Coronial

654 results for mental health issues

SAaged care2011-12-22

Coroner's Finding: PORTER John Bruce

72y · Male·inanition of terminal metastatic carcinoma of the left lung

A 72-year-old man with chronic mental illness detained under the Mental Health Act died of inanition from terminal metastatic lung cancer at an …

psychiatrypalliative careolanzapine
VIChospital2021-05-10

Finding into death of Karim Aarras

45y · Male·Blood loss due to multiple self-inflicted incised injuries

Karim Aarras, a 45-year-old man with longstanding mental health issues, chronic pain, and substance use disorder (methamphetamine), presented to police in a severe…

psychiatryemergency medicinemethamphetamine
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

…ter a domestic violence incident 23 days post-release from prison. He had long-standing drug addiction and mental health issues including paranoid ideation, particularly during crystal methamphetamine use. Community Corr…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
VIChome2010-07-21

Finding into death of MF

29y · Female·Multiple stab wounds to the neck

…ssons include: GPs must recognise family violence risk factors (pending separation, controlling behaviour, mental health issues, suicidal ideation) and proactively refer to specialist family violence services rather than…

general practiceforensic medicinecommunicationsystem
VICcommunity2024-05-02

Finding into death of Rodney Norman Galvin

21y · Male·Unascertained causes

…entation and follow-up of missing persons reports, particularly for vulnerable individuals with documented mental health concerns, substance use issues, and prior suicidal ideation.

delaymethamphetamine
NSWcommunity2010-10-26

Inquest into the death of AB (429/09)

Female·Exsanguination following self-infliction of a wound with the intention of taking…

A woman with a long-standing history of mental health issues and previous suicide attempts (May 2008, September 2007, April 2008) died on 13 February 200…

VIC2013-06-24

Finding into death of John William McPherson

52y · Male·Unascertained causes; likely drowning in the Latrobe River

…icidal ideation (including being found wet near the river). He had received electroconvulsive therapy at a mental hospital. On the evening of his disappearance, his car was found parked on a dirt track near the Latrobe R…

NSWmental health2017-06-09

Inquest into the death of Ahlia RAFTERY

18y · Female·neck compression due to hanging

…tted to a psychiatric intensive care unit (PICU) following acute suicidal ideation. Clinically significant issues included: inadequate communication of previous self-harm attempts during handovers, inappropriate downgrad…

psychiatrydiagnosticcommunicationfluoxetine
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

…ardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensation and received sedation (haloperidol a…

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
VIChospital2014-11-26

Finding into death of Daniel Colin McKittrick

25y · Male·Multiple injuries sustained in a fall from a height

…e Victoria Police negotiators were present. He presented to three hospitals over four days with escalating mental health symptoms. At St Vincent's Hospital on 11 June he was triaged as category 3 (requiring assessment wi…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChome2024-11-28

Finding into death of Child 1, Child 2, Child 3, Child 4

Multiple causes: Child 1 - blunt force trauma to chest and abdomen; Child 2 - he…

… Child Protection and community services; premature case closures; and insufficient assessment of parental mental health impacts. The cases reveal persistent workforce pressures, high caseloads, and gaps between policy a…

paediatricspsychiatrydiagnosticcommunicationmethamphetamine
VIChome2014-11-11

Finding into death of Tamara Ann Burt

32y · Female·Alcoholic ketoacidosis

…tive disorder, alcohol dependence disorder, and borderline personality disorder traits. Despite outpatient mental health treatment through MSTS and alcohol counselling through EDAS, her care was fragmented across three s…

psychiatryaddiction medicinesystemcommunicationquetiapine
VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…sk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care facility. He presented with chest pain and fever five days before death; a lower respirat…

psychiatrygeneral practicecommunicationsystemolanzapine
VIChome2013

Finding into death of Barabara Lubik

36y · Female·stab injury to neck with transection of left common carotid artery

…er Lubik had an established history of violence against women, exacerbated by alcohol misuse and untreated mental health issues. Multiple police and court contacts documented escalating domestic violence, yet systemic ga…

emergency medicineforensic medicinecommunicationsystem
VIChome2015-11-16

Finding into death of Leanne Margaret Patterson

52y · Female·gunshot wound to head

…text of decades of physical and emotional abuse by her husband, which was never reported to or detected by healthcare providers. Significant clinical lessons include: GPs should maintain a low threshold for asking about …

general practicepain medicinecommunicationsystemclonazepam
VIChome2012-12-12

Finding into death of Kylie Jane Burnett

32y · Female·Hanging

…younger sister's suicide in 2009 and her first boyfriend's death in 2010, both significantly affecting her mental state. She had received sporadic mental health and addiction treatment through North Yarra Community Healt…

addiction medicinepsychiatrymethadone
VICcommunity2022-01-17

Finding into death of Parth Dayalal Patel

23y · Male·Asphyxia from helium and plastic bag over head

…ion characterized by social withdrawal, disengagement from studies, and financial stress, but never sought mental health support. The coroner highlighted the vulnerability of international students to mental health crise…

psychiatrygeneral practicedelayhelium
VIChospital2013-07-11

Finding into death of Stuart Alan Ronning

41y · Male·Hanging

Stuart 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
QLDhospital2018-09-26

Mann, Renae Jean

43y · Female·acute toxic effects of amitriptyline

…ed amitriptyline overdose. After 11 hours of ED monitoring, she was medically cleared and transferred to a mental health assessment pod, despite abnormal ECG findings with T-wave changes not fully investigated (troponin …

emergency medicinepsychiatrydiagnosticcommunicationamitriptyline
SAhome2018-02-08

Coroner's Finding: ROBERTS Brian Matthew

36y · Male·Hanging

…l practitioner care, psychiatric consultation, and counselling. A psychiatrist noted chronic anger control issues, polysubstance abuse history, and possible antisocial personality traits but found no active suicidal idea…

psychiatrygeneral practicealcohol
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