Coronial

238 results for post-traumatic stress

VIChome2025-03-14

Finding into death of Jonathan Mark Townsend

59y · Male·Unascertained

Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was unascertained despite autopsy and toxicology.…

trauma surgerypsychiatrycommunicationsystemdiazepam
VIChome2021-08-20

Finding into death of Samantha Louise Leech

28y · Female·Complications of a seizure in the setting of prescription drug abuse (pregabalin…

Samantha Leech, 28, died from complications of a seizure in the setting of prescription drug abuse, particularly pregabalin. She obtained approximately 4000 pregabalin tablets over three months by visiting multiple GPs, …

general practicecardiologydiagnosticsystempregabalin
WA2024-12-23

Inquest into the Death of Frank MIKHAIL

68y · Male·bronchopneumonia in a man with carcinoma in the lung and chronic obstructive pul…

Frank Mikhail, a 68-year-old prisoner with severe COPD, presented to St John of God Hospital on 29 January 2023 with haemoptysis and was discharged without admission. Critical clinical lessons include: (1) haemoptysis in…

respiratory medicineemergency medicinediagnosticcommunicationamitriptyline
NSW2023-07-06

Inquest into the death of RRC

26y · Male·hanging, intentionally self-inflicted

…lly-informed care; and absence of a structured step-down period post-RIT. Clinical assessments noted his distress about separated from his children was a major trigger, yet protective measures were not maintained.

psychiatrycorrectional healthcommunicationdocumentation
VIC2016-09-13

Finding into death of Leister John Ross

45y · Male·undetermined in a man in correctional services custody with a chronic history of…

Leister John Ross, a 45-year-old Aboriginal prisoner, died in Port Phillip Prison on 10 July 2014 from an undetermined cause in a man with chronic illicit drug use. Forensic pathology revealed pulmonary oedema, hepatic c…

forensic medicinetoxicologyproceduralsystemmethamphetamine
VIChome2025-01-31

Finding into death of FCP

45y · Female·Drowning whilst inebriated (ethanol)

FCP, aged 45, died by drowning while inebriated on 11 April 2020 at her home in Kilmore East, Victoria. She had a complex history of mental illness (psychosis, depression, anxiety, PTSD), substance abuse, and was in a re…

psychiatryemergency medicinesystemcommunicationalcohol
WAhome2016-07-21

Inquest into the Deaths of Heather GLENDINNING and Jessica Rose CUZENS and Jane Lesley margaret CUZENS

46y · Female·Ms Glendinning: multiple sharp force injuries (suicide); Jane Cuzens: multiple i…

This tragic case involved a mother with severe untreated psychosis who killed her two daughters and then herself. Ms Glendinning had a longstanding history of paranoid delusions, cannabis use, and mental health difficult…

psychiatrypsychologycommunicationsystemcannabis
VIChome2022-12-01

Finding into death of Alicia Maree Little

41y · Female·Multiple injuries

Alicia Maree Little, aged 41, was struck and killed by a motor vehicle driven by her former intimate partner while she was leaving the relationship. The case highlights significant systemic failures in family violence re…

psychologypsychiatrydiagnosticcommunication
VIC2020-01-15

Finding into death of Travis Lee Fernandez

35y · Male·Hanging

Travis Lee Fernandez, aged 35, died by hanging in custody at Dhurringile Prison in November 2014. He had sustained bilateral mandibular fractures in January 2014 treated with open reduction and internal fixation (ORIF). …

oral and maxillofacial surgeryemergency medicinecommunicationsystemmethadone
VICcommunity2025-08-25

Finding into death of Tracey Ellen Knowles

42y · Female·Unascertained; possibly mixed drug toxicity (heroin and methylamphetamine) or sm…

