Coronial
Filters:
NSWhome2022-05-27

Inquest into the death of WX

54y · Male·gunshot wound to the head

WX, a 54-year-old with longstanding depression, substance abuse (opioids, benzodiazepines), and a 2008 suicide attempt, died by gunshot wound on 27 April 2015. Despite this psychiatric and substance abuse history, he hel…

psychiatrypsychologysystemcommunicationcodeine
VIChome2022-05-20

Finding into death of Mandy Hawkey

51y · Female·Mixed drug toxicity

A 51-year-old woman with longstanding treatment-resistant depression, chronic pain, and suicidal ideation died from mixed drug toxicity. She intentionally overdosed on multiple medications including benzodiazepines, anti…

general practicepsychiatrymedicationcommunicationflunitrazepam
VIChome2022-05-03

Finding into death of Carol Austin

65y · Female·Plastic bag asphyxia

Carol Austin, 65, died by plastic bag asphyxia at her home in Wangaratta in August 2018. She had a 20-year history of depression and had recently experienced suicidal ideation, a suicide attempt, and burns injury requiri…

psychiatrygeneral practicesystemcitalopram
TAScommunity2022-04-29

Coroner's Finding: Mawer, Stephen Charles

45y · Male·Self-inflicted burns (80-90% full and partial thickness burns across body)

Stephen Mawer, a 45-year-old man with longstanding depression, anxiety and suicidal ideation, died from severe burns sustained when he deliberately set himself alight during a police siege at his home. He had recently be…

general practicepsychiatry
VIC2022-04-19

Finding into death of Mr BB

29y · Male·Multiple injuries sustained in a fall from a height

Mr BB, a 29-year-old male, fatally assaulted his de facto partner Ms AA with a weight plate while she slept, then jumped from a 23-storey building. The relationship, which began in June 2020, progressed rapidly during CO…

general practicepsychologydiagnosticdelay
VIChome2022-03-31

Finding into death of Tessa Michelle Ballam

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

Tessa Ballam, a 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 he…

psychiatrypsychologycommunicationsystemalcohol
VIChome2022-03-10

Finding into death of PFS

50y · Female·Hanging

A 50-year-old woman died by hanging in December 2017 after a relationship characterised by family violence and her own depression. She had been in an intimate partner violence situation for years, had presented to ED wit…

psychiatrypsychologycommunicationsystemsertraline
VIChome2022

Finding into death of TCW

43y · Female·Neck compression

TCW, age 43, died from neck compression inflicted by her adult son OMP (age 17 at time of incident, now convicted of manslaughter). OMP had intellectual disability (IQ 59), autism spectrum disorder, and hypersexual disor…

psychiatrypsychologysystemdelayfluoxetine
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
NSW2021-12-15

MACKANDER Bailey 2019-351386 - REDACTED Findings gicen by Mag Truscott DSC on 15-12-2021 can be published

20y · Male·Multiple injuries from fall from height

Bailey Mackander, a 20-year-old Wiradjuri man with substance use disorder and anxiety, disclosed suicidal ideation to a prison psychologist. This led to his placement on a Risk Intervention Team management plan requiring…

psychiatrypsychologydiagnosticsystemmethamphetamine
NSWhospital2021-12-15

Inquest into the death of Bailey Mackander

20y · Male·Multiple injuries from fall from height

Bailey Mackander, a 20-year-old Wiradjuri man with substance use disorder and anxiety, died from multiple injuries after impulsively jumping an 8-metre wall at a hospital ambulance bay on 5 November 2019. He was in custo…

psychiatrypsychologydiagnosticcommunicationmethamphetamine
WAhome2021-12-15

Inquest into the Death of Child J (Name Subject to Suppression Order)

15y · Male·ligature compression of the neck (hanging)

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectrum disorder, early trauma and neglect, and 34 different living arrangements. Despite specialist m…

psychiatrypaediatricssystemdelay
NThome2021-11-25

Inquest into the death of Sammy

9y · Female·suicide by hanging

A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …

paediatricspsychiatrysystemdelaymethylphenidate
QLDprison2021-11-23

Row Row, Frederick Arthur James

34y · Male·Neck compression by hanging

Frederick Row Row, a 34-year-old Aboriginal man, died by suicide in Capricornia Correctional Centre following a precipitous change in risk assessment from high to low in less than 48 hours. After assaulting another priso…

psychiatrypsychologydiagnosticcommunication
VIChospital2021-11-17

Finding into death of H J

76y · Female·Undetermined (natural causes)

HJ, a 76-year-old woman with chronic psychotic disorder and paranoid delusions, presented with abdominal pain, vomiting, and small bowel obstruction. Imaging revealed bilateral adnexal masses. Due to her lack of insight …

general surgerypsychiatryaugmentin df
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 2015 but discharged after only six days despite contin…

psychiatrygeneral practicediagnosticcommunicationolanzapine
NSWhospital2021-10-22

Inquest into the death of Ivan Goolagong

68y · Male·Metastatic Pancreatic Adenocarcinoma

Ivan Leo Goolagong, a 68-year-old Wiradjuri man, died of metastatic pancreatic adenocarcinoma while in Long Bay Prison Hospital Medical Subacute Unit in July 2017, five months after undergoing a Whipple procedure. The co…

oncologypalliative caresystemcommunicationamylase
VIChome2021-10-12

Finding into death of Mr A

51y · Male·Hanging

A 51-year-old man with mild intellectual disability from childhood head injury died by hanging following family violence separation. He perpetrated physical, emotional and verbal abuse against his wife and children over …

general practicepsychiatrycommunicationdiagnosticvenlafaxine
TAShome2021-10-08

Coroner's Finding: Reaks, Karen Tracey

49y · Female·combined prescription drug intoxication (zopiclone, amitriptyline, periciazine)

Karen Tracey Reaks, aged 49, died from combined prescription drug intoxication involving zopiclone, amitriptyline, and periciazine, with systemic lupus erythematosus as a contributing factor. She ingested medications in …

general practicepsychiatrysystemdelayzopiclone
QLD2021-09-20

Harris, John Edward

47y · Male·Hanging

John Harris, a 47-year-old life prisoner at Townsville Correctional Centre, died by hanging in his cell on 4 July 2019. He had an elevated baseline suicide risk due to a previous 2012 suicide attempt, yet was housed in a…

correctional healthpsychologyassessmentsystemcarbamazepine
167817

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.