Coronial

32 results for acute grief

VIC2021-05-07

Finding into death of Joanne Finch

42y · Female·Neck compression due to self-suspension

…n her cell at Dame Phyllis Frost Centre on 24 July 2018. She had chronic suicidal ideation with periods of acute risk, was under regular psychiatric review, and was managed with appropriate risk ratings (S2 at time of d…

psychiatrypsychologyolanzapine
TAScommunity2025-06-04

Coroner's Finding: Mead, Dion Charles

45y · Male·thermal burns sustained in a motor vehicle fire

…iberate single-vehicle crash into a brick wall. He had experienced recent workplace stress and significant grief from his brother's death in February 2023. His mental health deteriorated sharply on the day of the incide…

forensic medicinepsychiatry
SAhospital2020-11-02

Coroner's Finding: DAVIES Brian

79y · Male·myocardial infarction

…The coroner found care appropriate throughout both admissions. The case illustrates challenges in managing acute cardiac events in elderly patients with advanced dementia and behavioural disturbance, and the tension bet…

geriatric medicinepsychiatrymedicationoxazepam
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

…trauma following his son's suicide, was shot by NSW Police during a knife confrontation. He presented with acute intoxication (alcohol and methamphetamine), substance-induced psychotic episode, paranoid delusions about …

emergency medicinepsychiatrymethamphetamine
VICcommunity2025-08-27

Finding into death of Harley James Smith

7y · Male·multiple injuries sustained in a motor vehicle collision (passenger)

…ould have prompted intervention to prevent this tragedy. The case highlights the challenges in identifying acute suicide risk in distressed individuals and the importance of comprehensive family support during terminal …

paediatricspsychiatrycommunicationsystemmirtazapine
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists appropriately assessed him as high suicide risk and initiated involuntary detention proced…

psychiatrygeneral medicinecommunication
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…sive therapy, and intensive supportive care, he continued refusing oral intake. His condition deteriorated acutely with dehydration, hypotension, respiratory failure, and sepsis. The coroner found that clinical staff pr…

psychiatrygeneral medicine
VIC2010-01-14

Finding into death of Sharkia Handy

14y · Female·hanging

…r 2007. She had significant unaddressed mental health concerns including suicidal ideation, self-harm, and grief following peer suicides. The coroner found systemic failures in care coordination: the Department of Human…

paediatricspsychiatrycommunicationsystem
QLD2023-05-02

Watts, Billy-Joh

36y · Male·Multiple injuries due to struck by falling pipe

…ance regarding fitness for work following the colleague's death. Clinicians should recognise that fatigue, grief, sensory impairment, and inadequate workplace safeguards operate synergistically to increase error risk.

occupational and environmental healthpsychologysystemcommunication
QLDcommunity2015-06-09

JE and JJ, two 16 year old boys

16y · Male·Hanging (ligature compression of neck)

…Queensland in 2008. JE's death was impulsive, occurring after paint sniffing and alcohol use combined with acute anger from assault by his sister. JJ's death followed deliberate ideation, with multiple documented suicid…

psychiatryemergency medicinediagnosticcommunicationalcohol
VICcommunity

Tylercassidypart2 554208

Male·Multiple gunshot wounds from police shooting

…found that while Tyler's actions were deliberate, they were not voluntary—he was overwhelmed by unresolved grief following his father's death, combined with alcohol consumption and profound emotional dysregulation. The …

psychiatrycommunicationsystemalcohol
VIC2011-11-23

Finding into death of Tyler Cassidy

15y · Male·Gunshot wound to the chest

…escalation attempts. Tyler had a history of oppositional defiant disorder, anger management issues, recent grief over his father's death, and alcohol use that evening. The coroner found no single preventable failure but…

emergency medicinecorrectional healthcommunicationsystemalcohol
NSW2023-03-23

Inquest into the death of KT

27y · Male·Mixed drug (methylamphetamine and clozapine) toxicity

KT, a 27-year-old with treatment-resistant schizophrenia, died in custody from mixed drug toxicity (clozapine and methylamphetamine). He was prescribed appropriate clozapine treatment with adequate monitoring. Key failur…

psychiatrytoxicologycommunicationsystemclozapine
NThome2009-09-28

Inquest into the death of Danny Borrak Gumana

19y · Male·Intentional self-inflicted hanging

…quires heightened vigilance; two previous attempts using the same method constitute serious warning signs; grief, social isolation, and substance use are compounding risk factors. Earlier mental health engagement might …

psychiatrytoxicologyalcohol
VICaged care2023-02-20

Finding into death of Terence Michael Brooks

76y · Male·Streptococcus pneumoniae sepsis in the setting of acute bronchopneumonia and ren…

…year-old man with dementia, vascular disease, and depression, died of streptococcal pneumoniae sepsis with acute bronchopneumonia and renal failure from obstructive uropathy at an aged care facility. Key clinical lesson…

geriatric medicinegeneral practicecommunicationdelayvenlafaxine
VICcommunity2013-05-08

Finding into death of Marella Johnson

32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …

Marella Johnson, a 32-year-old Aboriginal woman with schizophrenia and schizoaffective disorder, was involuntarily admitted to Alexander Bayne Centre on 17 February 2008 after presenting to Echuca Regional Health intoxic…

psychiatryemergency medicinesystemdelayzuclopenthixol
QLDcommunity2017-02-10

Haimona, Elliot Arapita

23y · Male·stab wounds to the neck

… was a suicide in a police operational context. However, the case highlights the importance of recognising acute suicidal crises, even in individuals with limited medical contact. Haimona had recently experienced relati…

cannabis
QLDhome2008-05-15

Gallaher, Sebastian Luke Paul

14y · Male·subarachnoid haemorrhage due to rupture of berry aneurysm

…a evident (small bruise near eye). The deceased remained active for at least 4 hours post-incident, making acute traumatic rupture unlikely. The coroner concluded the trauma was coincidental and that the pre-existing an…

dextroamphetamine
NSW2021-11-24

Inquest into the death of Albert Metledge

75y · Male·Stab wound to the heart

Albert Metledge, aged 75, died from a stab wound to the heart inflicted by Vladimir Kondakov, a construction worker, at a building site in St Peters on 6 November 2019. This was a homicide, not a medical case. Kondakov, …

TAScommunityPodcast2016-11-28

Coroner's Finding: Deaths from a Public Place

Unknown·Suicide by intentional fall or jump from Tasman Bridge

…s but shared mental health vulnerabilities: depression, anxiety, substance use (alcohol and/or drugs), and acute stressors (relationship breakdown, grief, work stress, financial concerns). Coroner examined infrastructur…

psychiatrypublic healthalcohol

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