Coronial

126 results for suicidal behaviour by hanging

NThome2018-07-25

Inquest into the death of Paula Schubert

53y · Female·self-inflicted hanging

Paula Schubert, a 53-year-old with schizophreniform psychosis, died by hanging after experiencing workplace stress and abandonment by mental health services. Her employer initiated a d…

psychiatrygeneral practicecommunicationsystemrisperidone
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

Rowan Wheaton, aged 18, died by hanging at supported accommodation in April 2006. He had Aspergers Syndrome diagnosed at age 4, with escalating b…

psychiatryemergency medicinediagnosticcommunicationcitalopram
NThome2009-09-28

Inquest into the death of Danny Borrak Gumana

19y · Male·Intentional self-inflicted hanging

…tside a nightclub. He had previously threatened suicide twice in recent weeks while intoxicated, and his behaviour was increasingly concerning (not attending work, increased drinking). Police conveyed him home consensua…

psychiatrytoxicologyalcohol
VIChome2024-01-25

Finding into death of Lachlan John Howe

13y · Male·Hanging

Lachlan John Howe, aged 13, died by hanging at his home on 18 May 2018 after being transported to Royal Children's Hospital. He had experienced signi…

paediatricspsychiatrycommunicationsystem
VIChome2023-10-02

Finding into death of Student XRG

22y · Male·Neck compression by ligature suspension (hanging)

A 22-year-old international student from India died by hanging at his home in Victoria. He was studying information technology at Monash University after experiencing a…

psychiatrypsychologysystem
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

…mpts, schizophrenia, personality disorder, severe childhood abuse, mild intellectual disability), died by hanging in his cell. He became distressed when transferred to a different unit but was not offered psychological …

psychiatrypsychologycommunicationsystemolanzapine
VIChome2014-11-28

Finding into death of Chanelle Amy Rae

14y · Female·Compression of the neck in circumstances of hanging

Chanelle Rae was a 14-year-old girl who died by hanging at home following an argument with a school friend online. She had no prior mental health history or sign…

psychiatrypublic healthsystemdelay
VICcommunity2025-04-16

Finding into death of Jamie Peter Nisbet

47y · Male·Compression of the neck arising from hanging

47-year-old man with antisocial personality disorder, psychosis, and methamphetamine use died by hanging. He presented to emergency departments on 10, 19, and 20 September 2021 with suicidal ideation, auditory …

psychiatryemergency medicinecommunicationsystemrisperidone
VICmental health2015-05-29

Finding into death of Majang Ngor

23y · Male·Hanging

… custody at Thomas Embling Hospital's Argyle Unit following arrest for serious criminal offences, died by hanging in a disabled bathroom on 24 June 2013. He was admitted under the Mental Health Act following assessment …

psychiatryemergency medicinesystemcommunicationamisulpride
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

…oderate immediate risk and recommended continued admission. However, after reporting a suicide attempt by hanging in the shower on the night of 26 November, he was not moved to the secure psychiatric ward. On 27 Novembe…

psychiatrygeneral practicediagnosticsystematomoxetine
NSW2021-02-19

Inquest into the death of Dimitrios MAVRIS

48y · Male·hanging

Dimitrios Mavris, a 48-year-old man arrested for drug importation, died by hanging in the Surry Hills Cells Complex on 25 May 2018, approximately 40 hours after being taken into custody. H…

correctional healthpsychiatrysystemcommunication
VIChome2022-08-31

Finding into death of B L

28y · Male·neck compression consequent upon hanging

A 28-year-old man with severe personality disorder, substance use history, and recent suicidal ideation died by hanging. He was admitted to mental health services on 25 February 2019 after suicide thr…

psychiatryemergency medicinecommunicationsystemsodium valproate
WAmental health2015-12-31

Inquest into the Death of Ruby Natasha NICHOLLS-DIVER

Multiple - hanging (2), unknown/unascertainable (1), multiple injuries from fall…

…e being available and willing to provide crucial information; failure to escalate when patients expressed suicidal ideation; reliance on patient assurances rather than comprehensive clinical assessment; inadequate proced…

psychiatryemergency medicinecommunicationdiagnosticantidepressants
VIChome2021-01-20

Finding into death of Mitchell James Dowling

20y · Male·Hanging

Mitchell Dowling, a 20-year-old university student, died by hanging on 18 July 2018 after a period of psychological treatment for depression with suicidal ideation. He had p…

psychologypsychiatrycommunicationsystemalcohol
VIChome2019-01-08

Finding into death of Fiona Kellie Burke

32y · Female·hanging

Fiona Burke, aged 32, died by hanging on 17 March 2017 following a prolonged history of family violence in her relationship with Darren Mather.…

paediatricspsychiatrycommunicationsystemalcohol
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

34y · Male·Long drop hanging resulting in complete decapitation

Jason Jenkins, aged 34, died by suicide (long drop hanging resulting in complete decapitation) on 17 June 2006, approximately 6 weeks after discharge from psychiatr…

psychiatryaddiction medicinesystemcommunicationmarijuana
NSW2025-03-06

Inquest into the death of Leah Jane Porter

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 treatment were adequate, tho…

psychiatrygeneral practicecommunicationsystemmethylphenidate
SA2006-04-28

Coroner's Finding: WALKER Darryl Kym

31y · Male·hanging (self-inflicted)

Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on…

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
VIChome2021-10-12

Finding into death of Mr A

51y · Male·Hanging

A 51-year-old man with mild intellectual disability from childhood head injury died by hanging following family violence separation. He perpetrated physical, emotional and verbal abuse against his wif…

general practicepsychiatrycommunicationdiagnosticvenlafaxine
NSWmental health2017-06-09

Inquest into the death of Ahlia RAFTERY

18y · Female·neck compression due to hanging

…male with depression and anxiety was admitted to a psychiatric intensive care unit (PICU) following acute suicidal ideation. Clinically significant issues included: inadequate communication of previous self-harm attempts…

psychiatrydiagnosticcommunicationfluoxetine

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