Coronial

95 results for chronic major depression

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
VIC2023-12-01

Finding into death of JCS

36y · Female·plastic bag asphyxia

A 36-year-old woman with longstanding severe mental illness, including recurrent suicidal ideation and self-harm, died in custody at Dame Phyllis Frost Centre from plastic bag asphyxia on 29 August 2020. She was housed i…

psychiatrypsychologysystem
VIChome2022-03-31

Finding into death of Tessa Michelle Ballam

31y · Female·neck compression in the circumstances of hanging

Tessa Ballam, a 31-year-old accountant with longstanding depression, anxiety, bulimia nervosa, and borderline personality disorder (BPD), died by hanging in August 2015. Sh…

psychiatrypsychologycommunicationsystemalcohol
NSWmental health2014-05-08

Inquest into the death of Hugh David LISLE

24y · Male·cardio-respiratory arrest due to multi-drug toxicity

Hugh Lisle, a 24-year-old man with severe chronic arthritis, depression, polysubstance addiction and gambling disorder, died in a private psychiatric facil…

psychiatryemergency medicinecommunicationsystemdiazepam
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…

general practicepsychiatrymedicationdiagnosticmethadone
SAcommunity2005-03-14

Coroner's Finding: Ward Kunmanara

Unknown·Multiple causes: hanging (three cases); exposure in context of organic brain dam…

…eaths were by hanging (ages 19, 25, 27); one by exposure (age 35). Deaths were linked to petrol sniffing (chronic substance abuse causing severe neurological damage), mental health issues, and systemic service failures.…

psychiatryemergency medicinesystemdelaypetrol
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

Devan Ginbey, a 20-year-old with longstanding mental health issues including depression, psychosis, ADHD, and substance abuse, presented to Peel ED on 12 January 2022 with self-harm and active…

emergency medicinepsychiatrysystemdelay
VICmental health2014-12-19

Finding into death of Melissa Jane Thorn

33y · Female·multiple injuries sustained in a train incident

A 33-year-old woman with schizoaffective disorder and chronic suicidality died by suicide after stepping in front of a train on 6 October 2009. She was an involuntary …

psychiatryemergency medicinesystemcommunicationclozapine
WAhome2019-09-27

Inquest into the Death of Paul STRANGE

30y · Male·ligature compression of the neck (hanging)

…through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple suicide attempts by strangulation and …

psychiatryemergency medicinecommunicationsystemduloxetine
NThome2007-05-18

Inquest into the death of Erfinna Patricia Lay and John Weston Quirk

Unknown·Erfinna Lay: Aspiration resulting from Acute Multiple Drug Toxicity; John Quirk:…

…ombined with alcohol. Both were treated by the same GP, Dr D., for complex conditions including anxiety, depression, personality disorder, and drug dependence. Coroner identified concerns about prescribing practices: ina…

general practicepsychiatrymedicationcommunicationchloral hydrate
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

Natalie was a 33-year-old transgender woman with a long history of mental health conditions including severe social anxiety, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and …

psychiatrypsychologysystemescitalopram
VIC2010-02-12

Finding into death of Wesley Robert Jennings

42y · Male·incised wound to the neck

Wesley Robert Jennings, a 42-year-old male with long-standing depression, anxiety, hepatitis C and substance use history, died by suicide by incised neck wound whilst on remand …

psychiatrypsychologycommunicationsystemcitalopram
QLD2023-01-25

Civic, Mirko

70y · Male·Coronary atherosclerosis

… the patient refused them due to side effects and were not resumed for years, despite hypertension being a major modifiable cardiovascular risk factor; (3) No consistent long-term management plan existed across multiple…

cardiologygeneral practicediagnosticmedicationaspirin
VICcommunity2021-11-25

Finding into death of Daniel Neil Thomas

35y · Male·Gunshot wound to the head (self-inflicted)

Daniel Thomas, aged 35, died from a self-inflicted gunshot wound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge…

psychiatryemergency medicinesystemcommunicationmethamphetamine
VICcommunity2016

Finding into death of XY

58y · Male·Combined drug toxicity (eucalyptus oil, alcohol, venlafaxine, quetiapine, propra…

A 58-year-old man with chronic depression, anxiety and personality disorders died from combined drug toxicity (eucalyptus oil, alcohol, …

psychiatryemergency medicinediagnosticcommunicationeucalyptus oil
WAcommunity2011-10-21

Inquest into the Death of Balgo

Male·Ashton Michael Sunfly: ligature compression of the neck (hanging); Mitchell Nana…

…nt due to truancy, unemployment, mental health issues, and substance abuse. The fifth death resulted from chronic petrol sniffing. The coroner identified school truancy as an early warning indicator of life trajectory o…

general practicepsychiatrysystemdelaypetrol
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

…cols, and included an unsuitable co-resident. Key clinical failures included: insufficient recognition of chronic suicide risk, poor medication compliance without enforcement mechanisms, missed opportunities for crisis …

psychiatryemergency medicinediagnosticcommunicationcitalopram
VIChome2014-12-10

Finding into death of Phoebe Handsjuk

24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…

Phoebe Handsjuk, a 24-year-old woman with a history of depression, anxiety, and alcohol abuse, was found deceased in the refuse room of her apartment building on 2 Decemb…

psychiatrypsychologycommunicationsystemzolpidem
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson cha…

psychiatryforensic medicinecommunicationsystemmethamphetamine
WAcommunity2010-12-20

Inquest into the Death of Sweeny

20y · Female·Multiple injuries followed by incineration as a result of single motor vehicle c…

…oxylamine tablets for sleep, and was extremely fatigued when leaving work. The coroner found fatigue was a major contributor to the crash, likely involving a brief sleep episode while driving. While working hours were n…

occupational and environmental healthsystemdelaysertraline

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