Coronial

308 results for family crisis

VIChome2011-10-18

Finding into death of Lynette Ann Kent

52y · Female·Multiple stab injuries

… partner Peter Griffin during a domestic violence incident. The case reveals critical systemic failures in family violence intervention. Despite multiple warning signs—Peter's documented history of violence, stalking, an…

general practiceemergency medicinecommunicationsystem
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

…olice and ambulance conduct reasonable but highlighted critical system gaps: absence of 24/7 mental health crisis teams, limited assessment orders in early morning hours, PACER teams rostering only to 11pm, and lack of '…

psychiatrypsychologysystemcommunication
SA2016-06-30

Coroner's Finding: SAID David Patrick

38y · Male·multiple injuries

…g or falling from a dam wall while under police observation. He had been recently distressed following his family dog's death, which he had stated would trigger suicidal ideation. Police were attempting to detain him und…

psychiatryforensic medicinerisperidone
TAScommunity2022-02-22

Coroner's Finding: BL de-identified

47y · Male·Extensive burns sustained in a deliberately set fire

…luding a Mental Health Plan and psychologist referral. Despite professional support and encouragement from family and friends, his mood remained unstable. He posted a Facebook message indicating intent to end his life, t…

psychiatryemergency medicine
TASmental health2016-01-29

Coroner's Finding: Mr D

57y · Male·Multiple fatal injuries following a fall from height onto rocks

…al health deterioration over 12 months, including depression, anxiety, and suicidal ideation, triggered by family stressors (son's drink-driving charges), work concerns, and physical health worries. He had a significant …

psychiatrygeneral practicecommunicationsystemescitalopram
QLDcommunity2015-12-14

Logan, Edward Wayne

51y · Male·multiple gunshot wounds to the chest

…r, died after being shot by police at Tewantin, Queensland on 23 November 2014. Following an argument with family members over his son's birthday, Mr Logan became violent, wielded two kitchen knives, assaulted family mem…

citalopram
WAcommunity2022-06-09

Inquest into the Death of Desmond Edward JACK

33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)

…s include the importance of timely risk review at mental health services, documented follow-up plans after crisis calls, and earlier consideration of involuntary detention under mental health legislation when there are c…

psychiatryemergency medicinesystemmirtazapine
VICcommunity2011-10-28

Finding into death of Terri Elizabeth Musgrave

51y · Female·toxicity to heroin

…domestic violence incident on 22 September 2010, arrested, held briefly in police custody, and released to crisis accommodation. She subsequently returned to her de facto partner's address despite a Family Violence Safet…

forensic medicinetoxicologyheroin
TAShome2022-11-30

Coroner's Finding: Tongs, Janetta Ann

55y · Female·exsanguination due to a gunshot wound to the upper left chest

…019 (July and December) and was managed by her general practitioner and Tasmania Health Service, including crisis assessment and discharge team (CATT) and psychology services. The coroner found she was appropriately trea…

general practicepsychiatryvenlafaxine
VIChome2022-11-21

Finding into death of Ms AA

57y · Female·Positional asphyxia

AA, aged 57, died from positional asphyxia following a fatal assault by her brother BB during a family dispute about money and aged care responsibilities. BB was caring for their elderly father GG, who had rec…

geriatric medicineemergency medicine
NSWhome2020-03-16

Inquest into the death of Christina BURGESS

50y · Female·unknown

…ical distress, isolated, and without support. She had not engaged with mental health services after a 2012 crisis assessment. No recent medical contact was evident. The clinical lesson is the importance of ensuring vulne…

psychiatrygeneral practicesystemcommunication
VIC2011-11-23

Finding into death of Tyler Cassidy

15y · Male·Gunshot wound to the chest

…Cassidy, a 15-year-old boy, was fatally shot by Victoria Police on 11 December 2008 during a mental health crisis. He had stolen two large kitchen knives from Kmart and made threatening statements, explicitly demanding p…

emergency medicinecorrectional healthcommunicationsystemalcohol
VIChome2011-08-09

Finding into death of Patricia Webster

41y · Female·Hanging

…ls—specifically regarding supervision arrangements, appointment times, and transport responsibilities. The family did not appreciate the degree of risk and Mrs Webster was left unsupervised, allowing her to access a liga…

psychiatrygeneral practicecommunicationsystemantidepressants
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

…ding at a domestic violence refuge. She had a history of depression, previous suicide attempts, and was in crisis following separation from her violent partner. Multiple health and social care services were involved but …

psychiatrygeneral practicediagnosticcommunicationhydromorphone
SAhome2003-04-11

Coroner's Finding: YIALAS Dimitrios

23y · Male·neck compression due to hanging

…ocumentation of safety concerns; timely psychiatric assessment when acute psychosis is present; accessible crisis intervention pathways in regional areas; and system improvements to ensure concerned family members can re…

psychiatrygeneral practicecommunicationsystemamitriptyline
VICcommunity2020-01-31

Finding into death of Francis John Stewart

38y · Male·Sepsis complicating bronchopneumonia and chest wall abscess in the setting of an…

…iation died from sepsis complicating a chest wall abscess and bronchopneumonia, precipitated by an adrenal crisis. He presented to his GP with a large chest abscess on 10 July 2018 and underwent incision and drainage on …

general practiceendocrinologydiagnosticcommunicationprednisolone
QLD2021-11-09

Grover, Gwen Lorraine

32y · Female·Cerebral destruction caused by a self-inflicted bullet wound to the head

…ol level of 0.15% (over three times the legal driving limit). She was experiencing significant situational crisis: recent breakdown of her 16-year marriage, inability to reconcile with her estranged husband's new relatio…

forensic medicinepathologycommunicationprocedural
NSWcommunity2017-04-27

Inquest into the death of Anthony FAHEY

29y · Male

…d existential questions about life, religion, and spirituality. Despite extensive police investigation and family searches including signs-of-life checks (bank accounts, Medicare, immigration, hospitals), no evidence of …

general practicepsychiatrycannabis
QLD2018-12-12

Winks, Russell

65y · Male·Gunshot wound to the right upper chest

Russell Winks, a 65-year-old man experiencing cumulative stress from family and health crises, died from a gunshot wound inflicted by police during an armed confrontation at his rura…

emergency medicinegeneral practiceantidepressant medication
VICcommunity2015-05-29

Finding into death of Craig Doherty

49y · Male·Multiple injuries from a fall from height

… intoxication, presenting with manic relapse. On the day of death, he was seen by his GP and mental health crisis team, both noting deterioration, paranoid delusions, and non-compliance with Olanzapine. Despite being ass…

psychiatrygeneral practicelithium

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