Coronial

690 results for hanging

VIC2021-04-28

Finding into death of Mohamed Omar

30y · Male·neck compression

Mohamed Omar, a 30-year-old man with schizophrenia, died in Melbourne Assessment Prison on 25 June 2017 from neck compression while on remand. He had a history of command auditory hallucinations instructing self-harm, re…

psychiatrycorrectional healthflupenthixol depot injection
WA2005-01-14

Inquest into the Death of Hendrik Jan Groothedde

39y · Male·Ligature compression of the neck (hanging)

… Jan Groothedde, a 39-year-old remand prisoner at Hakea Prison, died by ligature compression of the neck (hanging) on 31 January 2003. He had been admitted to custody in December 2002 following stabbing an ex-girlfriend…

psychiatrycorrectional healthcommunicationsystemantidepressants
VICcommunity2014-12-22

Finding into death of Dean Alan Carlson Laycock

24y · Male·Strangulation by hanging

Dean Laycock, a 24-year-old man with intellectual disability and psychosis, died by hanging on Christmas Eve 2009, four hours after being informed that his anticipated 4-day Christmas leave from PA…

psychiatrypsychologycommunicationsystemclozapine
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

…ear-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression history and multiple failed back surge…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
NTPodcast2025-10-24

Inquest into the death of Ebony Thompson

1y · Female·hypoxic brain injury caused by pressure to the neck from entrapment on a loop-to…

Ebony Thompson, aged 22 months, died from hypoxic brain injury caused by neck entrapment in a loop-topped chickencoop gate at a childcare centre. She became trapped while standing on a tricycle attempting to view chicken…

paediatricsemergency medicinesystemcommunication
WAmental health2015-12-31

Inquest into the Death of Michael Ronald THOMAS

Unknown·Ruby: ligature compression of neck (hanging); Carly: ligature compression of nec…

Five young adults died by suicide within 12 months (March 2011 to March 2012), all connected to Alma Street Centre mental health services at Fremantle Hospital. Four were discharged (Ruby Nicholls-Diver, Carly Elliott, M…

psychiatryemergency medicinediagnosticcommunicationantidepressants
WA2025-11-28

Inquest into the Death of Cleveland Keith DODD

16y · Male·complications of ligature compression of the neck (hanging)

A 16-year-old Aboriginal youth, Cleveland Keith Dodd, died by suicide via hanging in Unit 18, a youth detention centre housed within an adult maximum-security prison in Western Australia.…

psychiatrypsychologyproceduralcommunication
VIC2022-05-17

Finding into death of Cameron Richard Plant

52y · Male·Hanging

Cameron Richard Plant, a 52-year-old male, died by hanging in hotel quarantine on 11 April 2020, shortly after returning to Australia from Dubai. He was experiencin…

psychiatrypublic healthcommunicationsystem
WA2025-03-10

Inquest into the Death of Ricky-Lee COUND

22y · Male·ligature compression of the neck (hanging)

Ricky-Lee Cound, 22, an Aboriginal man with FASD, died by hanging in his Hakea Prison cell on 25 March 2022. At 4.11pm, Mr Cound called requesting a monitored safe cell to…

psychologygeneral medicinediagnosticcommunicationaripiprazole
QLDcommunity, community, community2019-08-30

Nebauer, Talieha; Fowell, William and Whiticker, Caitlin Wilkinson

18y · Female, female, male·Caitlin: suicide by hanging; Talieha: suicide by hanging; William: suicide by tr…

Three adolescent patients (aged 18 at death) died by suicide within four months of the Barrett Adolescent Centre (BAC) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder…

psychiatrypsychologycommunicationsystem
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

…scribed fluoxetine but didn't escalate suicidal statements on final visit (5 July 2012). Michaela died by hanging 4 days later. The coroner found CAMHS operated as individual practitioners rather than as a multidiscipli…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

Chrystal Ross, a 24-year-old woman, died by hanging in hospital in January 2015 after a catastrophic chain of communication failures and care coordination er…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
NSWhome2023-09-08

Inquest into the death of BW

31y · Male·hanging

B W, aged 31, died by hanging following emergency police removal of his daughter from his care under the Care and Protection Act. The r…

paediatricspsychiatrycommunicationsystemalcohol
NSWhome2020-06-05

Inquest into the death of BG

30y · Male·neck compression from ligature strangulation and possible suspension (hanging)

BG, a 30-year-old Nepalese national in Australia, died by intentional neck compression on 11–12 January 2018. He had previously caused the death of Amelia Blake on 9 January 2018. BG was experiencing multiple severe stre…

psychiatryemergency medicinedelay
NSWprison2023-07-14

Inquest into the death of GS

43y · Male·Hanging

…plex mental health history (depression, anxiety, borderline personality disorder, substance use), died by hanging in Goulburn Correctional Centre after 183 days in custody. The critical failure was the systemic denial o…

psychiatrygeneral practicediagnosticcommunicationsertraline
WA2019-05-22

Inquest into the 5 Deaths in Casuarina Prison who are Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM

Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…

…le prisoners died by suicide at Casuarina Prison, Western Australia between 2014-2015. All deaths were by hanging or self-inflicted laceration. The coroner identified multiple systemic failures including: inadequate Pri…

psychiatrypsychologysystemcommunication
WAprison2022-07-22

Inquest into the Death of Callum MITCHELL

26y · Male·ligature compression of the neck (hanging)

Callum Mitchell, aged 26, died by ligature compression of the neck (hanging) in his cell at Hakea Prison on 21 April 2019. He had a longstanding history of self-harm, severe persona…

psychiatrycorrectional healthsystemcommunicationtramadol
VIChome2015-05-08

Finding into death of Nilesh Sharma

36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…

…eetika, son Divesh (5 years old), and daughter Divya (3 years old) between 28-29 April 2012, then died by hanging. Evidence suggests he exposed them to chloroform before smothering them. The case involved a history of c…

rehabilitation medicineneurologycommunicationsystemchloroform
VIC2020-04-06

Finding into death of Darren Brandon

51y · Male·hypoxic-ischemic encephalopathy due to hanging

Darren Brandon died by hanging in prison on 10 June 2018, two days after arriving at Melbourne Assessment Prison. He was a 51-year-old m…

psychiatryforensic medicinecommunicationsystemoxycodone
ACT2009-03-27

Inquest Into The Death Of Tania Pauline Lioulios Nee Chacos

42y · Female·Hypoxic ischemic encephalopathy with antecedent cause being self-caused near mis…

…ioulios, a 42-year-old psychologist, died from hypoxic ischemic encephalopathy following a self-inflicted hanging in a Corrective Services transport vehicle on 4 July 2008. She had presented to mental health services th…

psychiatryemergency medicinediagnosticcommunicationalprazolam
127282935

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