Coronial
VIC2020-01-15

Finding into death of Travis Lee Fernandez

35y · Male·Hanging

Travis Lee Fernandez, aged 35, died by hanging in custody at Dhurringile Prison in November 2014. He had sustained bilateral mandibular fractures in January 2014 treated with open reduction and internal fixation (ORIF). …

oral and maxillofacial surgeryemergency medicinecommunicationsystemmethadone
VIChospital2023-12-13

Finding into death of RW C

43y · Male·exsanguination from incised wounds to the arms - self inflicted

A 43-year-old man with schizophrenia, PTSD, and methamphetamine use died from exsanguination following self-inflicted incised wounds to both arms. He …

psychiatryemergency medicinecommunicationdelayrisperidone
VICmental health2013-08-20

Finding into death of Hassan Yassin

35y · Male·Hanging

Hassen Yassin, a 35-year-old man with schizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatric admission. On 10 January 2011, following …

psychiatryemergency medicinecommunicationsystemrisperidone
NSWmental health2018-12-19

Inquest into the death of R R

38y · Female·neck compression (hanging)

RR, a 38-year-old woman with complex mental health history including PTSD, substance use disorder, and borderline personality traits, was admitted to Bloomfield Hospital on 12 April…

psychiatryemergency medicinecommunicationsystem
NSWcommunity2020-09-04

Inquest into the death of Thomas HUNT

27y · Male·unascertained; likely death from entering water

Thomas Hunt, a 27-year-old man, died after entering the water near Bondi Beach on 23 March 2017, likely after experiencing an acute mental health crisis characterised by paranoid delusions and auditory hallucinations. Mu…

psychiatrygeneral practicediagnosticcommunication
QLDmental health2026-01-29

Inquest into the death of Tiesha Marie Derbyshire

18y · Female·Mixed drug toxicity

Tiesha Marie Derbyshire, an 18-year-old with complex mental health conditions including eating disorder, PTSD, and borderline personality disorder, died from mixed drug toxicity after intentionally overdosing on propr…

psychiatrygeneral practicecommunicationsystempropranolol
WAcommunity2017-01-05

Inquest into the Death of Radinka MIHAJLOVIC

47y · Female·Multiple injuries from being struck by a train; death determined to be suicide

A 47-year-old woman with bipolar affective disorder and PTSD, originally from Bosnia, died by suicide by stepping in front of a train on 1 May 2012. She was subject to …

psychiatrygeneral practicecommunicationsystemolanzapine
NSWprison2017-03-31

Inquest into the death of Keith HOWLETT

49y · Male·complications of non-small cell carcinoma of the lung

Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…

general practiceoncologydiagnosticsystem
VICcommunity2024-08-29

Finding into death of Bridget Flack

28y · Female·compression of the neck and hanging

…xperiencing complex mental health issues including depression, anxiety, borderline personality disorder and PTSD, died by suicide in December 2020 after becoming increasingly isolated during COVID-19 lockdowns and experi…

psychiatrypsychologycommunicationsystemescitalopram
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

…migration Detention Centre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attempt in 2016. Clinical lessons include: the PSP/SME moni…

psychiatrygeneral practicesystemcommunicationpaliperidone
QLD2019-05-08

Malone, Terrence Michael

54y · Male·incised wound to the neck

Terrence Michael Malone, a 54-year-old man with a 20-year history of bipolar affective disorder, PTSD, and alcohol dependence, died by suicide in Brisbane Correctional Centre on 8 November 2014, three days aft…

psychiatryemergency medicinediagnosticcommunicationalcohol
VICcommunity2026-04-15

Finding into death of LX

31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)

…thazine, pizotifen) at a residential facility. He was a vulnerable person with acquired brain injury, ADHD, PTSD and depression. The coroner found his death was preventable due to multiple system failures: failure to imp…

addiction medicinepsychiatrymedicationsystemmethadone
QLDhome2026-04-21

Inquest into the deaths of F and M

33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…

… the previous day after psychiatric assessment diagnosed M with borderline personality disorder and chronic PTSD, identifying her as posing significant risk of lethal violence to herself and children. Critical clinical l…

psychiatrypaediatricsdiagnosticsystem

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