Coronial

177 results for severe anxiety

WAcommunity2018-07-12

Inquest into the Death of Shane Christopher FLANDERS

29y · Male·unknown, probably immersion

Shane Flanders, a 29-year-old man with a complex psychiatric history including personality disorder, substance abuse, previous suicide attempt, and drug-induced psychosis, disappeared on 28 January 2016 after being relea…

psychiatryemergency medicinediagnosticcommunicationdextroamphetamine
WA2026-03-26

Inquest into the Death of Brian John KEALY

42y · Male·Ligature compression of the neck (hanging)

Brian Kealy, aged 42, died by suicide via hanging at Hakea Prison on 2 August 2024 while on remand. He had complex mental health needs including probable schizophrenia, anti-social personality disorder, and polysubstance…

psychiatrygeneral medicinecommunicationsystemolanzapine
TASmental health2026-04-13

Coroner's Finding: de-identified DR

41y · Male·asphyxia due to neck compression following ligature suspension (hanging)

DR was a 41-year-old man with bipolar disorder, severe alcohol dependence, and multiple psychosocial stressors including family violence, homelessness, and finan…

psychiatryemergency medicinediagnosticcommunicationolanzapine
NT2017-11-21

Inquest into the death of Dale Walkinshaw

23y · Male·self-inflicted hanging

…ching it to the cage mesh and around his neck. The coroner found that police had identified the problem of severely limited visibility into caged vehicles following a 2012 death, conducted a successful CCTV trial in 2013…

emergency medicineintensive caresystemdelayalcohol
VIChospital2019-02-05

Finding into death of Eliza Gill

18y · Female·Colchicine toxicity

An 18-year-old female died from colchicine toxicity after intentional overdose of her father's medications during a mental health crisis. She ingested approximately 10-15g of colchicine (dose 0.25mg/kg), below the guidel…

emergency medicineintensive carediagnosticsystemcolchicine
TAShome2018-07-06

Coroner's Finding: Godley, David Geoffrey

30y · Male·Exsanguination due to self-inflicted multiple stab and incised wounds

David Geoffrey Godley, aged 30, died from exsanguination due to self-inflicted multiple stab and incised wounds to his neck, chest, and head on 24 April 2016 in Tasmania. He had a long history of psychosis and depression…

psychiatryemergency medicinedelaymethamphetamine
VIChome2023-02-27

Finding into death of Jayden Kain Wright

24y · Male·Combined drug toxicity (clonazepam, diazepam, methadone, tramadol, pregabalin)

Jayden Kain Wright, a 24-year-old Aboriginal man, died from combined drug toxicity involving clonazepam, diazepam, methadone, tramadol, and pregabalin. Following a motor vehicle collision in 2020, he developed opioid add…

general practiceforensic medicinediagnosticsystemclonazepam
VIChome2014-03-06

Finding into death of Samantha Jane Fowler

36y · Female·Effects of fire and stab wounds (Kylie Fowler); effects of fire (Melanie Maher);…

Kylie Fowler, a 36-year-old woman with severe schizophrenia and a 18-year history of involuntary psychiatric admissions, killed her three children (Sama…

psychiatrypaediatricscommunicationsystemrisperidone
SAhospital2016-08-02

Coroner's Finding: SMITH Gordon Charles

91y · Male·Multi-organ failure due to inanition complicating prolonged delirium of uncertai…

Gordon Charles Smith, 91, died from multi-organ failure due to severe malnutrition (inanition) complicating prolonged delirium of unknown cause at Repatriation General Hospital…

psychiatrygeneral medicinecommunicationsystemmirtazapine
WAhospital2023-05-26

Inquest into the Death of Jacob George Isaac TAULELEI

28y · Male·Multiple injuries sustained when struck by a freight train

Jacob Taulelei, a 28-year-old man with long-standing depression, anxiety, and suicidal ideation, presented to St John of God Hospital on 5 February 2020 expressing intent to jump…

psychiatryemergency medicinediagnosticcommunicationduloxetine
NSWprison2017-03-31

Inquest into the death of Keith HOWLETT

49y · Male·complications of non-small cell carcinoma of the lung

…t recognise palliative care needs despite Howlett receiving such care in the community. Symptoms including severe vomiting, diarrhoea, pain, and weight loss were inadequately managed. No psychiatric assessment occurred d…

general practiceoncologydiagnosticsystem
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
TAS2015-08-01

Coroner's Finding: Leemhuis, Leah Maree

46y · Female·Multiple severe trauma suffered in a motor vehicle accident

A 46-year-old woman died in a head-on motor vehicle collision after her car drifted across the centre line on the Bass Highway. She had reported feeling tired earlier that morning and had intended to pull over to sleep. …

psychiatrygeneral practicecommunicationdiazepam
NSWhospital2018-05-03

Inquest into the death of Naomi Watson Ley

33y · Female·hanging, self-inflicted with intention of taking her own life

…l lessons: (1) discharge staff failed to obtain the June 2013 Northside West discharge summary documenting severe treatment-resistant depression treated with ECT, which should have prompted reconsideration of major depre…

psychiatryemergency medicinediagnosticcommunicationmoclobemide
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

…e clinical care was delivered within available resources, but identified critical system-level deficits: a severe lack of suitable supported accommodation services for people with chronic mental illness and complex behav…

psychiatryemergency medicinesystempaliperidone
SAhospital2018-07-19

Coroner's Finding: ROSS Chrystal Jessica

24y · Female·hypoxic brain injury secondary to hanging

…f communication failures and care coordination errors. She had been admitted to Mount Barker Hospital for anxiety, depression, substance misuse concerns, and self-harm behaviours. After one week, a psychiatrist recommen…

psychiatrygeneral practicecommunicationdiagnosticfluvoxamine
VIChome2015-07-24

Finding into death of James Stewart Dougan

32y · Male·Mixed drug toxicity (codeine, methadone, alprazolam, diazepam) in a man with cor…

…lysubstance abuse, died from mixed drug toxicity (codeine, methadone, alprazolam, diazepam) complicated by severe coronary artery atherosclerosis. He engaged in prescription shopping across nine different doctors within …

general practiceaddiction medicinemedicationcommunicationalprazolam
TAShome2020-05-19

Coroner's Finding: Adams, Christopher Neil

31y · Male·mixed prescription drug toxicity (methadone, fluvoxamine, tramadol, mirtazapine …

…ethadone program—and ingested it with other CNS depressants. With low tolerance to methadone, obesity, and severe heart disease, he died from respiratory depression and aspiration. The coroner emphasised that adherence t…

general practiceemergency medicinesystemmethadone
NSWaged care2022-09-28

Inquest into the death of Kerry-Ellen (Nikki) Knight

44y · Female·Hanging

…linical opportunities were missed: the initial mental health screening failed to identify her known PTSD, anxiety and depression despite these being documented in available electronic records; her self-referral form req…

psychiatrycorrectional healthdiagnosticcommunication
VICmental health2022

Finding into death of LKV LKV

73y · Male·Neck compression in the circumstances of hanging

A 73-year-old man with severe depression and suicidal ideation died by hanging at a private psychiatric facility on 9 February 2019 duri…

psychiatrygeneral practicediagnosticsystemescitalopram

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