Coronial

273 results for depressive disorder

VICcommunity2023-11-23

Finding into death of Melissa Louise Arbuckle

33y · Female·Mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, du…

Melissa Arbuckle, a 33-year-old woman, died from mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, duloxetine) by intentional overdose. She had been convicted of infanticide following her daug…

psychiatrygeneral practicepropranolol
NSW2024-12-12

Inquest into the death of Mr S

57y · Male·Hanging

A 57-year-old male inmate died by hanging at Long Bay Correctional Centre in January 2018. Although he had been psychiatrically assessed as experiencing major depression with psychotic features and was recommended by a p…

psychiatrycorrectional healthcommunicationsystemfluoxetine
WAhospital2013-09-05

Inquest into the Death of Fisher, Hayley Bree

27y · Female·opiate toxicity (fentanyl)

…t healthcare workers with untreated or inadequately treated mental health conditions and substance misuse disorders require better support and monitoring. The case highlights a critical gap in hospital drug security at t…

obstetricsanaesthesiasystemfentanyl
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

Gina Valera, a 49-year-old woman with a history of depression and three prior suicide attempts, died by hanging in Brisbane Women's Correctional Centre nine days after admission on remand for attempted murder. She had be…

psychiatrycorrectional healthcommunicationsystemmirtazapine
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

Andrew Robert Young, a 61-year-old man with lifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using su…

psychiatrygeneral practicediazepam
VICmental health2017-05-18

Finding into death of Derek Hamilton

46y · Male·Cerebral ischaemia secondary to compression of the neck in circumstances of hang…

Derek Hamilton, a 46-year-old involuntary psychiatric patient with cluster B personality disorder and recurrent depression, died from cerebral ischaemia secondary to hanging while an inpatient at Norther…

psychiatryintensive caresystemcommunicationmirtazapine
VIC2015-11-05

Finding into death of Kasim Colic

79y · Male·Unascertained

A 79-year-old man with vascular dementia, cerebrovascular disease, and a history of violent behaviour was placed under a non-custodial supervision order following a mental impairment finding. Approved leave to visit fami…

psychiatrygeriatric medicinecommunicationsystem
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
VIChome2024-05-20

Finding into death of Gwyn Pugh

63y · Male·Incised injuries to the neck and upper limbs

Gwyn Pugh, a 63-year-old man with longstanding bipolar affective disorder, died by suicide on 26 October 2022. He had been hospitalized for depression in April-May 2022 and receiv…

psychiatrygeneral practicecommunicationsystemmirtazapine
NSW2023-07-20

Inquest into the death of Jean-Louis Langlois

50y · Male·Immersion, with alcohol intoxication and doxepin toxicity being significant fact…

Jean-Louis Langlois, a 50-year-old French-Australian man with significant mental health issues, alcohol dependence, and chronic social difficulties, was found deceased on Wanda Beach in January 1997. He died from immersi…

forensic medicinepsychiatrysystemdoxepin
NSWhome2026-03-04

Inquest into the death of BX

29y · Male·Gunshot wound to the head, self-inflicted

BX, aged 29, died from a self-inflicted gunshot wound to the head on 17 July 2023 during a police siege at Bowenfels, NSW. Following a domestic violence incident report, police arrived and BX refused entry, triggering a …

communicationsystem
VIChome2014-02-12

Finding into death of Sibel Yilmaz

24y · Female·hanging

A 24-year-old woman with longstanding depression, anxiety, and a history of self-harm and suicidal ideation died by hanging following a marital conflict. She had been under care of university counsellors and a psychologi…

psychologypsychiatrycommunicationsertraline
VIChome2025-01-20

Finding into death of Kim Marie Bartolo

47y · Female·Mixed drug toxicity (venlafaxine, duloxetine, mirtazapine, oxycodone, tapentadol…

Kim Bartolo, a 47-year-old woman with depression, anxiety, alcohol use disorder and chronic conditions, died from mixed drug toxicity involving multiple prescription medications. She wa…

psychiatryorthopaedic surgerycommunicationmedicationvenlafaxine
VIChome2025-09-11

Finding into death of ZSQ

26y · Female·Multiple stab wounds

ZSQ, a 26-year-old woman, was fatally stabbed by her intimate partner MJD in April 2020 after a relationship marked by escalating family violence. Critical clinical and systemic lessons include: (1) Recognition of intima…

emergency medicinepsychiatrycommunicationsystemcocaine
WAhome2025-12-22

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

14y · Male·epilepsy in a boy with Influenza B and COVID-19 infections

Child LK was a 14-year-old Aboriginal boy in state care who died suddenly on 24 August 2023 from an unwitnessed epileptic seizure precipitated by concurrent Influenza B and COVID-19 infections. He had been diagnosed with…

paediatricsemergency medicinecommunicationsodium valproate
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicid…

psychiatryemergency medicinecommunicationsystemaripiprazole
SA2011-11-24

Coroner's Finding: BEGG Peter Albert

62y · Male·Ischaemic heart disease due to coronary atherosclerosis

Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…

forensic medicinecardiologydiagnosticdosulepin
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 midazolam stolen f…

paramedicinepsychiatrysystemdelaymorphine
NSWmental health2019-12-04

Inquest into the death of Mitchell FLOOD-SMITH

23y · Male·Multiple injuries sustained following collision with a train

A 23-year-old man with a history of schizophreniform disorder, depression, and previous suicide attempts absconded from a mental health triage facility after being inv…

psychiatryparamedicinecommunicationsystemrisperidone
NSWcommunity2020-02-27

Inquest into the death of DP

45y · Male·gunshot wound to the chest

DP, a 45-year-old with a history of methylamphetamine use and drug-induced psychosis/schizophrenia, attended Quakers Hill Police Station on 19 January 2016 with a knife intending to provoke police into shooting him. His …

psychiatryemergency medicinemethamphetamine
178914

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