Coronial

81 results for adolescent depression

VIChospital2025-09-03

Finding into death of Olivia Alexandra Evans

15y · Female·Paracetamol toxicity in the setting of Anorexia Nervosa

…e interventions (restraint, nasogastric feeding) require reassessment if escalating; comorbid autism and depression demand earlier formal diagnosis and coordinated treatment; and families need intensive in-home meal supp…

psychiatrypaediatricsdiagnosticsystemparacetamol
TAShome2025-02-05

Coroner's Finding: de-identified MS

13y · Male·asphyxia as a result of hanging

MS, a 13-year-old Year 8 student, died by suicide by hanging on 16 February 2020. In the weeks before his death, MS engaged in self-harm by cutting his arms and expressed suicidal ideation to close friends through online…

psychologypsychiatrycommunicationsystem
VIC2016-04-14

Finding into death of Oscar Nicholas McIntyre

17y · Male·injuries sustained in a motorcycle incident (driver)

Oscar McIntyre, 17 years old, died from injuries sustained when he left the track during a motorcycle race at Phillip Island, rode across the infield at full speed without braking, and was struck by another rider. He had…

psychiatrygeneral practicemethamphetamine
VIC2016-12-13

Finding into death of Finding

16y · Female·mixed drug toxicity (oxycodone, citalopram, fluoxetine and quetiapine)

…dose of prescription medications after being removed from her long-term foster home. JF had a history of depression, borderline personality disorder, reactive attachment disorder, and suicidal ideation. Following escalat…

psychiatrypaediatricscommunicationsystemoxycodone
VIC2024

Finding into death of J Q

16y · Female·Plastic bag asphyxia

A 16-year-old girl with a history of suicidal ideation and self-harm died by plastic bag asphyxia using argon gas purchased from a hardware store. She had been seeing a psychologist who noted improvement in her mental he…

SAhospital2018-03-05

Coroner's Finding: HOWARD Miranda Robyn and MCPHERSON-SMITH Aurora Holly Violet

Female·Miranda Howard: aspiration pneumonia complicating overdose of prescription medic…

…m multi-organ failure following hydrochloric acid ingestion. Both were initially misdiagnosed (psychosis/depression), experienced delayed BPD diagnosis, and received fragmented, inconsistent care across public and privat…

psychiatrypsychologydiagnosticcommunicationquetiapine
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating behavioural and mental health crises from adolescence. Despite multiple emer…

psychiatryemergency medicinediagnosticcommunicationcitalopram
QLDhome

Naidu, Alvin

15y · Male·Hypoxic ischaemic brain injury, due to hanging

…l's name on his arm (discovered by parents and discussed with his GP), there were no observable signs of depression or self-harm risk to family, school staff, or his doctor. The critical clinical lesson concerns the dela…

systemcommunicationvibra-tabs
TAShome2013-08-09

Coroner's Finding: Miss N de-identified

20y · Female·injury caused by hanging

… mental health services for eating disorders on Tasmania's North West Coast, noting that while child and adolescent services were adequate, adults with eating disorders lacked specialised public sector support beyond acu…

psychiatrypsychologysystemdelaymethylphenidate
NT2016-06-08

Inquest into the death of Madeline Downman

17y · Female·self-inflicted hanging

…rl in state care, died by hanging at a residential facility. She had complex psychiatric needs including depression, trauma, self-harm, and substance abuse, with four years of unstable placements (26 total) and fragmente…

psychiatrypaediatricscommunicationsystemmarijuana
SAhome2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

Nicole Davies, 17, died from mixed drug toxicity after rapid methadone dose escalation during early maintenance therapy. She presented with clear signs of intoxication (drowsiness, slurred speech, incoherence) yet receiv…

general practiceaddiction medicinediagnosticmedicationmethadone
VICcommunity2015-04-13

Finding into death of KJ

18y · Female·Multiple injuries due to impact by train

…t. She had a complex trauma history, including childhood sexual abuse aged 6, and subsequently developed depression, self-harm, and suicidal ideation. Critical clinical lessons: (1) KJ was discharged from mental health s…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

…ormed care. She disclosed abuse at 15, subsequently developing borderline personality disorder, anxiety, depression, and substance use disorder. Although GPs and mental health services (Austin Health YETTI, Headspace) pr…

general practicepsychiatrysystemdelayvenlafaxine
NSWhome2014-08-13

Inquest into the death of Sean Leigh MacWilliam

16y · Male·asphyxia due to hanging, self-inflicted, with aspiration of gastric contents as …

Sean MacWilliam, 16 years old, died by asphyxia due to hanging on 24 March 2011. He had been admitted involuntarily to an adult mental health facility (Chisholm Ross Centre) following a mental health crisis on 15 March 2…

psychiatryemergency medicinecommunicationsystemfluoxetine
SAcommunity2014-06-17

Coroner's Finding: HUGO-HORSMAN Jason William

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

…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 Services (CAMHS) in December 2009 and saw various therapists, primarily social worker Vina…

psychiatrypsychologydiagnosticcommunicationdiazepam
VICcommunity2023-11-24

Finding into death of Geelong Youth Suicide Cluster Finding

Male·suicide

This cluster finding examined five suicides of males aged under 18 in Greater Geelong between February-June 2020. All deaths were temporally, spatially, and socially clustered with shared risk factors including relations…

psychiatrygeneral practice
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…

emergency medicineintensive carediagnosticsystemcolchicine
VICmental health2012-04-30

Finding into death of Travis Andrew McNees

18y · Male·Multiple injuries due to impact by train

Travis McNees, 18-year-old male, died by suicide on 4 October 2010 after absconding from Upton House psychiatric unit. He presented to ED on 29 September with paracetamol/panadeine overdose following relationship breakdo…

psychiatryemergency medicinecommunicationsystemparacetamol
SAcommunity2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

…ent or heroin history. Nicole was taking benzodiazepines, doxepin, and fluoxetine—creating dangerous CNS depression. On 3 April, the pharmacist correctly identified intoxication but continued dosing after Dr T. approved …

general practiceaddiction medicinediagnosticmedicationmethadone
QLD2015-03-24

E, aged 14 - Non-inquest findings

14y · Male·hanging

A 14-year-old Aboriginal boy died by suicide by hanging at his school. He had experienced childhood trauma including neglect, domestic violence, and parental separation. He was living with his paternal grandmother after …

psychiatrygeneral practicediagnosticmarijuana

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