Coronial

937 results for suicide risk assessment

VIChospital2023-05-23

Finding into death of Silin Wang

25y · Female·multiple injuries

A 25-year-old woman with newly diagnosed metastatic gastro-oesophageal cancer and depression died by suicide on hospital grounds. She was admitted on 30 January 2021 after imaging showed cancer progression. Her sis…

oncologypsychiatrycommunicationsystemdiazepam
VIChospital2011-02-28

Finding into death of Carl Ranthe

26y · Male·multiple injuries

…n 1 January 2009 after a fight and alcohol consumption. Social worker Manfred Rapp conducted a 15-minute assessment, found Carl not psychotic, low suicide risk, and arranged return to the Community Care Unit via taxi. Ca…

psychiatryemergency medicine
VIC2022-03-08

Finding into death of Dylan James Charlton-Smith

25y · Male·Hypoxic ischaemic brain injury due to hanging

…er preceded his death by approximately 50 minutes. A correctional officer identified distress and potential risk but misinterpreted it as escape risk rather than mental health risk, leading to administrative responses ra…

psychiatryemergency medicinediagnosticcommunication
VIC2011-09-01

Finding into death of Elijah Michael Shelley

28y · Male·heroin toxicity

…on, anxiety, and polysubstance abuse, was admitted to Alfred Health following a suspected heroin overdose suicide attempt on 27 October 2008. Under the care of Consultant Psychiatrist Dr A., he received comprehensive tr…

psychiatryheroin
VICcommunity2017-04-05

Finding into death of KP

15y · Male·Hanging (redacted in original but indicated by reference to method of suicide)

A 15-year-old boy with depression died by suicide. He had a difficult relationship with his parents and was reluctant to engage with mental health services…

psychologypsychiatrycommunicationsystem
WAmental health2024-04-08

Inquest into the Death of Paul McLOUGHLIN

59y · Male·incised injuries to the neck

… with long-standing bipolar affective disorder, schizoaffective disorder, and heavy cannabis use, died by suicide via incised neck wounds while on day leave from Graylands Hospital. He was an involuntary patient under a…

psychiatryvenlafaxine
TAShome2018-08-31

Coroner's Finding: Green, Paul William

66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower

…ic alcohol abuse, died by intentional carbon monoxide poisoning from a lawn mower exhaust. He had a prior suicide attempt in 2016 and was taken into protective custody in April 2017 after expressing fear of incarceratio…

psychiatrygeneral practicecommunicationsystemantidepressant medication
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

…ty Treatment Order after recent diagnosis of schizoaffective disorder and self-harming episodes. Despite assessment for day leave by a psychiatry medical officer and phone contact showing no suicidal ideation, he drowned…

psychiatry
QLDhospital2024-03-22

Ms S

Female·Hypoxic ischaemic encephalopathy due to hanging

Ms S died by suicide while experiencing severe postnatal depression eight weeks after giving birth. She presented to the ED wi…

psychiatryobstetricssystemcommunication
QLDcommunity2019-08-02

Ms D - Non-inquest findings

47y · Female·Overdose of hydromorphone

…bed hydromorphone while residing 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 car…

psychiatrygeneral practicediagnosticcommunicationhydromorphone
VICcommunity2025-12-04

Finding into death of Mr PNF

60y · Male·Neck compression secondary to hanging

… police regarding child sexual abuse allegations. While police identified that suspects are at heightened suicide risk during investigation, the officers did not provide required support materials, failed to document ri…

general practicepsychiatrycommunicationsystemfluoxetine
SAschool2003-10-27

Coroner's Finding: CHAPMAN Michael James

16y · Male·Gunshot wound to the head

A 16-year-old boy with a 5-year history of depression, multiple suicide attempts, and suicidal ideation died by self-inflicted gunshot wound at school on 1 August 2001. He had b…

psychiatrygeneral practicediagnosticcommunicationcitalopram
SAhospital2000-06-16

Coroner's Finding: WANGANEEN Fallon

26y · Male·neck compression due to hanging

…-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric ward whilst detained under a Mental Health Act order. Key clini…

psychiatryemergency medicinediagnosticcommunicationparacetamol/codeine
VICcommunity2015-04-13

Finding into death of KJ

18y · Female·Multiple injuries due to impact by train

KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, inclu…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
WAhospital2015-02-26

Inquest into the Death of John Vincent KEARNEY

49y · Male·Carbon monoxide toxicity

John Vincent Kearney, 49, with a history of depression and previous suicide attempt presented to Sir Charles Gairdner Hospital ED on 26 March 2010 with suicidal ideation triggered b…

psychiatryemergency medicineantidepressant
SA2000-06-16

Coroner's Finding: CURREN Michael Andrew

38y · Male·neck compression due to hanging

…staff observed nothing unusual. The coroner found no suspicious circumstances and concluded the death was suicide. Key clinical lesson: inmates presenting with injuries and psychological stress require heightened vigila…

communicationsystemparacetamol
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 fath…

general practicepsychiatrysystemdelay
VIC2010-02-17

Finding into death of Trevor Frawley

40y · Male·gunshot wound to head

Trevor Frawley, a 40-year-old man with a history of psychiatric illness and documented suicide risk, died from a self-inflicted gunshot wound to the head while attending pistol shooting instruction at…

psychiatryforensic medicinesystemcommunication
VICcommunity2020-12-09

Finding into death of Maggie Rose Bant

20y · Female·Plastic bag asphyxia with inhalation of helium

…al ideation despite clinical concerns. Her ex-partner's mother observed concerning behaviour and believed suicide was inevitable given her mental health severity. The coroner identified her death as part of a statistica…

general practicepsychiatrydiagnosticcommunicationsertraline
NSW2011-12-19

Villawoodfindings redacted

Male·Suicide: hanging (Al-Akabi, Saunders); diving from balcony (Rauluni)

Three immigration detainees died by suicide at Villawood Detention Centre in Sydney within three months in 2010. Josefa Rauluni (Fijian) jumped from …

psychiatrygeneral medicinediagnosticcommunicationmirtazapine

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