Coronial

690 results for hanging

NThospital2011-07-29

Inquest into the death of Nicholas Edward Spring

25y · Male·hanging

…ar-old university student with a complex history of schizoaffective disorder and substance misuse died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication for s…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surg…

oncologypsychiatrydiagnosticcommunicationdexamethasone
NSWhome2025-03-03

Inquest into the death of Harmony

15y · Female·hanging

Harmony, a 15-year-old girl, died by hanging at a motel on 14 January 2020 in circumstances of longstanding neglect, family violence and school diseng…

paediatricspsychiatrysystemdelaycannabis
VICmental health2024-04-26

Finding into death of Allison Leah Randall

37y · Female·Hanging

…s behaviour towards their daughter. She was diagnosed with delusional disorder on 21 May 2020 and died by hanging on 22 May 2020. The coroner found the clinical care appropriate, including risk assessments and treatment…

psychiatrysystemdiazepam
TAS2022-02-24

Coroner's Finding: Scott, Paul Stephen

61y · Male·asphyxial death due to hanging

Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018…

psychiatrygeneral practicesystemcommunicationvenlafaxine
WAhospital2015-07-16

Inquest into the Death of James Anthony STANCZYK

31y · Male·ligature compression of the neck (hanging)

… involving an adjacent patient, the deceased left unnoticed and subsequently completed suicide at home by hanging. The coroner found that while a dedicated guard was requested, none was provided due to communication fai…

emergency medicinepsychiatrycommunicationsystemdiazepam
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

BQ was a 23-year-old Aboriginal woman who died by hanging on the Paringa Ward at Cumberland Hospital while detained as an involuntary mental health patient. She ha…

psychiatryemergency medicinediagnosticcommunication
NSWaged care2018-09-25

Inquest into the death of Melissa STANDEN

13y · Female·Hanging

Melissa Standen, a 13-year-old with profound physical and cognitive disabilities (mosaicism), died from hanging at Westmead Children's Hospital after falling from a hospital bed at Allowah respite facility. She became…

paediatricsoccupational therapydiagnosticsystem
NTmental health2003-12-19

Inquest into the death of Sarah Higgins

19y · Female·hypoxic encephalopathy as a result of attempted hanging

A 19-year-old woman with psychosis and depression died from hypoxic encephalopathy following attempted hanging while in involuntary psychiatric admission. She was on R15 (15-minute) observation status due to suicide …

psychiatrygeneral practicesystemcommunicationhaloperidol
ACT2024-08-22

Inquest Into The Death Of Luke Anthony Rich

27y · Male·suicide by hanging

Luke Anthony Rich, age 27, died by suicide by hanging in a prison cell in the Alexander Maconochie Centre (ACT) on 1 February 2022, one day after being remande…

psychiatrycorrectional healthsystemcommunicationcocaine
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 expre…

psychologypsychiatrycommunicationsystem
TAShospital2021-02-05

Coroner's Finding: Lattimer, Joseph Aaron

37y · Male·hypoxic encephalopathy due to asphyxia from hanging

…waiting room without support, assessment, or treatment before entering a toilet and attempting suicide by hanging. He was resuscitated but suffered severe hypoxic brain injury and died 11 days later. Critical failures i…

emergency medicinepsychiatrysystemdelayalcohol
VICmental health2023-05-02

Finding into death of Duncan Stuart Sparke

48y · Male·Hanging

…intent and active evasion of police. He was found deceased in his apartment on 6 May 2017, having died by hanging. Clinical lessons include: psychiatric units must balance therapeutic openness with security; timely repo…

psychiatryemergency medicinesystemdelayfluoxetine
NSWcommunity2025-12-09

Inquest into the deaths of Lynette Thompson and Alan Fletcher

58y · Female; male·Lynette: Thermal injuries (extensive burns) and complications thereof; Alan: Nec…

…om severe burns inflicted by her partner Alan Fletcher (59) on 8 November 2020; Alan subsequently died by hanging. The coroner found critical failures in NSW Police handling of domestic violence: rejection of cross-ADVO…

communicationsystempetrol
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

…-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual diagnosis (…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
SA2020-11-26

Coroner's Finding: KEN Kenneth Ngalatji

68y · Male·compression of the neck with contributing acute myocardial infarction due to cor…

A 68-year-old Aboriginal man died by hanging in his cell at Yatala Labour Prison on 16 April 2015 while experiencing acute myocardial infarction. He w…

psychiatrycardiologydiagnosticcommunicationolanzapine
QLDcommunity2017-09-14

John, Timothy

22y · Male·Hanging

Timothy John, age 22, died by hanging 8 days after commencing varenicline (Champix) for smoking cessation. He had a documented history of depre…

general practicepsychiatrydiagnosticcommunicationvarenicline
VICmental health2022-05-02

Finding into death of Stuart Brant Garten

34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging

…ses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyard of a secure extended care unit after writing a suicide note. Key clinical lessons: (1) T…

psychiatryintensive carecommunicationsystemrisperidone
NSW2018-08-31

Inquest into the death of MC

31y · Male·hanging

MC, a 31-year-old male with a history of drug-induced psychosis and substance abuse, died by hanging in May 2015 at the Metropolitan Reception and Remand Centre while in lawful custody. He had been transfer…

psychiatrycorrectional healthcommunicationsystemolanzapine
VIChome2020-11-10

Finding into death of Mr BT

27y · Male·Hanging

A 27-year-old carpenter with a long history of depression, suicidality, and substance abuse died by hanging. He had experienced recent family violence incidents as both perpetrator and victim in relationships, lea…

psychiatrygeneral practicecommunicationsystemvenlafaxine
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