Coronial

690 results for hanging

VIChome2011-10-18

Finding into death of Peter John Griffin

54y · Male·Hanging (self-inflicted), following the death of Lynette Ann Kent from stab woun…

Peter Griffin, aged 54, fatally stabbed his partner Lyn Kent and then hanged himself in November 2009 following relationship breakdown. The finding documents a 10-year relationship characterised by escalating family viol…

general practicepsychiatrycommunicationsystem
NSWhospital2017-12-21

Inquest into the death of Errol Handog

34y · Male·Hanging

Errol Handog, a 34-year-old man presenting with anxiety, was assessed by psychiatry on two consecutive days at Nepean Hospital and discharged to community care despite suicidal ideation. A key clinical lesson is that inc…

psychiatrycommunicationdiagnosticquetiapine
WAmental health2024-08-28

Inquest into the Death of Peter Jonathon Rex BOLTON

36y · Male·ligature compression of the neck (hanging)

A 36-year-old man with schizoaffective disorder, traumatic brain injury, and substance use disorder died by ligature while an involuntary inpatient in a locked mental health ward. He was on hourly observations and had re…

psychiatryemergency medicinehaloperidol
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 with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Heal…

psychiatryobstetricssystemcommunication
NSW2011-08-19

Coroner's Finding: Terry Griffiths

21y · Male·Suicide by hanging

A 21-year-old Aboriginal man with schizophrenia and depression died by suicide in prison custody. Key clinical failures included: (1) inadequate mental health assessment by Dr S.—45-minute screening reviewing only one of…

psychiatrydiagnosticmedicationresperidone
VIChospital2013-09-17

Finding into death of Richard Hilton

27y · Male·Hanging

Richard Hilton, a 27-year-old with longstanding bipolar affective disorder and benzodiazepine dependence, presented to Werribee ED three times in two months with suicidal ideation and self-harm attempts. Each time he was…

psychiatryemergency medicinediagnosticcommunicationalprazolam
VIChospital2023-05-16

Finding into death of Mathew James Luttrell

43y · Male·Hanging

…n with limited discharge planning and a note that police may need to be called if he returned. He died by hanging 19 hours later. The coroner found the hospital failed to seek collateral information from family or MDAS,…

psychiatryemergency medicinecommunicationdelayolanzapine
NThome2021-11-25

Inquest into the death of Sammy

9y · Female·suicide by hanging

A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …

paediatricspsychiatrysystemdelaymethylphenidate
NTmental health2019-09-27

Inquest into the death of Linden Kunoth

24y · Male·self-inflicted hanging

Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command halluci…

psychiatrydiagnosticsystemaripiprazole
NSWcommunity2009-02-27

02anonfinding

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…

general practicepsychiatrylithium
VIChome2025-01-09

Finding into death of C M

25y · Female·Neck compression secondary to hanging

CM, a 25-year-old woman experiencing depression, anxiety, and substance misuse, died by suicide while in an intimate partner relationship characterised by documented family violence. She presented to hospital multiple ti…

emergency medicinepsychiatrydiagnosticsystemalprazolam
VIChome2012-10-09

Finding into death of Li Zhen Gao

47y · Female·Neck compression subsequent upon hanging

Li Zhen Gao, a 47-year-old woman from a culturally and linguistically diverse background, died by suicide following her husband's sudden departure and separation. She had a five-year history of stress, anxiety, depressio…

general practicepsychiatrydiagnosticcommunication
WAhome2026-01-23

Inquest into the Death of Sean Theo WINMAR (Mr STW)

46y · Male·Complications of ligature compression of the neck (hanging)

Sean Theo Winmar, a 46-year-old Aboriginal man, died by suicide on 11 August 2022 while on an interim supervision order after his release from prison. He had depression, substance use disorder, and chronic suicidal ideat…

general practiceaddiction medicinesystemdelaymethamphetamine
VICcommunity2018

Finding into death of Konstantinos Eleftheriou-Tragakis

36y · Male·Hanging

A 36-year-old man with schizoaffective disorder, substance use disorder, and previous psychotic episodes was discharged from psychiatric inpatient care after being absent without leave for 72 hours. On 4 June 2017, he co…

psychiatrycommunicationsystemrisperidone
VIChospital2025-04-14

Finding into death of Joshua Gonzalez

35y · Male·Neck compression due to hanging

Joshua Gonzalez, 35, died by suicide on 5 September 2020 after being discharged from Footscray Hospital. He had been apprehended by police under section 351 of the Mental Health Act after threatening self-harm and asking…

emergency medicinepsychiatrycommunicationsystemalcohol
VIC2025-02-24

Finding into death of Jason Thomas Muir

38y · Male·Compression of the neck (hanging)

Jason Muir, a 38-year-old Aboriginal man, died by suicide 24 days after release from custody. He had complex psychosocial needs including mental health issues, substance use history, and prior suicide attempts. While rei…

psychiatrygeneral practicecommunicationsystemmirtazapine
QLDcommunity2013-11-11

Pollini, Brett Andrew

43y · Male·Hanging

Brett Andrew Pollini, a 43-year-old fire station officer with bipolar affective disorder, died by suicide following a distressing telephone call with the Child Support Agency (CSA) regarding a substantial increase in chi…

psychiatrypsychologycommunicationsystemsodium valproate
VICcommunity2023-07-28

Finding into death of Marcus William Caldwell

27y · Male·Hanging

Marcus Caldwell, a 27-year-old with well-controlled schizophrenia on clozapine, died by suicide in February 2018. He worked at a pet boarding facility that experienced severe staffing shortages during peak season, result…

psychiatrygeneral practicesystemcommunicationclozapine
TAShospital2017-08-22

Coroner's Finding: AH - de-identified

37y · Female·asphyxia due to hanging

A 37-year-old woman with major depression and Crohn's disease was admitted to hospital following a suicide attempt. She was discharged after less than two days following clinical improvement, against her husband's reserv…

psychiatryemergency medicinediagnosticcommunicationescitalopram
NTmental health2019-09-27

Inquest into the death of Jordan Allen

34y · Male·self-inflicted hanging

34-year-old Jordan Allen died by suicide on 1 February 2018 after absconding from Alice Springs Mental Health Unit during supervised cigarette leave. He was acutely psychotic with persecutory delusions related to methamp…

psychiatryemergency medicineclinicalcommunicationdexamphetamine sulfate
130313235

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