264 results for “conduct disorder”
37y · Male·hypoxic encephalopathy due to asphyxia from hanging
Joseph Aaron Lattimer, aged 37, presented to the Royal Hobart Hospital Emergency Department at 5:02am on 10 July 2016 in mental health crisis with suicidal ideation, correctly triaged as Category 3 (urgent, requiring ass…
24y · Male·inhaled solvent toxicity (from petrol sniffing)
Edward James Laurie, a 24-year-old man with chronic petrol sniffing addiction since age 10 and underlying mental health issues including psychosis, died from inhaled solvent toxicity on 11 October 2015. Sixteen Applicati…
31y · Male·Hanging
Timothy Garner, a First Nations man with bipolar disorder and schizophrenia, died by hanging in custody at MRRC on 7 July 2018, five days after being cleared from …
74y · Female·Subdural haemorrhage following a fall in a woman with multiple medical comorbidi…
…Chettle, a 74-year-old aged care resident with multiple comorbidities including dementia, schizoaffective disorder, and a nine-fall history in twelve months, fell from a shower chair while a personal care assistant brief…
45y · Female·Combined Drug Toxicity
Christina Mifsud, aged 45, died from combined drug toxicity including methadone, diazepam, paroxetine and cannabis. She accessed methadone prescribed to her partner stored unsecured in their home. The coroner identified …
75y · Male·Hanging
…t in his room, no risk analysis of the temporary curtain arrangement, inadequate documentation and actual conduct of the prescribed 15-minute observations (particularly after 6:30am when observations ceased despite cont…
72y · Male·Choking on a food bolus
…in dysphagia management and choking emergency procedures; residents with stroke, dementia, and swallowing disorders require regular speech pathology review; feeding technique matters—staff must recognize signs of food po…
41y · Male·Unable to be ascertained
41-year-old male with schizophrenia/drug-induced psychosis and methamphetamine use died following police restraint on M5 motorway. Admitted to Shellharbour Hospital 10-30 May 2022 for psychotic behaviours and assault all…
34y · Male·Multiple injuries sustained in a fall from a height
Gregory Caulfield, aged 34, died from multiple injuries sustained falling from a ninth-floor balcony while attempting to escape police attempting to arrest him for burglary. During the arrest attempt in a confined flat, …
0y · Female·Unascertainable
…on: inappropriate classification of the case as 'family support' rather than child protection, failure to conduct statutory investigations, placement of the infant with an unsuitable relative without assessment, and fai…
40y · Female·hypoxic ischaemic encephalopathy due to ligature compression of the neck
Wendy McCabe, a 40-year-old woman with a history of depression, anxiety, substance use and previous self-harm, died of asphyxiation from ligature compression after fashioning a noose from a standard blanket in her police…
35y · Male·subarachnoid haemorrhage with antecedent ruptured cerebral artery aneurysm
Eric Whittaker, a 35-year-old Aboriginal man, died from a subarachnoid haemorrhage caused by a ruptured cerebral artery aneurysm while in remand custody at Parklea Correctional Centre. On 2 July 2017, he made 20 emergenc…
33y · Male·Prolonged epileptic seizure resulting in gastric content aspiration and cardiac …
Roy Roberts, a 33-year-old Aboriginal man, died at Long Bay Correctional Complex from a prolonged epileptic seizure resulting in aspiration and cardiac arrest. He had experienced three prior seizure-like episodes in Apri…
45y · Male·gunshot wound to the chest
…sly by the responding officers. The coroner found the death was self-inflicted in the sense of deliberate conduct intended to provoke a lethal police response ('suicide by cop'). Critical failures included: the senior o…
71y · Male·hypoxic brain injury due to hanging
A 71-year-old farmer with a 10-year history of major depressive disorder with melancholic features died by hanging on 22 July 2005, three days after admission to a private psychi…
37y · Female·unlawful killing
…ugh the identity of perpetrators could not be definitively established. The finding identifies suspicious conduct by her estranged husband and son, including an apparently deliberately lit fire destroying Kath's vehicle…
30y · Male·hanging
JC was a 30-year-old with a long history of benzodiazepine dependence and previous psychiatric episodes triggered by withdrawal. He presented to Calvary Mater Hospital after a deliberate overdose of 48 Etizolam tablets w…
15y · Female·Hanging
Zakiya, a 15-year-old Barkindji Maraura woman, died by hanging at Mildura Base Hospital following a family argument about repaying a borrowed $300. She had disclosed experiences of childhood sexual abuse by her uncle, ph…
31y · Male·hanging
Mr Gavin Ellis, 31 years old, died by hanging in custody on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm h…
33y · Male·Neck compression (hanging)
Thompson James Harvey, aged 33, died by hanging in his cell at Capricornia Correctional Centre on 13 November 2017, four days after remand for serious offences including attempted murder. He had a recent suicide attempt …
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