Coronial

121 results for mood disorder

NSW2024-10-31

Inquest into the death of AB

34y · Male·Incision/stab wound to the neck

A 34-year-old male remandee died by self-inflicted neck wound while in custody at Metropolitan Remand and Reception Centre. He had been discharged from Risk Intervention Team management following a self-harm incident 7 d…

psychiatryemergency medicinediagnosticsystem
NSWmental health2015-07-14

Inquest into the death of DA

34y · Male·Neck compression due to hanging

…tween staff and family. Documentation was inadequate, and risk factors (recent suicide attempt, aggression, mood changes) were underappreciated. Preventable clinical failures included lack of formal risk assessment, inad…

psychiatryemergency medicinediagnosticcommunicationmirtazapine
WAhome2019-09-27

Inquest into the Death of Paul STRANGE

30y · Male·ligature compression of the neck (hanging)

Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…

psychiatryemergency medicinecommunicationsystemduloxetine
QLDmental health2005-11-09

Community Mental Health Patient

20y · Male·hanging

A 20-year-old male with major depressive disorder and melancholic features was admitted to psychiatric hospital on 4 June 2003 under an indefinite involunt…

psychiatrygeneral practicediagnosticcommunicationsertraline
QLD2007-05-16

Davis, Jodie Maree

24y · Female·hypoxic brain damage due to cardiac arrest due to hanging

Jodie Maree Davis, aged 24, died by suicide in Townsville Correctional Centre in May 2002. She had a long history of self-harm dating from age 15, including multiple suicide attempts, and was assessed as high suicide ris…

psychiatrypsychologysystemcommunication
WAhome2007-12-03

Inquest into the Death of Tedeschi

14y · Female·Ligature compression of the neck (suicide)

Gabrielle Mia Tedeschi, a 14-year-old girl with longstanding oppositional and self-harm behaviours and subsequent depression, died by suicide on 14 October 2004 following a ligature compression injury sustained on 11 Oct…

psychiatrypsychologycommunicationdelayfluoxetine
QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony o…

psychiatryemergency medicinemedicationcommunicationacuphase
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

…ode psychosis' was erroneous; longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presente…

psychiatrygeneral practicediagnosticcommunicationolanzapine
VICmental health2012-05-17

Finding into death of Peter Robin Tully

55y · Male·Hanging

…lly, 55, died by hanging 4 days after discharge from his first psychiatric admission for major depressive disorder with suicidality. He had made 3 suicide attempts in the week before admission. During hospitalisation, st…

psychiatryemergency medicinecommunicationsystemvenlafaxine
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

…mpted murder. She had been hospitalised two weeks prior with suicidal ideation but discharged with improved mood. Mental health assessments at the correctional centre noted anxiety but assessed her as low risk following …

psychiatrycorrectional healthcommunicationsystemmirtazapine
VIC2025-07-04

Finding into death of Brent Reker

35y · Male·Hanging

Brent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Corrections Centre on 12 December 2019, approximate…

psychiatryemergency medicinecommunicationsystemmethadone
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicid…

psychiatryemergency medicinecommunicationsystemaripiprazole
QLD2018-05-16

Houdini, Franky

41y · Male·Hanging

Franky Houdini, aged 41, died by hanging in his prison cell at Wolston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner…

psychiatrycorrectional healthcommunicationsystemrisperidone
SAhospital2006-06-22

Coroner's Finding: MERRITT Christopher Simon

24y · Male·0.22 calibre gunshot wound to the head (self-inflicted)

Christopher Merritt, a 24-year-old man with a history of reactive depression triggered by relationship breakdowns, presented to his GP Dr W. on 30 June 2003 with acute tearfulness, suicidal ideation, and dangerous reckle…

general practiceemergency medicinediagnosticcommunicationcitalopram
VIChome2026-01-06

Finding into death of Michelle Margaret Darragh

32y · Female·Stab wound to the back extending into the posterior neck, causing subtotal trans…

Michelle Darragh, a 32-year-old social worker, was fatally stabbed by her former partner Benjamin Coman on 9 October 2021. She was pregnant with their third child. The relationship involved progressive coercive control, …

psychiatryemergency medicinediagnosticcommunicationsertraline
VIChospital2016

Finding into death of Zakiya Crystal Lisa Thomas

15y · Female·Hanging

Zakiya, a 15-year-old Barkindji Maraura woman, died by hanging at Mildura Base Hospital following a family argument about repaying a borrowed $300. She had disclosed experiences of childhood sexual abuse by her uncle, ph…

psychiatrypaediatricscommunicationsystemcitalopram
NSWmental health2016-02-05

Inquest into the death of SS

48y · Male·hanging, intentionally self-inflicted

SS, a 48-year-old male with treatment-resistant depression and chronic suicidal ideation, died by hanging in Boronia Park, NSW in June 2014. He was admitted to Gosford Hospital Mental Health Unit in late May 2014 as an i…

psychiatrycommunicationsystemlithium
VIChome2025

Finding into death of Ms HRZ

48y · Female·Neck compression secondary to hanging

Ms HRZ, a 48-year-old Turkish-born woman, died by suicide on Christmas Day 2020 after experiencing years of family violence. She first endured abuse from her ex-husband, then sexual coercion, assault, stalking and threat…

general practicepsychologysystemcommunication
VIChospital2025-01-10

Finding into death of William Thomas Gourley

39y · Male·Effects of fire (self-immolation)

William Gourley, a 39-year-old Aboriginal and Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 202…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
NSWhospital2019-11-21

Inquest into the death of Ross MARTIN

56y · Male·acute pentobarbitone toxicity

Ross Martin, a 56-year-old man with a long history of depression, died from acute pentobarbitone (Nembutal) toxicity obtained online, combined with toxic levels of zopiclone, less than two weeks after premature discharge…

psychiatrygeneral practicediagnosticcommunicationpentobarbitone

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.