Coronial

304 results for chronic suicide risk

NSWhome2017-01-13

Inquest into the death of EG and JB

Unknown·Electrocution

…prognosis of months to live. He declined palliative treatment to continue caring for his wife EG, who had chronic paranoid schizophrenia managed without medication despite psychiatric care. Concerned about EG facing inv…

cardiologyoncologyrisperidone
TAScommunity2020-08-13

Coroner's Finding: Wright, Maria Rebekah

31y · Female·drowning, deliberately self-inflicted with intention of ending life

Maria Rebekah Wright, a 31-year-old woman with severe borderline personality disorder and chronic suicidality, died by drowning at Howrah Beach, Tasmania on 14 August 2017. She had been discharged from R…

psychiatrypsychologyparacetamol
VICcommunity2025-03-04

Finding into death of Andrea Dorothy Milner

55y · Female·Multiple injuries sustained in a train incident

…station on 23 September 2022. The coroner concluded she intentionally took her own life. While Andrea had chronic suicidal ideation, her treating clinicians found no obvious warning signs of imminent risk; she consisten…

psychiatrypsychologyescitalopram
WA2018-05-31

Inquest into the Death of Giuseppe DEL BORRELLO

78y · Male·unascertained

…ath remain undetermined. Contributing factors included his age, poor health (heart failure, hypertension, chronic alcoholism with depression), recent adverse life changes (forced relocation, reduced autonomy, family ten…

general practicepsychiatrynitrazepam
VICcommunity2013-01-16

Finding into death of Mark Robert Scott

41y · Male·Effects of Fire

Mark Robert Scott, a 41-year-old man with chronic pain, substance addiction, and recent depressive illness, was admitted to Frankston Hospital on 15 July 2…

psychiatrygeneral practicedelaycommunicationmethadone
VIChome2018-07-10

Finding into death of Carmelo Gusman

50y · Male·Single, contact-range shotgun discharge to the head

…lo Gusman, a 50-year-old man, died from a self-inflicted shotgun wound after killing his wife in a murder-suicide. His death followed a workplace back injury that caused him significant psychological distress, loss of i…

psychiatrypsychology
VIChome2020-06-15

Finding into death of Gordon Malcolm Wallace

71y · Male·Plastic bag asphyxia and argon gas inhalation

A 71-year-old man with metastatic bladder cancer, chronic renal failure, and recent dialysis initiation deliberately ended his life using argon gas inhalation. Ove…

nephrologyoncologysystemargon gas
WAmental health2005-09-23

Inquest into the Death of Robert David Abbott

67y · Male·Ligature Compression of the Neck (Hanging)

…e ward of Joondalup Health Campus on 19 December 2003. He had a long history of depression exacerbated by chronic pain from a 2000 motor vehicle accident, and required multiple psychiatric admissions. On 18 December 200…

psychiatrygeneral medicineproceduralsystemvenlafaxine
TAShome2018-02-05

Coroner's Finding: Towns, Martin John

38y · Male·acute on chronic right hemisphere subdural haematoma

Martin Towns, 38, died from acute-on-chronic subdural haematoma after a fall while severely intoxicated on 30 December 2015. He had a chronic subdural…

psychiatryneurosurgerysystemalcohol
VIC2015-01-30

Finding into death of Matthew Aaron Condie

21y · Male·upper airway obstruction and plastic bag asphyxia

…e coroner found his death was potentially preventable due to systemic clinical and management failures in suicide and self-harm (SASH) risk assessment. Despite completion of a two-month psychiatric assessment showing ch…

psychiatrypsychologycommunicationsystem
VICcommunity2014-01-30

Finding into death of Mihail Andrinopoulos

73y · Male·UNASCERTAINED

A 73-year-old man with significant medical comorbidities (hypertension, chronic renal failure, depression) was found deceased in Port Phillip Bay. He had recently commenced dialysis aft…

general practicenephrology
VICcommunity2012-03-23

Finding into death of Simon Rhys MacQueen

34y · Male·head and neck trauma (train impact)

Simon MacQueen, a 34-year-old man with chronic schizophrenia and recurrent suicidality, died by stepping in front of a train on 15 December 2008. He had…

psychiatrygeneral practicecommunicationsystemrisperidone
NSW2019-10-11

Inquest into the disappearance and suspected death of Keith JONES

65y · Male·Exact cause undetermined; likely drowning, injury, or medical emergency while sa…

…ermined he died between these dates, likely from drowning, injury, or medical emergency at sea. Keith had chronic lung disease, hypertension, and chronic pain, and was not wearing safety equipment despite hazardous cond…

VICmental health2016

Finding into death of Rebecca Victoria Poke

29y · Female·global cerebral ischaemic injury in the setting of neck compression

Rebecca Poke, a 29-year-old woman with borderline personality disorder, died by suicide while an inpatient in Ward E of Casey Hospital on 2 September 2015. She had been admitted following a par…

psychiatryintensive caresystemvenlafaxine
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

…Key clinical lessons include: documentation of discussions with vulnerable patients about substance access; risk assessment in patients with chronic suicidality and recent stressors; examination of medication compliance …

psychiatrypsychologysystemproceduralpentobarbitone
NSWhome2014-12-22

Inquest into the death of Margaret Elizabeth HILLS

60y · Female·undetermined

Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Ka…

general practicepsychiatrycommunicationdelay
VIChome2023-02-22

Finding into death of Anna Lawrence

64y · Female·Combined toxicity to alcohol and baclofen

…e had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclofen was prescribed off-label for alcohol craving management by her psychiatrist in January…

psychiatrypsychologysystembaclofen
NThome2018-10-10

Inquest into the death of Matthew Rosewarne

45y · Male·gunshot wound to the neck

Matthew Rosewarne, a 45-year-old man with chronic alcohol use disorder and recent relationship breakdown, was found dead in his shed with a gunshot wound t…

emergency medicinepsychiatrydiagnosticsystemalcohol
TAShome2022-02-18

Coroner's Finding: XY - deidentified

84y · Male·Overdose of prescription morphine (Ordine oral morphine liquid), self-administer…

…ed morphine liquid with dosing instructions. The following day he ingested a lethal dose, leaving a typed suicide note expressing concerns about becoming a burden and loss of independence. His family had no warning sign…

general practicerespiratory medicinemorphine
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 …

psychiatryemergency medicinecommunicationsystemmirtazapine
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