Coronial

149 results for mental disturbance

VIChospital2022-10-10

Finding into death of Oliver Vincent Paul Cronin

13y · Male·Hanging

Oliver Cronin, a 13-year-old boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, …

psychiatrypsychologydiagnosticsystem
VIC2026-03-30

Finding into death of Hari Prasad Dhakal

57y · Male·Neck compression and hanging

…on in May 2024. Despite multiple admissions to Thomas Embling Hospital over 5.5 years, his engagement with mental health services remained poor with persistent lack of insight. He refused psychiatric appointments in June…

psychiatrygeneral practicesystemcommunicationpaliperidone
QLDcommunity2016-05-03

Foster, Troy Martin

32y · Male·gunshot wounds to the trunk

…bstance abuse and violence, died following a police shooting. On 24 November 2014, he was detained under a Mental Health Act Emergency Examination Order after telling police he intended to kill himself. At Gold Coast Uni…

psychiatryemergency medicinecommunicationsystemalcohol
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

… tactical options against armed individuals experiencing psychotic episodes with suicidal intent; value of mental health training integrated with tactical response.

emergency medicinepsychiatrymethamphetamine
TASaged care2023-09-06

Coroner's Finding: Weldon, Dayle Patricia

93y · Female·Catastrophic subdural haemorrhage resulting from head strike sustained in a witn…

…l haemorrhage from which she died three days later. The coroner found that Mrs Weldon's rapid physical and mental deterioration in the weeks prior to death, along with increasing agitation, created a high-risk situation.…

geriatric medicinegeneral practicebuprenorphine
VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

…commands likely escalated rather than de-escalated the situation. Contributing factors included inadequate mental health assessment, failure to activate Critical Incident Response Team resources, and lack of effective of…

psychiatrycommunicationsystemalcohol
NSW2025-03-06

Inquest into the death of Leah Jane Porter

50y · Female·hanging

…e borderline personality disorder and ADHD died by hanging in immigration detention. The coroner found her mental health monitoring and treatment were adequate, though she received only two psychiatrist reviews. Non-comp…

psychiatrygeneral practicecommunicationsystemmethylphenidate
QLDcommunity2016-01-18

Kumeroa, Shaun Basil

42y · Male·gunshot wounds to the chest and abdomen

…lessons include recognition of crisis response in vulnerable individuals experiencing family law disputes, mental health support gaps during stressful circumstances, and the importance of early intervention in escalating…

general practicepsychologybuprenorphine/naloxone
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

…kinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary to Parkinson's disease and its treatments rather than primary psyc…

psychiatryneurologysystemcommunicationmadopar
NSWcommunity2020-11-16

Inquest into the death of D B

39y · Male·Self-inflicted death by hanging

…anding Bipolar I Disorder died by hanging on 28 December 2017, shortly after police attended a domestic disturbance at his mother's home. He had expressed suicidal ideation to his treating psychiatrist on multiple occas…

psychiatryemergency medicinecommunicationsystem
NSWcommunity2018-06-19

Inquest into the death of Bryson Anderson

45y · Male·Stab wound to the chest

…rs included failure to use the Operations Manual guidance, inadequate risk assessment omitting weapons and mental health considerations, poor inter-rank communication via mobile phones rather than radio, and lack of noti…

emergency medicineforensic medicinesystemcommunication
VIChospital2017-06-07

Finding into death of Samer Rony Damouni

21y · Male·Compression of the neck consequent upon hanging

…hemical or physical restraint despite aggressive behaviour; inadequate communication between emergency and mental health teams; and insufficient acute psychiatric beds leading to prolonged ED stay. The coroner recommende…

psychiatryemergency medicinecommunicationsystemmethamphetamine
SAmental health2016-06-09

Coroner's Finding: FALLON Peter John William

40y · Male·Unascertained; likely cardiac arrhythmia secondary to cardiomegaly and morbid ob…

Peter John William Fallon, aged 40, died in the psychiatric intensive care unit at Queen Elizabeth Hospital on 2 February 2013 of unascertained cause. He had bipolar affective disorder, was on antipsychotic therapy, and …

psychiatryintensive carecommunicationsystemrisperdal consta
NThome2009-09-28

Inquest into the death of Danny Borrak Gumana

19y · Male·Intentional self-inflicted hanging

A 19-year-old Aboriginal man from East Arnhem was transported home by police following a disturbance outside a nightclub. He had previously threatened suicide twice in recent weeks while intoxicated, and …

psychiatrytoxicologyalcohol
WAhospital2015-02-26

Inquest into the Death of Peta Susan DOIG

58y · Female·pneumonia and cardiac failure complicated by hypoxic brain injury

A 58-year-old woman with autism and severe intellectual disability died from pneumonia and cardiac failure complicated by hypoxic brain injury following cardiac arrest. She had been institutionalised at Graylands Hospita…

psychiatryintensive carediagnosticdelayazithromycin
VIChome2023-05-25

Finding into death of Emma Gertrude Weidemann

76y · Female·Effects of fire in a woman with head and neck injuries

Mrs Emma Weidemann, aged 76, died from burns sustained in a fire deliberately set by her husband Rudolf at their home on 11 December 2019. Rudolf had recently been diagnosed with terminal cancer, experienced cognitive de…

oncologypsychiatrydiagnosticcommunicationvenlafaxine
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

…abuse, high alcohol intake, and a recent suicide attempt died by hanging six weeks after being admitted to mental health services. Critical clinical lessons: (1) dual diagnosis (addiction and mental health) was not adequ…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
VIC2015-09-24

Finding into death of Jason Govan

26y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…-on collision on the Princes Freeway when the opposing driver, suffering untreated schizophrenia and other mental health conditions, drove the wrong way on the freeway at approximately 154 km/h after a police pursuit las…

psychiatryemergency medicinediagnosticsystem
WAhospital2018-03-22

Inquest into the Death of Steven John COLLOFF

47y · Male·Organ failure following use of synthetic cannabinoids and consequent hyperthermi…

A 47-year-old man died from organ failure following synthetic cannabinoid use and consequent heat stroke. After smoking synthetic cannabinoids (AB-CHMINACA and 5F-AMB), he became confused and dehydrated in a hot environm…

toxicologyintensive careab-chminaca
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis

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