Coronial

274 results for mental_health_crisis

WAcommunity2023-02-28

Inquest into the Death of Paul James BRADY

35y · Male·multiple injuries

Paul James Brady, aged 35, died from multiple injuries sustained after jumping from a third-floor apartment balcony on 15 May 2020. Two police officers arrived at the scene within minutes of receiving a call about a man …

emergency medicineforensic medicineproceduraldelaytemazepam
QLD2018-06-28

Hamilton, Blair Andrew

54y · Male·Extensive burns due to detonation of LPG gas cylinder

A 54-year-old man with chronic severe depression, grief from his wife's sudden death, severe debilitating skin condition, and alcohol dependence called emergency services on 12 December 2015, warning them not to approach…

psychiatrygeneral practiceproceduralcommunicationvenlafaxine
NSWhome2015-06-19

Inquest into the death of Peter JUNGHANS

30y · Male·self-inflicted gunshot wound to the head

Peter Junghans, a 30-year-old man involved in cannabis dealing, became increasingly paranoid after his arrest in March 2013 for drug supply offences. He believed his friend Matthew Thomas had informed police about his il…

cannabis
NTcommunity1991-06-03

Inquest into the death of Ganamu Garrawurra

48y · Male·shotgun wound to the head

A 48-year-old Yolngu man with chronic mental illness (schizophrenia) died from a shotgun wound to the head on Elcho Island, NT in April 1990. After spearing two people with a fishing spear, police Task Force was called t…

psychiatryforensic medicinesystemcommunicationmelleril
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …

psychiatrypaediatricscommunicationsystem
QLDhome2010-06-09

Muller, Bradley John

45y · Male·overdose of quetiapine (Seroquel) augmented by alcohol

A 45-year-old man with schizophrenia and a decade-long history of repeated overdoses died from quetiapine (Seroquel) toxicity combined with alcohol. Critical failures occurred: multiple doctors prescribed large quantitie…

general practiceemergency medicinecommunicationsystemquetiapine
VIChospital2023-07-19

Finding into death of Daryl William Nioa

74y · Male·Pulmonary thromboembolism secondary to deep vein thrombosis in the setting of re…

A 74-year-old man died from pulmonary thromboembolism secondary to deep vein thrombosis following a cervical spinal fracture. He presented to rural ED with mental health concerns, was restrained by security guards after …

emergency medicineneurosurgerydiagnosticdelayclonazepam
ACTcommunity2020-09-25

Inquest into the death of ANTHONY ROMANAS CARISTO

54y · Male·Cardiac arrest in a person with cardiac hypertrophy and generalised atherosclero…

Anthony Caristo died from cardiac arrest on 31 October 2017 following police deployment of a taser during a mental health crisis. He had consumed a lethal dose of methamphetamine, was actively self-harming with knives, a…

emergency medicineparamedicinedelaysystemmethamphetamine
ACThome2010-05-07

Inquest Into The Death Of Lolesio Smith

Male·Self-inflicted gunshot injury to the head

Lolesio Smith, a resident of Turner in the ACT, died on 27 February 2006 at Canberra Hospital from a self-inflicted gunshot injury to the head, occurring one day after the incident. Police attended his residence on 26 Fe…

emergency medicine
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…

Geoffrey Russell Mason, aged 38, died from a gunshot wound to the neck fired by Constable Mitchell during a police response to a domestic incident on 17 February 2020 in Tasmania. Mason was intoxicated, had a long histor…

general practiceemergency medicinesystemalcohol
VIChome2024-03-07

Finding into death of Claire Louise Carroll

45y · Female·Neck compression secondary to hanging

Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (…

psychiatrygeneral practicesystemcommunicationclonazepam
VIC2014-05-01

Finding into death of James Leslie Kuti

16y · Male·Multiple injuries as a result of high speed impact (train)

James Kuti, a 16-year-old in child protection care with schizophrenia and cannabis use, died by suicide when he jumped in front of a train. He was receiving comprehensive mental health care from Southern Health's Early P…

psychiatryresperidone
VIChome2023-11-20

Finding into death of Caitlin Mary O'Brien

31y · Female·Compression of the neck

Caitlin O'Brien, a 31-year-old nurse, was murdered by her intimate partner Shea Sturt via compression of the neck on 25 June 2019. The coroner identified multiple systemic failures in family violence recognition and risk…

psychiatryemergency medicinediagnosticcommunicationcannabis
NSWhome2021-04-16

Inquest into the death of WW

Male·gunshot wound to the head, intentionally self-inflicted

WW died on 7 March 2016 at his residential address in Ingleburn, NSW, during a police siege. The coroner found that the death resulted from a gunshot wound to the head that was intentionally self-inflicted. This inquest …

psychiatryemergency medicinecommunicationsystem
NSWhospital2014-12-19

Inquest into the death of JX

32y · Male·multiple injuries sustained in a fall from height

A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic relapse. The case reveals critical failings in mental health crisis r…

psychiatrypsychologycommunicationsystemvenlafaxine
TAScommunity2016-11-21

Coroner's Finding: Mr S

58y · Male·asphyxia

A 58-year-old man with depression and suicidal ideation was assessed by his general practitioner, then taken to hospital by his partner. In the emergency department he was triaged with sufficient safety concerns to warra…

general practiceemergency medicinesystem
TAShospital2021-02-05

Coroner's Finding: Lattimer, Joseph Aaron

37y · Male·hypoxic encephalopathy due to asphyxia from hanging

Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…

emergency medicinepsychiatrysystemdelayalcohol
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

Adam Laufer, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the early hours of 24 November, his father called tr…

psychiatrypsychologysystemcommunication
VICcommunity2010-05-24

Finding into death of Luke Axente Jurj

23y · Male·Injuries sustained in a fall from a height

Luke Jurj, a 23-year-old man, died from injuries sustained in a fall from the Westgate Bridge after jumping 30 metres. He had been experiencing depression since returning from Japan 7 weeks prior and had contacted his mo…

methamphetamine
QLDhome2015-10-19

Rivett, Brent William

45y · Male·gunshot wound to the head (self-inflicted)

Brent William Rivett, a 45-year-old man experiencing relationship breakdown, unemployment, and financial distress, took two hostages at a Brisbane residence on 26 December 2013 while armed with a sawn-off shotgun. Police…

forensic medicineemergency medicinechloroform
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