Coronial

70 results for workplace stress

QLD2006-12-08

Czislowski, Kenneth Douglas

46y · Male·gyroplane crash resulting from hub-bar failure in flight

…iled in flight due to fatigue crack development near a retaining nut, caused by high-amplitude alternating stress during service. The coroner found critical gaps in regulatory oversight: commercial gyroplane operations f…

system
VIC2020-10-29

Finding into death of Bo Zhao

31y · Male·Combined Drug Toxicity (amitriptyline and metoclopramide)

…inical lessons include recognising that individuals with documented suicidal ideation, financial and legal stressors, and avoidance of mental health interventions require proactive engagement and follow-up, not reliance …

psychiatrygeneral practicedelayamitriptyline
NSWcommunity2017-10-17

Inquest into the death of Ashley Newton Bryant

44y · Male·Multiple traumatic injuries sustained in a fall from height

Ashley Bryant, a 44-year-old former NSW police officer with 24 years service, died by suicide at Minyon Falls on 16 December 2013 while suffering from PTSD, depression and alcohol dependence. The coroner found these cond…

psychiatryoccupational and environmental healthdiagnosticcommunicationtemazepam
SAcommunity2004-09-03

Coroner's Finding: EUSTICE Dean Stanley

73y · Male·ischaemic heart disease due to coronary atherosclerosis

…evere coronary atherosclerosis with multiple blocked coronary vessels and grafts, making him vulnerable to stress-induced myocardial infarction. The coroner concluded the emotional stress of false accusation combined wit…

cardiologyemergency medicineproceduralcommunication
QLDhome2014-06-13

Mahlo, Karen Lee

52y · Female·stab wound to the chest

… and had made previous suicide attempts. The inquest concluded she intended her own death while severely distressed, alcohol-affected, and depressed. Key clinical lessons include: the importance of recognizing escalating…

psychiatrygeneral practicecitalopram
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

…et overdose (quetiapine and venlafaxine) following a progressive mental health decline. After work-related stress in late 2002, she developed depression and anxiety. While individual clinicians provided reasonable care, …

general practicepsychiatrycommunicationdelayquetiapine
VIChospital2012-03-06

Finding into death of TS

70y · Male·aspiration pneumonia and hypoxic brain injury in a setting of a man involved in …

A 70-year-old experienced painter suffered crush injuries to the neck when his head became pinned between a scissor lift platform and factory ceiling. He remained in vegetative state for three weeks before dying from asp…

intensive carerehabilitation medicinesystem
NThome2021-11-09

Inquest into the death of Holly Davidson

38y · Female·Subdural haemorrhage in the context of chronic alcoholism due to post-traumatic …

…rders despite clear indicators. The coroner found she died of head trauma in the context of post-traumatic stress disorder and chronic alcoholism. Key failures included: inadequate police investigations, failure to recog…

emergency medicinepsychiatrydiagnosticsystemparacetamol/codeine/doxylamine
WA2024-05-08

Inquest into the Death of Michael John BIRD

22y · Male·Multiple injuries from fall from 21st floor balcony

Michael Bird, 22, died by suicide on 17 March 2022, jumping from the 21st floor of his new workplace on his first day as building manager. He had been experiencing auditory hallucinations and paranoid delu…

general practicepsychiatrycommunicationsystemzolpidem
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

…al quantities of propranolol (600 tablets via repeats) and likely obtained actrapid insulin from her ICU workplace. No adverse findings were made against any treating practitioners.

psychiatrygeneral practicesystemcommunicationpropranolol
QLDcommunity2014-08-11

Lam, Wai Kim

Male·Drowning against a background of coronary artery atheroma

…ere followed, highlighting the importance of transparent incident investigation and staff cooperation in workplace safety.

systemcommunication
SAhospital2010-10-18

Coroner's Finding: NATT Katherine Michelle

24y · Female·hepatic encephalopathy due to hepatic necrosis due to paracetamol toxicity

A 24-year-old woman died from paracetamol toxicity following intentional overdose. She had developed a severe poker machine addiction resulting in escalating financial debt exceeding $60,000, compounded by recent loss of…

emergency medicinehepatologyparacetamol
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
SAhospital2026-05-28

Coroner's Finding: Sargeant, Gary Dale

36y · Male·Drowning

Gary Dale Sargeant, a 36-year-old Royal Australian Air Force member, died by drowning after absconding from Edinburgh Health Centre during an acute mental health crisis. Critical clinical failures included: a clinical ps…

general medicinepsychiatrydiagnosticprocedural
NSW2009-12-08

Inquest into the death of rebekah lawrence

34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…

… Lawrence, a 34-year-old woman, died on 20 December 2005 after jumping from a second-floor window at her workplace (Royal Australian College of Physicians) in Sydney. Two days after attending an intensive self-developme…

psychiatrysystemcommunication
NSWcommunity2019-03-26

Inquest into the death of Eeva DORENDAHL and Greg HUTCHINGS

35y · Male·The medical cause of death is unknown

Gregory Hutchings, a 35-year-old man with longstanding depression and anxiety, received outpatient treatment from GP Dr S. and psychologist Sandra Lundbergs throughout 2013. His mental health deteriorated significantly f…

general practicepsychologydiazepam
QLD2013-12-11

Woods, Gavin Lyle

46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)

A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State…

psychiatrygeneral practicecommunicationsystemescitalopram
VIC2020-04-06

Finding into death of Robert James Lawerence

29y · Male·Shotgun wound to the head

…ategory A & B firearms licence obtained in 2014. At the time of his death, he was experiencing emotional distress from relationship breakdown, financial worries, and workplace difficulties. He had been assessed by psychi…

psychiatrypsychologycommunicationsystem
NSWcommunity2019-09-11

Inquest into the death of G

34y · Male·Multiple injuries sustained when the car he was driving collided with a tree

A 34-year-old man with a history of depression and a previous suicide attempt died when he intentionally drove his car into a tree. He had been prescribed antidepressants by his GP following assessment for severe depress…

general practicepsychiatryantidepressant_medication
VIC2024

Finding into death of W B

59y · Male·Gunshot wound of head

…ith 40 years service died by self-inflicted gunshot wound at his police station following severe financial stress related to property investment losses. He had received counselling and GP management for anxiety and insom…

general practicepsychiatrycommunicationsystemdiazepam

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