29y · Male·ligature compression of the neck (hanging)
…onal Prison on 3 October 2023 by hanging from a bedsheet attached to a protruding bolt in his cell. Tim had ADHD diagnosed since childhood (previously prescribed dexamphetamine) and Type 2 diabetes (metformin), neither c…
31y · Male·compression of the neck secondary to hanging
…ld with longstanding major depressive disorder, generalised anxiety disorder, autism spectrum disorder, and ADHD, died by hanging. He had received mental health treatment since age 17, including psychiatric hospitalizati…
50y · Male·Hypoxic ischaemic brain injury in the context of hanging
A 50-year-old man with longstanding depression, anxiety, and ADHD died by hanging after an acute deterioration in mental state. He had previous psychiatric admission in 2012…
48y · Male·Stab wound to the hip causing exsanguination from incision of the external iliac…
…isk factors for family violence in Lamblin including substance use, unemployment, mental health conditions (ADHD, Oppositional Defiant Disorder), and prior threats to harm. However, limited service contact by either part…
40y · Male·Gunshot wound to neck
…the neck sustained during a police siege on 8 December 2019 in rural Queensland. He had been diagnosed with ADHD in April 2018 and prescribed dexamphetamine by psychiatrist Dr F., continuing under GP Dr S.'s care. His mo…
29y · Male·Gunshot wound to the head, self-inflicted
…ion attempts, meaningful dialogue was not established. BX's untreated mental health conditions (depression, ADHD), history of substance use, and evasion of police were contributing factors. The coroner recommended traini…
54y · Male·unascertained cause
Guido Michel, a 54-year-old electrician with longstanding mental health issues including depression, ADHD, and previous suicide attempts, disappeared in late January 2022 after entering State Forest near Flint, WA…
41y · Male·Multiple traumatic injuries
…h facilities in a fortnight before his death. Critical clinical lessons include: Dr J.'s diagnosis of adult ADHD was not adequately evidenced and should not have resulted in Vyvanse prescription; inadequate collateral hi…
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 2…
23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…
…inic Joshua Clifford, a 23-year-old with a complex history of mental illness including depression, anxiety, ADHD, and likely autism spectrum disorder, died by nitrogen gas inhalation in September 2024. He had multiple pr…
18y · Male·Heroin toxicity
Edward Grant Harris, an 18-year-old with autism spectrum disorder, ADHD, and borderline intellectual function, died from heroin toxicity in his supported accommodation. He had a c…
9y · Female·suicide by hanging
…over-medicated with methylphenidate. The coroner found she was in a high-risk cohort (out-of-home care plus ADHD) but did not receive trauma screening or counselling despite recognition of her need. Her death was likely …
24y · Male·Gunshot wound to the head
A 24-year-old man with bipolar disorder and ADHD died by gunshot wound to the head approximately 5 months after a serious suicide attempt by overdose. He ha…
26y · Male·multiple injuries, primarily severe chest trauma, due to jumping from the Tasman…
…sychosis and acute schizophrenia died by suicide jumping from the Tasman Bridge. He had been diagnosed with ADHD, generalised anxiety disorder, and sleep-wake disorder in 2021, with subsequent psychotic episodes in late …
53y · Male·Self-inflicted gunshot wound to the head
Leslie Winbank, a 53-year-old man with chronic pain from disc prolapse and prostate cancer, died from a self-inflicted gunshot wound during a police siege at his home. He had a family relationship breakdown and was on pa…
31y · Male·mixed drug toxicity (methadone, diazepam, pregabalin, promethazine, pizotifen)
… promethazine, pizotifen) at a residential facility. He was a vulnerable person with acquired brain injury, ADHD, PTSD and depression. The coroner found his death was preventable due to multiple system failures: failure …
Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…
…nd no clinical fault with his treating doctors' management of his complex medical conditions (brain injury, ADHD, anxiety, depression, chronic pain) or their assessments of his fitness to drive. The case highlights gaps …
63y · Male·Effects of fire
A 63-year-old man with bipolar disorder, Crohn's disease, ADHD and HIV died in a residential fire at his apartment. He was found with evidence of unsafe smoking in bed, i…
15y · Male·Mixed drug toxicity (morphine, 7-aminoclonazepam, fluoxetine, sertraline)
Joshua Meloury-Kaup, a 15-year-old boy with ADHD, anxiety disorder, and chronic sleep disturbance, died from mixed drug toxicity after ingesting his grandmo…
18y · Male·Ligature Compression of Neck (Hanging)
…t lack of external support. Although he had a documented history of contemplating suicide during stress and ADHD diagnosis, he misled reception staff by denying past suicidal ideation. Prison medical staff assessed him a…
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