Coronial

304 results for chronic suicide risk

VIChome2024-01-11

Finding into death of Madeline Jane Howe

20y · Female·Complications of neck compression in the setting of partial suspension

Madeline Howe, a 20-year-old Aboriginal woman, died by suicide on 8 May 2019 following partial suspension. She had experienced significant trauma including parental sep…

psychiatryemergency medicinecommunicationsystemfluoxetine
NSWmental health2025-10-20

Inquest into the Death of JSZ

66y · Male·Multiple blunt force injuries

JSZ, a 66-year-old forensic patient with chronic paranoid schizophrenia, died by suicide while on unsupervised day leave from Cumberland Hospital's Bunya …

psychiatryproceduralcommunicationzyprexa relprevv
TAShome2022-10-31

Coroner's Finding: Lampkin, Christopher Maxwell

57y · Male·hanging

…cal lessons include the importance of acting on patient requests for mental health referrals, recognising suicide risk in patients with chronic depression and alcohol dependence, and maintaining engagement with isolated…

general practicepsychiatryantidepressant
QLDmental health2007-06-20

Eady, Graeme William Julian

25y · Male·hypoxic-ischaemic brain injury due to plastic bag asphyxia

Graeme Eady, 25 years old with chronic depression first formally treated in July 2003, was admitted after a suicide attempt in September 2003. F…

psychiatryemergency medicinesystemproceduralsertraline
TAShospital2024-11-26

Coroner's Finding: de-identified FG

57y · Male·partially suspended hanging

…ality features. Key clinical lessons: (1) Prolonged stays on non-psychiatric wards for patients with high suicide risk require enhanced environmental safety measures including regular searches for means; (2) When multip…

orthopaedic surgerypsychiatrycommunicationsystemdiazepam
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson cha…

psychiatryforensic medicinecommunicationsystemmethamphetamine
SAhospital2022-06-17

Coroner's Finding: THREDGOLD, Holly Alexandra

42y · Female·hanging

Holly Thredgold, aged 42, died by hanging on 28 August 2016, less than 40 hours after inappropriate discharge from Royal Adelaide Hospital ED. She presented on 26 August 2016 severely intoxicated with suicidal ideation a…

emergency medicinepsychiatrycommunicationdiagnosticsertraline
QLD2012-08-07

Bucknall, David John

41y · Male·Hanging

A 41-year-old male prisoner with a history of depression died by suicide while incarcerated at Wolston Correctional Centre. He was appropriately assessed as low-risk for suicide

psychiatrygeneral practicesystemdelaymirtazapine
WAhome2017-03-30

Inquest into the Death of Troy William MURRAY

34y · Male·ligature compression of the neck (hanging)

…istory of substance abuse (primarily amphetamine and alcohol), psychiatric illness, and multiple previous suicide attempts, died by hanging on 11 March 2012. He had been prescribed benzodiazepines (Valium, Xanax) and co…

psychiatrygeneral practicecommunicationamphetamine
VIC2021-05-07

Finding into death of Joanne Finch

42y · Female·Neck compression due to self-suspension

…ted to her son's death, died by hanging in her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods of acute risk, was under regular psychiatric review, and was managed with …

psychiatrypsychologyolanzapine
VIC2018-08-27

Finding into death of Adrian Paul Gibb

33y · Male·Injuries sustained in fall from height

…rom injuries sustained in a fall from a cliff at Buckleys Road, Allansford, Victoria. He had a history of chronic back pain, depression, insomnia, and occasional marijuana use. His GP last saw him three days before deat…

general practiceforensic medicinecannabis
WA2019-07-11

Inquest into the Death of Annabel NICOL

50y · Female·ligature compression of the neck (hanging)

…mpression of the neck (hanging) in Bandyup Women's Prison on 15 June 2015. She was a remand prisoner with chronic alcoholism, depression, and suicidal ideation who had made a previous hanging attempt and ingested cleani…

psychiatrycorrectional healthsystemdelaymirtazapine
VICmental health2020-07-30

Finding into death of William Thomas Flanagan

57y · Male·Multiple injuries sustained by being struck by a freight train

A 57-year-old man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive p…

psychiatrycardiologysystemvenlafaxine
VICcommunity2018-04-27

Finding into death of BD

53y · Male·unascertained

…linically, this case highlights the importance of recognising psychosocial vulnerability in patients with chronic disease, particularly following significant life stressors (family conflict, unemployment, unresolved gri…

general practicepsychiatryinsulin
NSWcommunity2019-05-29

Inquest into the death of Dean WALLIS

46y · Male·Undetermined

…lowing multiple losses (grandmother's death, pet's death, homelessness). He made concerning remarks about suicide but left no note. The coroner could not establish sufficient evidence of intentional self-harm versus acc…

NSWcommunity2019-04-11

Inquest into the death of Karl MELO-RICHARDS

25y · Male·The available evidence does not allow for any finding to be made as to the cause…

…near Magic Point in Malabar, likely between 1:45pm and 4:30pm on 2 September 2016. Karl had made previous suicide attempts, multiple visits to psychiatric facilities, and was receiving ongoing mental health treatment. C…

psychiatrypsychologytemazepam
VIC2023-12-01

Finding into death of JCS

36y · Female·plastic bag asphyxia

…he was housed in a maximum security prison with appropriate psychiatric oversight, holding an S1 (immediate risk) classification at the time of death. She had access to plastic packaging and cord material from clothing p…

psychiatrypsychologysystem
VIChome2024-08-29

Finding into death of Natalie Wilson

33y · Female·neck compression and hanging

…, agoraphobia, borderline personality disorder and PTSD, with suicidal ideation since age 17 and multiple suicide attempts. She died by hanging on 2 September 2020 after being offered voluntary hospital admission for hi…

psychiatrypsychologysystemescitalopram
VIChome2022-03-31

Finding into death of Tessa Michelle Ballam

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

…ombined with alcohol intoxication and temporal proximity to the meeting, these factors contributed to her suicide. The coroner emphasised that BPD causes negative fixation, emotional dysregulation, and distorted percept…

psychiatrypsychologycommunicationsystemalcohol
TAS2023-07-05

Coroner's Finding: Crump, Damian Michael

36y · Male·Mixed prescription drug toxicity (morphine, lignocaine, amiodarone and midazolam…

Damian Crump, aged 36, was an intensive care paramedic with Ambulance Tasmania who died by suicide on 23 December 2016 by deliberately consuming fatal quantities of morphine, lignocaine, amiodarone and mi…

paramedicinepsychiatrysystemdelaymorphine
178916

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