Coronial

690 results for hanging

NSW2023-08-15

Inquest into the death of Matthew Grieve

27y · Male·Neck compression due to self-inflicted hanging

…ieve, a 27-year-old first-time inmate with anxiety, depression and panic disorder, died by self-inflicted hanging in custody after eight days without prescribed medication. Critical failures included: an unsigned, incom…

psychiatrygeneral practicedocumentationcommunicationquetiapine
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

…ear-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute Unit at Ballarat Health Services following dete…

psychiatryemergency medicinecommunicationsystemaripiprazole
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

Two Indigenous young men, JE (16 years) and JJ (16 years), both died by hanging within four months during a suicide cluster in Mackay, Queensland in 2008. JE's death was impulsive, occu…

psychiatryemergency medicinediagnosticcommunicationalcohol
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

Eden Jayde Westbrook, a 15-year-old high school student, died by suicide on 17 February 2015. She had experienced depression for some time without formal diagnosis, had a history of self-harm and suicide attempts, and ha…

psychiatrypaediatricssystemdelay
WAhospital2025-06-30

Inquest into the death of Houston PEEL

29y · Male·ligature compression of the neck (hanging)

… by registrar without prior medical review, Houston left the ED unreviewed at 8:52 am and was later found hanging. Critical failures included: (1) incomplete collateral history from family; (2) no medical assessment dur…

emergency medicinepsychiatrycommunicationdelayolanzapine
WAhome2005-12

Inquest into the Death of Jake Willem Dunne-Heynis

15y · Male·Ligature Compression of the Neck (Hanging)

… Exmouth District High School in rural Western Australia, died by suicide on 23 June 2004, two days after hanging himself at home. Jake had motor coordination difficulties attributed to poor eyesight, and experienced be…

communicationsystem
SApsychiatric ward2009-10-01

Coroner's Finding: RODRIGUEZ Antonio

49y · Male·hanging (suicide)

Antonio Rodriguez, aged 49, died by hanging on 16 September 2006, two hours after discharge from Ward B8 (psychiatric short-stay unit) at Royal Adela…

psychiatrydiagnosticcommunicationolanzapine
WA2019-11-13

Inquest into the Death of Bret Lindsay CAPPER

43y · Male·bronchopneumonia and brain swelling following ligature compression of the neck (…

…alia, died on 14 January 2016 from bronchopneumonia and brain swelling following ligature asphyxiation by hanging. He had antisocial personality disorder, chronic suicidality, and three recent suicide attempts by overdo…

psychiatrypsychologysystemcommunicationheroin
WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

…lery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and…

emergency medicinepsychiatrycommunicationsystemamphetamine
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

Meqdad Hussain, a 19-year-old Afghan asylum seeker, died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-…

psychiatrygeneral medicinesystemcommunicationmirtazapine
WA2001-11-19

Inquest into the Death of Adam Timothy Garner

18y · Male·Ligature Compression of Neck (Hanging)

Adam Timothy Garner, aged 18½, died by hanging in his prison cell at Canning Vale Prison Complex on 6 January 2000, approximately 24 hours after admissi…

correctional healthpsychiatrysystemcommunicationprescription medication for alcohol and drug withdrawal
VIC2021-05-07

Finding into death of Joanne Finch

42y · Female·Neck compression due to self-suspension

Joanne Finch, a 42-year-old woman remanded in custody on charges related to her son's death, died by hanging in her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods …

psychiatrypsychologyolanzapine
QLDhome2025-10-10

Inquest into the death of AB

31y · Male·Hanging

…ear-old male with borderline personality disorder, alcohol use disorder, and history of self-harm died by hanging. He had multiple presentations to emergency services and mental health services from March to July 2021 w…

psychiatrygeneral practicesystemcommunicationalcohol
NSW2022-08-18

Inquest into the death of Gavin Ellis

31y · Male·hanging

Mr Gavin Ellis, 31 years old, died by hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic…

psychiatrycorrectional healthdiagnosticcommunicationaripiprazole
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

…involuntary care following a suicide attempt. Within 24 hours, she accessed a cord/drawstring and died by hanging. The death occurred in the context of inadequate search procedures for ligature risks, particularly incon…

psychiatryemergency medicinesystemproceduralmirtazapine
NSWmental health2019-11-29

Inquest into the death of Harold EDWARDS (a pseudonym)

49y · Male·Hanging

…s was admitted to the Acute Mental Health Unit at Nepean Hospital under involuntary detention. He died by hanging on 27 May 2017 during an overnight shift while under Level 3 observations (requiring 30-minute checks). N…

psychiatrydiagnosticcommunicationtemazepam
VIChospital2016

Finding into death of Zakiya Crystal Lisa Thomas

15y · Female·Hanging

Zakiya, a 15-year-old Barkindji Maraura woman, died by hanging at Mildura Base Hospital following a family argument about repaying a borrowed $300. She had disclosed ex…

psychiatrypaediatricscommunicationsystemcitalopram
TAScommunity2023-12-07

Coroner's Finding: Rogers, Roy William

60y · Male·cervical spine fracture sustained in bicycle crash

…lmet was found 4 metres away unfastened, Senior Constable Mason believed it was not being worn but rather hanging from the handlebars. The exact mechanism of the crash could not be definitively determined, though eviden…

forensic medicineemergency medicinecannabis
VIChospital2014-05-14

Finding into death of Palma Castro

26y · Female·compression of the neck consequent upon hanging

Palma Castro, a 26-year-old woman with adjustment disorder and benzodiazepine dependence, died by hanging after two Emergency Department presentations within 5 hours on 17-18 February 2011. She presented followi…

psychiatryemergency medicinecommunicationdocumentationalprazolam
NSWmental health2016-02-05

Inquest into the death of SS

48y · Male·hanging, intentionally self-inflicted

SS, a 48-year-old male with treatment-resistant depression and chronic suicidal ideation, died by hanging in Boronia Park, NSW in June 2014. He was admitted to Gosford Hospital Mental Health Unit in late May 201…

psychiatrycommunicationsystemlithium
125262735

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