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VIC2023-02-01

Finding into death of Hassan Jeng

23y · Male·Stab wounds to the chest and back

Hassan Jeng, a 23-year-old remand prisoner with a history of mental illness and substance use, was fatally stabbed multiple times in his cell at Port Phillip Prison on 1 January 2018. CCTV footage clearly documented the …

forensic medicinecorrectional healthsystemdelayfluoxetine
NSW2023-02-01

Inquest into the death of Jay Lee Crich

41y · Male·Cardiomegaly and Coronary Artery Disease with significant contributing condition…

Jay Crich, a 41-year-old man in custody at Clarence Correctional Centre, died of cardiomegaly and coronary artery disease with emphysema and obesity as significant contributing conditions. He was discovered unresponsive …

cardiologyrespiratory medicinebuprenorphine
VIChome2023-01-30

Finding into death of Veronica Nelson

37y · Female·complications of withdrawal from chronic opiate use and Wilkie Syndrome in the s…

Veronica Nelson, a 37-year-old Aboriginal woman with opioid dependence, was arrested on minor theft charges, remanded in custody following a bail hearing, and held at Dame Phyllis Frost Centre (DPFC) women's prison. She …

general practiceaddiction medicinediagnosticsystembuprenorphine/naloxone
VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequently developing borderline personality disorder, anxiety, depres…

general practicepsychiatrysystemdelayvenlafaxine
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

SJ, a 24-year-old man with recently diagnosed Stage 4B non-Hodgkin lymphoma and pre-existing depression managed by Orygen Youth Health, died by suicide on 22 September 2016 by jumping from the seventh-floor rooftop garde…

psychiatryhaematologycommunicationdelaymetoclopramide
VIChome2023-01-17

Finding into death of Steven John Bamblett

29y · Male·Hanging

Steven John Bamblett, a 29-year-old Aboriginal man, died by hanging on 14 January 2020 following service of a Family Violence Intervention Order application. He had a documented history of untreated mental illness with f…

psychiatryforensic medicinecommunicationsystemcannabis
VICcommunity2023-01-04

Finding into death of Cameron Douglas Boyes

43y · Male·Multiple injuries sustained in a motor vehicle accident (driver)

Cameron Boyes, a 43-year-old man, died in a high-speed motor vehicle collision after his engagement was called off. He had contacted mental health services on 23 March 2019 reporting suicidal ideation and sleep deprivati…

psychiatrygeneral practicecommunicationsystem
VIChome2023

Finding into death of Mr ZJF

27y · Male·Dextromethorphan toxicity

Mr ZJF, a 27-year-old man with a longstanding history of schizophrenia, polysubstance use disorder, and depression, died from dextromethorphan toxicity. He was subject to a Community Treatment Order at the time of death …

psychiatrygeneral practicesystemdextromethorphan
WA2022-12-23

Inquest into the Death of Ms L (Name Subject to Suppression Order)

27y · Female·multiple injuries sustained from fall from 30-storey building

Ms L, a 27-year-old German national, died by suicide on 4 March 2021 after jumping from a 30-storey building in Perth. She had experienced depression since 2016, exacerbated by recent diagnoses of chlamydia and HPV16 in …

general practicegynaecologyfluoxetine
SAhospital2022-12-22

Coroner's Finding: Shore Wayne John

55y · Male·right intracerebral haemorrhage and left middle cerebral artery cerebrovascular …

Wayne Shore, 55, died from right intracerebral haemorrhage and left middle cerebral artery stroke complicating infective endocarditis, end-stage renal failure, and multiple myeloma. He was subject to a Level 1 Inpatient …

neurologynephrologyanticoagulant therapy
SAhospital2022-12-22

Coroner's Finding: Hammond, Peter Joseph

66y · Male·inanition and probable respiratory tract infection complicating Alzheimer's deme…

Peter Joseph Hammond, aged 66, died from inanition and probable respiratory tract infection complicating advanced Alzheimer's dementia. He was admitted to the Acute Older Persons Mental Health Unit at Flinders Medical Ce…

geriatric medicinepsychiatry
SAhome2022-12-22

Coroner's Finding: Abbott, John

69y · Male·plastic bag asphyxia and mixed drug toxicity (oxycodone and pentobarbitone)

John Abbott, aged 69, died from plastic bag asphyxia and mixed drug toxicity (oxycodone and pentobarbitone) while under home detention bail with electronic monitoring. He had a complex medical history including chronic o…

general practicepsychiatryoxycodone
VIChospital2022-12-22

Finding into death of Paige Dent

25y · Female·Injuries sustained in a single vehicle motor vehicle incident in which Ms Dent w…

Paige Dent, 25, died in a single-vehicle motor accident after absconding from hospital on 6 October 2018. She had a 19-year history of psychiatric admissions for schizophrenia, borderline personality disorder, and substa…

psychiatryemergency medicinesystemcommunicationmethamphetamine
TAShospital2022-12-21

Coroner's Finding: Procter, Sheelagh Patricia

67y · Female·pulmonary thromboembolus due to deep vein thrombosis

Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulati…

orthopaedic surgerygeriatric medicineenoxaparin
VICmental health2022-12-21

Finding into death of Kai Wesley Wu

23y · Male·Injuries sustained when struck by train

Kai Wu, a 23-year-old man with first-episode psychosis, died by suicide at a railway station while on escorted leave from psychiatric inpatient care. He had been admitted to The Alfred Hospital in January 2018 under Ment…

psychiatrycommunicationsystemhaloperidol
VIChome2022-12-20

Finding into death of Wei Hu

40y · Male·Stab wound to the chest

Wei Hu, a 40-year-old IT engineer, died from a stab wound to the chest inflicted by himself following a fatal incident involving intimate partner violence. The death occurred after Mr Hu stabbed his wife Ms Zhou and then…

general practicepsychiatrycommunicationsystem
VIChospital2022-12-20

Finding into death of John Hardy Stow

73y · Male·Aspiration pneumonia

John Hardy Stow, 73, died of aspiration pneumonia complicated by a small bowel obstruction. He had cerebral palsy, intellectual disability, dysphagia, and was at high risk of aspiration. He presented with vomiting and wa…

palliative caregeneral medicineescitalopram
SAhospital2022-12-16

Coroner's Finding: Roocroft, Bryan

84y · Male·acute aspiration complicating periprosthetic fractured right femur (operated) on…

Bryan Roocroft, 84 years old with severe dementia, suffered a periprosthetic right femur fracture after two falls at aged care on 24 December 2020 while on oxazepam. He underwent surgical repair on 25 December and was pl…

geriatric medicineorthopaedic surgeryoxazepam
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …

emergency medicineintensive caresalbutamol
TAScommunity2022-12-15

Coroner's Finding: Wildman, Benjamen

37y · Male·self-inflicted stab wound to the chest

Benjamen Robert Wildman, aged 37, died from a self-inflicted stab wound to the chest while in police custody on 29 December 2020. He had a lifelong history of mental health difficulties, personality dysfunction stemming …

psychiatrypsychology

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