Coronial

149 results for attempted suicide

WA2019-01-07

Inquest into the Death of Ali JAFFARI

Male·thermal injuries (burns)

Ali Jaffari, an immigration detainee, died by suicide at Yongah Hill Immigration Detention Centre on 16 September 2015. He sustained fatal thermal injuries fro…

psychiatrypsychologysystemolanzapine
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

Gina Valera, a 49-year-old woman with a history of depression and three prior suicide attempts, died by hanging in Brisbane Women's Correctional Centre nine days after admission on remand for…

psychiatrycorrectional healthcommunicationsystemmirtazapine
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

…iatric reassessment; and standard hospital pyjamas were provided despite the patient's morning report of attempted self-harm using pyjama pants. The hospital subsequently implemented duty psychiatrist coverage for hando…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWcommunity2023-08-25

Inquest into the death of SG

15y · Male·Hanging

…history, including physical abuse, parental mental illness, and 40+ child protection reports, disclosed a suicide attempt to his school counsellor in December 2019. A mandatory report was made to child protection servic…

psychiatrypaediatricscommunicationsystem
QLD2010-05-20

Cockshutt, Andrew James

33y · Male·hanging

Andrew Cockshutt, a 33-year-old serving life imprisonment, died by hanging in his cell at Lotus Glen Correctional Centre on 3 July 2008. He had a documented history of emotionally turbulent relationships with fellow pris…

systemcommunicationdiazepam
QLDcommunity2009-10-06

Irwin, Brett Andrew and Semyraha, Craig Anthony

Male·Constable Irwin: gunshot wound entering left upper quadrant of back, perforating…

…a during a police warrant execution in July 2007. Constable Irwin was fatally shot by Semyraha during an attempted arrest at night. Critical clinical and operational lessons include: (1) the warrant execution occurred l…

systemcommunicationamphetamine
SA2007-04-26

Coroner's Finding: CHRISTOPHER Penelope Rae and TRENORDEN John

53y · Male·asphyxia from combined effects of neck compression from hanging and suffocation …

John Trenorden died by suicide in prison following his arrest for allegedly murdering his former business partner Penelope Christopher. …

psychiatrygeneral practicecommunicationsystemallopurinol
VICcommunity2013-05-08

Finding into death of Marella Johnson

32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …

…g to Echuca Regional Health intoxicated with suicidal and homicidal ideation. Despite known flight risk (attempted fence scaling on admission day), she absconded on 18 February. She was found in Goornong on 19 February …

psychiatryemergency medicinesystemdelayzuclopenthixol
SAhospital2020-01-10

Coroner's Finding: FIORETTI Louisa Jill Josephine

19y · Female·2,4-dinitrophenol toxicity

…atment Order in place. Despite expert multidisciplinary management including sedation, intubation, ECMO, attempted dialysis, charcoal administration, and dantrolene use, she deteriorated rapidly with uncontrollable hype…

toxicologyemergency medicine2,4-dinitrophenol
NTmental health2019-09-13

Inquest into the death of Daniel Alexander Bleaney

37y · Male·blunt force injuries to the head and chest from jumping off an 8.65 metre roof

Daniel Bleaney, 37, experienced acute psychosis with command hallucinations while at sea and attempted suicide by jumping overboard. He was rescued and admitted involuntarily to Cowdy Ward, an open psychiatr…

psychiatryemergency medicinesystemdiagnosticdiazepam
NThome2001-01-25

Inquest into the death of Eduardo Concepcion

26y · Male·multiple gunshot wounds with death resulting from combination of blood loss and …

…cted by Northern Territory Police. Following days of deteriorating mental state, self-harm attempts, and attempted suicide on 27-28 October, he became acutely distressed on 29 October with an axe in his family's yard. P…

emergency medicinepsychiatrysystemcommunicationmogodons
VICmental health2016-06-01

Finding into death of Daniel John Woodburn

22y · Male·Multiple injuries secondary to fall from a height

…a-related disengagement; unclear communication about a 'low threshold' for involuntary status if patient attempted to leave. The patient absconded the next morning and died by suicide. While the coroner found the death …

psychiatryemergency medicinecommunicationsystemdiazepam
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

…ric staffing (described as the lowest in any developed country). Key clinical lessons include: individual suicide risk assessments have significant limitations and cannot predict suicide reliably; the mention of shoelac…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
SAhome2017-07-25

Coroner's Finding: MCKENZIE Deborah Francis

22y · Female·compression of the neck consistent with hanging

…ased on bail contrary to prosecutor advice, devastating her. That night, intoxicated and distressed, she attempted contacting her ex-partner repeatedly before taking her own life. The coroner found her death potentially…

general practiceemergency medicinediagnosticproceduralparacetamol
VIChospital2013-07-11

Finding into death of Stuart Alan Ronning

41y · Male·Hanging

…uart 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 noose at a …

psychiatryemergency medicinecommunicationsystemalcohol
QLDmental health2006-09-08

Robinson, Terence James

54y · Male·Global cerebral hypoxic injury due to or as a consequence of status epilepticus

…ter 16 days at Belmont Private Hospital. He was admitted following a violent altercation with police and attempted suicide. After emergency sedation with benzodiazepines and antipsychotics on 29 September, he developed …

psychiatryneurologydiagnosticcommunicationparoxetine
SAhome2022-08-15

Coroner's Finding: Bruns, Corbus Kenneth

64y · Male·sodium nitrite poisoning

A 64-year-old man on home detention bail died from intentional sodium nitrite poisoning. He had a documented history of depression, anxiety, and suicidal ideation. His GP noted he was 'pretty much suicidal' in February 2…

general practicepsychologycommunicationsodium nitrite
SA2020-05-08

Coroner's Finding: ALI Safar

25y · Male·compression of the neck due to hanging

… his cell at Yatala Labour Prison on 10 April 2015. He had been remanded in custody following charges of attempted murder of his ex-partner. Initial assessments showed medium then low risk of self-harm; he was cleared f…

WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

…ed psychiatric history including recent involuntary mental health admission (discharged 27 May 2007) for attempted suicide, chronic alcohol abuse, depression, and psychosis. Critically, physicians at Royal Perth Hospita…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
VIC2008-01-25

Finding into death of Lee Andrew Kennedy

40y · Male·Haemorrhage from gunshot wound to chest

…er medication changes were made. He was experiencing significant personal stressors: his brother's recent suicide, marital problems, and impending separation. On the day of death, Mr Kennedy called police reporting a fi…

general practicepsychiatrysystemlithium

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