Coronial

122 results for financial stress

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
VIChome2026-03-19

Finding into death of Aisha Natasha Khan

44y · Female·Mixed alcohol and drug toxicity (tapentadol, diazepam, mirtazapine, amitriptylin…

Aisha Natasha Khan, 44, died from mixed alcohol and drug toxicity following an intentional polypharmacy overdose with alcohol consumption. She had a history of depression, alcohol use disorder, chronic pain, and two prio…

psychiatryemergency medicinesystemdelaytapentadol
VIChome2011-10-18

Finding into death of Peter John Griffin

54y · Male·Hanging (self-inflicted), following the death of Lynette Ann Kent from stab woun…

Peter Griffin, aged 54, fatally stabbed his partner Lyn Kent and then hanged himself in November 2009 following relationship breakdown. The finding documents a 10-year relationship characterised by escalating family viol…

general practicepsychiatrycommunicationsystem
VIChospital2020-09-07

Finding into death of Ms TP

37y · Female·Hypoxic ischaemic encephalopathy as a direct result of neck compression

Ms TP, a 37-year-old woman of Indian origin living in Victoria, died from hypoxic ischaemic encephalopathy resulting from ligature strangulation (neck compression). She was admitted to ICU in cardiac arrest and died nine…

intensive careemergency medicine
NSWhome2016-07-19

Inquest into the deaths of Benjamin Green and William Markee

32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…

This inquest examined the deaths of Benjamin Green (aged 32) and William Markee (aged 58) on 15 May 2015 in Nimmitabel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated…

psychiatrygeneral practicedelay
SAhome2025-03-07

Coroner's Finding: Bombardieri, Mark

32y · Male·Gunshot wound to the head

Mark Bombardieri, a 32-year-old man with a complex history of criminal behaviour, mental health disorders, polysubstance abuse, and multiple psychiatric admissions, died by suicide on 6 March 2019 via self-inflicted guns…

communicationmethamphetamine
QLD2013-12-11

Woods, Gavin Lyle

46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)

A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State School f…

psychiatrygeneral practicecommunicationsystemescitalopram
VICcommunity2021-11-25

Finding into death of Daniel Neil Thomas

35y · Male·Gunshot wound to the head (self-inflicted)

Daniel Thomas, aged 35, died from a self-inflicted gunshot wound during a police siege. He had a history of substance-induced psychosis from ice use, with multiple psychiatric admissions in 2015-2016. Following discharge…

psychiatryemergency medicinesystemcommunicationmethamphetamine
VIChome2014-06-27

Finding into death of Caroline Courtenay Webster

53y · Female·Combined drug toxicity (propranolol and insulin)

A 53-year-old registered nurse with longstanding depression, anxiety and benzodiazepine dependency died from combined drug toxicity (propranolol and insulin) in what was determined to be an intentional overdose. Ms Webst…

psychiatrygeneral practicesystemcommunicationpropranolol
VIChome2012-02-15

Finding into death of James

24y · Male·Combined drug toxicity (morphine and diazepam)

James, aged 24, died from combined drug toxicity (morphine and diazepam) following intentional overdose. He had engaged in prescription shopping across 19 doctors and 32 pharmacies over three years, obtaining large quant…

general practicepsychiatrysystemcommunicationmorphine
NThome2013-05-15

Inquest into the death of Michael Chisholm, Aaliyaha Webb and Julian Chisholm

23y · Male·Michael Shane Chisholm: suicide by hanging. Aaliyaha Jane Webb: killing by suffo…

Michael Chisholm, aged 23, suffocated his two young children—Aaliyaha (8) and Julian (4)—at his home, then hanged himself. A critical failure in police procedure was identified: when the mother reported missing children …

psychiatrypaediatricscommunicationsystem
VIChome2021-08-26

Finding into death of Mrs A

61y · Female·Ligature neck compression in the setting of blunt force head trauma

A 61-year-old woman of Bulgarian descent was fatally assaulted by her estranged husband in a domestic violence incident. She died from ligature neck compression following blunt force head trauma. The perpetrator had mult…

general practicepsychologycommunicationsystem
QLDhospital2009-07-10

Coleman, Randall John

39y · Male·Strychnine toxicity

…lice searches. The coroner found that Coleman was suffering from depression, relationship breakdown, legal stressors, and was receiving counselling. He had formulated a clear plan to end his life and concealed his intent…

emergency medicinepsychiatrycommunicationdelaystrychnine
VIChome2014-12-10

Finding into death of Phoebe Handsjuk

24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…

Phoebe Handsjuk, a 24-year-old woman with a history of depression, anxiety, and alcohol abuse, was found deceased in the refuse room of her apartment building on 2 December 2010. The coroner found she entered a garbage c…

psychiatrypsychologycommunicationsystemzolpidem
QLDhome2024-07-22

Non-inquest findings into the domestic violence related death of a First Nations woman

31y · Female·Pressure applied to neck (asphyxia); not ascertained due to advanced post-mortem…

A 31-year-old First Nations woman was killed by her partner during intimate partner violence. She was pregnant at the time of death. Despite multiple contacts with police, court services, employment agencies, and domesti…

general practiceobstetricscommunicationsystemmethamphetamine
VIChome2018-11-07

Finding into death of Abuk Derder Akek

19y · Female·Stab wounds to the abdomen

Ms Abuk Derder Akek, a 19-year-old South Sudanese refugee, was fatally stabbed by her former de facto partner Makeny Banek during a violent assault at her home in Melton, Victoria on 13 March 2016. The finding identifies…

psychiatrygeneral practicediagnosticsystem
VIChome2025-09-02

Finding into death of Mr IKL

29y · Male·Mixed drug toxicity (gabapentin, codeine, diazepam, oxycodone, doxylamine, prome…

A 29-year-old man died from mixed drug toxicity involving multiple CNS depressants. His GP, Dr X, had maintained an inappropriate three-year sexual relationship with the patient while prescribing escalating doses of opio…

general practicepsychiatrydiagnosticmedicationgabapentin
NSWhome2023-09-08

Inquest into the death of BW

31y · Male·hanging

… 2020 during COVID-19 lockdown. B W had long-standing depression, anxiety, and alcohol misuse, was under financial and parenting stress, and had made previous suicide threats. Police officers conducting the removal obse…

paediatricspsychiatrycommunicationsystemalcohol
NSWaged care2022-09-28

Inquest into the death of Kerry-Ellen (Nikki) Knight

44y · Female·Hanging

…ated appropriately. Staff did not consult available electronic health records when they should have. Her distress was compounded by inability to contact family, boredom and isolation during quarantine, and being left alo…

psychiatrycorrectional healthdiagnosticcommunication
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, including severe crisis in May 2020 with suicide plans. He recov…

general practicepsychiatrydiagnosticcommunicationvenlafaxine

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