Coronial

161 results for fall from height

QLDprison2018-08-03

Wright, Kenneth Douglas

71y · Male·aspiration bronchopneumonia as a consequence of traumatic brain injury from a fa…

Kenneth Wright, a 71-year-old prisoner with acquired brain injury and cognitive impairment from a prior suicide attempt, died of aspiration bronchopneumonia in the Advanced Care Unit of Southern Queensla…

emergency medicinepalliative carediagnosticcommunication
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

A 63-year-old man with Parkinson's disease died by suicide three days after discharge from hospital following reimplantation of a Deep Brain Stimulation (DBS) device. His initial DBS surgery in 2013…

neurosurgeryneurologysystemcommunicationcitalopram
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
TAScommunity2022-01-28

Coroner's Finding: AZ 2022 TASCD 60

16y · Male·Multiple blunt traumatic injuries from fall from height

A 16-year-old boy with depression and suicidal ideation was discharged from an inpatient adolescent mental health facility in Victoria after 20 days. Two days later, he died by suicid…

psychiatrycommunicationdiagnosticfluoxetine
NSWhospital2014-12-19

Inquest into the death of JX

32y · Male·multiple injuries sustained in a fall from height

A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic relapse. The case reveals critical failings in mental health …

psychiatrypsychologycommunicationsystemvenlafaxine
VICcommunity2021-07-26

Finding into death of Adam Laufer

32y · Male·Multiple injuries sustained in a fall from a height

…r, a 32-year-old man with longstanding bipolar disorder, died by suicide on 24 November 2016 when he jumped from the LaTrobe Street overpass in Melbourne. In the early hours of 24 November, his father called triple zero …

psychiatrypsychologysystemcommunication
VIC2014-05-08

Finding into death of Gregory John Caulfield

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…

forensic medicineemergency medicinecommunicationproceduralamphetamine
VICcommunity2013-06-05

Finding into death of Hayden Marcel Curtis

20y · Male·acute blood loss from extensive crush injury to torso following an industrial ac…

A 20-year-old apprentice carpenter died from acute blood loss and crush injuries sustained when he fell through a ceiling during demolition work, causin…

occupational and environmental healthdiagnosticproceduralmorphine
VIC2023-11-24

Finding into death of Eugene Mahauariki

6y · Male·Complications of Head Injury following a fall from a Fairground Ride

Six-year-old Eugene Mahauariki was ejected from the Cha Cha ride at a carnival in Rye, Victoria on 17 April 2017 and died from head injuries four days late…

diagnosticprocedural
VIChospital2023-01-18

Finding into death of S J

24y · Male·Injuries sustained in fall from height

…and pre-existing depression managed by Orygen Youth Health, died by suicide on 22 September 2016 by jumping from the seventh-floor rooftop garden of Peter MacCallum Cancer Centre. Despite a history of depression with pre…

psychiatryhaematologycommunicationdelaymetoclopramide
NSWcommunity2021-07-30

Inquest into the death of A J

36y · Male·multiple injuries consistent with a fall from a height

…tiators engaged him for several hours. Key clinical lessons emerge: (1) Communication barriers were present from the outset but not promptly escalated to command, delaying deployment of communication devices; (2) Initial…

psychiatrycorrectional healthcommunicationdelaysertraline
VIChome2014-12-10

Finding into death of Phoebe Handsjuk

24y · Female·Exsanguination from injuries sustained while attempting to climb from a height i…

…juries descending approximately 30 metres through the chute, including catastrophic injury to her right leg from the compactor at the bottom. The coroner's analysis of her injuries, blood spatter patterns, and movement p…

psychiatrypsychologycommunicationsystemzolpidem
VIChospital2014-11-26

Finding into death of Daniel Colin McKittrick

25y · Male·Multiple injuries sustained in a fall from a height

…-old man with depression, anxiety and recent-onset psychosis, died by suicide on 12 June 2012 after jumping from an eight-storey carpark while Victoria Police negotiators were present. He presented to three hospitals ove…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDhospital2015-03-13

Cuttler, Melina Maree

29y · Female·Multiple injuries due to fall from height

A 29-year-old woman with rapidly deteriorating mental health presented to Ipswich Hospital ED triaged as ATS Category 3 requiring assessment within 30 minutes. Multiple systemic and clinical failures delayed appropriate …

emergency medicinepsychiatrydiagnosticcommunication
SAhospital2017-06-22

Coroner's Finding: BAARTSE Leila Marijke

9y · Female·peritonitis due to perforated small bowel due to blunt abdominal trauma

Nine-year-old Leila Baartse-Harkin died from peritonitis due to a perforated small bowel sustained when she fell from a swing. Despite three medical enc…

emergency medicinepaediatricsdiagnosticcommunicationparacetamol
QLDmental health2007-05-25

Mental Health patient

Female·multiple injuries due to a fall from height (suicide by jumping from multi-store…

…n transferred to Belmont. Critical failures included: a nursing unit manager reducing observation frequency from 15 to 30 minutes without doctor approval; unclear communication about 'nil leave' restrictions; an unaccomp…

psychiatryemergency medicinecommunicationsystemmirtazapine
NSWhospital2021-05-07

Inquest into the death of Channa

26y · Male·multiple injuries from fall from height

A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his allocated case manager, con…

psychiatryemergency medicinecommunicationdelaypaliperidone
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda car park across from Princess Alexandra Hospital's Mental Health Unit within a 10-month period …

psychiatrydiagnosticcommunicationhaloperidol
NSWcommunity2019-10-04

Inquest into the death of Olivia INGLIS

27y · Female·chest injuries

Olivia Inglis, 27, died from chest injuries sustained in a fall whilst competing in the cross country phase of eventing at the 2016 Scon…

emergency medicineparamedicinesystemcommunication
QLDhome2012-09-19

Diefenbach, Isabella Wren

0y · Female·Extensive cerebral destruction as a result of fractured skull following accident…

Isabella Wren Diefenbach, a 7-week-old infant, died from head injuries sustained when she fell from her father's arms after he stepped through a severely decayed ti…

emergency medicinetrauma surgerydiagnosticsystem
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