Coronial
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TAShospital2022-12-21

Coroner's Finding: Procter, Sheelagh Patricia

67y · Female·pulmonary thromboembolus due to deep vein thrombosis

Ms Procter, a 67-year-old woman with developmental delay and longstanding mental health issues, died from pulmonary thromboembolism following hip fracture surgery. Post-operatively, she refused prophylactic anticoagulati…

orthopaedic surgerygeriatric medicineenoxaparin
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 40+ year history and poo…

psychiatrygeriatric medicineantipsychotic medications
TAScommunity2022-12-15

Coroner's Finding: Wildman, Benjamen

37y · Male·self-inflicted stab wound to the chest

Benjamen Robert Wildman, aged 37, died from a self-inflicted stab wound to the chest while in police custody on 29 December 2020. He had a lifelong history of mental health difficulties, personality dysfunction stemming …

psychiatrypsychology
TAShome2022-11-30

Coroner's Finding: Donnelly, Christopher Ronald

68y · Male·Sudden Unexpected Death in Epilepsy (SUDEP)

Christopher Ronald Donnelly, aged 68, died of Sudden Unexpected Death in Epilepsy (SUDEP). He had a 5-year history of seizures managed with antiepileptic medications, including a recent switch from valproate to levetirac…

neurologygeneral practicelevetiracetam
TAShome2022-11-30

Coroner's Finding: Tongs, Janetta Ann

55y · Female·exsanguination due to a gunshot wound to the upper left chest

A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) and was managed by her general practitioner and Tasmania Heal…

general practicepsychiatryvenlafaxine
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

Andrew Robert Young, a 61-year-old man with lifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using su…

psychiatrygeneral practicediazepam
TAShome2022-11-28

Coroner's Finding: Dare, Daniel Wayne

Male·mixed prescription drug toxicity (tramadol and diazepam)

Daniel Wayne Dare died from mixed prescription drug toxicity involving tramadol and diazepam. He had a history of chronic lower back pain and depression managed with these medications prescribed by his GP over several ye…

general practicepsychiatrytramadol
TAShome2022-11-28

Coroner's Finding: Godwin, Chantal Maree

38y · Female·Sudden Unexpected Death in Epilepsy (SUDEP)

Chantal Maree Godwin, a 38-year-old woman with left temporal lobe epilepsy since childhood, died of Sudden Unexpected Death in Epilepsy (SUDEP) in February 2020. She had experienced increasing seizure frequency in the mo…

neurologygeneral practiceanti-epileptic medications
TAShome2022-10-31

Coroner's Finding: Lampkin, Christopher Maxwell

57y · Male·hanging

Christopher Maxwell Lampkin, a 57-year-old man with longstanding depression and alcohol dependence, died by hanging in July 2021. He had been treated for depression since 2009 and had attended an alcohol and drugs servic…

general practicepsychiatryantidepressant
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

Amie Maree O'Shea, aged 39, died from mixed prescription drug and alcohol toxicity on 19-20 May 2019. She consumed excessive alcohol at a social gathering then ingested multiple CNS depressants (tapentadol, tramadol, pro…

pathologytoxicologytapentadol
TAShome2022-10-25

Coroner's Finding: Meyer, Glenn Sturley

45y · Male·mixed drug toxicity

Glenn Sturley Meyer, aged 45, died from mixed drug toxicity on 22 August 2019. He had chronic pain, PTSD, depression and anxiety managed with oxycodone and diazepam. He also had obesity and probable obstructive sleep apn…

general practicepsychiatryoxycodone
TAScommunity2022-10-24

Coroner's Finding: Woldemichael, Nazrawi

19y · Male·unable to be determined

Nazrawi Woldemichael, a 19-year-old with a history of severe mental illness, traumatic brain injury, suicidal ideation, and substance abuse, disappeared on 9 October 2016 from North Hobart. The coroner determined he is d…

psychiatrytrauma surgerycommunicationsystemcannabis
TAShospital2022-09-21

Coroner's Finding: Brown, Sandra Anne

54y · Female·hypothermia, likely related to drug toxicity

Sandra Anne Brown, a 54-year-old woman with multiple chronic conditions including COPD, diabetes, bipolar disorder and epilepsy, died from hypothermia likely related to drug toxicity. She presented to the ED with breathi…

emergency medicinerespiratory medicinecommunicationsystemfluvoxamine
TAScommunity2022-09-20

Coroner's Finding: Henrich, Peter

57y · Male·Unknown - coroner unable to determine

Peter Henrich, a 57-year-old man with a history of schizophrenia, disappeared in Tasmania between November 2017 and January 2018. His van was found abandoned near Poatina with food items expired in early November and no …

psychiatryforensic medicine
TAShome2022-08-18

Coroner's Finding: Daw Rodney Keith

63y · Male·acute blood loss due to self-inflicted sharp force incisional wounds of the thro…

A 63-year-old man with multiple chronic conditions including psoriatic arthritis, depression, prostate cancer, and recent dental issues died by self-inflicted sharp force wounds while on approved leave from a mental heal…

psychiatryemergency medicinecodeine
TASmental health2022-08-12

Coroner's Finding: Woolley, Jillian

58y · Female·aspiration pneumonia following palliative treatment for frontotemporal dementia

Jillian Ann Woolley, aged 58, died of aspiration pneumonia on 18 September 2014 at Roy Fagan Centre following palliative sedation for terminal frontotemporal dementia. She had been severely distressed with uncontrolled b…

geriatric medicinepalliative carelevomepromazine
TASaged care2022-08-11

Coroner's Finding: Dora, Bogdan

74y · Male·Aspiration of gastric contents, significantly contributed to by advanced dementi…

Mr Bogdan Dora, aged 74, died from aspiration of gastric contents while residing at Roy Fagan Centre, a residential aged care facility for people with dementia. He had advanced dementia, emphysema, and severe atheroscler…

geriatric medicinepsychiatry
TAShome2022-08-11

Coroner's Finding: Youd, Diane Maree

60y · Female·undetermined; natural causes not excluded (possible paraganglioma infarction, pn…

A 60-year-old woman with depression, recent acute kidney injury from dehydration, and suicidal ideation was discharged from hospital on 27 August 2021 after psychiatric improvement. She was prescribed increased Sertralin…

psychiatrygeneral practicecommunicationdelaysertraline
TAShome2022-08-04

Coroner's Finding: Joyce. Kaye Maree

58y · Female·thermal burns

A 58-year-old woman with schizophrenia died from extensive thermal burns after a fire originated in a wall-mounted heat pump that lacked a required residual current device (RCD). The heat pump was installed in 2012 witho…

psychiatrygeneral practicesystempaliperidone
TAScommunity2022-07-29

Coroner's Finding: Chamberlain, Pamela Jacqueline

55y · Female·asphyxia due to choking on food (steak)

A 55-year-old woman with multiple comorbidities including morbid obesity, schizophrenia, depression, and substance use disorder died from asphyxia caused by choking on food while at a friend's home in supported accommoda…

emergency medicinepsychiatrysystemcommunicationdiazepam
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