Coronial

137 results for complex trauma

VIC2016-11-17

Finding into death of Neil Lawrence Williamson

35y · Male·Intraoral shotgun wound

Neil Lawrence Williamson, aged 35, died from a self-inflicted intraoral shotgun wound on 4 April 2015 at Ravenswood rest stop after a lengthy police negotiation. He had a history of depression, childhood sexual abuse, an…

psychiatryforensic medicinealcohol
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

…ethamphetamine, opioids), mental health issues including borderline personality disorder, childhood sexual trauma, and prior suicide attempts. In May 2021, after drug use with his partner and relationship conflict, he ma…

psychiatryaddiction medicinemethamphetamine
TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after…

psychiatryintensive carediagnosticsystem
NSWcommunity2024-12-18

Inquest into the death of Olivia Gilffillan

23y · Female·unascertained

Olivia Gilfillan, aged 23, died between 1–5 February 2018 after nine years of psychiatric treatment for anorexia nervosa, obsessive-compulsive disorder, schizoaffective disorder, and borderline personality disorder. She …

psychiatryemergency medicinesystemclozapine
NSWhospital2016-03-17

Inquest into the death of Karl Guy MEYERS

82y · Male·complications from multiple injuries received in a motor vehicle accident

…at NGT removal caused death. No criticism was levelled at the treating clinician. The case highlights the complexity of managing trauma patients with ileus and the need for careful consideration of aspiration risk when …

trauma surgeryintensive carefentanyl
VIChome2024-01-11

Finding into death of Madeline Jane Howe

20y · Female·Complications of neck compression in the setting of partial suspension

…riginal woman, died by suicide on 8 May 2019 following partial suspension. She had experienced significant trauma including parental separation, family violence, and her brother's death by suicide eight months prior. She…

psychiatryemergency medicinecommunicationsystemfluoxetine
VIC2024-11-06

Finding into death of Gregory George Piperidis

46y · Male·Stab wound of the chest and abdomen

Gregory Piperidis (46) died from a stab wound to the chest during a basement burglary incident on 26 June 2021 at Alfred Hospital, Melbourne. He and his friend were stealing bicycles when confronted by apartment resident…

forensic medicinetrauma surgerysystemmethamphetamine
SA2023-04-06

Coroner's Finding: Chilcott, Zhane Andrew Keith

13y · Male·Hanging

Zhane Chilcott, age 13, died by suicide at a residential care facility after 12 years in state care with 18 placements. The coroner found multiple systemic failures: inadequate scrutiny of his first placement with LB des…

paediatricsgeneral practicesystemcommunication
NSWcommunity2014-12-16

Inquest into the death of Massimo SUKLAN

59y · Male·opiate toxicity

…essons include the importance of robust mental health and welfare support for vulnerable individuals with complex psychosocial needs living in remote, socially isolated settings, and the challenges of providing coordina…

psychiatrygeneral practicesystemmorphine
VIC2014-05-21

Finding into death of Michael Patrick Ormsby

9y · Male·Motor vehicle accident related multi trauma

…evere autism spectrum disorder and intellectual disability requiring constant supervision, died from multi-trauma injuries sustained in a motor vehicle accident. While under respite care at Kyneton Bushland Resort, he be…

paediatricsrisperidone
VICcommunity2014-11-28

Finding into death of Shane Kenneth Warrick

38y · Male·Multiple injuries

…ent and Treatment Team (ECATT) on 25 August 2013 after reporting thoughts of harming his father. He had a complex psychiatric history including paranoid schizophrenia, substance dependence, and prior hospitalization. He…

psychiatryemergency medicineolanzapine
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated involuntary detention proced…

psychiatrygeneral medicinecommunication
VIChome2025-01-28

Finding into death of Edward Grant Harris

18y · Male·Heroin toxicity

… and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a complex history of behavioural challenges, out-of-home care placement, and substance use. Edward deliberately ing…

paediatricspsychiatrysystemheroin
NSW2015-07-10

Inquest into the death of Tyrone Marley Gilks

19y · Male·chest injuries caused by blunt force trauma suffered in a high speed motorcycle …

…pt but the rider either missed or ignored the signal; lack of documented engineering calculations for the complex physics involved; and absence of formal safety oversight from regulatory bodies. Clinical lessons include…

trauma surgeryintensive caresystemcommunication
WAhome2021-03-25

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

35y · Female·multiple injuries sustained in fall from sixth-floor balcony

…e state services failed; (2) the need for early identification and engagement of vulnerable patients with complex psychosocial stressors, especially those with poor insight into their condition; (3) failure of communica…

psychiatrygeneral practicecommunicationsystemlithium
ACThospital2024-07-25

Inquest Into The Death Of Katherine Aurelia Alexander

34y · Female·multiple drug toxicity

Katherine Alexander, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died f…

psychiatryemergency medicinecommunicationsystemdosulepin
NTcommunity2005-07-19

Inquest into the death of Carlene Coombe

43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…

…-old Aboriginal woman died from a stab wound to the chest in circumstances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). She was fo…

forensic medicinegeneral practicealcohol
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…

Didbala, a 17-year-old Aboriginal girl with complex mental health conditions including psychosis, bipolar disorder and suspected FASD, died by hanging at a C…

psychiatrypsychologycommunicationsystemcannabis
NSWcommunity2020-02-24

Into the death of Rodney Scarman

52y · Male·Blunt force injuries to head

…blunt force injuries to the head on 25 December 2011. He was found in a utility closet at his residential complex in Waterloo, NSW. The evidence indicates he confronted someone regarding a $160 drug transaction debt, re…

forensic medicinealcohol
SAhospital2000-02-25

Coroner's Finding: STONEHOUSE Jarrod William (aka Scott)

23y · Male·aspiration of blood due to stab wound to trachea

23-year-old man with self-inflicted stab wound to neck presenting to emergency department while intoxicated and agitated. Ambulance noted 3cm laceration to midline trachea with minimal external bleeding. Registered nurse…

emergency medicinesurgerydiagnosticcommunicationalcohol

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