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WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

Justine Painter, aged 51, died from multiple injuries sustained jumping from a multi-storey carpark while an inpatient at Royal Perth Hospital (RPH). She had severe treatment-resistant schizoaffective disorder, command h…

gastroenterologypsychiatrycommunicationsystempaliperidone
NSWcommunity2022-10-07

Inquest into the death of Charli Powell

17y · Female·Hanging

Charli Powell, 17, died by hanging at Freebody Oval on 11 February 2019 during an abusive relationship with Rohan Rosewarne. The coroner found her death was intentionally self-inflicted but occurred in the context of sig…

pathologypsychiatrysystemcommunicationcannabis
VIChome2022-10-06

Finding into death of Dannyll Ann Goodsell

33y · Female·Incised injuries to the neck

Dannyll Ann Goodsell, 33 years old, was murdered by her intimate partner Scott Cameron through multiple incised injuries to the neck causing exsanguination. Ms Goodsell had disclosed to friends that she was scared of Mr …

forensic medicinepsychiatrycommunicationsystemmethamphetamine
VIChome2022-10-06

Finding into death of Ozlem Karakoc

34y · Female·Drowning

Ozlem Karakoc, aged 34, died by drowning on 14 July 2017 at her home in Dandenong, Victoria. She was murdered by her former intimate partner, Murat Davsanoglu, who held her underwater in a bathtub. Ms Karakoc had mild in…

psychiatrygeneral practicecommunicationsystemvenlafaxine
NSWaged care2022-09-28

Inquest into the death of Kerry-Ellen (Nikki) Knight

44y · Female·Hanging

Kerry-Ellen Knight, aged 44, died by suicide in custody at Silverwater Women's Correctional Centre on 5 March 2021 after only 6 days in custody. She was in COVID-19 quarantine in an old-style cell with prominent hanging …

psychiatrycorrectional healthdiagnosticcommunication
TAShospital2022-09-21

Coroner's Finding: Brown, Sandra Anne

54y · Female·hypothermia, likely related to drug toxicity

Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…

emergency medicinerespiratory medicinecommunicationsystemfluvoxamine
NSW2022-09-21

Inquest into the death of Trevor SAMUEL

35y · Male·hyponatraemia due to excessive consumption of water, against a background of psy…

Trevor Samuel, a 35-year-old Aboriginal and Torres Strait Islander man with treatment-resistant schizophrenia and psychogenic polydipsia, died in custody from hyponatraemia following excessive water consumption. His psyc…

psychiatrycorrectional healthsystemantipsychotic medications
TAScommunity2022-09-20

Coroner's Finding: Henrich, Peter

57y · Male·Unknown - coroner unable to determine

Peter Henrich, a 57-year-old man with a history of schizophrenia, disappeared in Tasmania between November 2017 and January 2018. His van was found abandoned near Poatina with food items expired in early November and no …

psychiatryforensic medicine
VICaged care2022-09-20

Finding into death of Tom Owen Row

59y · Male·Choking asphyxia

Tom Owen Row, a 59-year-old man with intellectual disability, dementia, Fragile X Syndrome, and Chromosome 18 Deletion Syndrome, died from choking asphyxia at a residential care facility. He had a prior choking incident …

geriatric medicinepsychiatrysystemrisperidone
NSWcommunity2022-09-16

Inquest into the disappearance of CD

36y · Male·Cannot be determined

CD, aged 36, disappeared on 17 June 2019 after exhibiting significant mental health deterioration, recent suicidal ideation, paranoia, alcohol abuse, and relationship breakdown. The coroner found sufficient evidence that…

psychiatryemergency medicinesystemcommunicationalcohol
NSWcommunity2022-09-16

Inquest into the death of M G

51y · Male·multiple injuries sustained by a high velocity fall from a height

A 51-year-old man with longstanding schizoaffective disorder who was inadequately medicated drove 400km from home and positioned himself precariously on the Wingecarribee River Bridge with clear suicidal intent. Fourteen…

psychiatryemergency medicine
NSWmental health2022-09-16

Inquest into the death of S B

81y · Male·cardiac arrest following neck compression due to hanging

An 81-year-old man with a history of alcohol dependence, paranoid delusions regarding his wife's infidelity, and possible vascular dementia was admitted to mental health facilities involuntarily after discharging a firea…

psychiatrygeriatric medicinediagnosticcommunicationolanzapine
VIChome2022-09-13

Finding into death of John Llewellyn Williams

73y · Male·congestive cardiac failure in a man with cardiomegaly

A 73-year-old man with bipolar disorder and uncontrolled hypertension died of congestive cardiac failure with cardiomegaly. He was subject to a Community Treatment Order but had disengaged from care, refusing blood tests…

psychiatrycardiologyhydroxyrisperidone
NSWhome2022-09-13

Inquest into the death of Ian Fackender

47y · Male·Multiple gunshot wounds; discharged by police officer during enforcement of Comm…

Ian Fackender, aged 47, died from gunshot wounds during a Community Treatment Order breach enforcement operation in his home. He had severe, treatment-resistant schizophrenia and was acutely psychotic during the incident…

psychiatryforensic medicinecommunicationsystemaripiprazole
VIC2022-09-09

Finding into death of Gregory Paul Sedgman

42y · Male·Complications post polypharmacy toxicity

Gregory Sedgman, aged 42, died from polypharmacy toxicity after consuming excessive prescription medications at a post-sentence supervision residential facility. He had deliberately accumulated medications despite a seiz…

psychiatrytoxicologymedicationcommunicationoxycodone
VIChome2022-09-07

Finding into death of Kim Rebecca Lynch

41y · Female·neck compression

Kim Lynch, 41, died from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence inc…

psychiatryemergency medicinecommunicationsystemmethadone
VIChospital2022-09-07

Finding into death of Mr AB

17y · Male·Hypoxic ischaemic encephalopathy due to hanging

A 17-year-old male who transitioned from female died by hanging on 21 April 2020, seven days after discharge from psychiatric inpatient care. He had complex medical needs including chronic back pain, spinal fusion, post-…

psychiatryemergency medicinesystemcommunicationquetiapine
VICaged care2022-09-02

Finding into death of Alan Joseph Wilson

55y · Male·Acute alcohol toxicity

Alan Wilson, a 55-year-old man with intellectual disability, schizophrenia, and severe alcohol addiction, died from acute alcohol toxicity in an aged care facility. Post-mortem blood alcohol concentration was 0.33%, suff…

geriatric medicinepsychiatrysystemalcohol
VIChospital2022-08-31

Finding into death of Cindy Jane Martin

40y · Female·Complications of WHO Class III Obesity

Cindy Jane Martin, a 40-year-old Aboriginal woman with treatment-resistant schizophrenia, WHO Class III obesity, and obstructive sleep apnoea, died of sudden cardiac complications seven days after psychiatric admission. …

psychiatryrespiratory medicinesystemdelaysodium valproate
VIChome2022-08-31

Finding into death of B L

28y · Male·neck compression consequent upon hanging

A 28-year-old man with severe personality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health services on 25 February 2019 after suicide threats and high-lethal…

psychiatryemergency medicinecommunicationsystemsodium valproate

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