Coronial

177 results for severe anxiety

VIChospital2025-08-18

Finding into death of B T

53y · Male·Complications of hypoxic brain injury secondary to mixed drug toxicity (methylam…

…treet drug mixture on 30 June 2023, suffered a prolonged seizure, was intubated and sedated, but sustained severe hypoxic brain injury. He was extubated after 16 days but remained severely neurologically impaired with pe…

emergency medicineintensive caremethamphetamine
NSW2022-11-24

Inquest into death of William EPERE

43y · Male·Hanging

William Epere, aged 43, died by hanging in custody at Dawn de Loas Correctional Centre on 10 January 2019. He had been remanded in custody for 27 days following repeated breaches of a domestic violence order, despite cle…

psychiatrycorrectional healthproceduralsystemescitalopram
WAcommunity2020-11-05

Inquest into the Suspected Death of Paul Clifford YORK

45y · Male·unascertained

…uld not determine the cause of death. Key clinical lesson: the rapid discharge of a high-risk patient with severe ongoing psychosocial stressors after only 48 hours, despite ongoing suicidal ideation and significant risk…

psychiatrygeneral practicediagnosticsystemmirtazapine
VICcommunity2021-04-30

Finding into death of Kent Thomas

68y · Male·Hanging

…nt Thomas, aged 68, died by hanging in December 2018. He had experienced chronic tinnitus since 2013 which severely impacted his mental health and quality of life. Despite referral to mental health services and a reasona…

general practicepsychiatrydiagnosticdelayclonazepam
NSW2024-10-24

Inquest into the death of Fiona Goodberg

36y · Female·multiple blunt force injuries sustained after intentional self-infliction by fal…

…rse with prior OCD history, died by falling from Landslide Lookout on 29 October 2020. She had experienced severe postpartum obsessive-compulsive disorder (OCD) following her daughter's birth in July 2020, characterised …

psychiatrygeneral practicediagnosticcommunicationescitalopram
WA2020-09-04

Inquest into the Suspected Death of Marek PETERA

41y · Male·suicide by unknown method, either through deliberate self-harm or by placing him…

…in Western Australia on 27 July 1999. He had left a suicide note for his daughter in June 1999, describing severe depression and stating his intention to undertake a 'one-way ticket' journey with the wish to 'perish with…

psychiatrygeneral practicediazepam
NSWcommunity2025-09-08

Inquest into the death of Rohan Lloyd

37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …

…iatrists should not 'reverse' long-standing schizophrenia diagnoses based on alternative theories (autism/anxiety) without robust diagnostic evidence; family counselling and community treatment orders should be consider…

psychiatrygeneral practicediagnosticmedicationrisperidone
NSWmental health2024-05-16

Inquest into the death of Roger Frederick Schnelle

59y · Male·head injuries

…hile involuntarily detained at Nolan House mental health facility in April 2021. He developed sudden onset severe mental illness (anxiety disorder with depressive features, with possible psychotic depression) triggered b…

psychiatrygeneral practicediagnosticcommunicationsertraline
NSWhome2019-02-15

Inquest into the death of Margaret Rose CARR

62y · Female·Unknown. Likely natural causes, possibly with drug-related element. QT-prolongat…

Margaret Carr, 62, was found dead at her home in Redfern between 27 February and 1 March 2017. She had complex medical history including COPD, endocarditis, hepatitis C and substance use disorder (heroin, cannabis, metha…

general practiceforensic medicineamitriptyline
QLDcommunity2015-12-14

Logan, Edward Wayne

51y · Male·multiple gunshot wounds to the chest

…l lesson: recognising escalating violent behaviour in individuals with untreated personality disorders and severe mental health risk factors; earlier mental health intervention might have prevented the crisis.

citalopram
NSW2023-07-24

Inquest into the death of Barry Faulkner

70y · Male·ischaemic and valvular heart disease with chronic pulmonary disease being a sign…

Barry Faulkner, aged 70, died of ischaemic and valvular heart disease with chronic pulmonary disease while in lawful custody at Long Bay Correctional Complex on 25 January 2020. He suffered a sudden cardiac arrest while …

cardiologygeneral medicine
NSWhome2015-06-09

Inquest into the death of Gabriele HANNEMANN

54y · Female·complications related to post-polio syndrome and chronic respiratory weakness; n…

Gabriele Hannemann, a 54-year-old woman with severe post-polio quadriplegia and chronic respiratory failure, died suddenly at home during consensual sexual ac…

respiratory medicinegeneral practicedelayparoxetine
VICcommunity2017-06-14

Finding into death of Noah Zunde

1y · Male·Heat stroke

…rd expert evidence about the physiology and cognitive neuroscience of human memory, concluding that Romy's severe sleep deprivation, stress from recent family illness, routine changes, and lack of sensory cues from the s…

TASmental health2020-10-09

Coroner's Finding: Le Roy, Carole Ann

40y · Female·hypoxic encephalopathy due to asphyxia from hanging

A 40-year-old woman with extensive mental health history including OCD, complex trauma, severe depression, and recurrent suicidal ideation was admitted to an open psychiatric unit after expressing suic…

psychiatryintensive carediagnosticsystem
VIChospital2025-12-01

Finding into death of Larelle Sheridan Dean

51y · Female·Multiorgan failure in the setting of WHO Class III obesity, chronic excessive al…

…linical management at any facility contributed to her death. Clinical lessons include early recognition of severe obesity as a risk factor for complications, careful opioid dosing in this population, and timely escalatio…

general medicineemergency medicinehydromorphone
VIChome2025-05-23

Finding into death of Shirley Annette Kidd

67y · Female·Head injuries

…head injuries inflicted by her grandson Hayden during a cannabis-induced psychosis. Hayden had experienced severe childhood abuse by his stepfather and subsequently developed mental health issues including post-traumatic…

psychiatrygeneral practicesystemcannabis
NSWcommunity2023-08-08

Inquest into the death of Simon Miles

42y · Male·heroin and methylamphetamine toxicity

Simon Miles, a 42-year-old First Nations man with severe heroin and methylamphetamine dependence, died from accidental drug overdose while on Stage 2.5 of the Comp…

addiction medicinepsychiatrysystemcommunicationheroin
NSWhospital2018-04-26

Inquest into the death of Margaret Ann Pegum

67y · Female·Sepsis as a result of gastric perforation

…instructions created ambiguity about when to seek help, leading to delayed presentation when she developed severe vomiting on 23 June 2015. The coroner found Dr M.' decision represented significant error in judgement. Ea…

gastroenterologybariatric surgerydiagnosticcommunication
NSWhospital2018-12-17

Inquest into the death of Jarrod Wright

42y · Male·Cardiac arrest following hypoxic ischaemic encephalopathy, likely due to E.coli …

…ted his agitation severity due to poor communication between nursing and medical teams. When Jarrod became severely agitated and pulled out his oxygen support at 10:15pm, no alarm sounded because he had also disconnected…

intensive careinfectious diseasescommunicationsystemmeropenem
SAhome2021-05-28

Coroner's Finding: LOCKWOOD Andrew James

49y · Male·Shotgun wound to the head

…ents present with major depression, marital breakdown, and alcohol use disorder. Although clinicians noted severe stress, anxiety, and depression on structured assessment tools, the focus on stated intent and absence of …

general practicepsychiatrysertraline
15679

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