Tracey Ellen Knowles, aged 42, was found deceased in a vehicle on 19 July 2021 from an unascertained cause. She had a history of heroin use and experienced family violence. Police misidentified her as the 'predominant ag…

forensic medicinetoxicologysystemcommunicationheroin
VIChome2022-08-30

Finding into death of Boe Luke Memery

24y · Male·Neck compression in the circumstances of hanging

…f-harm, and previous suicide attempts. In the weeks before his death, he experienced multiple psychosocial stressors including relationship separation, legal proceedings, and unstable housing. He accessed mental health s…

psychiatrygeneral practicedocumentationcommunicationvenlafaxine
ACThospital2019-06-25

Inquest into the death of Jay Alan Paterson

43y · Male·hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic …

Jay Alan Paterson, a 43-year-old man with chronic pain and opioid dependence, died from hypoxic-ischaemic encephalopathy following polypharmacy overdose and iatrogenic upper airway injury. He obtained 296 oxycodone table…

general practicepain medicinesystemproceduraloxycodone
VIChome2019

Finding into death of Rachel Naomi Mihail

36y · Female·Nicotine toxicity

…1:48am—a 25-minute delay during which Ms Mihail ingested the nicotine and called 000 at 1:34am in severe distress. Paramedics arrived at 1:52am but resuscitation was unsuccessful. The coroner found no evidence that timel…

psychiatrygeneral practicecommunicationsystemnicotine
VIChome2025-04-11

Finding into death of EDH

32y · Female·mixed drug toxicity including phenobarbitone

A 32-year-old woman with borderline personality disorder and depression died by intentional self-administration of pentobarbitone (Lethabarb) accessed from her workplace. She had experienced extensive family violence in …

psychiatrypsychologysystemcommunicationpentobarbitone
VIChome2024-04-23

Finding into death of Caroline Anne Willis

69y · Female·Multiple stab wounds

Caroline Willis, aged 69, was fatally stabbed by her son Jamie in May 2018, two hours after he was served with a Family Violence Intervention Order (FVIO). The death was homicidal and occurred within a context of escalat…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIChome2023-01-23

Finding into death of Cody Morrella Watson

19y · Female·Hanging

Cody Watson, 19, died by hanging following childhood sexual abuse, family violence, and inadequate trauma-informed care. She disclosed abuse at 15, subsequently developing borderline personality disorder, anxiety, depres…

general practicepsychiatrysystemdelayvenlafaxine
VIChome2022-01-31

Finding into death of Leeanne Matheson

52y · Female·Mixed drug toxicity (methadone, pregabalin, valproic acid, benzodiazepines)

A 52-year-old woman with chronic pain, epilepsy, and opioid dependence died from mixed drug toxicity after prescribed methadone, pregabalin, valproic acid, and benzodiazepines. She was admitted to Box Hill Hospital on 12…

addiction medicinegeneral practicemedicationcommunicationmethadone
VIChome2015-11-16

Finding into death of Leanne Margaret Patterson

52y · Female·gunshot wound to head

Leanne Patterson, 52, was shot and killed by her husband Neil in a murder-suicide on 5-6 January 2013. She had been sedated with clonazepam (prescribed to her husband) and zolpidem at the time of her death. The death occ…

general practicepain medicinecommunicationsystemclonazepam
ACThome2019-06-04

Inquest into the death of Lauren Maree Johnstone

48y · Female·Combined toxic effect of prescription and non-prescription medications including…

Lauren Johnstone, aged 48, died from the combined toxic effects of prescription and non-prescription sedative medications including oxycodone, tramadol, codeine, zopiclone, doxylamine and fluoxetine. She had undergone mu…

general practicesurgerycommunicationsystemdoxylamine
QLDhome2024-07-22

Non-inquest findings into the domestic violence related death of a First Nations woman

31y · Female·Pressure applied to neck (asphyxia); not ascertained due to advanced post-mortem…

A 31-year-old First Nations woman was killed by her partner during intimate partner violence. She was pregnant at the time of death. Despite multiple contacts with police, court services, employment agencies, and domesti…

general practiceobstetricscommunicationsystemmethamphetamine
1891012

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