Coronial

690 results for hanging

NSWcommunity2018-04-30

Inquest into the death of Tahlia Peden

17y · Female·Hanging

Tahlia Peden, a 17-year-old Ngunnawal woman, died by hanging ten days after being sexually assaulted. She was assessed by Wagga Sexual Assault Service but a critical …

psychiatryemergency medicinecommunicationsystem
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …

psychiatrypaediatricscommunicationsystem
VIChospital2025

Finding into death of Ms NXA

54y · Female·neck compression secondary to hanging

… attributing her suicidality solely to tinnitus and deemed psychiatric admission unnecessary. She died by hanging the following day. The coroner found multiple missed opportunities: inadequate holistic risk assessment, …

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
SA2007-04-26

Coroner's Finding: CHRISTOPHER Penelope Rae and TRENORDEN John

53y · Male·asphyxia from combined effects of neck compression from hanging and suffocation …

John Trenorden died by suicide in prison following his arrest for allegedly murdering his former business partner Penelope Christopher. Police correctly identified him as at-risk after he attempted to step in front of tr…

psychiatrygeneral practicecommunicationsystemallopurinol
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, …

paediatricsaddiction medicinesystemcommunicationinhalant
VIC2025-12-18

Finding into death of Chao Liang Mai

56y · Male·Hanging

… remanded prisoner with documented psychiatric history and previous suicide/self-harm risk flags, died by hanging in a prison cell on 27 November 2018. Critical systemic failures included: (1) a classification error whe…

psychiatryemergency medicinesystemcommunication
TAS2017-06-30

Coroner's Finding: Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford

Unknown·Troy Monson: asphyxia due to partially suspended hanging using seatbelt; Robin M…

…Tasmanian custody: Troy Monson (asphyxiation in prison van during transport in June 2015), Robin Michael (hanging in prison cell June 2015), and Scott Mitchell (cardiac arrhythmia from drug-induced cardiomegaly July 201…

psychiatrypsychologydiagnosticsystemolanzapine
VICmental health2020-03-17

Finding into death of Paul Peterson

54y · Male·Neck compression (hanging)

Paul Peterson, 54, died by hanging after leaving a private psychiatric hospital on unapproved leave while on close observations. He was admi…

psychiatrysystemcommunicationcitalopram
VICmental health2016-12-08

Finding into death of Joseph Pezzimenti

60y · Male·Global cerebral ischaemia post cardiac arrest in the setting of neck compression

Joseph Pezzimenti, a 60-year-old involuntary psychiatric patient, died from cerebral ischaemia following hanging by a tracksuit cord in a Low Dependency Unit bathroom. Key clinical lessons include: communication diffic…

psychiatryintensive carediagnosticcommunication
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

…onality disorder and PTSD, with suicidal ideation since age 17 and multiple suicide attempts. She died by hanging on 2 September 2020 after being offered voluntary hospital admission for high suicide risk but choosing t…

psychiatrypsychologysystemescitalopram
VICcommunity2024-08-07

Finding into death of Jason

50y · Male·Neck compression secondary to hanging

Jason, age 50, was found deceased by hanging at a footbridge in Kerang, Victoria on 18 October 2021, following an incident of family violence perpetra…

general practicepsychiatrysystemcommunicationvenlafaxine
NThome2011-02-04

Inquest into the death of Emma Jane Claridge

19y · Female·neck compression due to hanging

Emma Jane Claridge, 19, died by hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatri…

psychiatrycommunicationsystemrisperidone
VIChome2019-01-08

Finding into death of Fiona Kellie Burke

32y · Female·hanging

Fiona Burke, aged 32, died by hanging on 17 March 2017 following a prolonged history of family violence in her relationship with Darren Mather.…

paediatricspsychiatrycommunicationsystemalcohol
NSWmental health2018-02-02

Inquest into the death of MA

28y · Male·Neck compression consistent with hanging

…8-year-old man with severe depression, persistent suicidal ideation and previous suicide attempts died by hanging in a mental health inpatient unit while under involuntary detention. Despite being assessed as high suici…

psychiatrysystemcommunicationvenlafaxine
VIChome2023-01-17

Finding into death of Steven John Bamblett

29y · Male·Hanging

Steven John Bamblett, a 29-year-old Aboriginal man, died by hanging on 14 January 2020 following service of a Family Violence Intervention Order application. He had a docume…

psychiatryforensic medicinecommunicationsystemcannabis
WAhome2021-12-15

Inquest into the Death of Child J (Name Subject to Suppression Order)

15y · Male·ligature compression of the neck (hanging)

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectrum disorder, early trauma and negle…

psychiatrypaediatricssystemdelay
VIChome2020-09-11

Finding into death of Mr A

44y · Male·compression of the neck consequent upon hanging

A 44-year-old man with a 42-year history of intimate partner violence died by hanging. He had recently separated from his wife and was enrolled in a 18-week men's behaviour change program, ha…

general practicepsychiatrysystemdelayalcohol
QLDmental health2013-07-02

Mrs B

52y · Female·Hanging due to depression

… absconded within minutes and purchased rope and a stepladder from a nearby hardware store. She was found hanging at the Cairns Showgrounds on 15 March. While the coroner found Dr L.'s clinical assessment and observatio…

psychiatrycommunicationsystemdiazepam
VIChome2024-03-07

Finding into death of Claire Louise Carroll

45y · Female·Neck compression secondary to hanging

Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusi…

psychiatrygeneral practicesystemcommunicationclonazepam
WA28 Mar 24

Inquest into the Death of Suzzanne Denise DAVIS

47y · Female·ligature compression of the neck (hanging)

…-year-old woman remanded in custody at Melaleuca Women's Prison died by ligature compression of the neck (hanging) on 13 August 2020. Ms Davis had significant history of substance use, mental health issues, and prior se…

psychiatryemergency medicinecommunicationsystemmethadone
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