Coronial

80 results for occupational stress

VICcommunity2014-06-30

Finding into death of Lewis John Muratori

50y · Male·Multiple injuries as a result of being struck by a train

…encing a cascade of adverse events. In October 2009, he attended work while intoxicated following personal stress, leading to reporting to the Nurses Board of Victoria. Subsequent suspension from practice, combined with …

psychiatryemergency medicinecommunicationsystemaurorix
NSWcommunity2015-01-30

Inquest into the death of Alec Samuel MEIKLE

17y · Male·Hanging (self-inflicted)

Alec Meikle was a 17-year-old apprentice in New South Wales who experienced bullying and harassment at his workplace at Downer EDI from January to May 2008. The incidents included creation of a 'Sphincter Dilation Chart'…

psychiatrygeneral practicesystemfluoxetine
VICcommunity2022-11-22

Finding into death of Vlado Tomislav Micetic

44y · Male·gunshot wound to the abdomen

Vlado Micetic, 44, was fatally shot by Leading Senior Constable Timothy Baker during a traffic interception for stolen number plates in Windsor, Victoria, on 25 August 2013. Baker claimed Micetic produced a knife during …

emergency medicinepsychiatrysystemdelaycarbamazepine
WAcommunity2025-04-17

Inquest into the Suspected Death of Peter James GUIDERA

58y · Male·unascertained

… suicide attempts, disappeared on 8 May 1998 from Narrogin, Western Australia, shortly after receiving a distressing phone call regarding his divorce settlement. He left work in an agitated and upset state and has never …

psychiatrygeneral practiceantidepressant medication
VICcommunity2011-09-20

Finding into death of DA

42y · Male·Ischaemic heart disease due to severe triple-vessel coronary artery atherosclero…

…unproven 'chelation therapy' (Angioprim) from an unregulated US internet supplier, despite having positive stress testing and angiographic confirmation of critical coronary stenosis. He continued physical work despite ca…

cardiologycardiothoracic surgerydiagnosticcommunicationangioprim
VIC2014-03-06

Finding into death of Geoffrey Ashton

78y · Male·Ischemic heart disease

… with significant ischemic heart disease, died in the foyer of Croydon Police Station on 17 December 2011. Stress from an altercation over disabled parking at a nearby church likely triggered his acute cardiac event. He …

cardiologypathologydelayprocedural
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

Elaine Sykes, aged 58, was admitted to Dandenong Hospital with acute renal failure and severe mental health deterioration. After 47 days at Acacia Mental Health Unit, she demonstrated substantial improvement and was disc…

psychiatrygeneral medicinesystemcommunication
ACT2019-02-15

AN INQUEST INTO THE DEATH OF BEN CATANZARITI

21y · Male·Head injuries suffered as a result of being struck by a concrete pouring boom wh…

…as caused by: uneven bolt tightening during maintenance, internal or environmental hydrogen embrittlement, stress corrosion cracking, or a combination of factors. The coroner made no adverse findings against individuals …

system
SA2000-07-07

Coroner's Finding: BAULDERSTONE Andrew Grant

37y · Male·Multiple injuries including lung lacerations and contusions, multiple rib fractu…

…ed 5mm radius bend, reducing fatigue life 2.5-fold); inadequate quality control of welding; and structural stress from major kiln design changes made without proper engineering analysis. The anchoring system underwent pr…

occupational and environmental healthforensic medicinesystemprocedural
WAcommunity2018-09-20

Inquest into the Death of Scott Andrew BLANCHARD

45y · Male·Gunshot injury to the chest (self-inflicted)

Scott Andrew Blanchard, a 45-year-old Detective Sergeant with the Western Australian Police Gang Crime Squad, died from a self-inflicted gunshot wound while on duty near Kalgoorlie. In June 2015, following a trip to Thai…

psychiatryemergency medicinecommunication
VIChome2026-03-19

Finding into death of Aisha Natasha Khan

44y · Female·Mixed alcohol and drug toxicity (tapentadol, diazepam, mirtazapine, amitriptylin…

…tion Team) expressing suicidal thoughts after consuming alcohol and nine evening tablets. The paramedic occupational therapist appropriately called Triple Zero. However, a significant delay in emergency response occurred…

psychiatryemergency medicinesystemdelaytapentadol
VIC2017-04-20

Finding into death of Helen Julia Mok

49y · Female·Multi-drug toxicity from intentional self-administration of intravenous fentanyl…

…tating factor appeared to be her impending relationship breakdown. The coroner did not find that workplace stress, negotiations, or absence of support services materially contributed to her decision. Clinically, this cas…

paramedicinepsychiatrysystemfentanyl
VIChome2012-10-31

Finding into death of Maree Elizabeth Hoy

41y · Female·CARBON MONOXIDE TOXICITY

… died by carbon monoxide toxicity the same day. The coroner found the sudden termination was a significant stressor contributing to her decision to take her own life. The finding highlights that termination of employment…

citalopram
QLDmental health2020-06-29

Rangi, Taare Tamakehu

44y · Male·Cardiac arrhythmia during physical restraint

…o training in such techniques; (4) staff failed to stop the restraint despite observable signs of severe distress including gasping and colour changes. Systemic failures included inadequate briefing, absence of clinical …

psychiatryemergency medicinediagnosticprocedurallorazepam
VICcommunity2022-02-24

Finding into death of Peter Trimbos

52y · Male·Head injuries

Peter Trimbos, a 52-year-old lawyer, died by suicide following overwhelming psychological distress from multiple stressors: the deaths of his parents and father-in-law from COVID-19, and involvement in a h…

general practicepsychiatrysystemdelay
NSWhome2022-11-04

Inquest into the death of EW

75y · Female·Plastic bag asphyxia in the setting of blunt force head injury

EW, aged 75, died from asphyxiation in July 2019 after being struck by her husband MW, who then took his own life. EW had advancing dementia and severe mobility limitations, with MW as her sole carer. The coroner found t…

geriatric medicineoccupational therapysystemcommunication
QLDPodcast2018-09-05

Maynard, Marcia Anne Kathleen

63y · Female·Insulin overdose (suicide)

…h her husband, and weight loss likely contributed to her decision to end her life. Key learning: recognise stress and anxiety in healthcare workers involved in inquests; provide accessible counselling support early; and …

correctional healthgeneral practicecommunicationinsulin
SA2008-06-06

Coroner's Finding: FORSAITH Renald Lance

51y · Male·neck compression due to hanging

A 51-year-old man on remand in prison died by hanging in his cell. He had a psychiatric history including depression and a family history of suicide, but showed no signs of self-harm risk during nine months of incarcerat…

psychiatrycorrectional healthsystem
SA2003-03-20

Coroner's Finding: VARCOE Alexander Wayne Keith

24y · Male·hanging

Alexander Varcoe, a 24-year-old Aboriginal man, died by hanging in Yatala Labour Prison while on remand awaiting trial for serious charges. He had a complex history including prior self-harm in 1995-96, alleged prison ra…

psychiatrygeneral practicesystemcommunication
NThome2018-07-25

Inquest into the death of Paula Schubert

53y · Female·self-inflicted hanging

…aula Schubert, a 53-year-old with schizophreniform psychosis, died by hanging after experiencing workplace stress and abandonment by mental health services. Her employer initiated a demotion process despite her known men…

psychiatrygeneral practicecommunicationsystemrisperidone

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