Coronial

690 results for hanging

VICmental health2018-04-18

Finding into death of Gerard Helliar

62y · Male·Cerebral ischaemic injury due to hanging

Gerard Helliar, a 62-year-old man with severe bipolar affective disorder, died from hanging in Frankston Hospital psychiatric ward on 16 November 2012 after an involuntary admission for treatment-r…

psychiatryanaesthesiadiagnosticcommunicationsodium valproate
VICmental health2013-09-19

Finding into death of Leanne Joan Howell

40y · Female·hanging

Leanne Howell, a 40-year-old woman with major depression and recent suicide attempts, died by hanging while on unescorted leave from an acute psychiatric unit. Critical protective conditions of her leave pla…

psychiatrycommunicationdocumentation
VICcommunity2020-11-06

Finding into death of Jessica Morgana Wilby

45y · Female·Compression of the neck in circumstances of hanging

…roners Court of Victoria with extensive qualifications and excellent performance record, took her life by hanging on 7 September 2018. In February 2018, she accepted a temporary acting role as Senior Legal Counsel while…

psychiatrypsychologysystemcommunicationantidepressants
QLDhome2022-06-17

CJ - Non-inquest findings

14y · Male·Hanging

A 14-year-old boy died by hanging after extensive exposure to domestic and family violence and child abuse, primarily from his father. Chil…

paediatricspsychiatrydiagnosticcommunicationcannabis
WA2026-03-26

Inquest into the Death of Brian John KEALY

42y · Male·Ligature compression of the neck (hanging)

Brian Kealy, aged 42, died by suicide via hanging at Hakea Prison on 2 August 2024 while on remand. He had complex mental health needs including probable s…

psychiatrygeneral medicinecommunicationsystemolanzapine
WAmental health2005-06-30

Inquest into the Death of Jessica Mary Dewhurst

20y · Female·Ligature compression of the neck

…ure ward after absconding on 25 May to spend time with her boyfriend. At 12:40am on 27 May, she was found hanging from a shower tap in her en-suite using a cloth sash. The coroner found her death was by suicide, likely …

psychiatrygeneral medicinefluoxetine
VIC2024-05-14

Finding into death of Brian Richard Pope

40y · Male·compression of the neck due to hanging

Brian Pope, a 40-year-old man with longstanding mental health issues including major depressive disorder, anxiety, learning disability (dyslexia), and substance abuse history, died by suicide in prison 20 days after rema…

psychiatrycorrectional healthcommunicationsystemmirtazapine
VIChome2025-10-16

Finding into death of Ms YPM

27y · Female·Hanging

…an with a long history of borderline personality traits, depression, anxiety and eating disorder, died by hanging on 17 May 2020. In the preceding two weeks, she presented to Alfred Hospital following a polypharmacy ove…

psychiatryemergency medicinecommunicationdelayagomelatine
ACTaged care2021-12-21

Inquest into the death of BRANDON GEOFFREY SAGER

43y · Male·asphyxia due to hanging - suicide

Brandon Sager, 43, died by suicide at the Brian Hennessy Rehabilitation Centre while subject to a psychiatric treatment order. He had a long history of schizophrenia and prior suicide attempts but had shown no signs of s…

psychiatrysystem
VIChome2015-12-16

Finding into death of Andrew Stanyer

37y · Male·Hanging

Andrew Stanyer, a 37-year-old male with significant life stressors, died by hanging after police attendance at a family violence incident. He had previous suicide attempts (2000, 2009), dep…

psychiatrygeneral practicesystemcommunicationsertraline
TAS2023-09-01

Coroner's Finding: Hunt, Paul George; Reynolds, Paul James; Darke, Simon Graham; Cooke, Robert Anthony

Male·Hunt: self-inflicted gunshot wound to head; Reynolds: self-inflicted gunshot wou…

…ble Darke died by gunshot while on duty; his death appeared unrelated to policing. Sergeant Cooke died by hanging after years of untreated severe PTSD from cumulative trauma exposure. The coroner identified failures in …

psychiatrypsychologysystemcommunicationpseudoephedrine
WAmental health2015-02-26

Inquest into the Death of Tracy Margaret MARSHALL

47y · Female·Ligature compression of the neck (suicide by hanging)

Tracy Margaret Marshall, a 47-year-old woman admitted to Nickol Bay Hospital as a voluntary patient due to deteriorating mental state and suicidal ideation, left the hospital on 21 February 2011. She drove to a remote lo…

psychiatrysystemdelay
SAcommunity2017-05-29

Coroner's Finding: WESTWOOD John Laurence

63y · Male·neck compression due to hanging

A 63-year-old man with treatment-resistant depression died by hanging. His wife had been maintaining a 'suicide watch' for six weeks prior to his death and telephoned his GP o…

general practicepsychiatrydiagnosticcommunicationmorphine
QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

30-year-old Adam Trent Ryan died by suicide via hanging in July 2009. Multiple systemic failures preceded his death. The Community Mental Health Service failed t…

psychiatrygeneral practicecommunicationdocumentationsertraline
NSWhospital2017-08-07

Inquest into the death of AB

27y · Female·hanging, self-inflicted with intention of taking own life

…pted to schedule her under the Mental Health Act due to expressed suicidal thoughts with a specific plan (hanging). The emergency physician assessed her, found no acute suicide risk, and discharged her with no safety pl…

emergency medicinegeneral practicediagnosticcommunication
WA2025-07-08

Inquest into the Death of Tim Alan LOOKER

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

Tim Looker, aged 29, died by suicide in Bunbury Regional Prison on 3 October 2023 by hanging from a bedsheet attached to a protruding bolt in his cell. Tim had ADHD diagnosed since childhood (previo…

general practicepsychiatrysystemcommunicationdextroamphetamine
VIC2025-08-15

Finding into death of Cain Brian Cameron

35y · Male·Fall from a height injuries including a ruptured thoracic aorta associated with …

Cain Brian Cameron, aged 35, died on 26 October 2023 following a fall from the fifth level of the Holiday Inn carpark in Werribee while evading police arrest. He fell 17 metres onto the street below, sustaining a rupture…

emergency medicineforensic medicinemethamphetamine
VIChome2024-07-05

Finding into death of Rohan Patrick Cosgriff

17y · Male·Neck compression due to hanging

Rohan Cosgriff, a 17-year-old Victorian student, died by suicide following sextortion. After exchanging messages with someone posing as 'Christine Herdon' on Snapchat, he was coerced into sending intimate imag…

VIC2022-07-15

Finding into death of Wiki Raymond Lowe

35y · Male·hanging

Two inmates at Karreenga Correctional Centre died by hanging within four months of each other in 2017. Mr Lowe, aged 35, died on 7 March 2017 after learning he faced …

psychiatrycorrectional healthcommunicationsystem
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

…ns deemed ongoing contact and forward planning sufficient not to require readmission. The patient died by hanging on 20 June 2003. Key preventability issues include lack of mandatory consultation between registrar and c…

psychiatrygeneral practicediagnosticcommunicationsertraline
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