Coronial

149 results for mental disturbance

NSWcommunity2022-02-18

Inquest into the death of SP

36y · Male·hanging

A 36-year-old man died by hanging on 10 July 2018 after leaving his home in Blacktown, NSW. His partner called Triple Zero after 30 minutes, reporting concern for his welfare and that he was acting strangely, restless, a…

emergency medicineparamedicinecommunicationsystem
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…ty disorder was released from prison in August 2011 without parole conditions. Despite police and forensic mental health concerns about his risk to self and others, he was assessed as not meeting Mental Health Act criter…

psychiatryemergency medicinesystemdelaycannabis
VIChospital2012-04-12

Finding into death of Gayle Maree Johnson

51y · Female·Complications of anorexia nervosa

A 51-year-old woman with severe anorexia nervosa, BMI 12.1, was admitted to hospital acutely unwell with hypothermia, bradycardia, heart block, and extreme malnutrition. She was discharged after only 2 days with minimal …

psychiatryemergency medicinediagnosticcommunication
QLDPodcast2018-09-05

Maynard, Marcia Anne Kathleen

63y · Female·Insulin overdose (suicide)

… misunderstood comments about criticism as 'they're gunning for you.' Her death highlights the significant mental health toll coronial investigations can have on healthcare witnesses. Although her GP and counsellor saw n…

correctional healthgeneral practicecommunicationinsulin
WAhospital2021-07-30

Inquest into the Death of Chad RILEY

39y · Male·Cardiac arrhythmia following violent exertion necessitating physical restraint i…

… Contributing factors included methylamphetamine intoxication (causing prolonged exertion and metabolic disturbance), pre-existing hypertension and morbid obesity, intense physical struggle, and systemic physiological s…

emergency medicinepsychiatrysystemmethamphetamine
QLDmental health2004-09-30

Cif Lee Ja 20040930

23y · Male·compression of the neck, secondary to coronary arteriosclerosis

Julian Arasina Lee, a 23-year-old man, died on 1 February 2003 during a restraint incident in the Mental Health Unit at Cairns Base Hospital. Admitted voluntarily after exhibiting marked behavioral changes, he b…

psychiatryemergency medicineproceduralcommunicationdroperidol
NSWcommunity2012-11-14

Inquest into the death of Roberto Laudisio CURTI

21y · Male·undetermined causes, in the course of being restrained by members of the NSW Pol…

…; avoiding multiple Taser applications to handcuffed persons; and implementing communication protocols for mental health presentations to police.

psychiatrytoxicologycommunicationsystemLSD
QLDhome2026-02-11

Inquest into the death of FSGT

50y · Male·Gunshot wound to the head

…r and anxiety died from a self-inflicted gunshot wound to the head after police responded to a domestic disturbance. He had received appropriate, evidence-based multidisciplinary mental health treatment through ADF serv…

general practicepsychologysystemcommunicationamitriptyline
NThospital2004-01-21

Inquest into the death of Rita Anderson

43y · Female·unknown

Rita Anderson, a 43-year-old Aboriginal woman with chronic alcohol-related organic brain damage, was admitted to Royal Darwin Hospital in March 2002 for stabilization and placement planning. Unable to safely live indepen…

psychiatrygeneral medicinesystemcommunicationdroperidol
QLDhospital2021-03-09

Horne, Ashley Thomas

49y · Male·Stab wound to the chest

A 49-year-old man with anxiety and depression died from a self-inflicted stab wound to the chest sustained during police response to a domestic violence call. He had brought tools and weapons to his ex-partner's home. Wh…

emergency medicineparamedicinecommunicationdelaysertraline
VIChome2022-09-07

Finding into death of Kim Rebecca Lynch

41y · Female·neck compression

…tical information about this violence was not communicated between Monash Health's community and inpatient mental health teams. On 5 February, LM was granted three-hour supervised leave despite high-risk status; he absco…

psychiatryemergency medicinecommunicationsystemmethadone
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

…ing coronary artery disease, died of sudden cardiac arrest following police restraint during a domestic disturbance call. Robert Plasto-Lehner, a 57-year-old with chronic airways disease and heart disease, died of restr…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
SA2023-04-06

Coroner's Finding: Chilcott, Zhane Andrew Keith

13y · Male·Hanging

…s, leading to its breakdown; inappropriate placement in residential care with multiple moves; insufficient mental health assessment despite clear warning signs of self-harm in May 2016; delayed and incomplete CAMHS refer…

paediatricsgeneral practicesystemcommunication
WAhome2013

Inquest into the Death of Stevens, Malachi Isaac and Stevens, Lochlan James

10y · Male·Unascertainable

Two young children, Malachi (10 months) and Lochlan (2 years), died on 7-8 November 2008 in their mother's home en suite, with cause of death unascertainable. The mother claimed to have blacked out for approximately 10 h…

paediatricsforensic medicinesystemdelay
QLD2023-10-03

Findings of the inquest into the death of GLT

46y · Male·Methylamphetamine toxicity and coronary atherosclerosis

A 46-year-old man died in police custody following a domestic violence order breach arrest in Rockhampton, Queensland. The death resulted from a combination of methylamphetamine toxicity, significant coronary artery dise…

emergency medicineintensive carediagnosticdelaymethamphetamine
QLDhome2013-05-03

Thompson, Leanne Melissa

15y · Female·Hypoxic brain injury due to hanging

Leanne Thompson, aged 15, was a severely troubled and vulnerable young woman under a Child Protection Order, living with 28-year-old Alexander O'Sachy, a drug user and violent offender. She had a history of self-harm, dr…

paediatricspsychiatrysystemdelayheroin
WAmental health2015-12-31

Inquest into the Death of Carly Jean ELLIOTT

Unknown·Ruby: ligature compression of the neck (hanging); Carly: ligature compression of…

Five young to middle-aged people with serious mental health conditions died by suicide within 12 months (March 2011 to March 2012) while under care from Alma S…

psychiatryemergency medicinecommunicationsystemantidepressants
SA2019-11-14

Coroner's Finding: SINGH Heidi Eileen Roseanne

14y · Female·electrocution

Heidi Singh was a 14-year-old Aboriginal girl who died by electrocution at a railway pylon on 21 August 2014. She had suffered from foetal alcohol spectrum disorder since early childhood, experienced multiple losses (par…

paediatricspsychiatrysystemcommunicationquetiapine
QLD2013-12-11

Woods, Gavin Lyle

46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)

A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State School for only five months. Cli…

psychiatrygeneral practicecommunicationsystemescitalopram
SAaged care2012-12-13

Coroner's Finding: Kruger Mary Patricia

69y · Female·bronchopneumonia complicating intracranial tumour (meningioma with obstructive h…

Mary Patricia Kruger, aged 69, died of bronchopneumonia complicating a massive subfrontal meningioma with obstructive hydrocephalus. Her death was preventable. During a November 2006 hospital admission for urinary tract …

general practiceneurologydiagnosticcommunicationcarbidopa
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