308 results for “family crisis”
31y · Male·gunshot wounds to chest
…ude the need for better mental health training for police, earlier involvement of specialist mental health crisis teams, and more coordinated incident management. The coroner was critical of police failure to establish c…
27y · Male·unascertained
…algoorlie, Western Australia in February 1982, shortly after discharge from hospital for acute psychiatric crisis. He had relocated to Western Australia to avoid compulsory medication in South Australia. After being foun…
54y · Male·unascertained cause
…nt stressors, and those ceasing engagement with regular psychological care require proactive follow-up and crisis intervention. Early recognition of loss of protective factors (children contact) and escalation to crisis …
33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…
…e disorder, withdrawal symptoms, and possible hallucinations. Despite extensive searches involving police, family, aircraft, and trackers, he was never located. The coroner established beyond reasonable doubt that he die…
59y · Male·Multiple stab injuries
A 59-year-old man was fatally stabbed by his former partner in a context of longstanding family violence. The deceased had perpetrated significant violence against the perpetrator, who had mental illnes…
36y · Male·Toxic overdose of Clozapine (anti-psychotic drug), self-administered, with termi…
…der and under case management. Critical failures in the mental health system contributed to his death: the Crisis Team failed to conduct a home visit or arrange police welfare check despite clear indications of deteriora…
36y · Male·hanging, with contributing factors of alcohol dependence and depression
…found no deficits in his treatment or care, and that procedures and protocols were correctly followed. His family raised concerns about premature discharge, inadequate ED treatment of his May suicide attempt, and phone-o…
43y · Female·stab wound to the chest; contributing factors were aspiration of stomach content…
…est in circumstances that remain unclear. She had a complex history of depression, alcohol dependence, and family crisis (children removed from her care). She was found fatally wounded outside her partner's residence in …
48y · Female·Neck compression secondary to hanging
…s HRZ, a 48-year-old Turkish-born woman, died by suicide on Christmas Day 2020 after experiencing years of family violence. She first endured abuse from her ex-husband, then sexual coercion, assault, stalking and threats…
31y · Female·Compression of the neck
…ea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk management. Alfred Health clinicians had documented extensive family violenc…
20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…
… ideation, and made future plans. She was released on leave (not discharged) for weekend monitoring by the Crisis and Assessment Treatment team. Hours later, she drove to Mapleton Falls and fell from a viewing platform. …
Male·Shotgun injury to the head
…solely with Ryan. However, the coroner identified that having a second negotiator available to liaise with family and friends present at the scene, and to support the primary negotiator, could have provided additional de…
Female·unascertained
…year delay before formal missing persons report), inadequate inter-agency communication, and lost records. Family violence context was critical but not addressed with protective interventions when warning signs were pres…
33y · Female·Hanging
…atients limits ability to conduct thorough mental state assessment and recommended patients be informed of crisis service limitations and provided with 24-hour contact details.
18y · Male·Gunshot wound to the head (self-inflicted)
Daniel Aaron Greenland, 18 years old, died from a self-inflicted gunshot wound to the head on 3 February 2003 after shooting his stepmother. Evidence shows he attended the shed with pre-formed suicidal intent, writing fa…
51y · Female·Multiple sharp force injuries to the chest
…s are preventable through community-wide recognition of warning signs and whole-of-government responses to family violence.
52y · Female·Mixed drug toxicity
…h support. Critically, clinicians at both the urgent care centre and general practice failed to screen for family violence despite multiple indicators being present (recent separation, depression, sleep disorder, previou…
56y · Male·Hanging
…lsory admission, and discharged for community follow-up. Key clinical lessons: collateral information from family was not directly obtained before discharge despite being available on file and the psychiatrist's failed a…
78y · Male·multiple blunt force injuries
…f his superannuation and significant financial debt, causing profound shame and hopelessness. He contacted family members expressing suicidal intent and left a suicide note. Police arrived within minutes and one officer …
32y · Female·Compression of the neck
… the neck (strangulation) on 24 April 2019. This coronial finding identifies multiple systemic failures in family violence response and support services. Key clinical/systemic lessons: (1) Mental health services discharg…
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.