Coronial

64 results for depressive symptoms

VIChospital2025-07-03

Finding into death of JV M

19y · Female·multiple injuries sustained in a train incident

JVM was a 19-year-old with major depressive disorder, anxiety, and possible first-episode psychosis who died by suicide after jumping in front of a …

psychiatryemergency medicinecommunicationsystemsertraline
VICmental health2012-05-17

Finding into death of Peter Robin Tully

55y · Male·Hanging

Peter Tully, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week before admission. During hospitali…

psychiatryemergency medicinecommunicationsystemvenlafaxine
QLDmental health2013-07-02

Mrs B

52y · Female·Hanging due to depression

…s the critical importance of physical monitoring of mental health unit exits. Her selective disclosure of symptoms to clinicians, her history of impulsive absconding when hospitalised, and recent acute suicidal ideation …

psychiatrycommunicationsystemdiazepam
SA2006-05-01

Coroner's Finding: HULSINGA Michael John

27y · Male·left temporal intracerebral haemorrhage due to arteriovenous malformation

… 8:15 pm by nursing staff conducting a medication round. Post-mortem examination confirmed rapid onset of symptoms with massive bleeding that would have caused quick loss of consciousness. Even if discovered promptly, su…

forensic medicinepsychiatrysystemcommunicationsertraline
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
VIChospital2015-04-02

Finding into death of Maria Teresa Nigro

53y · Female·hanging

Maria Nigro, a 53-year-old woman with depression and recent medication overdose, was admitted involuntarily to Werribee Mercy Hospital's Low Dependency Unit (LDU) on 4 February 2009. Despite a risk assessment on 9 Februa…

psychiatrycommunicationsystemsertraline
NSWcommunity2009-02-27

02anonfinding

54y · Male·Died by hanging while suffering from the effects of Post-traumatic Stress Disord…

A 54-year-old NSW police officer died by suicide while suffering from PTSD and Bipolar Disorder. He had witnessed multiple traumatic incidents during his 25-year career and was diagnosed with Bipolar Disorder in 2003. Fr…

general practicepsychiatrylithium
VIChome2022-12-20

Finding into death of Wei Hu

40y · Male·Stab wound to the chest

Wei Hu, a 40-year-old IT engineer, died from a stab wound to the chest inflicted by himself following a fatal incident involving intimate partner violence. The death occurred after Mr Hu stabbed his wife Ms Zhou and then…

general practicepsychiatrycommunicationsystem
SAhospital2016-10-10

Coroner's Finding: MACMILLAN Kay Meredith

62y · Female·end-stage heart failure due to cardiac amyloidosis

A 62-year-old woman with end-stage cardiac amyloidosis died from cardiogenic shock approximately 90 minutes after being placed on a Level 1 inpatient treatment order. She had wished to discontinue treatment, reflecting h…

cardiologypsychiatrydiagnosticcommunicationmirtazapine
WAhospital2016-09-08

Inquest into the Death of Anandakumar SELLAKATHIRKGAMAN

38y · Male·hypoxic brain injury and organ failure following compression of the neck (hangin…

A 38-year-old Sri Lankan asylum seeker died by suicide after being released from immigration detention on a bridging visa. He had documented anxiety and trauma history during detention, managed by psychiatrist Dr A. who …

psychiatryemergency medicinediagnosticcommunicationdiazepam
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

…g for mood changes and pain control post-DBS; consideration of additive psychotropic medication when mood symptoms emerge; and recognition that suicide risk can be masked in methodical, obsessional patients. The coroner …

neurosurgeryneurologysystemcommunicationcitalopram
VIC2024-12-06

Finding into death of Zoran Alic

58y · Male·Hanging

… of mental health review during extended waiting periods, and recognising that prisoners presenting with depressive symptoms and isolation warrant timely specialist input even when not acutely suicidal.

psychiatrycorrectional healthdelaysystem
WA2017-03-07

Inquest into the Death of Barry Matt STUART

49y · Male·ligature compression of the neck (hanging)

…lessons include: (1) maintaining psychiatric continuity of care is essential for prisoners with psychotic symptoms and depression, particularly regarding medication decisions; (2) when psychiatric review is delayed, inte…

psychiatrygeneral practicemedicationsystemolanzapine
VIChome2014-07-18

Finding into death of Shyra Lee Bloomfield

16y · Female·hanging

A 16-year-old Aboriginal girl died by hanging after an episode of inhalant ('chrome') use and relationship breakdown. She had chronic substance abuse, complex psychosocial needs, learning difficulties, and disengagement …

paediatricsaddiction medicinesystemcommunicationinhalant
TAShome2024-04-30

Coroner's Finding: Mason, Geoffrey

38y · Male·gunshot wound to the left side of the neck resulting in basal skull fracture, su…

…mental health intervention; the risk that medication changes in depressed patients can transiently worsen symptoms requiring close monitoring; and that alcohol intoxication profoundly impairs judgment and amplifies emoti…

general practiceemergency medicinesystemalcohol
NSW2011-07-07

Coroner's Finding: Brian Gerard Dunningham

42y · Male·Hanging (self-inflicted) while suffering from serious mental illness

Brian Dunningham, aged 42, died by hanging at Bathurst Correctional Complex (9–10 September 2009) while in custody. He had serious mental illness (psychosis, depression) requiring antipsychotic and antidepressant medicat…

psychiatrycorrectional healthdiagnosticmedicationmirtazapine
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

…mended hospital admission, stating she had major depression with melancholic features, possible psychotic symptoms, and elevated self-harm risk. However, the acute crisis intervention service (EACIS) implemented communit…

general practicepsychiatrycommunicationsystemaurorix
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

Peter Martin Carroll, age 21, died on 8 June 2007 in the ICU at Royal Perth Hospital from acute hypoxic ischaemic encephalopathy and pneumonia following oxycodone overdose. He had been discharged that day (5 June) after …

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
WAcommunity2019-07-17

Inquest into the Death of Mark Quenton FLEURY

38y · Male·ligature compression of the neck (hanging)

Mark Quenton Fleury, a 38-year-old man with paranoid schizophrenia, died by suicide on 14 February 2016 while subject to a Community Treatment Order. In the final week of his life, he presented to emergency services and …

psychiatryemergency medicinecommunicationsystemrisperidone
WAmental health2024-03-07

Inquest into the Death of Petya Evgenieva PETROVA-CIZEK

41y · Female·ligature compression of the neck (hanging)

…ent at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted following acute psychotic symptoms with paranoia and suicidal ideation. The coroner found multiple inadequacies in her care: failure to remo…

psychiatrydiagnosticcommunicationescitalopram

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