Coronial

107 results for anxiety and depressive disorder

QLDhospital2013-01-18

Ryan, Adam Trent

30y · Male·asphyxia due to hanging (suicide)

…h. The Community Mental Health Service failed to communicate Mr Ryan's past suicide attempt to the hospital and did not inform treating psychiatrist Dr K. of hospital admission. Nurse Gordon failed to document a recent …

psychiatrygeneral practicecommunicationdocumentationsertraline
SAmental health2025-04-17

Coroner's Finding: Furlan, Mark John & Miller, Richard John

50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…

…h suicidal ideation. The coroner found he should have been under continuous rather than close observations, and that key psychiatric warnings (paranoid comments, thought-disordered writings) were not adequately communic…

psychiatryemergency medicinediagnosticcommunicationescitalopram
NSWhospital2025-02-17

Inquest into the death of IE

27y · Male·Multiple blunt force injuries from jumping off a cliff

A 27-year-old involuntary mental health patient absconded from a hospital transfer vehicle and subsequently died by jumping from a cliff. Critical failures included: absence of clinical assessment befor…

psychiatryemergency medicinediagnosticcommunicationvenlafaxine
NSWcommunity2022-07-15

Inquest into the death of C S

5y · Male·Presumed drowning

…by presumed drowning on 2 March 2017 in the Murray River, Moama NSW. His mother LS, who was mentally unwell and using ice, forcibly held him underwater. Multiple agencies—FACS, NSW and Victoria Police, mental health ser…

paediatricspsychiatrydiagnosticsystemmethamphetamine
VICprison2014-01-24

Finding into death of Adam Sasha Omerovic

40y · Male·Ligature compression of the neck in circumstances of being hanged

Adam Omerovic, a 40-year-old man with a long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been…

psychiatrycorrectional healthdiagnosticsystemescitalopram
WAmental health2015-12-31

Inquest into the Death of Carly Jean ELLIOTT

Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…

…le under care from Alma Street Centre mental health services in Western Australia. Ruby Nicholls-Diver (18) and Michael Thomas (57) died within 24 hours of discharge; Carly Elliott (20) died shortly after service contac…

psychiatryemergency medicinecommunicationsystemantidepressants
NSWcommunity2026-03-30

Inquest into the deaths of Noah and Wayne Smith

Male·Gunshot wounds to the head

This inquest examined deaths of Noah Smith (15) and Wayne Smith (58) on 1 June 2023. Wayne had 20-year history of chronic depression and suicidal ideation, inc…

general practicepsychiatrydiagnosticcommunicationvenlafaxine

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