264 results for “conduct disorder”
25y · Male·Injuries sustained when struck by a train (suicide)
Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpati…
3y · Male·unascertained
…of death remains unascertained. Key clinical lessons include: child protection and health services should conduct comprehensive safety reassessments after significant changes in circumstances; interagency coordination r…
2y · Female·drowning
A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the chil…
17y · Male·Hanging
17-year-old Joshua Klumper died by hanging following cannabis withdrawal and workplace stress. He had a complex mental health history with ASD diagnosis (lacking robust diagnostic support), multiple suicide attempts, and…
35y · Male·multi-drug toxicity
CPL Ian Turner, a 35-year-old Special Forces soldier with combat-related PTSD, died from multi-drug toxicity in July 2017. His death followed multiple deployments to Afghanistan and Iraq, domestic violence incidents, dis…
35y · Male·Clozapine toxicity
A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with p…
34y · Male·Neck compression due to hanging
A 34-year-old man with a history of polysubstance abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual dia…
32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …
Marella Johnson, a 32-year-old Aboriginal woman with schizophrenia and schizoaffective disorder, was involuntarily admitted to Alexander Bayne Centre on 17 February 2008 after presenting to Echuca Regi…
53y · Female·mixed prescription drug toxicity
…n Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mixed prescription drug toxicity involving venlafaxine, methadone…
23y · Male·Injuries sustained in a fall from a height
…ethamphetamine, amphetamine, MDMA and MDA. The coroner commended the attending police for their exemplary conduct and extraordinary courage and compassion in an impossible situation. The finding emphasises that no perso…
35y · Male·Fentanyl toxicity
…through an insecure cupboard and was inadequately supervised, particularly overnight when staff failed to conduct required two-hourly checks. He had a history of substance abuse, drug-seeking behaviour, and multiple med…
31y · Male·Gunshot injury to the head and neck (self-inflicted)
…eath, he had committed serious armed offences including carjacking and attempted unlawful killing. Police conducted a low-speed intercept following his vehicle. When Mr Sexton stopped his car, police found him unrespons…
52y · Male·Hanging
A 52-year-old man with long-standing mood disorders, depression and suicidal ideation was apprehended under Mental Health Act section 10 after acute suicida…
26y · Male·neck compression due to hanging
A 26-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric ward whilst detained und…
32y · Male·Valproic Acid Overdose
Mark Bethell, a 32-year-old with bipolar affective disorder and borderline personality disorder, died from valproic acid overdose at a crisis accommodation facility.…
34y · Male·Plastic bag asphyxia
A 34-year-old man on remand died by plastic bag asphyxia at Shortland Correctional Centre on 5 May 2020, hours before his release on bail. He had disclosed anxiety and depression, made multiple self-referrals for mental …
37y · Male·multiple gunshot wounds
…thamphetamine use. Community Corrections did not meet pre-release service standards, including failure to conduct required four-weekly contact with Walker before release, no supervising officer allocation at release, an…
50y · Female·hanging
A 50-year-old woman with severe borderline personality disorder and ADHD died by hanging in immigration detention. The coroner found her mental health monitoring and tre…
21y · Male·Compression of the neck consequent upon hanging
A 21-year-old man with longstanding schizoaffective disorder, substance dependence and anti-social personality disorder died by hanging following absconding from hosp…
15y · Female·toxicity to heroin
…led to identify Krisinda's age during a drug-affected encounter on 17 January, missing the opportunity to conduct a LEAP database check that would have revealed her DHS status, multiple welfare warrants, and drug histor…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.