Coronial

149 results for attempted suicide

VIC2011-11-23

Finding into death of Tyler Cassidy

15y · Male·Gunshot wound to the chest

…kitchen knives from Kmart and made threatening statements, explicitly demanding police shoot him. Police attempted verbal commands, OC foam spray, warning shots, and leg shots before LSC Dods fired lethal shots at Tyler…

emergency medicinecorrectional healthcommunicationsystemalcohol
NThospital2026-02-10

Inquest into the death of Martin Leach

67y · Male·Congestive cardiac failure

…ht to refuse treatment under NT health legislation. On 6 February 2024, after ED assessment, Corrections attempted to authorize treatment without consent under the Correctional Services Act, conflicting with health law.…

emergency medicinecardiologysystemcommunicationmorphine
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 during voluntary admission. He was assessed as low risk despite recent suicidal statemen…

psychiatrygeneral practicediagnosticsystemescitalopram
QLDhome2009-10-16

Anderson, Andrew Scott

14y · Male·gunshot wound to the head

Andrew Scott Anderson was a 14-year-old boy placed in Department of Child Safety care following his father's physical assault. He had a longstanding history of behavioral difficulties, ADHD, depression, and substance use…

psychiatrypaediatricsdiagnosticcommunicationmarijuana
NSWhome2024-03-28

Inquest into the death of Michelle Michell

50y · Female·Multiple stab wounds to the abdomen and chest

…er the murder was delayed—initial SCU assessment failed to appreciate the serious threat despite murder, attempted murder, prior DV assault, and suicide risk; (5) information gaps existed between police and support serv…

forensic medicineemergency medicinediagnosticcommunication
NThome2026-03-20

Inquest into the death of Ralph Donald

35y · Male·self-inflicted gunshot wound to the head

Ralph Donald, aged 35, died by suicide after attempting to kill his ex-partner Eileen Gibbons on 3 October 2023 in Milner, NT. The death occurre…

psychiatryaddiction medicinesystemcommunication
VICmental health2020-09-18

Finding into death of Harley Robert Larking

23y · Male·Effects of fire

…unfamiliar, impairing police response. The death likely resulted from accidental misadventure rather than suicide. Improved fence height, policy clarity, staff training, and culturally safe practices could have reduced …

psychiatryAboriginal healthsystemdelayclozapine
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

…sychiatric presentation died from choking on a bar of soap while in involuntary psychiatric care. He had attempted multiple suicides previously. Clinical lessons include: (1) periodic observations conducted through clos…

psychiatryintensive caresystemcommunicationrisperidone
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

…his psychotic content and risk assessment during admission. The patient deteriorated by 1 November 2012, attempted suicide by firearm and then injected drugs. He collapsed and was found 29 hours later, developed multi-o…

psychiatryintensive carecommunicationdelayheroin
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