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VICmental health2011-05-17

Finding into death of Ralph Graeme Keat

64y · Male·unascertained natural causes

Ralph Keat, a 64-year-old man with frontal lobe dementia, was admitted to Kingston Centre as an involuntary mental health patient on 12 April 2010. On 14 April, he was found unresponsive in the bathroom and could not be …

psychiatrygeriatric medicinetemazepam
VICcommunity2011-05-16

Finding into death of Aaron

14y · Male·injuries sustained in fall from height

Aaron, aged 14, died by suicide from a fall from an 11th-floor balcony. Over 12 years, he had 14 child protection notifications for exposure to domestic violence, neglect, parental substance misuse, poor school attendanc…

paediatricspsychiatrydiagnosticsystem
VIC2011-05-05

Finding into death of John Christianos (AKA-Christie)

39y · Male·unascertained

This is a coronal finding concerning a presumed death rather than a confirmed medical death. John Christianos disappeared on 11 June 2001 from residential care and has not been sighted since. He had a history of bipolar …

psychiatry
VIChospital2011-05-04

Finding into death of Ms P

30y · Female·Multi organ failure from hydrochloric acid ingestion

Ms P, a 30-year-old woman with recent-onset depression and anxiety, died from multi-organ failure following intentional hydrochloric acid ingestion on 22 September 2008. She had presented to mental health services on 18 …

psychiatrygeneral practicecommunicationsystemtemazepam
VICmental health2011-04-20

Finding into death of Nigel Delaney

51y · Male·unascertained

Nigel Delaney, aged 51, died of unascertained cause while admitted to an acute psychiatry inpatient unit following relapse of schizoaffective disorder. He was found unresponsive during night observations and could not be…

psychiatryforensic medicineolanzapine
VICaged care2011-04-14

Finding into death of Anderina Laura Sanderson

89y · Female·Ischaemic heart disease in a woman with a history of recent assault

Mrs Anderina Sanderson, 89, died from ischaemic heart disease four days after being assaulted by a male resident with dementia in an aged care facility. The forensic pathologist concluded the assault accelerated her decl…

geriatric medicinepsychiatrysystemcommunicationparacetamol/codeine
VICcommunity2011-04-04

Finding into death of VH

25y · Female·injuries sustained in fall from height

A 25-year-old woman with depression died by jumping from the West Gate Bridge. In the two months before her death, she attended four general practitioners across two medical practices with depression and anxiety, was com…

general practicepsychologyescitalopram
VICmental health2011-03-31

Finding into death of Diane Young

72y · Female·Bronchopneumonia

Diane Young, a 72-year-old psychiatric resident with multiple comorbidities including asthma, aortic stenosis, and intellectual disability, died of bronchopneumonia with contributing ischaemic heart disease. She was seen…

geriatric medicinepsychiatry
VICcommunity2011-03-30

Finding into death of Geoffery Reginald Bragge

26y · Male·amylobarbital overdose

Geoffrey Reginald Bragge, aged 26 at presumed death, disappeared on 31 August 1971 following discharge from St Vincent's Hospital psychiatric unit after treatment for a drug overdose. Unidentified remains found in the Ya…

psychiatryemergency medicinecommunicationsystemamylobarbital
VICaged care2011-03-29

Finding into death of Jeanette Bramley

64y · Female·unascertained

Jeanette Bramley, a 64-year-old woman with chronic paranoid schizophrenia resident in aged care, was found unresponsive on the floor of her room and died despite 50 minutes of CPR. Post-mortem examination could not defin…

psychiatrygeriatric medicineclozapine
VIChome2011-03-21

Finding into death of Nicole Lee McCarroll

37y · Female·Drowning

Nicole McCarroll, a 37-year-old woman with a significant psychiatric history including depression and previous suicide attempts, died by drowning on 22 January 2010. She had experienced a domestic dispute the previous da…

psychiatryforensic medicinezopiclone
VIChospital2011-02-28

Finding into death of Carl Ranthe

26y · Male·multiple injuries

Carl Ranthe, a 26-year-old with schizophrenia, presented to Frankston ED on 1 January 2009 after a fight and alcohol consumption. Social worker Manfred Rapp conducted a 15-minute assessment, found Carl not psychotic, low…

psychiatryemergency medicine
VIChome2011-02-21

Finding into death of GARETH THORNTON

48y · Male·Multiple injuries consistent with a jump from a height (14 storeys); broken neck…

Gareth Thornton, aged 48, with a 24-year history of paranoid schizophrenia, died from multiple injuries sustained in a 14-storey fall from his housing commission flat in Carlton, Melbourne, on 15 December 2007. The coron…

psychiatryforensic medicinealcohol
VIChospital2011-02-17

Finding into death of John William Brown

55y · Male·gastrointestinal malignancy, probably carcinoma of the pancreas

John William Brown was a 55-year-old male admitted as an involuntary patient with terminal pancreatic cancer diagnosed in October 2007. He was transferred from psychiatric care to a palliative care unit in November 2008 …

psychiatrypalliative care
VIC2011-02-03

Finding into death of Lindsay Dickson

55y · Male·carbon monoxide toxicity

A 55-year-old man with longstanding depression and alcohol use disorder died from carbon monoxide toxicity after deliberately inhaling motor vehicle exhaust in a remote forest location. He had posted a suicide note to Pa…

forensic medicinepsychiatry
VIChospital2011

Finding into death of PB

40y · Male·carbon monoxide poisoning

A 40-year-old male sex offender on community-based orders died by carbon monoxide poisoning on 24 August 2009, two days after a serious suicide attempt involving his car. He had been assessed at Frankston Hospital ED on …

emergency medicinepsychiatrydiagnosticcommunication
VICaged care2011

Finding into death of Mr CR

43y · Male·hypoxic brain injury secondary to asphyxiation by ligature

A 43-year-old man died from hypoxic brain injury due to asphyxiation by ligature while an inpatient at a rehabilitation centre. He had undergone spinal surgery for back pain and cauda equina syndrome but was failing to i…

neurosurgeryrehabilitation medicinecommunicationsystem
VIC["community", "home"]["2010-03-03", "2010-02-25"]

Finding into death of Bayden Roy Smith

[47, 77]y · ["male", "female"]·["gunshot injury to head (self-inflicted)", "neck compression"]

Two coronial findings are provided. First, Bayden Roy Smith, 47, died by self-inflicted gunshot wound hours after crisis mental health assessment at Broadmeadows Police Station. The CAT team assessed him as low-risk and …

psychiatryemergency medicinediagnosticcommunication
VICcommunity2010-12-02

Finding into death of DUKE MATAKU TERA

19y · Male·Hanging (intentional suicide)

This is a coronial finding into the death of Duke Mataku Tera, a 19-year-old of Maori descent who died by hanging on 1 May 2007. Duke had a history of depression, substance abuse, anger management issues, and previous su…

psychiatrypsychologycannabis
VICcommunity2010-10-19

Finding into death of Patrick Tolan

55y · Male·Multiple injuries sustained in a fall

Patrick Tolan, a 55-year-old man with chronic depression, alcohol dependence, and multiple suicide attempts, died from injuries sustained in a fall from a shopping centre sign. He had jumped from a parapet four years ear…

psychiatryorthopaedic surgerydiagnosticcommunicationmirtazapine
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