Coronial

177 results for severe anxiety

VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

…njury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two weeks prior (overdose). Despite being assess…

psychiatryintensive carediagnosticcommunicationsertraline
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

…erapist Vina Hotich from July-November 2011, presenting with suicidal ideation, self-harm, and moderate-to-severe depressive symptoms. Despite evidence of clinical deterioration, risk escalation, and concerning features …

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VIC2026-04-22

Finding into death of Natasha Stojkoski

38y · Female·Multiple injuries sustained when struck by a train

…ng complaint. This mishandling, combined with ongoing physical pain and workplace distress, contributed to severe major depression. Despite attendance at emergency department in March 2021, no adequate psychiatric assess…

psychiatryoccupational and environmental healthsystemcommunicationescitalopram
ACTmental health2021-03-04

Inquest into the deaths of ANTHONY LEIGH BEARHAM, NICOLA JOY FISHER, CHRISTINE BELLE DOUCH andKEN ALEXANDER LUCAS

Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…

Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…

psychiatryemergency medicinediagnosticsystem
VIChome2017

Finding into death of Harold George Nolan

73y · Male·Stab wound to the neck

…olan while asleep at home. Ms Nolan was his full-time carer following his 2013 stroke and was experiencing severe carer fatigue, mental health deterioration, financial stress, and paranoid thinking. She had been referred…

general practicepsychiatrycommunicationdelayantidepressants
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

…occurred: the child protection service had closed the case file prematurely in February 2015 despite known severe maternal mental illness and prior child removal; the community mental health team discharged the mother on…

general practicepsychiatrycommunicationsystemtriflouperazine
VIChospital2012-04-19

Finding into death of James Kellock Bloomfield

53y · Male·severe burns

…10 patients, and use of highly flammable OC spray in context of fuel exposure. Coroner determined cause as severe burns rather than suicide, finding no evidence of intent to die.

emergency medicinepsychiatrycommunicationsystem
SAhome2025-03-07

Coroner's Finding: Bombardieri, Mark

32y · Male·Gunshot wound to the head

Mark Bombardieri, a 32-year-old man with a complex history of criminal behaviour, mental health disorders, polysubstance abuse, and multiple psychiatric admissions, died by suicide on 6 March 2019 via self-inflicted guns…

communicationmethamphetamine
VICaged care2024-03-28

Finding into death of Shirley Hill Jones

85y · Female·Complications of a left ankle fracture (operated)

…etween the hospital, general practitioner, and aged care facility. When the cast was eventually removed, a severe pressure injury was discovered on her left heel. Although this injury was not directly infected at the tim…

geriatric medicineorthopaedic surgerycommunicationdelayoxycodone
VIChome2026-04-17

Finding into death of Simon Christopher Gaskill

50y · Male·unascertained

…r sleeping rough for months. He had been discharged from hospital in December 2021 following treatment for severe alcohol withdrawal and seizures, sent to homelessness without adequate follow-up care. His cause of death …

emergency medicinegeneral medicinecommunicationsystemalcohol
WAprison2025-04-10

Inquest into the Death of Dannielle Stacey LOWE

41y · Female·complications of intracerebral haemorrhage due to ruptured aneurysm

…cal assessment occurred across four consultations. On 6 December 2022, Ms Lowe presented with sudden-onset severe headache and three hours of vomiting—a presentation consistent with possible subarachnoid haemorrhage that…

emergency medicineneurosurgerydiagnosticcommunicationparacetamol
NSWhospital2023-09-11

Inquest into the death of TE

26y · Female·multiple blunt force injuries from fall from height; significant contributing co…

A 26-year-old woman with severe borderline personality disorder died by suicide following a fall from cliffs. She presented to hospital af…

psychiatryemergency medicinediagnosticcommunicationpregabalin
WAmental health

Inquest into the Death of Vincent Tavita Tolai SCHWENKE

24y · Male·complications of ligature compression of the neck (hanging)

Vincent Schwenke, a 24-year-old male of Maori descent, developed acute psychotic symptoms after ceasing cannabis use and was admitted to a secure mental health unit as an involuntary patient. Despite initial improvement …

psychiatryneurologyescitalopram
NSWcommunity2022-07-05

Inquest into the deaths of Darren WALLACE and T B D

Male·Darren Wallace: single gunshot wound to right side of neck. TBD: two self-inflic…

…connected to a dispute within the Rebels Outlaw Motorcycle Gang. TBD, a 31-year-old former ADF member with severe post-traumatic stress disorder (PTSD), alcohol use disorder, and stimulant use disorder, shot and killed D…

psychiatryemergency medicinesystemdelaysertraline
SA2015-06-24

Coroner's Finding: HARDING-ROOTS Jeremy Godfrey

47y · Male·Toxic effects of phosphine gas

Jeremy Harding-Roots died from phosphine gas toxicity after deliberately exposing himself to the pesticide fumigant aluminium phosphide (Fumitoxin) during a siege at his former girlfriend's residence. Key clinical and pr…

psychiatrygeneral practicediagnosticsystemoxazepam
QLDhospital2018-05-11

Orton, David - Non-inquest findings

41y · Male·Cerebral hypoxia and bronchopneumonia; contributing factors: toxic megacolon, ce…

David Orton, a 41-year-old man with cerebral palsy, intellectual disability, and severe kyphoscoliosis, died from cerebral hypoxia and bronchopneumonia complicated by toxic megacolon and Salmone…

general medicinegastroenterologydiagnosticcommunicationmovical
WAhome2021-12-15

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

15y · Male·ligature compression of the neck (hanging)

Aboriginal child in out-of-home care died by hanging following relationship breakdown. He experienced foetal alcohol spectrum disorder, early trauma and neglect, and 34 different living arrangements. Despite specialist m…

psychiatrypaediatricssystemdelay
WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

David Peter Ellery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, …

emergency medicinepsychiatrycommunicationsystemamphetamine
VIChome2014-03-06

Finding into death of Melanie Jane Maher

36y · Female·Effects of fire (schizophrenic psychotic episode); for children: effects of fire…

…t at least 3-6 months post-discharge via protocols requiring GP confirmation, (3) children of parents with severe mental illness require education about their parent's condition and crisis action plans to recognize deter…

psychiatrygeneral practicecommunicationsystemrisperidone
TAShospital2021-02-05

Coroner's Finding: Lattimer, Joseph Aaron

37y · Male·hypoxic encephalopathy due to asphyxia from hanging

… or treatment before entering a toilet and attempting suicide by hanging. He was resuscitated but suffered severe hypoxic brain injury and died 11 days later. Critical failures included: no Psychiatric Emergency Nurse (P…

emergency medicinepsychiatrysystemdelayalcohol
1789

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