Coronial

346 results for mental health distress

NSWhome2026-05-01

Inquest into the disappearance and suspected death of David Mark Webber

47y · Male·unknown

David Mark Webber, aged 47, disappeared from Newcastle on 12 January 2013, the day after being arrested and charged with serious historical sexual offences. Despite 13 years of investigation including comprehensive check…

novorapid flexpen
NSWcommunity2024-12-19

Inquest into the death of Logan Losurdo

20y · Male·Unascertained - cause of death could not be determined due to advanced decomposi…

…y call systems functioning effectively to enable welfare checks and location tracking when callers are in distress.

cocaine
NSW2022-10-12

Inquest into the death of ZH

29y · Male·Hanging

…revious self-harm one week before death, witnessed only by an inmate who did not report it; (3) absence of mental health screening or intervention despite clear indicators (depressed mood, previous self-harm attempt in 2…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIChospital2012-12-13

Finding into death of William Andrew Poskitt

31y · Male·Injuries sustained in a fall from height

…ission. Despite requesting psychiatric assessment three times and displaying clear signs of psychological distress (racing thoughts, insomnia, dark thoughts, bizarre behaviour, anxiety), he did not receive a formal menta…

infectious diseasespsychiatrycommunicationdiagnostictrimethoprim
SA2021-12-15

Coroner's Finding: Lanzafame, Anthony

54y · Male·compression of the neck due to hanging

Anthony Lanzafame, a 54-year-old remand prisoner, died by hanging in his single cell at Adelaide Remand Centre on 24 May 2016. He had been on remand for 17 months facing murder charges and was undergoing trial when he di…

psychiatrycorrectional healthsystemolanzapine
SAmental health2009-12-04

Coroner's Finding: BLUNDEN Peter Ross

54y · Male·hanging by ligature

Peter Ross Blunden, a 54-year-old man with chronic schizophrenia detained under the Mental Health Act, died by hanging in the shower room of Cramond Clinic open ward. He had expressed suicidal idea…

psychiatryemergency medicinecommunicationsystemoxazepam
VICcommunity2020-09-07

Finding into death of Ms WX

40y · Female·Injuries sustained when struck by a train (in circumstances where the deceased i…

…sian woman died by suicide when struck by a train, four weeks after arriving in Australia. She was deeply distressed by financial circumstances—construction delays on her new home and storage fees for purchased furniture…

psychiatrygeneral practicesystemdelay
NSW2017-08-01

Inquest into the death of BJ

Female·neck compression, as a result of hanging

…he death was ruled to be intentionally self-inflicted and occurred during a police operation, indicating a mental health crisis response context. The coroner found the cause of death to be neck compression resulting from…

psychiatryemergency medicine
TAScommunity2019-06-18

Coroner's Finding: DI

30y · Male·Head injuries sustained from intentional motor vehicle collision with oncoming t…

A 30-year-old man with untreated long-standing mental health difficulties died by intentionally driving his vehicle into an oncoming truck on 5 September 2017. …

psychiatryemergency medicinealcohol
NSW2015-08-05

Inquest into the death of AC (name redacted)

30y · Male·Electrocution and multiple injuries from contact with high voltage arcing electr…

…tage transmission tower during a police traffic stop in Wagga Wagga. He was speeding and became extremely distressed when advised his vehicle would be impounded and licence suspended. He had methylamphetamine in his syst…

emergency medicinepsychiatrysystemcommunicationmethamphetamine
WA2015-03-17

Inquest into the Death of Thomas Francis LEVINGE

73y · Male·Unknown (possibly impact with water, drowning, injury, exhaustion, dehydration, …

…est as behavioural changes rather than explicit complaints. The deceased had undiagnosed memory loss that distressed him deeply, feared dementia given family history, but did not discuss concerns with his long-term docto…

diagnostictemazepam
SAmental health2000-09-22

Coroner's Finding: McQUINN Rosemary

68y · Female·glottic obstruction by food bolus

…bstruction by food bolus while eating breakfast in a psychiatric hospital where she was detained under the Mental Health Act. She had been assessed by speech pathology 25 days prior with no evidence of dysphagia. She gav…

psychiatrypathology
TAShospital2017-05-08

Coroner's Finding: McCall, Pamela

45y · Female·Mixed drug and alcohol toxicity, primarily due to propranolol

…sometimes via text message requests. McCall had a history of stress, migraines, and back pain but declined mental health support. On 10 February 2013, McCall collected three bottles of propranolol (300 tablets total) fro…

general practiceemergency medicinecommunicationsystempropranolol
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

…eensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted during mental health screening on 9 December 2010. The screening nurse appropriately assessed him as low risk despite th…

psychiatrygeneral medicinesystemcommunicationmirtazapine
VIChome2024-10-10

Finding into death of Steven David Callanan

21y · Male·Neck compression secondary to hanging

…-old footballer and plumbing apprentice, died by suicide via hanging on 26 March 2023. He had no diagnosed mental illness, no apparent stressors, and no previous threats. Toxicology detected cocaine at low levels consist…

cocaine
WA2002-02-08

Inquest into the Death of Bradley James Savory

27y · Male·Ligature Compression of the Neck (Hanging)

…vory presented as a model prisoner and valued education centre worker but concealed significant emotional distress and financial difficulties. He had accumulated substantial gambling debts through illicit prison betting …

cannabis
TAScommunity2018-01-25

Coroner's Finding: Lockwood, Shane

45y · Male·Stab wound to the chest, self-inflicted

…rrangements. Mr Lockwood experienced multiple practical difficulties accessing his medications, expressed distress about the process, and felt unsupported. The coroner concluded that while these failures cannot be proven…

psychiatrygeneral practicecommunicationsystemclozapine
VIChome2020-09-11

Finding into death of Mr A

44y · Male·compression of the neck consequent upon hanging

…ogram, having completed 17 of 18 sessions. He reported suicidal ideation and lowered mood but did not seek mental health support despite encouragement from friends. Post-mortem alcohol was detected (0.16 g/100mL). The co…

general practicepsychiatrysystemdelayalcohol
WA2016-10-07

Inquest into the Death of Gerardus Gerritt HEIJNE

49y · Male·Ligature compression of the neck (hanging)

…risk from exploitation within prison culture, and that denial-based coping strategies can mask underlying distress and inability to problem-solve. Earlier psychiatric review following medication changes and improved ment…

psychiatrygeneral practicedelaycitalopram
NSWcommunity2021-05-07

Inquest into the death of S

42y · Male·Gunshot wound to the head

… presentation and lack of adverse reports from colleagues. The deceased was reserved and did not disclose distress. He had experienced multiple stressors including a traumatic incident at a motor vehicle fatality in 2015…

psychiatryoccupational and environmental healthsystemcommunication
145618

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