Coronial

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WAcommunity2025-05-27

Inquest into the Suspected Death of George William LE VAUX

70y · Male·Unknown cause; presumed drowning but sudden medical event cannot be excluded

…syndrome, disappeared after being dropped at Swanbourne Beach on 22 March 2022. He had been experiencing depression following his mother's death in August 2021 and financial difficulties with a failed property purchase. …

VIChome2021-08-02

Finding into death of Mark Marian Milewski

71y · Male·Mixed drug toxicity

…ients with multiple comorbidities, chronic pain, and mobility limitations require careful monitoring for depression and suicidality. Regular GP visits did not identify suicide risk. Family members noted concerning statem…

general practicegeriatric medicinediagnosticoxycodone
TASmental health2024-02-08

Coroner's Finding: de-identified PU

45y · Male·hanging

A 45-year-old man with a history of depression, suicidal ideation, and alcohol misuse was admitted to Spencer Clinic following a medication overdose su…

psychiatrygeneral practice
VICcommunity2010-12-02

Finding into death of DUKE MATAKU TERA

19y · Male·Hanging (intentional suicide)

…uke 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 suicide attempts. He was under supervision by th…

psychiatrypsychologycannabis
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

A 43-year-old woman with longstanding depression and previous suicidal ideation presented to Emergency Department twice within 14 days and was referred t…

general practicepsychiatrycommunicationsystemaurorix
ACThome2019-09-23

AN INQUEST INTO THE DEATH OFJANDY RENIA SHEA

27y · Female·neck compression (suicide by hanging)

Jandy Renia Shea, 27, died by suicide by hanging on 4 March 2018 after a history of depression, anxiety, and previous suicide attempts following childhood sexual assault at age 16. She had recently r…

VIChome2021-05-20

Finding into death of Brodie Moran

8y · Male·Suffocation

…oy, died by suffocation at the hands of his mother, Ms Finch, on 8 March 2018. Ms Finch had a history of depression and anxiety, experiencing significant deterioration in mental health following her grandmother's death i…

general practicepsychiatrysystemvenlafaxine
TAShome2022-11-25

Coroner's Finding: GW de-identified

68y · Male·traumatic brain injury due to a gunshot wound to the head

A 68-year-old man with history of depression, heavy smoking, excessive alcohol consumption, and prior bowel cancer shot himself fatally with a licens…

system
VIChome2012-12-12

Finding into death of B K

Female·Hanging

…s a woman with a long history of heroin abuse, benzodiazepine misuse, and mental health issues including depression and psychotic behaviour. She received treatment for opiate dependence at North Yarra Community Health bu…

addiction medicinepsychiatryheroin
QLDhome2014-07-25

Petersen, Nicole - Non-inquest findings

19y · Female·Mixed drug toxicity, with morphine (from poppy seeds) and dextromethorphan (from…

…nclude the danger of combining depressant substances, the critical importance of recognizing respiratory depression signs, and the need for public education about poppy seed toxicity.

emergency medicinetoxicologydelaysystemmorphine
VIC2018-08-27

Finding into death of Adrian Paul Gibb

33y · Male·Injuries sustained in fall from height

…ed in a fall from a cliff at Buckleys Road, Allansford, Victoria. He had a history of chronic back pain, depression, insomnia, and occasional marijuana use. His GP last saw him three days before death discussing pain man…

general practiceforensic medicinecannabis
VIChome2024-04-23

Finding into death of Evlyn Kay James

6y · Female·Effects of fire

…or vehicle on 24 March 2022. Her mother Jasmine Thomas was experiencing significant relationship stress, depression, and evidence of coercive control by her husband. Thomas had reported emotional abuse, social isolation,…

systemcommunication
TAScommunity2021-09-02

Coroner's Finding: Sterling, Barbara Lynette

69y · Female·Drowning

…h, there was evidence of deteriorating mental health including reported paranoid behaviour, anxiety, and depression documented in her GP records. However, the coroner could not definitively establish whether her entry in…

forensic medicinegeneral practice
TAScommunity2015-07-01

Coroner's Finding: Smith, Kimberley Dale

37y · Male·Drowning (most likely cause, though coroner unable to definitively exclude hypot…

…hile attempting to retrieve a dilapidated dinghy from rocky shoreline near his home. He had a history of depression treated with medication and psychiatric care, and had spoken of suicide to acquaintances. He was also a …

VIChome2020-08-17

Finding into death of Benjamin James Browne

29y · Male·Incised injury to the neck

… a neck laceration sustained during acute behavioural disturbance in August 2018. He had diagnosed major depression with anxiety, prescribed mirtazapine but attended only two psychology sessions. In the weeks before deat…

general practicepsychologysystemcommunicationmirtazapine
TAShome2019-05-23

Coroner's Finding: BK

20y · Male·hanging

BK was a 20-year-old male with a history of depression diagnosed in 2015 who died by hanging in May 2018. He was a regular user of alcohol and cannabis with in…

general practicepsychiatrycommunicationalcohol
VIChome2013-10-11

Finding into death of LP

31y · Male·Multidrug overdose including heroin

LP, a 31-year-old man with depression, severe anxiety, and substance use disorder, died from multidrug overdose including heroin. He had long-…

pathologypsychiatryheroin
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

…ervations ceased after 10 December. He was found unresponsive at 12:20pm on 11 December with respiratory depression. Post-mortem confirmed pneumonia with combined toxic drug effects and psychiatric illness as contributin…

psychiatryintensive caremonitoringcommunicationmethadone
TAScommunity2022-02-22

Coroner's Finding: BL de-identified

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

… deliberately set house fire on 29 November 2020. He had experienced a relationship breakdown and severe depression with suicidal ideation. He presented to hospital twice in the preceding weeks with suicidal thoughts, wa…

psychiatryemergency medicine
WA2023-12-21

Inquest into the Death of Shane Nathan ROBERTS

41y · Male·Ligature compression of the neck (hanging)

…ts, aged 41, died by ligature compression (hanging) in Hakea Prison on 24 June 2019. He had pre-existing depression and anxiety treated with citalopram. A prison doctor referred him to the Mental Health Team (MHT) on 7 M…

correctional healthgeneral practicesystemdelaycitalopram
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