Coronial

308 results for family crisis

VICcommunity2021-03-03

Finding into death of Michael Brian Sanders

57y · Male·Unascertained causes; presumed suicide by jumping from cliffs

Michael Sanders, a 57-year-old senior educator at a TAFE institution, disappeared on 23 May 2016. He was found standing on a cliff precipice on 24-25 May 2016 and is presumed to have jumped to his death. The coroner iden…

VIChospital2019-10-02

Finding into death of David Sheppard

76y · Male·Intracranial Haemorrhage Secondary to Blunt Head Trauma (Fall) in the Setting of…

A 76-year-old man with newly diagnosed chronic myeloid leukaemia in blast crisis was admitted to hospital with sepsis and pancytopenia from chemotherapy. He suffered multiple falls while …

haematologyinfectious diseasessystemdocumentationhydroxyurea
VIChospital2024-01-18

Finding into death of RT W

19y · Female·Neck compression; Hanging

…y, was seen regularly by her GP with no noted concerns, and gave no indication to medical practitioners or family of self-harm intent. Her death occurred during a period of statistical clustering of suicides among young …

emergency medicinegeneral practicemidazolam
VIChome2015-04-13

Finding into death of Athiel Deng

59y · Female·head injury

…hotic episodes with violent behaviour in individuals with psychotic vulnerability; (3) the need for robust family education regarding psychotic relapse warning signs and crisis response protocols; (4) cultural and langua…

psychiatryemergency medicinesystemdelaycannabis
NSWcommunity2018-08-28

Inquest into the death of MB

64y · Male·Multiple injuries sustained after jumping from a height

…would have been seen the same day. Police negotiators responded professionally and compassionately to MB's crisis on 20 November. While the transition from initial responder Senior Constable Difford to trained negotiator…

psychiatrygeneral practicecommunicationsystemmirtazapine
QLDhome2022-11-25

Ho, Duy Linh

41y · Male·Gunshot wounds to the head and torso

…eated mental health issues, died from gunshot wounds after a police response to his self-harm and suicidal crisis. He had used methamphetamine and locked himself in a bathroom overnight before his partner called emergenc…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
VIChome2013-11-28

Finding into death of Dorothy Merle Lane

84y · Female·complications of mixed drug toxicity (morphine, zolpidem and alprazolam) in a wo…

An 84-year-old woman with dementia, ischaemic heart disease, and cancer died from mixed drug toxicity (morphine, zolpidem, alprazolam) while visiting her daughter. Her daughter, who had a history of depression and PTSD, …

geriatric medicinecardiologysystemmorphine
VIChome2017

Finding into death of Harold George Nolan

73y · Male·Stab wound to the neck

…al ideation and exhibiting paranoid ideation about the ATO to her psychologist, appropriate escalation and crisis intervention did not occur. The coroner noted that carer fatigue was a significant situational stressor; r…

general practicepsychiatrycommunicationdelayantidepressants
WAhome2025-01-23

Inquest into the Suspected Death of Benjamin Jacob VAN TRIGT

38y · Male·electrical injury

…gular community mental health follow-up including depot antipsychotic medication, weekly appointments, and crisis pathway education, Benjamin died by self-inflicted electrical injury. He reported suicidal ideation withou…

psychiatryemergency medicinepaliperidone
NSW2022-03-24

Inquest into the death of NG

Male·consistent with the history of hanging

… with serious offences and refused bail. Justice Health conducted initial screening, diagnosed situational crisis with low self-harm risk, and maintained monitoring for hypertension. The deceased reported the psychologic…

psychiatrygeneral practice
VIChome2024-02-05

Finding into death of Ms KSI

22y · Female·Complications of cutaneous burns

…e burns (75%+ body surface area) sustained during self-immolation on 5 February 2018. She was experiencing family violence from her husband and in-laws despite an active Family Violence Intervention Order excluding her h…

general practiceemergency medicinecommunicationsystem
TAScommunity2025-06-30

Coroner's Finding: de-identified XA

41y · Male·head and chest injuries from fall from height

…ttempts. The patient had capacity to refuse treatment and couldn't be involuntarily detained without acute crisis. Earlier recognition of disengagement, proactive contact attempts, and family involvement (with consent) m…

psychiatrygeneral practicesystemdelaypaliperidone
TAShome2024-04-30

Coroner's Finding: Mason, Geoffrey

38y · Male·gunshot wound to the left side of the neck resulting in basal skull fracture, su…

…ncluding chronic suicidality precipitated by relationship breakdown. Police were called after he assaulted family members, threatened them with a knife, and set a fire. When police entered to render assistance, Mason ram…

general practiceemergency medicinesystemalcohol
VICcommunity2018-04-27

Finding into death of BD

53y · Male·unascertained

…osocial vulnerability in patients with chronic disease, particularly following significant life stressors (family conflict, unemployment, unresolved grief). Regular monitoring should include mental health screening. Earl…

general practicepsychiatryinsulin
NSWhome2011-10-14

Coroner's Finding: Adam Quddus Salter

36y · Male·Gunshot wound to chest

…ddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself multiple times, paramedics and police were called. While paramedics treated h…

general practicepsychiatrydiagnosticsystemefexor xr
QLDhospital2025-12-04

Inquest into the death of Dylan James Bell

28y · Male·Hanging

Dylan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concern…

psychiatryemergency medicinediagnosticcommunicationLSD
QLD2014-05-29

Humm, Deborah Lee

54y · Female·Multiple injuries sustained in fall from height

… and relationship difficulties. She had been taking antidepressants previously but had stopped them. While family and friends did not believe her suicidal, her son expressed serious concerns about her mental state on the…

psychiatryophthalmologyantidepressant medication
VIC2019-06-13

Finding into death of Jae William James Manning

26y · Male·Asphyxia in the setting of an irrespirable environment

… acute stressors including relationship breakdown, pending fraud-related legal charges, and isolation from family. The coroner emphasised that inert gas suicide is preventable through restricting access to these gases. T…

forensic medicinepsychiatry
NSW2025-02-05

Inquest into the death of Mohamed Syed Ahamed

33y · Male·gunshot wounds to chest and upper arm

A 33-year-old man with bipolar disorder on reducing doses of risperidone experienced a psychotic relapse and stabbed a stranger at a railway station. He then entered a police station with a knife, advancing on officers d…

general practicepsychiatryrisperidone
NSWcommunity2019-08-05

Mokmool

30y · Male·gunshot wound to the head as a result of a police operation

…, died on 26 July 2017 after being shot by NSW Police at Central Railway Station following a mental health crisis. He was experiencing acute psychosis with paranoid delusions that his family intended to harm him. After c…

psychiatrygeneral practicemethadone
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