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TAScommunity2022-02-22

Coroner's Finding: BL de-identified

47y · Male·Extensive burns sustained in a deliberately set fire

A 47-year-old male died from extensive burns sustained in a deliberately set house fire on 29 November 2020. He had experienced a relationship breakdown and severe depression with suicidal ideation. He presented to hospi…

psychiatryemergency medicine
NSWcommunity2022-02-18

Inquest into the death of SP

36y · Male·hanging

A 36-year-old man died by hanging on 10 July 2018 after leaving his home in Blacktown, NSW. His partner called Triple Zero after 30 minutes, reporting concern for his welfare and that he was acting strangely, restless, a…

emergency medicineparamedicinecommunicationsystem
NSWmental health2022-02-14

Inquest into the death of Janice GAUL

Female·Multiple injuries sustained when deceased placed herself in front of a moving tr…

On 2 July 1988, an unidentified woman died at Cabramatta railway station after deliberately placing herself in front of a moving train, sustaining multiple fatal injuries. She was identified through fingerprint analysis …

psychiatryforensic medicinesystem
VIC2022-02-11

Finding into death of Michelle Hughes

53y · Female·Ligature strangulation

Michelle Hughes, a 53-year-old woman serving her first prison sentence for assault committed during drug-induced psychosis, died by ligature strangulation in her cell at Dame Phyllis Frost Centre Women's Prison on 26 Jan…

psychiatrycorrectional healthdiagnosticprocedural
NSW2022-02-09

Inquest into the death of IM

37y · Male·Sharp force injuries of the neck and left arm

A 37-year-old male remanded in custody at Cessnock Correction Centre died by suicide on 3 September 2019 from self-inflicted sharp force injuries to the neck and left arm. He had been in custody for 44 days following cha…

forensic medicinepsychiatrycommunication
VIC2022-02-01

Finding into death of Travis Thomas Young

42y · Male·hanging

A 42-year-old prisoner with generalised anxiety disorder and chronic tinnitus causing significant distress died by suicide while incarcerated. In the months preceding his death, he presented repeatedly to health staff re…

psychiatrygeneral practicesystemdelaymethadone
NSWmental health2022-02-01

Inquest into the death of Camilla MARGOLIS

34y · Female·multiple blunt force injuries

Camilla Margolis, 34, died by suicide at Echo Point Lookout in the Blue Mountains hours after discharge from mental health inpatient care. She had complex borderline personality disorder with chronic suicidality across 2…

psychiatryemergency medicinecommunicationsystemmirtazapine
TAScommunity2022-01-28

Coroner's Finding: AZ 2022 TASCD 60

16y · Male·Multiple blunt traumatic injuries from fall from height

A 16-year-old boy with depression and suicidal ideation was discharged from an inpatient adolescent mental health facility in Victoria after 20 days. Two days later, he died by suicide at a cliff location he had previous…

psychiatrycommunicationdiagnosticfluoxetine
WAhospital2022-01-25

Inquest into the Death of Carole LIVESEY

54y · Female·unascertained

Carole Livesey, a 54-year-old woman with severe anorexia nervosa and major depression, absconded from Rockingham Hospital psychiatric unit on 3 October 2017 during an escorted walk in hospital grounds. She had been an in…

psychiatrygeneral medicinecommunicationproceduralfluoxetine
QLDhome2022-01-18

Lewis, Daniel Patrick

36y · Male·Gunshot wounds to the chest and abdomen

Daniel Lewis, aged 36, died from gunshot wounds after police responded to a domestic violence call. Lewis had a history of brain injury from age 11, substance abuse, mental health issues including PTSD and drug-induced p…

psychiatryemergency medicinecommunicationsystemalcohol
WAhospital2022-01-17

Inquest into the Death of Peter Johnnie YOUNG

Male·Complications of alcohol and hepatitis C-related liver disease

Peter Young, an Aboriginal man with advanced alcoholic cirrhosis and recently acquired hepatitis C infection, died of multi-organ failure while on remand in custody. He received appropriate standard medical care in priso…

hepatologygastroenterologysystemdelayquetiapine
VICcommunity2022-01-17

Finding into death of Parth Dayalal Patel

23y · Male·Asphyxia from helium and plastic bag over head

Parth Patel, a 23-year-old international student from India, died by asphyxia from helium inhalation via plastic bag. He had experienced undiagnosed depression characterized by social withdrawal, disengagement from studi…

psychiatrygeneral practicedelayhelium
VIChome2022-01-12

Finding into death of Linda-Jane Margaret Tatterson

40y · Female·combined drug toxicity (clomipramine, sertraline, diazepam, and quetiapine)

Linda-Jane Tatterson, aged 40, died from combined drug toxicity involving clomipramine, sertraline, diazepam, and quetiapine. She had a longstanding history of depression, OCD, and recurrent overdoses between 2014-2016. …

general practicepsychiatrycommunicationsystemclomipramine
QLDcommunity2022-01-11

Noombah

39y · Male·Cardiac arrest in a person with pre-existing severe ischaemic heart disease who …

A 39-year-old First Nations man with severe ischaemic heart disease died following police restraint and ambulance care during an emergency examination authority detention. He had sniffed petrol and threatened self-harm; …

emergency medicineparamedicinediagnosticcommunicationpetrol
VIChome2022-01-10

Finding into death of Deborah Marie Holtkamp

52y · Female·Mixed drug toxicity

Deborah Marie Holtkamp, 52, died from mixed drug toxicity in July 2018 in circumstances consistent with suicide. She had a long history of depression, childhood abuse trauma, chronic pain conditions, and recent relations…

general practicepsychiatrydiagnosticcommunicationmorphine
WAhospital2022-01-06

Inquest into the Death of Louisa Betty RYAN

89y · Female·aspiration pneumonia with respiratory failure complicating major depression with…

Louisa Betty Ryan, 89 years old with major depression with catatonia, atrial fibrillation, pulmonary oedema, diabetes and Parkinsonism, died from aspiration pneumonia with respiratory failure following electroconvulsive …

psychiatryanaesthesia
VICmental health2022

Finding into death of LKV LKV

73y · Male·Neck compression in the circumstances of hanging

A 73-year-old man with severe depression and suicidal ideation died by hanging at a private psychiatric facility on 9 February 2019 during voluntary admission. He was assessed as low risk despite recent suicidal statemen…

psychiatrygeneral practicediagnosticsystemescitalopram
VIChome2022

Finding into death of TCW

43y · Female·Neck compression

TCW, age 43, died from neck compression inflicted by her adult son OMP (age 17 at time of incident, now convicted of manslaughter). OMP had intellectual disability (IQ 59), autism spectrum disorder, and hypersexual disor…

psychiatrypsychologysystemdelayfluoxetine
NSWcommunity2021-12-23

Inquest into the deaths of Judith CHRUPALO and Christopher CLEE

73y · Female·Unknown due to decomposition

Mrs Chrupalo, a 73-year-old woman with physical disability, cognitive impairment and alcohol dependency, was discharged from Dubbo Base Hospital on 8 July 2015 against medical advice despite being bedbound and dependent …

geriatric medicinepsychiatrydiagnosticcommunication
NSWhospital2021-12-23

Inquest into the death of Shelley YOUNG

65y · Female·choking on a tangerine

Ms Shelley Young, a 65-year-old woman with long-standing schizoaffective disorder and multiple complications from chronic antipsychotic use including dysphagia and tardive dyskinesia, died from choking on a tangerine whi…

psychiatrygeriatric medicinecommunicationsystemclozapine

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