Coronial

690 results for hanging

VIChome2024-01-25

Finding into death of Lachlan John Howe

13y · Male·Hanging

Lachlan John Howe, aged 13, died by hanging at his home on 18 May 2018 after being transported to Royal Children's Hospital. He had experienced signi…

paediatricspsychiatrycommunicationsystem
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

A 20-year-old woman with a long history of eating disorder, obsessive-compulsive behaviours, and adjustment difficulties died by suicide in October 2009. She had received treatment at the Bronte Centre in Melbourne and o…

psychiatrypsychologysystemdelaymethylphenidate
WA2020-11-28

Inquest into the Death of Wayne Thomas LARDER

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

Wayne Larder, a 42-year-old man with depression, suicidal ideation, and substance use disorder, died by hanging in Hakea Prison on 22 February 2021. Critical failures in suicide risk management included: (1) mental he…

psychiatrypsychologydiagnosticsystemmethamphetamine
NSW2015-11-11

Inquest into the death of W

23y · Male·Hanging whilst suffering acute mental illness, most likely a first episode delus…

A 23-year-old man in custody died by hanging in May 2011 while experiencing untreated first-episode psychosis with paranoid delusions. He had expresse…

psychiatrycorrectional healthdiagnosticcommunication
NT2025-08-12

Inquest into the death of Didbala Anzac

17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…

…l with complex mental health conditions including psychosis, bipolar disorder and suspected FASD, died by hanging at a CASPA residential care house in Katherine on 3 October 2022. She had consumed cannabis and alcohol t…

psychiatrypsychologycommunicationsystemcannabis
TAShome2020-12-14

Coroner's Finding: Brewer, Ruby and Shanzel

Female·asphyxia due to smoke inhalation

Two sisters, Ruby (13) and Shanzel (11), died from asphyxia due to smoke inhalation when a shed where they were sleeping caught fire on 11 June 2017 in rural Tasmania. The fire likely originated from an electrical fault …

systemprocedural
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

21y · Male·complications of ligature compression of the neck (hanging)

… Jhelie, a 21-year-old Iraqi-born man in immigration detention, died by suicide on 5 September 2018 after hanging himself. He had a history of trauma, depression, drug abuse, and prior self-harm and overdose attempts. K…

psychiatryaddiction medicinecommunicationsystemmethamphetamine
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

Moses Kellie, aged 33, died by hanging at Villawood Immigration Detention Centre in January 2019 after four years in immigration detention. He h…

psychiatrygeneral practicesystemcommunicationpaliperidone
NSWcommunity2015-01-30

Inquest into the death of Alec Samuel MEIKLE

17y · Male·Hanging (self-inflicted)

Alec Meikle was a 17-year-old apprentice in New South Wales who experienced bullying and harassment at his workplace at Downer EDI from January to May 2008. The incidents included creation of a 'Sphincter Dilation Chart'…

psychiatrygeneral practicesystemfluoxetine
VIChome2025-11-24

Finding into death of Suk Ching Annie Ng

64y · Female·Blunt Force Trauma to the Head in the Setting of Prolonged Lie; Metastatic Breas…

…veloping pressure ulcers and sepsis. She had advanced metastatic breast cancer. Chai subsequently died by hanging. The case demonstrates how problem gambling can escalate to intimate partner homicide, with financial dec…

oncologygeneral practicesystem
VIChome2024-07-26

Finding into death of Mr KE

36y · Male·Neck compression secondary to hanging

A 36-year-old man with a history of depression, anxiety, and alcohol dependence died by suicide during the COVID-19 pandemic following job loss. He presented to a psychotherapist with suicidal ideation, multiple risk fac…

general practicepsychologysystemcommunicationsertraline
WAmental health2015-12-31

Inquest into the Death of Carly Jean ELLIOTT

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

Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma Street Centre mental health services in Western Australia. Rub…

psychiatryemergency medicinecommunicationsystemantidepressants
VIC2022-02-01

Finding into death of Travis Thomas Young

42y · Male·hanging

A 42-year-old prisoner with generalised anxiety disorder and chronic tinnitus causing significant distress died by suicide while incarcerated. In the months preceding his death, he presented repeatedly to health staff re…

psychiatrygeneral practicesystemdelaymethadone
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

…or coordination between specialties and no clear ownership of discharge planning. JC took his own life by hanging 9 hours after discharge. Clinical lessons include: recognise benzodiazepine withdrawal as a red flag requ…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
SAmental health2025-04-17

Coroner's Finding: Furlan, Mark John & Miller, Richard John

50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…

Two men died by hanging while detained under inpatient treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) d…

psychiatryemergency medicinediagnosticcommunicationescitalopram
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

…ith worsening suicidal ideation and depression but was inadequately assessed and not admitted. He died by hanging on 24 January 2016. Key failures: inadequate consideration of longitudinal history, premature discharge w…

psychiatrygeneral practicediagnosticcommunicationolanzapine
TAShome2015-10-02

Coroner's Finding: Ms G de-identified

Female·hanging (suicide)

Ms G, a woman in her forties with bipolar II disorder, generalised anxiety disorder, and severe alcohol dependence, died by suicide in November 2014. She had been admitted to hospital six times for detoxification and men…

psychiatryaddiction medicinesystemalcohol
WAhome2016-02-15

Inquest into the Death of John Stephen PASSMORE

53y · Male·ligature compression of the neck (hanging)

John Stephen Passmore, a 53-year-old man with severe treatment-resistant paranoid schizophrenia, died by suicide while on community leave from psychiatric hospital. He had been an involuntary patient at Graylands Hospita…

psychiatryrehabilitation medicineolanzapine
VIChomePodcast2023-12-11

Finding into death of Shane Michael Tuck

38y · Male·hanging

Shane Tuck, an elite AFL player (2004-2013) and professional boxer (2015-2017), was found deceased by hanging on 20 July 2020. Post-mortem neuropathology confirmed severe stage III chronic traumatic encephalopathy (…

neurologypsychiatrycocaine
SAcommunity2014-06-17

Coroner's Finding: HUGO-HORSMAN Jason William

15y · Male·compression of the neck consistent with hanging

Jason Hugo-Horsman, a 15-year-old in Year 10, died by hanging while alone at home on 9 October 2010. He had been referred to Child and Adolescent Mental Health Service…

psychiatrypsychologydiagnosticcommunicationdiazepam
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