Coronial

96 results for previous suicide attempt

VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

Chang Ying Xu, a 72-year-old Chinese-speaking woman with severe spinal cord compression, chronic pain, and depression, died by hanging during respite care at an aged care facility. While her depression history and multip…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

James Barton, aged 21, died by suicide on 27 March 2013, three days after discharge from psychiatric care. He was appropriately assessed and adm…

psychiatrytoxicologysystemcommunicationalprazolam
WA2004-10-14

Inquest into the Death of Charles Raymond Gamble

30y · Male·Ligature compression of the neck (hanging)

…erth Central Law Courts. He had recently confessed to sexual offences against juveniles, had a history of suicide attempts, and was known to be at acute risk of self-harm. He was found hanging from his own shoelaces tie…

communicationsystemmirtazapine
NSW2021-10-21

Findings into the death of P

72y · Male·Hanging

A 72-year-old male inmate at Long Bay Correctional Centre died by hanging in April 2017. He had a documented history of depression managed with antidepressant medications, and his medication (mirtazapine) was adjusted tw…

psychiatrycorrectional healthsystemmirtazapine
WAcommunity2005-08-19

Inquest into the Death of Laura Kate Muckersie

20y · Female·Methylamphetamine toxicity

…inding as to how death arose due to multiple unanswered questions, with possible involvement ranging from suicide to accident to homicide. Critical findings highlighted significant deficiencies in the police investigati…

diagnosticsystemmethamphetamine
VIChospital2013-07-11

Finding into death of Stuart Alan Ronning

41y · Male·Hanging

Stuart Alan Ronning, a 41-year-old man with recurrent depressive disorder, alcohol dependency, and previous suicide attempts, presented to Royal Melbourne Hospital emergency department after being found with a noo…

psychiatryemergency medicinecommunicationsystemalcohol
SA2015-05-06

Coroner's Finding: BLUNDEN Shane Rene

18y · Male·acute neck compression due to hanging

…risoner with an extensive history of self-harm, including cutting, swallowing batteries and razors, and a previous suicide attempt involving petrol and pills. Critically, essential risk information from his prior incarce…

correctional healthemergency medicinediagnosticcommunicationcannabis
WAhome2002-07-05

Inquest into the Death of Bradley William Rapley

22y · Male·Hypoxic Ischaemic Encephalopathy due to suffocation

…ey, aged 22, died from hypoxic ischaemic encephalopathy on 2 September 1999 at Fremantle Hospital after a suicide attempt by suffocation in a Casuarina Prison cell on 25 August 1999. Rapley was a prisoner with a history…

psychiatrygeneral practicesystemcommunicationdosulepin
ACT1997

Inquest Into The Circumstances Surrounding The Death Of Shannon Robert Camden

21y · Male·Suffocation from hanging

Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on rem…

psychiatrypsychologyproceduralsystem
VIChome2017-09-21

Finding into death of ALJW

21y · Male·Combined effects of heroin toxicity and plastic bag asphyxia

…prognosis. He had recent psychological counselling for depression and suicidal ideation after an overdose attempt in early July. His previous cardiac review at age 14 had provided bleak prognostic information. The coron…

cardiologypsychologycommunicationsystemheroin
WA2019-07-11

Inquest into the Death of Annabel NICOL

50y · Female·ligature compression of the neck (hanging)

…2015. She was a remand prisoner with chronic alcoholism, depression, and suicidal ideation who had made a previous hanging attempt and ingested cleaning products. The coroner found that her mental health care was of a hi…

psychiatrycorrectional healthsystemdelaymirtazapine
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…ication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in 2003 causing hypoxic brain injury. He was appropria…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
NSWhospital2018-05-03

Inquest into the death of Naomi Watson Ley

33y · Female·hanging, self-inflicted with intention of taking her own life

…ays with instructions to avoid antidepressants for one week, then restart citalopram at 10mg. She died by suicide 2 days post-discharge. Critical clinical lessons: (1) discharge staff failed to obtain the June 2013 Nort…

psychiatryemergency medicinediagnosticcommunicationmoclobemide
WAmental health- 11 April 2014

Inquest into the Death of Antoinette WILLIAMS

19y · Female·combined drug effect and myocarditis

…ol and cannabis abuse died at Graylands Hospital from combined drug effect and myocarditis. Following two suicide attempts within 48 hours, she was sedated and transferred via Royal Flying Doctor Service from Broome to …

psychiatryemergency medicinemedicationcommunicationhaloperidol
SA2013-07-02

Coroner's Finding: SMITH Christopher Aaron

30y · Male·compression of the neck consistent with hanging

…died by hanging in his prison cell. A critical missed opportunity occurred in November 2009 when Mr Smith attempted hanging, but staff accepted his implausible explanation of accidental injury sustained during exercise.…

correctional healthpsychiatrydiagnosticsystemtramadol
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

…r four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attempt in 2016. Clinical lessons include: the PSP/SME monitoring system adequately supported him, but th…

psychiatrygeneral practicesystemcommunicationpaliperidone

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