Coronial

346 results for mental health distress

QLD2014-05-29

Humm, Deborah Lee

54y · Female·Multiple injuries sustained in fall from height

…rth-floor balcony at a Cairns hotel. She was highly intoxicated (BAC 0.204%) and experiencing significant distress about upcoming eye surgery that had gone wrong, financial worries, and relationship difficulties. She had…

psychiatryophthalmologyantidepressant medication
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

…a, died from intentional inhalation of tissue paper while admitted to Baringa aged psychiatry unit under a Mental Health Act order. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trau…

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
NSW2023-08-16

Inquest into the death of SH

28y · Male·neck compression from hanging

…ed at intake as having no self-harm risk and cleared for normal cell placement. During custody, he became distressed about relationship concerns and missing his daughters, expressing suicidal ideation to family members o…

psychiatrycorrectional healthdiagnosticsystem
WA2022-12-23

Inquest into the Death of Ms L (Name Subject to Suppression Order)

27y · Female·multiple injuries sustained from fall from 30-storey building

Ms L, a 27-year-old German national, died by suicide on 4 March 2021 after jumping from a 30-storey building in Perth. She had experienced depression since 2016, exacerbated by recent diagnoses of chlamydia and HPV16 in …

general practicegynaecologyfluoxetine
WAcommunity2016-09-13

Inquest into the Death of Anthony Charles EURA

42y · Male·unascertained

Anthony Charles Eura, a 42-year-old Aboriginal man with long-standing mental health problems, alcohol and drug dependency, and chronic suicidality, disappeared in November 2006 and is…

psychiatryemergency medicinesystemdiagnosticfluphenazine
NSW2020-02-28

Inquest into the death of Eric WHITTAKER

35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm

…ctional Centre. On 2 July 2017, he made 20 emergency 'knock-up' calls over three hours expressing extreme distress, confusion, hyperventilation and claustrophobia, but correctional officers failed to recognise these as s…

correctional healthneurologydiagnosticcommunicationamphetamine
NSWmental health2025-09-29

Inquest into the death of BQ

23y · Female·hypoxic ischemic encephalopathy and aspiration pneumonia as a result of hanging

…inal woman who died by hanging on the Paringa Ward at Cumberland Hospital while detained as an involuntary mental health patient. She had a complex psychiatric history with schizophrenia and borderline personality disord…

psychiatryemergency medicinediagnosticcommunication
TASmental health2020-12-17

Coroner's Finding: Oakley, Joseph Richard

82y · Male·atherosclerotic and hypertensive cardiovascular disease

…with cumulative injuries. By February 2019, with advanced dementia, declining oral intake, and increasing distress, his medical team appropriately transitioned to palliative sedation after family discussion. An independe…

geriatric medicinepsychiatry
NSW2023-12-12

Inquest into the death of TH

57y · Male·Chronic Coronary Artery Atherosclerosis in the context of mirtazapine toxicity

A 57-year-old male prisoner died of chronic coronary artery atherosclerosis in the context of mirtazapine toxicity. He had been incarcerated for over 40 years following conviction for two murders committed at age 16. The…

mirtazapine
WA2020-05-28

Inquest into the Suspected Death of Michael PETA

36y · Male·Unknown – Open Finding

…-up was more thorough, recognising Mr Peta's uncharacteristic disappearance and raising concerns about his mental state. Critically, Ms Paddy, his former partner who might have provided vital information, was never prope…

communicationsystem
VICcommunity2021-06-28

Finding into death of Hassan Khalif Shire Ali

74; 30y · Male; male·Sestilio Malaspina: stab wound to the chest; Hassan Khalif Shire Ali: gunshot wo…

A 74-year-old Italian-Australian, Sisto Malaspina, was fatally stabbed during a terrorist attack in Melbourne's CBD on 9 November 2018. Hassan Khalif Shire Ali, aged 30, detonated an improvised explosive device in his ve…

psychiatryemergency medicinesystemcommunicationcannabis
VIChome2017-02-21

Finding into death of PAR

19y · Male·Plastic bag asphyxia

… from Thailand in January 2014 reporting excessive groin sweating, which caused significant psychological distress and social withdrawal. In June and July 2014, he was diagnosed with depression and anxiety by his GP and …

general practicepsychiatrydesvenlafaxine
VIChome2022-03-31

Finding into death of Tessa Michelle Ballam

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

…gh the coroner found that objectively, the managers' conduct was reasonable given they were unaware of her mental health history, subjectively Tessa's BPD caused her to catastrophise these workplace issues. Combined with…

psychiatrypsychologycommunicationsystemalcohol
TAShome2024-08-29

Coroner's Finding: De-identified PT

14y · Male·Brain infarction caused by hypoxia following self-inflicted hanging by rope liga…

PT was a 14-year-old boy with a history of anorexia nervosa and bulimia who died by hanging in April 2022. He had been discharged from eating disorder treatment in November 2021 after maintaining appropriate weight. In t…

psychiatrypaediatricssystem
QLDcommunity2011-10-21

Parsons, Anthony John

35y · Male·Gunshot wound to the head

…ement of the siege was appropriate and professional, with negotiators given adequate training and support. Mental health services had lost contact with Parsons after he failed to attend appointments in late 2008. The cor…

psychiatryemergency medicinevenlafaxine
NSW2009-12-08

Inquest into the death of rebekah lawrence

34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…

…se's intense psychological techniques, particularly the 'Inner Child' regression segment, not pre-existing mental illness. The course was conducted by inadequately trained practitioners without mental health qualificatio…

psychiatrysystemcommunication
NT2012-01-03

Inquest into the death of Steven Andrew Forbes

37y · Male·acute viral pneumonia secondary to swine flu (H1N1) infection of the lungs, exac…

…talization and missing medication; when prison officers attended his cell on 6 October noting respiratory distress, fever, cough and recent surgery, the on-call nurse was not contacted, despite guidelines recommending es…

emergency medicineinfectious diseasescommunicationsystemdicloxacillin
TAShospital2021-08-23

Coroner's Finding: Cooper, Melanie Sarah 2021 TASCD 475

51y · Female·embolic infarcts complicating infective endocarditis

…use. She presented with severe physical deterioration over three days including swollen feet, respiratory distress, confusion, and incontinence. Despite her son suggesting an ambulance call earlier, paramedics were not c…

intensive careinfectious diseasesdelaymorphine
SAhospital2020-07-09

Coroner's Finding: FOSTER Patricia Marie

76y · Female·infective exacerbation of chronic congestive cardiac failure due to Respiratory …

…gestive cardiac failure due to Respiratory Syncytial Virus. She presented with multifactorial respiratory distress complicated by advanced dementia, schizophrenia, and behavioural disturbance. She was placed on an Inpati…

emergency medicinepsychiatry
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

…urder. She had been hospitalised two weeks prior with suicidal ideation but discharged with improved mood. Mental health assessments at the correctional centre noted anxiety but assessed her as low risk following her den…

psychiatrycorrectional healthcommunicationsystemmirtazapine
134518

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