Coronial

149 results for attempted suicide

VIChospital2011-08-16

Finding into death of Lisa Irene Sharp

34y · Female·Hanging with combined effects of ethanol and benzodiazepines

…r Cox did not conduct a formal mental state examination or risk assessment despite knowing of her recent attempted hanging, focusing instead on her requests for benzodiazepines. He discharged her with a plan for her to …

psychiatryemergency medicinediagnosticcommunicationdiazepam
NThome2008-08-26

Inquest into the death of Wayne Walker and Jacqueline Morrison

Male·Self-inflicted gunshot wound to the head (Walker); Homicidal cutthroat (Morrison…

…t a Katherine residence: Jacqueline Morrison (homicide by cutthroat on 9 February 2008) and Wayne Walker (suicide by self-inflicted gunshot on 13 February 2008). Walker and Morrison were in a volatile de facto relations…

alcohol
NSWcommunity2016-03-24

Inquest into the disappearance and suspected death of Peter Millett

45y · Male·unable to determine

…eneral practitioner recognised that medication non-adherence would worsen psychotic symptoms and increase suicide risk. Although Peter's family and treating doctor initiated contact and attempted to arrange medical revi…

general practicepsychiatryzyprexia
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted t…

psychiatrypsychologysupervisionsystemcitalopram
WAhome2013

Inquest into the Death of Hurley-Goodacre, Adam Michael

17y · Male·Ligature Compression of the Neck (Hanging) - Suicide

Adam Hurley-Goodacre, a 17-year-old Ward of the State since 1996, died by suicide on 20 February 2007, one week before his 18th birthday. He had a history of suicide attempts in October 2…

paediatricspsychiatrysystemalcohol
SAmental health2008-10-16

Coroner's Finding: SWEETLAND Charles James

28y · Male·hanging

…losed psychiatric ward. He had chronic auditory hallucinations commanding self-harm and had made previous suicide attempts. Despite being assigned 'close' observation level requiring 15-minute checks, the ward's actual …

psychiatrysystemproceduralsodium valproate
VIChome2012-10-09

Finding into death of Li Zhen Gao

47y · Female·Neck compression subsequent upon hanging

Li Zhen Gao, a 47-year-old woman from a culturally and linguistically diverse background, died by suicide following her husband's sudden departure and separation. She had a five-year history of stress, anxiety, …

general practicepsychiatrydiagnosticcommunication
WAhome2024-09-11

Inquest into the Death of Stephen Kenneth SHERWOOD

31y · Male·ligature compression of the neck (hanging)

…year-old Aboriginal man with untreated mental health issues and history of methylamphetamine use, died by suicide on 13 April 2022. He had attempted suicide by wrist-cutting on 30 March 2022 and threatened suicide on 4 …

psychiatryemergency medicinecommunicationmethamphetamine
WAcommunity

Inquest into the Death of Gary John LYDDIETH

54y · Male·Unknown - death established on balance of probabilities but manner and cause und…

…hol abuse was discharged from psychiatric hospital on 23 April 2014 while remaining at "very high chronic suicide risk." He had multiple prior suicide attempts and severe family conflict. Despite psychiatric assessment …

psychiatrygeneral medicinesystemcommunication
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

… McGrail, a 44-year-old man with a history of substance abuse, depression, and trauma following his son's suicide, was shot by NSW Police during a knife confrontation. He presented with acute intoxication (alcohol and m…

emergency medicinepsychiatrymethamphetamine
SAmental health2017-11-29

Coroner's Finding: MICHIE Tiffany Jayne.docx

22y · Female·plastic bag asphyxia, possibly contributed to by neck compression

…lth Act order in a psychiatric ward. She had explicitly stated plastic bag asphyxiation as a contemplated suicide method. Following her attempted suffocation with a pillow on 24 October, staff failed to escalate her car…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
NTmental health2009-04-09

Inquest into the death of Paul Guarini

38y · Male·self-inflicted hanging

Paul James Guarini, a 38-year-old university student with a history of relationship difficulties, suicide attempts, and depression, died by hanging in Cowdy ward at Royal Darwin Hospital on 14 September 2007, wi…

psychiatryemergency medicinediagnosticsystemparoxetine
VICcommunity2023

Finding into death of Ms KSQ

39y · Female·Plastic bag asphyxia

…ed alleged sexual abuse and coercive control from her partner over 12 years. In September 2022, when she attempted to change locks at the family home, police misidentified her as the predominant aggressor despite her di…

diagnosticsystemclobazam
VIC2015-03-26

Finding into death of Dalvir Singh

27y · Male·hanging

…ngh, a 27-year-old Indian national, died by hanging in immigration detention on 13 February 2014. He had attempted suicide in police custody 16 days earlier but this critical information failed to reach detention centre…

psychiatrygeneral practicecommunicationsystembuprenorphine/naloxone
TAShospital2022-07-01

Coroner's Finding: CL de-identified

33y · Female·hanging

A 33-year-old woman with major depressive disorder and a history of suicide attempts died by hanging five days after discharge from hospital following a carbon monoxide poisoning at…

psychiatryemergency medicinediagnosticcommunicationsertraline
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

… Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal culpability. Key clinical lessons: the decision to transfer her fr…

psychiatryemergency medicinesystemcommunication
QLD2012-03-06

Ford, Stuart Cecil

56y · Male·Asphyxia

…story of adjustment disorder with anxiety and depression, was under psychiatric care, and had previously attempted suicide. The death occurred following suspension from his laundry job and breach proceedings on 15 Janua…

psychiatrypsychologyanti-anxiety drugs
SA2004-08-06

Coroner's Finding: TURNER Troy Phillip

36y · Male·hanging

…failures: (1) Duty Supervisor Ken Cluse directed that Mr Turner not be cut down and resuscitation not be attempted, despite unclear signs of death and uncertain duration of hanging. The coroner found this decision inapp…

psychiatryemergency medicineproceduralsystemfluvoxamine
VICaged care2025-05-21

Finding into death of Lorraine Joy Wight

77y · Female·Airways obstruction by tissue paper

…d from airway obstruction by tissue paper at an aged care facility. She had expressed suicidal ideation, attempted self-harm, and was found with tissues in her mouth on two occasions before her fatal event. The internal…

geriatric medicinepsychiatrycommunicationsystemoxycodone
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…

general practicepsychologysystemcommunicationsertraline

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