Coronial

125 results for aggression

QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…

psychiatryemergency medicinecommunicationsystemmethamphetamine
NThome2017-06-15

Inquest into the death of Edward Laurie

24y · Male·inhaled solvent toxicity (from petrol sniffing)

Edward James Laurie, a 24-year-old man with chronic petrol sniffing addiction since age 10 and underlying mental health issues including psychosis, died from inhaled solvent toxicity on 11 October 2015. Sixteen Applicati…

psychiatryaddiction medicinesystemproceduralpetrol
QLDcommunity2017-09-14

John, Timothy

22y · Male·Hanging

…ementing structured follow-up. Within days, Timothy exhibited escalating psychiatric symptoms (paranoia, aggression, self-harm) that were not communicated to his doctor. The coroner found Champix contributed to his death…

general practicepsychiatrydiagnosticcommunicationvarenicline
VIChospital2014-05-20

Finding into death of Angela Therese Thompson

51y · Female·Aspiration pneumonia in a woman with Down syndrome and Alzheimer's dementia

Angela Thompson, a 51-year-old woman with Down syndrome and early-onset Alzheimer's dementia, died from aspiration pneumonia following a shoulder fracture. She was in DHS supported residential care when she suffered freq…

general practicepsychiatrysystemcommunicationescitalopram
NSWcommunity2024-04-18

Inquest into the death of Baby Q

<1y · Female·unascertained

…tical failures included Queensland DCSSDS inadequately assessing an August 2018 notification of parental aggression, DCJ failing to conduct a review safety assessment after receiving information about untreated mental il…

paediatricspsychiatrysystemcommunication
VIChome2022

Finding into death of TCW

43y · Female·Neck compression

TCW, age 43, died from neck compression inflicted by her adult son OMP (age 17 at time of incident, now convicted of manslaughter). OMP had intellectual disability (IQ 59), autism spectrum disorder, and hypersexual disor…

psychiatrypsychologysystemdelayfluoxetine
NSWcommunity2017-08-17

Inquest into the death of MC

45y · Male·gunshot wound to the chest

A man with a long history of depression, suicide attempts, and previous violent behaviour died when shot by police during an arrest for domestic violence. His partner had repeatedly warned police that he threatened to ma…

psychiatrygeneral practicecommunicationdiagnostic
QLDhome2014-11-17

Beutel, Noelene Marie

36y · Female·traumatic head injuries from multiple assaults perpetrated by domestic violence …

Noelene Beutel died from severe head injuries inflicted by her domestic violence partner in 2011. Although she had engaged with police, GPs, hospitals, and domestic violence agencies in the six months before her death, s…

general practiceemergency medicinecommunicationsystem
NSWhospital2017-07-07

Inquest into the death of Benjamin Gilligan

22y · Male·Multiple injuries caused when the vehicle he was driving collided with a tree

22-year-old Benjamin Gilligan died in a motor vehicle crash while fleeing psychiatric care, having been recently diagnosed with methylamphetamine-induced psychosis. Key clinical issues identified: (1) communication break…

psychiatryemergency medicinecommunicationsystemmethamphetamine
TAScommunity2020-08-07

Coroner's Finding: Delios, Voula 2020 TASCD 458

63y · Female·Multiple stab wounds to neck and chest

…us untreated mental illness, evidenced by extensive prison records documenting paranoia, hallucinations, aggression and self-harm threats. Critical clinical lessons include: psychiatric assessment gaps when prisoners tra…

psychiatrycorrectional healthdiagnosticsystemolanzapine
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

…tely documented. The coroner found insufficient consideration was given to concerning weekend behaviour (aggression, delusions, paranoid thinking, secreting razor blades, requiring seclusion). Critical clinical lessons i…

psychiatryemergency medicinediagnosticcommunicationheroin
VICaged care2011-04-14

Finding into death of Anderina Laura Sanderson

89y · Female·Ischaemic heart disease in a woman with a history of recent assault

Mrs Anderina Sanderson, 89, died from ischaemic heart disease four days after being assaulted by a male resident with dementia in an aged care facility. The forensic pathologist concluded the assault accelerated her decl…

geriatric medicinepsychiatrysystemcommunicationparacetamol/codeine
QLDaged care2009-05-05

Hoy, Raleigh

41y · Male·Dilated cardiomyopathy

Raleigh Hoy, a 41-year-old man with schizophrenia and autistic spectrum disorder, died of dilated cardiomyopathy at a residential care facility (Tarampa After Care Centre) in Queensland in January 2007. While his mother …

psychiatrygeneral practicecommunicationsystemclozapine
NSW2020-02-13

Inquest into the death of LP

34y · Male·Foreign body aspiration

A 34-year-old man died by foreign body aspiration while in custody at a correctional centre, three days after arrest for a serious violent crime. He fashioned an airway obstruction from toilet paper and meal pack plastic…

psychiatrycorrectional healthsystemcommunication
NSW2017-11-09

Inquest into the death of David Veech

35y · Male·Fentanyl toxicity

David Veech, aged 35, died of accidental Fentanyl toxicity while residing at Tarlo Intensive Residential Support Service. He extracted Fentanyl from prescribed transdermal patches and injected it intravenously. Despite b…

general practicepsychiatrysystemcommunicationfentanyl
NThome2013-10-15

Inquest into the death of Gwyyneth Cassiopeia-Roennfeldt

36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…

Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky h…

psychiatrysystemcommunicationantipsychotic medication
NSWcommunity2023-03-03

Inquest into the death of Darren Higgins

25y · Male·Dehydration with contributory causes of severe mental health conditions and hype…

Darren Higgins, a 25-year-old Wiradjuri man with treatment-resistant schizophrenia and polysubstance abuse disorder, died from dehydration and hyperthermia in Moira State Forest after absconding during escorted weekend l…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChospital2025-01-10

Finding into death of William Thomas Gourley

39y · Male·Effects of fire (self-immolation)

William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
NSWhome2025-04-16

Inquest into the death of Colin Neil Amatto

40y · Male·septic complications from injuries received from multiple dog bites sustained on…

Colin Amatto, a 40-year-old Yuin man, died from septic complications following a devastating dog attack with over 80 bite wounds. Critical clinical lesson: the same dog (Boof, a Staffordshire Bull Terrier) had attacked a…

systemcommunication
NSWmental health2019-11-22

Inquest into the death of David Dungay

29y · Male·cardiac arrhythmia

David Dungay, a 29-year-old Aboriginal man with chronic schizophrenia, type 1 diabetes, and obesity, died on 29 December 2015 in Long Bay Hospital's Mental Health Unit while in custody. The immediate trigger was his refu…

psychiatryemergency medicineproceduralcommunicationmidazolam

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