrycommunicationzuclopenthixol
VICcommunity2022-07-13

Finding into death of Dane Warren Simpson

52y · Male·Hanging

…man with a 25-year history of depression, anxiety, and severe obsessive-compulsive disorder (OCD) died by hanging. He had recent contact with mental health services including a psychiatrist, psychologist specialising in…

general practicepsychiatrycommunicationfluoxetine
VICcommunity2019-07-30

Finding into death of Caterina Fratto

45y · Female·Hanging

…with bipolar affective disorder, borderline personality disorder, anorexia nervosa and depression died by hanging. She had chronic suicidal ideation and was managed in the community by a mental health team despite expre…

psychiatrygeneral practicecommunicationdocumentationquetiapine
VIChome2018-07-17

Finding into death of James Colin Tomlinson

81y · Male·Hanging

An 81-year-old man with depression, cardiac disease, and prior anti-depressant treatment died by hanging while awaiting trial on child sex offence charges. The coroner identified this death as part of a cluster…

anti-depressant medication
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

Madeline (Maddy) Downman, 17-year-old Aboriginal girl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and…

psychiatrypaediatricscommunicationsystemmarijuana
NSWhome2026-04-01

Inquest into the death of EJJ

39y · Male·Hanging

A 39-year-old man died by hanging on 16 February 2023 at his home in St Marys, NSW. His mother requested a police welfare check at 8:40pm a…

psychiatryforensic medicinecommunicationsystemdiazepam
120212235

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