308 results for “family crisis”
32y · Female·mixed drug toxicity including phenobarbitone
…lf-administration of pentobarbitone (Lethabarb) accessed from her workplace. She had experienced extensive family violence in a coercive relationship, including sexual assault, physical violence, and ongoing harassment d…
18y · Male·Effects of fire (accidental)
… case also highlights how substance use (methamphetamine) may impair judgment and situational awareness in crisis situations. The coincidence of the fire occurring on the night Daniel feared a home invasion complicated t…
36y · Male·Cannot be determined
CD, aged 36, disappeared on 17 June 2019 after exhibiting significant mental health deterioration, recent suicidal ideation, paranoia, alcohol abuse, and relationship breakdown. The coroner found sufficient evidence that…
28y · Male·Ligature compression of the neck (hanging)
…found he died by suicide. While Slater was assessed as at-risk of self-harm on admission and placed in the Crisis Care Unit, he was removed from the At Risk Management System on 5 February despite recommendations for con…
35y · Male·Multiple injuries sustained in a fall from a height
… linguistic, financial) and are less likely than domestic students to access mental health services before crisis. The coroner emphasized that universities face a challenge in encouraging international students to engage…
44y · Female·Mixed alcohol and drug toxicity (tapentadol, diazepam, mirtazapine, amitriptylin…
…l use disorder, chronic pain, and two prior suicide attempts. On 12 September 2023, she called ACIS (Acute Crisis Intervention Team) expressing suicidal thoughts after consuming alcohol and nine evening tablets. The para…
47y · Male·Acute myocardial infarction due to thrombotic occlusion of the right coronary ar…
…ed a fatal acute myocardial infarction (heart attack) on 16 October 2021 at home in Preston, Victoria. His family made five calls to Triple Zero (000) requesting emergency ambulance assistance, but experienced severe del…
Female·self-inflicted hanging (Fionica and Layla); hanging but circumstances open (Ketu…
…ere trauma. All were known to government agencies. Fionica was pursued by an adult male who threatened her family with weapons the night of her death; police were not on duty. Keturah was found with fresh genital injurie…
33y · Male·unascertained
…on limited autopsy findings. Clinical relevance: substance-induced psychosis and inability to seek help in crisis situations.
15y · Female·methylamphetamine and methadone toxicity
…icity at a private residence in Armidale, NSW. She was in the parental responsibility of the Department of Family and Community Services (FACS) at the time. The coroner found systemic failures in child protection: insuff…
Female·Five separate deaths: Ruby Nicholls-Diver—ligature compression of neck (hanging)…
…ent plans and risk assessment/management plans; failure to involve families in discharge decisions despite family concerns; absence of clear discharge plans; poor communication with carers; and fragmented care between di…
39y · Male·most likely suicide; possibly accidental death from untreated epilepsy or natura…
…rger's syndrome, severe obsessive-compulsive behaviours, and intellectual disability, disappeared from his family home in October 2006 and has not been located. The coroner found he is deceased, likely from suicide short…
36y · Male·Gunshot wound to the forehead
…0 hours. The coroner identified inadequate debriefing of potential third-party mediators (his mother and a family friend) and poor radio communication that briefly delayed response to an apparent gunshot. No clinician er…
36y · Male·Shotgun wound to the head
…vious self-harm incidents. He was on bail with a residential condition preventing him from living with his family in Canberra. Following a refused bail variation, his mental health deteriorated. He obtained his mother-in…
36y · Male·multiple injuries consistent with a fall from a height
A 36-year-old man with severe depression, social isolation, and recent life crises (job loss, marital breakdown, reduced child contact) posted suicidal messages on social media and stood on a cliff ledge. Police negotiat…
68y · Male·Head injuries
Stephen O'Brien, aged 68, died from head injuries inflicted by his adult son Scott in a family violence incident. Stephen had been the primary carer for Scott, who had untreated mental illness (suspect…
57y · Female·Injuries sustained when struck by a train
…d or executed. Critical systemic failures included: communication gaps between ED and ECATT (mental health crisis team), incomplete handover of care plans, inaccessible medical records, and unclear documentation of psych…
33y · Male·Extensive burns sustained when former partner deliberately splashed petrol on hi…
F and M, two parents involved in family law proceedings over their three children, both died in a house fire in March 2022. F (aged 33) died from …
37y · Female·asphyxia due to hanging
…r depression rather than adjustment disorder, elevating suicide risk; (3) the transfer of care form to the Crisis Assessment and Treatment team was not sent, preventing timely community follow-up within 48 hours that mig…
25y · Male·immersion in water (drowning)
…isk. Although he made occasional throwaway comments about ending his life over previous years, friends and family did not perceive imminent danger. Early public reporting of unusual sightings to police (the vehicle was f…
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