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NSWcommunity2016-03-24

Inquest into the disappearance and suspected death of Peter Millett

45y · Male·unable to determine

Peter Anthony Millett, a 45-year-old man with schizophrenia, disappeared on 27 August 2013 and is presumed deceased. In the weeks preceding his disappearance, his mental health deteriorated significantly—he exhibited rap…

general practicepsychiatryzyprexia
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

Jesse Dellar, a 17-year-old with a history of ADHD, learning disability, depression, and childhood sexual abuse, was admitted to Albany Regional Hospital on 23 November 2010 after intentionally overdosing on his ADHD med…

psychiatrygeneral practicediagnosticsystematomoxetine
WAcommunity2016-03-18

Inquest into the Death of David Davidson LAWSON

41y · Male·unascertained

David Davidson Lawson, a 41-year-old Aboriginal man with chronic alcohol use disorder and a history of psychotic symptoms during withdrawal, disappeared from a remote homestead on the Dampier Peninsula in October 2010. H…

psychiatryemergency medicinesystemcommunicationolanzapine
VIChome2016-03-16

Finding into death of AA (Baby D)

0y · Female·head injuries

Twin infant died of head injuries inflicted by her mother, a previously well-functioning woman suffering unrecognized postnatal depression during the stressful period of managing unsettled twins with colic and poor weigh…

general practicepaediatricsdiagnosticcommunication
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

Michael David John Nolan, aged 30, died in prison from exsanguination following a self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developme…

psychiatrycorrectional healthmethadone
VIChome2016-03-11

Finding into death of AS

68y · Male·Gunshot injuries to the abdomen

A 68-year-old man with bipolar disorder and alcohol excess died by self-inflicted gunshot wound. He held a current firearms licence despite a documented history of psychiatric illness and problematic alcohol use. In his …

psychiatrygeneral practicecommunicationsystemlithium
NTcommunity2016-03-09

Inquest into the death of Ronald Donaldson

69y · Male·Blunt head trauma

Ronald Donaldson, a 69-year-old fencing contractor, was killed by Justin Osborne with a sledgehammer in Katherine on 3 December 2013. Osborne was experiencing untreated schizophrenia with acute psychotic symptoms and bel…

psychiatryemergency medicinedelaymarijuana
VICinpatient2016-03-03

Finding into death of TK

18y · Female·Hypoxic brain injury secondary to hanging

An 18-year-old woman with major depressive disorder and PTSD was admitted to a psychiatric inpatient unit after expressing suicidal ideation and self-harm. She was changed from involuntary to voluntary status after clini…

psychiatryintensive caresystemcommunicationfluoxetine
WAmental health2016-03-02

Inquest into the Death of Mark Warton BENNETT-ROBERTSON

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

A 25-year-old man with dexamphetamine-induced psychosis died by suicide while an involuntary psychiatric patient. He was transferred from a locked to an open ward on 19 April 2013 after appearing to improve clinically. H…

psychiatryemergency medicinecommunicationdexamphetamine sulphate
QLDworkplace2016-02-29

MJP - Non-inquest findings

27y · Female·Pentobarbitone toxicity

A 27-year-old veterinary nurse with a 5-year history of depression died from pentobarbitone toxicity self-administered at her workplace. She had two previous suicide attempts (2010, 2011) both involving alcohol. On the e…

general practicepsychiatrysystemcommunicationpentobarbitone
VIC2016-02-26

Finding into death of Jonas Jvirblis

23y · Male·combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in …

Jonas Jvirblis, a 23-year-old PhD student, died from combined drug toxicity (oxymorphone, benzodiazepines, codeine, and morphine) in the setting of sarcoidosis. He had a long history of substance abuse and anxiety disord…

psychiatryaddiction medicinesystemcommunicationoxymorphone
VICmental health2016-02-26

Finding into death of Maree Rosalie Jones

47y · Female·plastic bag asphyxia

A 47-year-old woman with depression following relationship breakdown was admitted involuntarily to St Vincent's Mental Health with high suicide risk. After 2 days in the secure Extra Care Unit, she was transferred to the…

psychiatrycommunicationsystemtemazepam
VIChospital2016-02-15

Finding into death of Mairi Elizabeth Noble

57y · Female·Injuries sustained when struck by a train

Mairi Elizabeth Noble, a 57-year-old woman with a history of alcoholism who achieved sobriety, presented to the Northern Hospital ED twice in the days before her death by suicide. She was discharged prematurely on 21 Feb…

emergency medicinepsychiatrycommunicationsystemmirtazapine
WAhome2016-02-15

Inquest into the Death of John Stephen PASSMORE

53y · Male·ligature compression of the neck (hanging)

John Stephen Passmore, a 53-year-old man with severe treatment-resistant paranoid schizophrenia, died by suicide while on community leave from psychiatric hospital. He had been an involuntary patient at Graylands Hospita…

psychiatryrehabilitation medicineolanzapine
VICcommunity2016-02-12

Finding into death of ARCHIVE Finding Hunter Joseph Stewart

27y · Male·Combined drug toxicity (heroin, methadone, diazepam and amphetamines)

Hunter Joseph Stewart, a 27-year-old with major depressive disorder and alcohol dependence, was admitted to St Vincent's Acute Inpatient Service following police custody for public intoxication. He was treated for alcoho…

psychiatryaddiction medicinecommunicationsystemheroin
WAhome2016-02-10

Inquest into the Death of Daniel James HALL

26y · Male·Multiple drug toxicity and bronchopneumonia

Daniel James Hall, aged 26, died on 31 July 2010 from multiple drug toxicity and bronchopneumonia after consuming approximately 10-12 OxyContin tablets over 24 hours, vastly exceeding the prescribed dose of one tablet ev…

anaesthesiaENT surgerycommunicationsystemoxycodone
QLDhome2016-02-09

DM

35y · Female·Stab wound to chest penetrating the descending thoracic aorta resulting in catas…

DM, a 35-year-old woman, died from a stab wound to the chest inflicted by her husband during a domestic violence incident on 26 June 2011. The wound penetrated the descending thoracic aorta, causing catastrophic blood lo…

forensic medicineemergency medicinesystemcommunicationamphetamine
SAhospital2016-02-08

Coroner's Finding: FIDGE Patricia Ann

67y · Female·choking and ischaemic heart disease

Patricia Ann Fidge, 67, died at The Queen Elizabeth Hospital from choking and ischaemic heart disease. She was admitted with delirium, hypernatremia, and multiple comorbidities including COPD and sleep apnoea. While eati…

emergency medicinepsychiatryrisperidone
QLDcommunity2016-02-05

Cooper, Paul James - Non-inquest findings

41y · Male·Hanging

Paul Cooper, a 41-year-old man with bipolar disorder, died by hanging in August 2015, eleven days after psychiatric review. He had recently commenced Isotretinoin for severe acne, which coincided with development of para…

psychiatrygeneral practicecommunicationsystemisotretinoin
VICcommunity2016-02-05

Finding into death of Penelope Pratt

27y · Female·multiple gunshot injuries with a stab injury to the heart

Penelope Pratt, 27, was murdered on 28 November 2010 following discharge from a psychiatric admission at Maroondah Hospital. She called 000 twice that evening from an unsafe situation with armed individuals. The first ca…

emergency medicinepsychiatrycommunicationsystemamphetamine

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