Coronial
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
VIChome2019

Finding into death of Rachel Naomi Mihail

36y · Female·Nicotine toxicity

Rachel Mihail, a 36-year-old with a complex psychiatric history including PTSD, depression, anxiety, and agoraphobia, ingested liquid nicotine at home on 22 November 2017 after calling m…

psychiatrygeneral practicecommunicationsystemnicotine
ACTcommunity2024-06-17

Inquest Into The Death Of Catherine Maree Broadbent

39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)

…isoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with lifelong suicidality. She was managed by an intensive community mental health team following a Multi-A…

psychiatryemergency medicineetizolam
WA2025-12-17

Inquest into the Death of Child RK (Name Subject to Suppression Order)

14y · Female·ligature compression of the neck (hanging)

…in Department of Communities care at a therapeutic residential group home on 20 April 2022. She had Complex PTSD from childhood trauma and presented multiple times to emergency departments with suicidal ideation and self…

paediatricsgeneral practicecommunicationsystemmelatonin
VIChome2024-04-29

Finding into death of Mr A

32y · Male·Neck compression in the setting of hanging

…r-old male with a history of family violence perpetration, mental illness (bipolar disorder, schizophrenia, PTSD), substance misuse, and prior suicide attempts, died by hanging on 21-22 November 2020. He was released fro…

psychiatrygeneral practicecommunicationsystemalcohol
VIChome2013-12-16

Finding into death of Kenneth John Lister

52y · Male·Head injury sustained in a fall following excessive consumption of alcohol

Kenneth Lister, a 52-year-old man with chronic alcoholism, cirrhosis, thrombocytopenia, and post-traumatic stress disorder, was found deceased at home following a fall with head injury. He had a history of frequent falls…

forensic medicineemergency medicinealcohol
VIChome2013-11-28

Finding into death of Dorothy Merle Lane

84y · Female·complications of mixed drug toxicity (morphine, zolpidem and alprazolam) in a wo…

…phine, zolpidem, alprazolam) while visiting her daughter. Her daughter, who had a history of depression and PTSD, died from the same cause on the same occasion. Police found letters indicating the daughter intended to en…

geriatric medicinecardiologysystemmorphine
VICinpatient2016-03-03

Finding into death of TK

18y · Female·Hypoxic brain injury secondary to hanging

An 18-year-old woman with major depressive disorder and PTSD was admitted to a psychiatric inpatient unit after expressing suicidal ideation and self-harm. She was chan…

psychiatryintensive caresystemcommunicationfluoxetine
VICaged care2026-01-19

Finding into death of Kevin Thomas Maloney

39y · Male·Mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) with contribut…

Kevin Thomas Maloney, a 39-year-old man with complex mental health conditions and substance use disorder, died from mixed drug toxicity (heroin, venlafaxine, alprazolam, pregabalin) while residing in a supported resident…

psychiatryaddiction medicinecommunicationsystemheroin
NThospital2018-06-19

Inquest into the death of Naomi Smith

26y · Female·Pulmonary embolism as a consequence of dislodged deep vein thrombosis

…odged deep vein thrombosis while in ICU at Royal Darwin Hospital. She had complex mental health needs (BPD, PTSD, depression) and morbid obesity. The critical clinical lessons centre on system failure rather than individ…

psychiatryintensive caresystemdelay
TAScommunity2025-07-04

Coroner's Finding: de-identified PD

41y · Male·Chest and limb injuries resulting from deliberately jumping from the Tasman Brid…

A 41-year-old male with schizophrenia, depression, and PTSD died by suicide by jumping from the Tasman Bridge. He had a long history of methamphetamine use and psychot…

psychiatryemergency medicinemethamphetamine
NSW2015-12-18

Inquest into the death of Officer A

43y · Female·External neck compression due to self-inflicted hanging

… NSW Police officer died by suicide on duty while suffering from work-related Major Depressive Disorder and PTSD. She had a suicide attempt in November 2012 that was not formally investigated as a new incident, treating …

psychiatrypsychologydiagnosticsystemprescription medication
WAhome2023-07-14

Inquest into the Death of Matthew James WORTHINGTON

Male·Gunshot injury to the head

Matthew Worthington died from a self-inflicted gunshot wound to the head during a 21-hour police siege at his home in Bayswater, Western Australia, on 24 November 2020. He was experiencing a relationship breakdown, had r…

emergency medicineintensive caremethamphetamine
VIChome2025-02-27

Finding into death of Shayn Nathan Darmanin

43y · Male·Mixed drug toxicity (methadone, synthetic cannabinoids (5f-cumyl-pinaca and cumy…

Shayn Darmanin, a 43-year-old man with epilepsy, died from mixed drug toxicity involving methadone, synthetic cannabinoids, olanzapine, and duloxetine. He had a significant history of substance abuse, family violence off…

toxicologypsychiatrymethadone
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…

…) closure in January 2014. Caitlin had complex mental health needs including bipolar affective disorder and PTSD; she lived with her mother and a family member with whom she had a dysfunctional relationship, medication n…

psychiatrypsychologycommunicationsystem
SAhome2019-07-24

Coroner's Finding: McNAMARA-CUTLER Juanita Lee

26y · Female·neck compression due to hanging

…Treatment Intervention Court program for drug-related offences. She had a documented history of depression, PTSD, previous Mental Health Act detentions, and suicidal ideation. On the morning of her death, she became fixa…

psychiatryforensic medicinemethamphetamine
QLDcommunity2020-02-20

Parker, Lee Edward

47y · Male·Smoke inhalation and effects of fire

Lee Edward Parker, 47, died in a bus fire at a caravan park in Queensland in August 2016. Heavy alcohol consumption by multiple residents that evening created a chaotic scene. Evidence suggests Parker entered a female re…

emergency medicineforensic medicinesystemdelay
VICcommunity2019-03-22

Finding into death of Nathan John Shanahan

40y · Male·Toxic effects of a gas

…r ADF member, died from toxic gas inhalation in his vehicle. He had struggled with depression, anxiety, and PTSD following service in the Solomon Islands where he witnessed a sexual assault. Despite treatment with a psyc…

psychiatrypsychologycommunicationsystemescitalopram
SAhospital2023-10-12

Coroner's Finding: Philp, Afrika Rose Pearl

17y · Female·multiple injuries

…She had a complex medical history including psychogenic non-epileptic seizures (PNES), depression, anxiety, PTSD, and bipolar disorder. Toxicology showed methylamphetamine, amphetamine, THC, and therapeutic levels of ket…

neurosurgerytrauma surgerysystemmethamphetamine
WA2022-07-15

Inquest into the Death of Sarwan Hekmat Salman AL JHELIE

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

Sarwan Al 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 att…

psychiatryaddiction medicinecommunicationsystemmethamphetamine

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