Coronial

149 results for attempted suicide

VIC2013-11-28

Finding into death of Darren Robert Baxter

46y · Male·Complications of self-inflicted incised injuries to the neck

…utely agitated, self-harmed with multiple implements, and police responded. Police established a cordon, attempted negotiation, and avoided forced entry initially despite risk to Darren. After 2 hours, negotiators commu…

psychiatryemergency medicineamphetamine
NTmental health2002-03-12

Inquest into the death of Luke Peter Littlewood

21y · Male·multiple injuries from fall from water tower

…sychiatric ward after being found climbing a power pole. After 8 days, despite being assessed at moderate suicide risk and displaying poor insight into his illness, he was granted unsupervised leave in his father's care…

psychiatrycommunicationproceduralolanzapine
NSWcommunity2017-10-25

Inquest into the death of KE

36y · Male·Shotgun wound to the head

…ung Police Station at 11:44 PM. After approximately 20 minutes of de-escalation by Inspector Holmes, who attempted to build rapport without formal negotiation training, KE fatally shot himself while police were actively…

psychiatryemergency medicinealcohol
VIChome2014-12-18

Finding into death of Nathan James McRorie

20y · Male·Gunshot wound to the head

…s were present. The coroner determined he most probably discharged the firearm himself, likely during an attempted 'Russian roulette' game while intoxicated and under the influence of methamphetamine. However, significa…

methamphetamine
QLD2013-11-04

Coulson, Elliott John

32y · Male·multiple injuries sustained in a fall from the 26th floor of the Marriott Hotel

… was delayed by internal security bars, but officers quickly located Coulson on the balcony. One officer attempted to grab him, but Coulson deliberately released his grip and fell. Toxicology showed significant alcohol …

NSWprison2025-09-10

Inquest into the death of RD

70y · Male·death by hanging, self-inflicted

…-old man died by hanging in prison while serving a sentence for child sexual offences. He had previously attempted suicide in 2017 when initially charged, and was subsequently treated with antidepressants and psychiatri…

psychiatrygeneral practicecommunicationsystemsertraline
SAhome2001-07-16

Coroner's Finding: BRADY Mary

64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage

A 64-year-old woman died from doxepin overdose complicated by haemorrhagic bronchopneumonia. She had attempted suicide in April 1999 and was referred to a psychiatrist (Professor Schioldann) who prescribed sertralin…

general practicepsychiatrycommunicationmedicationdoxepin
TAScommunity2022-07-22

Coroner's Finding: Fraser, Stella Joan

72y · Female·drowning

…edestrian bridge and fell into the river in darkness. Reeds were found entangled in her hand, suggesting attempted self-rescue. No suspicious circumstances or suicide were identified. The coroner noted absence of lighti…

VIChome2017-10-30

Finding into death of Dannika Michelle Smith

26y · Female·Toxicity to Pentobarbitone

…-ingestion. She had Borderline Personality Disorder with documented suicidal ideation and had previously attempted suicide. She imported pentobarbitone from Mexico while hospitalized for mental health treatment. Two par…

psychiatrypathologysystemdelaypentobarbitone
NSWcommunity2018-08-28

Inquest into the death of MB

64y · Male·Multiple injuries sustained after jumping from a height

…ochondriacal beliefs about toxic exposure from home materials, and passive suicidal ideation. His son DB attempted urgent psychiatric review on 18 November 2016 but was offered an appointment nearly a month later, as th…

psychiatrygeneral practicecommunicationsystemmirtazapine
SAmental health2011-07-13

Coroner's Finding: FARMER John Sydney

34y · Male·hanging

…n 23 May 2008, six hours after being granted leave from psychiatric detention at Woodleigh House. He had attempted suicide by carbon monoxide poisoning two days earlier following workplace stress, shoulder injury, loss …

psychiatryemergency medicinediagnosticcommunicationcitalopram
VIC2016-08-08

Finding into death of Sunil Beniwal

36y · Male·Multiple injuries from motor vehicle collision

…ous suicidal ideation. Following their separation in September 2014 and a trip to India where Mr Beniwal attempted to persuade Ms Godara to reconcile, he killed her when she refused. The coroner found no clinical or med…

psychiatrypsychologymirtazapine
VICcommunityNew2026-05-29

Finding into death of EKU

53y · Female·Multiple injuries sustained in a fall from height

…ling. A Coroners Prevention Unit review found clinicians reacted appropriately to her deterioration, had attempted voluntary admission, and provided reasonable community oversight. No clinical care issues or prevention …

psychiatrypsychologybrexpiprazole
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

…spital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two weeks prior (overdose). Despite being assessed as high-risk on 4 December and placed on hour…

psychiatryintensive carediagnosticcommunicationsertraline
SAhome2003-04-11

Coroner's Finding: YIALAS Dimitrios

23y · Male·neck compression due to hanging

…er contacted police expressing serious concerns about his mental state and threatening behaviour. Police attempted to contact drug and alcohol services but received no response. The mental health unit was not contacted.…

psychiatrygeneral practicecommunicationsystemamitriptyline
TAScommunity2019-06-18

Coroner's Finding: DI

30y · Male·Head injuries sustained from intentional motor vehicle collision with oncoming t…

…e calls expressing suicidal intent in the 90 minutes before his death. Despite police welfare checks and attempted location, he was not intercepted. The coroner found he had likely benefited from mental health professio…

psychiatryemergency medicinealcohol
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…s, refused antipsychotic medication, and experienced clinical depression in September 2007. Following an attempted suicide on 2 September, he was admitted involuntarily. On 22 November, his psychiatrist refused his plea…

psychiatryforensic medicinemedicationcommunicationrisperidone
QLD2013-11-19

Sutcliffe, Peter Alan

39y · Male·Hanging

…e threats, and during a 30-minute period while SERT officers were positioning themselves and negotiators attempted engagement, he hanged himself. The coroner found the police response was reasonable and proportionate, w…

alcohol
SA2003-01-17

Coroner's Finding: ALLEN Craig Mark

29y · Male·Hanging

…n prisoner management contributed to this preventable death. The Health Assessment form documented prior attempted hanging, personality disorder, depression, and recommended shared cell accommodation due to self-harm ri…

correctional healthpsychiatrycommunicationsystemfluoxetine
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

…ss. The nurse advised her to go to hospital immediately; the patient said she would call a friend. Staff attempted to contact her but received no response and assumed she had complied. She was found dead the following m…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
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