Coronial

346 results for mental health distress

NSWcommunity2020-07-22

Inquest into the disappearance and suspected death of Paul RUSHWORTH

46y · Male·unknown

…eptember 2013, Paul called Lifeline expressing suicidal ideation and police attended his home. He received mental health assessment the following day and was scheduled for follow-up. On 13 September 2013, Paul left home …

psychiatrygeneral practice
NSWhome2026-05-06

Inquest into death of Laila Philip Samson Lado

30y · Male·unascertained

…relationship broke down with his partner relocating to Melbourne with their child. He experienced apparent mental health decline evidenced by crying episodes, paranoia about home break-ins, and assertions of anxiety/pani…

SAhospital2020-05-08

Coroner's Finding: FORT Merilyn Jane

62y · Female·general inanition on a background of end-stage dementia

…aged 62, died from general inanition on a background of end-stage Alzheimer's dementia whilst subject to a Mental Health Act Inpatient Treatment Order. She presented with severe behavioural disturbance, agitation, and re…

geriatric medicinepsychiatryclonazepam
WAcommunity2020-06-03

Inquest into the Suspected Death of Anthony JOHNSTONE

33y · Male·Exposure to the elements whilst in a mentally unstable state; manner of death Op…

…iginal man, disappeared in late October 1996 from Wyndham, Western Australia, while in an acutely unstable mental state associated with chronic alcohol use disorder, withdrawal symptoms, and possible hallucinations. Desp…

alcohol
NSWhome2017-06-19

Inquest into the death of a person known as Paul LACHLAN

46y · Male·Hanging (suicide)

…onths before death, with changing eating habits, job loss, and social withdrawal. He had limited access to mental health support due to his illegal immigration status and lack of Medicare benefits. The coroner noted he a…

NSWcommunity2025-11-03

Inquest into the death of JF

60y · Female·multiple injuries

…after discharge in April 2023. Her mood declined in the weeks before death, she resigned from work citing distress, and she visited Redhead Headland where she jumped from a 42.3-metre cliff while police attempted interve…

psychiatrygeneral practicesystemmirtazapine
VICaged care2015-03-26

Finding into death of Chang Ying Xu

72y · Female·Hanging

…ries created significant psychological vulnerability, the general practitioner did not directly assess her mental state despite noting she appeared 'really upset' and 'really frustrated'. The aged care facility did not p…

general practicegeriatric medicinediagnosticcommunicationbuprenorphine
QLDhome2008-09-19

12 year old boy at Kowanyama

12y · Male·Suicide by hanging

… of suspected child sexual abuse and arranged placement with a third party within days. The boy expressed distress about the move and was allowed to return to his original home that evening, where he died. The coroner fo…

paediatricspsychiatrydiagnosticsystem
NSW2022-10-24

Inquest into the death of GL

69y · Male·neck compression due to hanging

…fe in September 2020 and had become a paraplegic from a subsequent motor vehicle accident. Despite regular mental health reviews from October 2021 onwards—including specialist geriatric and transcultural mental health se…

psychiatrygeriatric medicine
NSW2020-10-27

Inquest into the death of Mikael FELSCH

29y · Male·Unascertainable - likely drowning or accidental injury during terrain navigation…

…mi National Park after becoming stranded in bushland. He had a significant history of suicide attempts and mental health issues exacerbated by methylamphetamine use. On the day of death, he sent messages to family sugges…

psychiatryemergency medicinemethamphetamine
WAmental health2018-07-16

Inquest into the Death of Stanley KING

45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…

…nduced laryngeal dystonia. Admitted involuntarily for acute psychotic relapse, he experienced respiratory distress from laryngeal-lingual dystonia caused by antipsychotic medications (zuclopenthixol and chlorpromazine). …

psychiatryemergency medicinediagnosticmedicationzuclopenthixol
VICcommunity2013-02-22

Finding into death of Geoffrey Wearne

54y · Male·Likely suicide by drowning; unascertained due to absence of body

…offrey Wearne, a 54-year-old engineer, disappeared on 3 July 2011 following relationship counselling that distressed and worsened his anxiety. He left notes suggesting suicidal intent, referencing the ocean and Gunnamatt…

general practicecommunicationsystem
VIChome2021-05-20

Finding into death of Brodie Moran

8y · Male·Suffocation

… 8 March 2018. Ms Finch had a history of depression and anxiety, experiencing significant deterioration in mental health following her grandmother's death in July 2017. In the weeks before the death, she displayed obviou…

general practicepsychiatrysystemvenlafaxine
SAhome2022-06-10

Coroner's Finding: Petruzzella, Daniel Sergio

34y · Male·hanging

Daniel Sergio Petruzzella, a 34-year-old man on home detention bail with electronic monitoring following family violence allegations, died by hanging on 31 October 2019. He had been arrested 9 August 2019 and released to…

general practicepsychology
SAhospital2017-04-19

Coroner's Finding: ANNS William James

69y · Male·end-stage interstitial lung disease and chronic congestive cardiac failure

…delirium, agitation and aggressive behaviour with repeated removal of his oxygen mask despite respiratory distress. A Level 1 Inpatient Treatment Order was appropriately placed to enable oxygen administration and palliat…

cardiologyrespiratory medicine
NSWmental health2024-03-06

Inquest into the death of RA

64y · Female·hypoxic ischemic encephalopathy caused by neck compression and hanging

A 64-year-old woman with a history of childhood trauma, anxiety and depression was admitted to an acute mental health unit (Kurrajong Unit) under involuntary care following a suicide attempt. Within 24 hours, she acce…

psychiatryemergency medicinesystemproceduralmirtazapine
VIChome2011-11-18

Finding into death of Michael George Pichler

57y · Male·injuries sustained in a fall from height

… losses due to the Global Financial Crisis and a failed farming investment, which caused him considerable distress and depression. He sought treatment from his general practitioner on 12 August 2010, was prescribed an an…

general practicepsychologysertraline
WA2025-01-08

Inquest into the Suspected Death of Tanghui HUANG

41y · Male·Unascertained - may have resulted from injuries sustained in fall from vessel or…

…ay have deliberately jumped or accidentally fallen. Clinical lessons include the importance of recognising mental health deterioration in confined work environments, assessing suicide risk in workers with insomnia and su…

occupational and environmental healthpsychiatrysystemcommunicationtriazolam
NSWcommunity2017-04-27

Inquest into the death of Anthony FAHEY

29y · Male

…erra after purchasing a bus ticket to Sydney. He was grappling with personal issues including alcohol use, mental health concerns, and existential questions about life, religion, and spirituality. Despite extensive polic…

general practicepsychiatrycannabis
NSW2023-05-26

Inquest into the death of Azhar Abdul

26y · Male·hanging

…ugh he denied suicidal ideation. Corrective Services assessed him as not at risk based on absence of prior mental health history, his repeated assurances of safety, and future-oriented statements. Although a corrective o…

forensic medicinecorrectional healthcommunicationsystem
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