Coronial

214 results for major depressive disorder

SAmental health2012-10-26

Coroner's Finding: Mitton Paul Laurie

32y · Male·hanging

A 32-year-old man with bipolar disorder and recent suicide attempt died by hanging in a closed psychiatric ward. He was admitted following overdo…

psychiatryemergency medicinesystemcommunicationdiazepam
VIChome2014-02-12

Finding into death of Sibel Yilmaz

24y · Female·hanging

A 24-year-old woman with longstanding depression, anxiety, and a history of self-harm and suicidal ideation died by hanging following a marital conflict. She had been under care of university counsellors and a psychologi…

psychologypsychiatrycommunicationsertraline
ACThospital2024-07-25

Inquest Into The Death Of Katherine Aurelia Alexander

34y · Female·multiple drug toxicity

…r, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality disorder, and PTSD, died from multiple drug toxicity on 7-8 February 2017, two da…

psychiatryemergency medicinecommunicationsystemdosulepin
WAhospital2013-09-05

Inquest into the Death of Fisher, Hayley Bree

27y · Female·opiate toxicity (fentanyl)

…t healthcare workers with untreated or inadequately treated mental health conditions and substance misuse disorders require better support and monitoring. The case highlights a critical gap in hospital drug security at t…

obstetricsanaesthesiasystemfentanyl
VIChome2021-12-17

Finding into death of B H

49y · Male·hanging

A 49-year-old man with a history of PTSD, depression and anxiety died by suicide following police service of a warrant to vary a family violence intervention order. He learned for the first time on 2 December 2017 that h…

psychiatrypsychologycommunicationsystemantidepressant medication
TAS2023-07-05

Coroner's Finding: Crump, Damian Michael

36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…

Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and midazolam stolen f…

paramedicinepsychiatrysystemdelaymorphine
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

Robert Harold Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suici…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
SA2011-11-24

Coroner's Finding: BEGG Peter Albert

62y · Male·Ischaemic heart disease due to coronary atherosclerosis

Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…

forensic medicinecardiologydiagnosticdosulepin
VIChome2022-03-31

Finding into death of Tessa Michelle Ballam

31y · Female·neck compression in the circumstances of hanging

…31-year-old accountant with longstanding depression, anxiety, bulimia nervosa, and borderline personality disorder (BPD), died by hanging in August 2015. She had experienced workplace difficulties with her manager Jade C…

psychiatrypsychologycommunicationsystemalcohol
SAhome2002-11-06

Coroner's Finding: JERICHO Patricia Susanne

43y · Female·neck compression due to hanging

…chiatrist (Dr H.) assessed her on 24 November and urgently recommended hospital admission, stating she had major depression with melancholic features, possible psychotic symptoms, and elevated self-harm risk. However, t…

general practicepsychiatrycommunicationsystemaurorix
VIC2013-06-05

Finding into death of Leigh Ronald Bellingham

37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline

Leigh Ronald Bellingham, a 37-year-old man with a history of depression, suicidality, hepatitis C, and substance abuse, died from toxic effects of heroin in combination with mirtazapine and sertraline in June 2008. He wa…

general practicepsychiatrycommunicationsystemheroin
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
VIChome2025-09-11

Finding into death of ZSQ

26y · Female·Multiple stab wounds

ZSQ, a 26-year-old woman, was fatally stabbed by her intimate partner MJD in April 2020 after a relationship marked by escalating family violence. Critical clinical and systemic lessons include: (1) Recognition of intima…

emergency medicinepsychiatrycommunicationsystemcocaine
WAhome2016-09-30

Inquest into the Death of Janene DEVINE

48y · Female·malnutrition in association with sepsis on a background of end stage multiple sc…

A 48-year-old woman with end-stage multiple sclerosis died from malnutrition and sepsis after her husband, her primary carer, failed to provide adequate nutrition via a PEG tube despite receiving training and instruction…

neurologygastroenterologysystemdelay
QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

Alan Kent Dyer died from a gunshot wound to the abdomen inflicted by Constable Damro during a police response to a house fire and armed person incident on 31 May 2008. Dyer had a history of depression, previous suicide a…

emergency medicinepsychiatryfluvoxamine
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…

psychiatryemergency medicinesystemalcohol
SAhome2023-12-06

Coroner's Finding: Cullen, Jason Mark

37y · Male·mixed drug toxicity with fentanyl as the principal agent

37-year-old Jason Cullen died from mixed drug toxicity with fentanyl as the principal agent. He had chronic idiopathic intracranial hypertension requiring multiple neurosurgeries and was prescribed opioids and benzodiaze…

neurosurgerypsychiatrycommunicationsystemfentanyl
SAcommunity2003-05-27

Coroner's Finding: GILLIES Wayne John

45y · Male·Bullet wound to the head - self-inflicted

A 45-year-old man with recurrent major depression died by self-inflicted gunshot wound in April 2000. His psychiatrists documented recent suicida…

psychiatrygeneral practicecommunicationsystemvenlafaxine
NSW2023-11-16

Inquest into the death of DP

52y · Male·hanging

A 52-year-old man with a history of depression, ankylosing spondylitis, and severe obstructive sleep apnoea died by hanging in custody. He had requested a CPAP machine for over 9 months without receiving one, which he be…

psychiatrygeneral practicediagnosticsystemduloxetine
NSWmental health2019-12-04

Inquest into the death of Mitchell FLOOD-SMITH

23y · Male·Multiple injuries sustained following collision with a train

A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being inv…

psychiatryparamedicinecommunicationsystemrisperidone
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