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ACThospital2022-06-30

Inquest into death of DEAN CHRISTOPHER BRICE (No. 2)

25y · Male·Cardiorespiratory arrest due to aspiration pneumonia and hypoxic-ischaemic encep…

Dean Brice, aged 25, died from accidental multiple drug toxicity (methamphetamine and GHB) causing cardiorespiratory arrest, aspiration pneumonia and hypoxic-ischaemic encephalopathy. He was subject to a Psychiatric Trea…

psychiatryemergency medicinemethamphetamine
VICmental health2022-06-29

Finding into death of Melissa Gaultier

34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…

Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings from Monash Health that sh…

psychiatryobstetricscommunicationdiagnostic
QLDhome2022-06-27

Langham, Doreen Gail and Hely, Gary Matthew

49y · Female·Doreen Langham: combination of spleen injury and effects of fire; Gary Hely: eff…

Doreen Langham was killed by her intimate partner Gary Hely in an intimate partner homicide-suicide on 22 February 2021 in Queensland. The death was preceded by extensive domestic violence including physical assaults, co…

forensic medicinepsychiatrydiagnosticcommunicationcannabis
VIChome2022-06-22

Finding into death of Mr Y

46y · Male·Neck compression by ligature suspension

Mr Y, a 46-year-old man with a history of alcohol use and family violence perpetration, died by suicide via neck compression by ligature suspension in May 2020. He had expressed suicidal ideation to his wife on multiple …

general practicepsychiatrycommunicationsystem
TAShome2022-06-20

Coroner's Finding: Williams, Julie Gaye

59y · Female·mixed prescription drug and alcohol toxicity (ethanol, diazepam, fluoxetine, and…

Julie Gaye Williams, 59, died from mixed prescription drug and alcohol toxicity with aspiration of gastric contents. She had extensive psychiatric history including depression, PTSD, bipolar disorder, and alcohol depende…

psychiatrygeneral practicealcohol
SAhospital2022-06-17

Coroner's Finding: THREDGOLD, Holly Alexandra

42y · Female·hanging

Holly Thredgold, aged 42, died by hanging on 28 August 2016, less than 40 hours after inappropriate discharge from Royal Adelaide Hospital ED. She presented on 26 August 2016 severely intoxicated with suicidal ideation a…

emergency medicinepsychiatrycommunicationdiagnosticsertraline
QLDhome2022-06-17

CJ - Non-inquest findings

14y · Male·Hanging

A 14-year-old boy died by hanging after extensive exposure to domestic and family violence and child abuse, primarily from his father. Child Safety Services involvement began in infancy but failed to apply a trauma-infor…

paediatricspsychiatrydiagnosticcommunicationcannabis
SAhospital2022-06-10

Coroner's Finding: McCallum, Myrtle Olive

95y · Female·acute left subdural haematoma complicating anticoagulant therapy for deep vein t…

A 95-year-old woman with multiple comorbidities including congestive heart failure was admitted with suspected pneumonia and cellulitis. She developed deep vein thrombosis and was started on enoxaparin anticoagulation. S…

psychiatrygeneral medicineenoxaparin
SAhospital2022-06-10

Coroner's Finding: Bertram, Kerry Anne

42y · Female·multiorgan failure complicating hyperthermia and metabolic acidosis following su…

A 42-year-old woman with long-standing depression, substance use issues, and multiple mental health presentations died from multi-organ failure following ingestion of caustic soda. She was found unresponsive at home on 1…

intensive carepsychiatryalcohol
WAcommunity2022-06-09

Inquest into the Death of Desmond Edward JACK

33y · Male·Gunshot injury to the anterior trunk (chest and upper abdomen)

Desmond Jack, a 33-year-old with longstanding bipolar affective disorder and psychotic symptoms, died from a single gunshot wound to the anterior trunk after being shot by police officer Senior Constable Harrison on 28 M…

psychiatryemergency medicinesystemmirtazapine
QLD2022-06-03

Kermode, Jesse Aaron

24y · Male·Gunshot wounds to the chest and abdomen

Jesse Aaron Kermode, 24, died after being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented p…

psychiatryaddiction medicinemethamphetamine
VIC2022-06-03

Finding into death of Micky Craig Revera

40y · Male·Unascertained; opioid withdrawal-related seizure or cardiac arrhythmia could not…

Micky Craig Revera, a 40-year-old man with chronic heroin addiction, died in Melbourne Assessment Prison on 18 February 2019 from unascertained causes. He was arrested on 12 February after erratic driving, underwent poli…

emergency medicineforensic medicinediagnosticcommunicationheroin
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …

emergency medicinegeneral practicecommunicationsystemalcohol
NSWhome2022-05-27

Inquest into the death of WX

54y · Male·gunshot wound to the head

WX, a 54-year-old with longstanding depression, substance abuse (opioids, benzodiazepines), and a 2008 suicide attempt, died by gunshot wound on 27 April 2015. Despite this psychiatric and substance abuse history, he hel…

psychiatrypsychologysystemcommunicationcodeine
QLDcommunity2022-05-23

Sheppard, Mark Andrew

50y · Male·Gunshot wounds to the chest

Mark Sheppard, aged 50, died from gunshot wounds sustained during a police response to a hoax emergency call at a caravan park. He had terminal end-stage COPD with alpha-1 antitrypsin deficiency and was using home oxygen…

respiratory medicinepalliative carecommunicationsystemsertraline
NTcommunity2022-05-20

Inquest into the death of Reginald Roy

16y · Male·Consequences of high voltage electrical injury due to mental disorder/psychosis

Reginald, a 16-year-old Aboriginal boy with first episode psychosis, intellectual disability, and fetal alcohol spectrum disorder, was admitted to the Youth Inpatient Unit and improved significantly with inpatient care. …

psychiatrypaediatricscommunicationsystemaripiprazole
VIChome2022-05-20

Finding into death of Mandy Hawkey

51y · Female·Mixed drug toxicity

A 51-year-old woman with longstanding treatment-resistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, anti…

general practicepsychiatrymedicationcommunicationflunitrazepam
VIC2022-05-17

Finding into death of Cameron Richard Plant

52y · Male·Hanging

Cameron Richard Plant, a 52-year-old male, died by hanging in hotel quarantine on 11 April 2020, shortly after returning to Australia from Dubai. He was experiencing significant psychosocial stressors including marriage …

psychiatrypublic healthcommunicationsystem
VIChospital2022-05-17

Finding into death of Mr J

36y · Male·Multiple Sharp Force Injuries to Chest and Neck

Mr J, a 36-year-old with a history of first-episode psychosis (2012) and relapse (2014) both associated with methamphetamine use, ceased antipsychotic medication in September 2019 with GP support after achieving 3 years …

general practicepsychiatrycommunicationdiagnosticpaliperidone
VIChome2022-05-17

Finding into death of Mr HP

50y · Male·Gunshot injury to the head

A 50-year-old man with depression, excessive alcohol use, and cardiac defibrillator died by self-inflicted gunshot injury after a drink-driving incident and receipt of an eviction notice. The coroner found his treating g…

general practicepsychiatrysystemduloxetine

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