Coronial

243 results for relationship breakdown

VICcommunity2010

Finding into death of Mikael Chandra Rohan

14y · Male·head injuries when struck by a train

…pregnancy with a girlfriend and experienced a rapid deterioration following his girlfriend ending their relationship. His presentation to Monash on 9 November 2010 with suicidal ideation was assessed by a psychiatric nur…

psychiatrygeneral practicediagnosticcommunicationtemazepam
QLDcommunity2020-08-21

Blackburn, Shandee Renee

23y · Female·Multiple stab wounds

…f probabilities, that she was attacked by John Peros, with whom she had previously had a brief intimate relationship. Peros was found not guilty of murder at trial, but the coronial inquiry, which received more comprehen…

VIChome2022-12-20

Finding into death of Wei Hu

40y · Male·Stab wound to the chest

… protocols, timely information gathering from all witnesses, and adequate mental health assessment when relationship breakdown and domestic violence escalate.

general practicepsychiatrycommunicationsystem
VIChome2022-01-10

Finding into death of Deborah Marie Holtkamp

52y · Female·Mixed drug toxicity

…cide. She had a long history of depression, childhood abuse trauma, chronic pain conditions, and recent relationship breakdown. She presented to healthcare services multiple times expressing suicidal ideation and isolati…

general practicepsychiatrydiagnosticcommunicationmorphine
VICcommunity2023-10-26

Finding into death of KDR

51y · Male·Neck compression from hanging

A 51-year-old man with depression, a history of suicide attempts, and domestic violence in his relationship died by hanging on 29 January 2021. He had presented to mental health services on two occasions in Janu…

psychiatryemergency medicinemidazolam
SAhome2025-11-27

Coroner's Finding: Gifford, Paul Douglas

36y · Male·acute neck compression due to hanging

…, childhood sexual trauma, and prior suicide attempts. In May 2021, after drug use with his partner and relationship conflict, he made two suicide attempts the same day—the first prevented by his partner, the second fata…

psychiatryaddiction medicinemethamphetamine
QLDhome2012-06-21

Gold Coast Murder Suicide

Unknown·Multiple causes: Antony Way died from stab wounds to neck and trunk; Tania Simps…

…icide, including separation, stalking, depression, threats, and obsession with proving the victim's new relationship. Although psychologists, counsellors, police, and lawyers had contact with the family, they failed to c…

psychologycommunicationsystem
VIChome2023-05-29

Finding into death of Stuart John Noble

47y · Male·Multidrug toxicity (ethanol, quetiapine, baclofen, benzodiazepines)

…tiple risk factors including long-term alcoholism, mental ill-health, prior suicide attempt, and recent relationship breakdown with family violence. The coroner highlighted that despite clinical evidence supporting baclo…

general practiceaddiction medicinediagnosticsystembaclofen
NSW2017-07-13

Inquest into the suspected death of James Arthur Henney

41y · Male·unable to determine

James Arthur Henney disappeared on 13 March 1963 from his workplace, a nightclub in Sydney. His car was found abandoned near cliffs known to be used for suicide, with whiskey on the seat. Despite extensive investigations…

systemdelay
TAScommunity2016-06-30

Coroner's Finding: Ball, Jeremy Dacre

46y · Male·Multiple blunt traumatic injuries sustained in motor vehicle crash; manner deter…

…traumatic injuries. The coroner concluded Ball suffered from untreated anxiety disorder, exacerbated by relationship difficulties and stress. Although his GP appropriately diagnosed the condition and referred him to psyc…

general practicepsychiatrydelay
VICcommunity2023-11-24

Finding into death of Geelong Youth Suicide Cluster Finding

Male·suicide

… 2020. All deaths were temporally, spatially, and socially clustered with shared risk factors including relationship breakdowns, mental health deterioration, family stressors, educational difficulties, and substance use.…

psychiatrygeneral practice
TAScommunity2016-11-28

Coroner's Finding: Deaths from a Public Place

Suicide by intentional fall or jump from Tasman Bridge

…health vulnerabilities: depression, anxiety, substance use (alcohol and/or drugs), and acute stressors (relationship breakdown, grief, work stress, financial concerns). Coroner examined infrastructure-based prevention; e…

psychiatrypublic healthalcohol
NThome2018-10-10

Inquest into the death of Matthew Rosewarne

45y · Male·gunshot wound to the neck

Matthew Rosewarne, a 45-year-old man with chronic alcohol use disorder and recent relationship breakdown, was found dead in his shed with a gunshot wound to the neck. Although initially investigated…

emergency medicinepsychiatrydiagnosticsystemalcohol
TAScommunity2023-05-08

Coroner's Finding: Johns, Ross Alexander

36y · Male·hanging, with contributing factors of alcohol dependence and depression

Ross Johns, aged 36, died by hanging on 14-15 June 2021 after a long history of bipolar disorder, major depression, and alcohol dependence. He was discharged from Northside Mental Health Unit on 9 June 2021 following adm…

psychiatryemergency medicineprescription medications at therapeutic levels
VIChome2010-02-25

Finding into death of Dean Scott Westbrook

32y · Male·CARBON MONOXIDE POISONING

…al charges for drug cultivation and electricity theft, his home had no power, he'd lost his job and his relationship, and he was a suspect in a neighbour's murder investigation. His last contact with his Community Correc…

cannabis
ACT2017-12-22

AN INQUEST INTO THE DEATH OFANDREW NOLAN CHRISTIE

37y · Male·asphyxia due to oxygen deprivation secondary to inhalation of helium

…elium inhalation on 16 August 2017. Key clinical lessons: (1) Military veterans with untreated PTSD and relationship breakdown require proactive mental health assessment and support, even when they deny issues; (2) The e…

VIChome2023-02-22

Finding into death of Anna Lawrence

64y · Female·Combined toxicity to alcohol and baclofen

Anna Lawrence, 64, died from combined toxicity of alcohol and baclofen on 30 April 2020. She had a 40+ year history of alcohol dependency, borderline personality disorder, depression, and multiple suicide attempts. Baclo…

psychiatrypsychologysystembaclofen
NSWcommunity2015-01-23

Inquest into the death of XY

17y · Female·multiple blunt force injuries after being struck by a train

17-year-old X died by suicide on 18 December 2012 after being struck by a train. She received multiple psychiatric admissions and CAMHS outpatient care from July-December 2012 for suicidal ideation, overdose attempts, an…

psychiatryemergency medicinefluoxetine
VIC2017-04-20

Finding into death of Helen Julia Mok

49y · Female·Multi-drug toxicity from intentional self-administration of intravenous fentanyl…

…n these employment factors and her death. The primary precipitating factor appeared to be her impending relationship breakdown. The coroner did not find that workplace stress, negotiations, or absence of support services…

paramedicinepsychiatrysystemfentanyl
SA2018-01-30

Coroner's Finding: JONES Heath Ryan

35y · Male·hypoxic-ischaemic encephalopathy (post cardiac arrest) on a background of acute …

…and died 3 days later. The coroner found his suicide was precipitated by escalating personal stressors: relationship breakdown, a large drug debt, pending court cases, and substance withdrawal. Prison and medical assessm…

emergency medicineintensive caresystemmethamphetamine
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