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 …
64 results for “depressive symptoms”
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 …
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…
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 …
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…
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 …
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…
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…
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…
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…
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 …
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 …
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.
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…
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 …
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…
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…
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…
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 …
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 …
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…
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