Coronial

110 results for aggressive behaviour

WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

…acked adequate psychiatric infrastructure, seclusion facilities, and ECT capability for managing acutely aggressive patients; (2) Family communication was minimal despite their knowledge of de-escalation strategies; (3) …

psychiatryintensive caresystemdelayaripiprazole depot
VIC2022-08-26

Finding into death of Anthony James Georgiou

31y · Male·Complications of methylamphetamine use in a setting of physical restraint in a m…

…ositional asphyxia risks; they were unaware of the Bunnings Code of Conduct requiring disengagement from aggressive customers; and store management training did not equip managers to supervise or intervene in such confro…

emergency medicineforensic medicinecommunicationproceduralmethamphetamine
NSWcommunity2022-08-02

Inquest into the disappearance and suspected death of Kenneth Klees

37y · Male·Unascertained

…s include the importance of ensuring mental health care continuity, particularly during transitions, and aggressive management of chronic disease risk factors including diabetes control.

general practicepsychiatrycommunicationsystem
SAhospital2009-12-09

Coroner's Finding: VELKOS Basile

39y · Male·Multi organ failure complicating acute paraquat and diquat toxicity

A 39-year-old man with depression and alcohol misuse died from multi-organ failure following acute paraquat and diquat toxicity. He ingested herbicide stored in a Coca-Cola bottle on 10 June 2006, arriving at hospital si…

emergency medicinetoxicologyparaquat
SAhospital2020-11-03

Coroner's Finding: WHISKEY Louise Kitty

51y · Female·community acquired pneumonia

…a at Royal Adelaide Hospital. She was admitted on 23 August 2017 with aspiration pneumonia and displayed aggressive behaviour necessitating an Inpatient Treatment Order. On 6 September, her condition deteriorated rapidly…

intensive carepsychiatrysystemnoradrenaline
VIC2010-12-12

Finding into death of David William Macumber

35y · Male·Mixed drug toxicity (alcohol and diazepam)

… being removed from a coach at Beaufort. He had consumed a large bottle of Jim Beam on the coach, became aggressive, and was ejected by the driver at a roadside location rather than at a police station as per company pol…

forensic medicinesystemalcohol
VICcommunity2012-12-21

Finding into death of William Te-Whare

15y · Male·Multiple injuries from motor vehicle collision

William Te-Whare, a 15-year-old male, died on 17 January 2010 from multiple injuries sustained in a motor vehicle collision on Plenty Road, Mill Park, Victoria. He was a passenger in a Ford XR6 sedan driven by his 19-yea…

systemalcohol
NT2025-08-12

Inquest into the death of Didbala Anzac

17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…

…eturn to care at approximately 2.55am, experienced acute psychotic symptoms (hearing voices). She became aggressive, assaulted her carer, then locked herself in her bedroom. Police attended but believed she was blocking …

psychiatrypsychologycommunicationsystemcannabis
QLD2022-06-03

Kermode, Jesse Aaron

24y · Male·Gunshot wounds to the chest and abdomen

Jesse Aaron Kermode, 24, died after being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented p…

psychiatryaddiction medicinemethamphetamine
NSWaged care2020-02-11

Inquest into the death of Neville Clutton

78y · Male·complications of head injuries; antecedent cause: dementia

… November 2016, escalating through January 2017. Critical failures included: inadequate documentation of aggressive incidents in behavior charts; failure to report early aggression to the GP; delayed DBMAS referral; inco…

geriatric medicinegeneral practicediagnosticcommunicationrisperidone
SAhospital2009-09-11

Coroner's Finding: VON SPRECKELSEN Hans Heinrich

41y · Male·end-stage liver disease and pneumonia

…lopathy causing confusion, aggression, and impaired judgment. Detention was lawfully ordered due to risk behaviours (aggression, wandering, non-compliance) secondary to his encephalopathy. Medical treatment was appropri…

gastroenterologypsychiatrysystemcommunicationlactulose
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

…rder. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trauma, became aggressive requiring intramuscular antipsychotics, and reported feeling unsafe in the chaotic ward environment. The…

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
NSWhome2025-10-03

Inquest into the death of Dima Thomson

39y · Male·multiple gunshot wounds

Dima Thomson, a 39-year-old man with a history of alcohol-fuelled domestic violence incidents and mental health conditions, died from multiple gunshot wounds after police attended his home responding to a breach of an ap…

forensic medicinecommunicationsystemalcohol
QLD2012-12-14

Mitchell, Herbert John

50y · Male·Global hypoxic brain injury suffered during cardiac and respiratory arrest cause…

…mely intoxicated at a shopping centre. Initially taken to an alcohol diversion centre but removed due to aggressive behaviour, he was transferred to the Townsville police watchhouse. Queensland Ambulance Service assessed…

emergency medicineintensive carediagnosticsystemalcohol
VIChome2021-05-15

Finding into death of Ms ZT

27y · Female·Multiple sharp force injuries

…rnal and Child Health Services, and Victoria Police—had contact with the family or identified concerning behaviour but failed to intervene adequately. Key systemic failures included: Campbell Page staff's failure to rep…

communicationsystem
SAhospital2000-06-16

Coroner's Finding: WANGANEEN Fallon

26y · Male·neck compression due to hanging

A 26-year-old Aboriginal man with longstanding borderline personality disorder, substance abuse, and multiple suicide attempts died by hanging in a psychiatric ward whilst detained under a Mental Health Act order. Key cl…

psychiatryemergency medicinediagnosticcommunicationparacetamol/codeine
VICcommunity2012-12-21

Finding into death of Anthony Iannetta

18y · Male·Multiple injuries sustained in motor vehicle collision

Anthony Iannetta, aged 18, died on January 17, 2010, when a Ford XR6 sedan driven by 19-year-old Steven Johnstone struck a tree on Plenty Road, Mill Park during a single-vehicle collision. Johnstone, intoxicated at BAC 0…

alcohol
NSWhome2018-05-25

Inquest into the death of J

0y · Female·Unascertained

… harm report received three days before her death. The report documented overcrowding, poor hygiene, and aggressive parental behaviour. The 24-hour risk assessment was not completed; instead, the matter was deferred to a…

paediatricsgeneral practicesystemdelay
QLD2014-11-24

Nash, Stephen Arthur

39y · Male·Hypoxic-ischaemic encephalopathy (aetiology not determined); cardiorespiratory a…

Stephen Nash, a 39-year-old man, died after being restrained face-down by security providers and hotel staff at the Union Jack Hotel in Cairns following an altercation where he punched a security officer. The restraint l…

forensic medicineemergency medicinecommunicationsystemalcohol
NSWcommunity2016-08-11

Inquest into the death of Afif Fakhouri

37y · Male·Combination of methylamphetamine toxicity and restraint leading to physiological…

…emoved and restrained by NSW TrainLink staff at Cootamundra Station. He was displaying erratic, agitated behaviour consistent with methylamphetamine intoxication and possibly excited delirium. Police were requested but …

emergency medicineforensic medicineproceduralcommunicationmethamphetamine

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