Finding into death of SO
27y · Male·Mixed drug toxicity
A 27-year-old man with polysubstance abuse disorder, generalised anxiety disorder, and borderline personality disorder died from mixed drug toxicity (heroin,…
18 results for “chronic mood and anxiety disorder”
27y · Male·Mixed drug toxicity
A 27-year-old man with polysubstance abuse disorder, generalised anxiety disorder, and borderline personality disorder died from mixed drug toxicity (heroin,…
24y · Male·mixed ethanol and prescription drug toxicity
Nathan Lunson, aged 24, died from mixed ethanol and prescription drug toxicity following an impulsive overdose. He had longstanding borderline personality diso…
36y · Male·Hanging
…e on home detention bail in Berri, South Australia on 22 March 2014. He had been charged with rape offences and was subject to bail conditions including electronic monitoring and abstinence from alcohol and non-prescrib…
37y · Male·hypoxic ischaemic encephalopathy secondary to hanging
A 37-year-old man with depression, suicidal ideation, and antisocial personality disorder died from hypoxic ischaemic encephalopathy following hanging while on home …
66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower
Paul William Green, a 66-year-old retired engineer with longstanding depression, anxiety, PTSD, and chronic alcohol abuse, died by intentional carbon monoxide poisoning from…
23y · Male·Plastic bag asphyxia in setting of irrespirable atmosphere induced by nitrogen g…
Dominic 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 mul…
25y · Male·hanging
…me detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ideation dating from childhood. Despite multiple episod…
56y · Male·Multiple injuries sustained in a motor vehicle incident (driver)
Daniel Frawley, a 56-year-old former AFL player and coach, died in a single-vehicle collision when his utility struck a tree at high speed (minimum 132 km/h) o…
17y · Male·Hypoxic ischaemic encephalopathy due to hanging
… 2020, seven days after discharge from psychiatric inpatient care. He had complex medical needs including chronic back pain, spinal fusion, post-viral fatigue, depression, anxiety, and gender dysphoria. Critical clinica…
Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…
…n. The coroner identified multiple systemic failures including: inadequate Prison Counselling Service (PCS) and mental health staffing despite known high prevalence of mental health disorders (40% with mood/anxiety diso…
29y · Male·Hanging
… clinical lessons include: (1) recognition of multiple cumulative stressors (grief from deaths of father, grandfather and aunt; relationship breakdown; drug addiction; medical comorbidities including colitis; and crucia…
45y · Male·exsanguination due to incised wound to neck
Lawrence McCarty, a 45-year-old man in custody on remand, died by suicide in prison on 30 April 2011 by slashing his neck with a dismantled razor blade. Clinical le…
30y · Male·ligature compression of the neck (hanging)
…e compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple suicide attempts by strangulation and was initially …
38y · Female·Multiple injuries sustained when struck by a train
…a workplace injury in October 2018 involving a Work Assisted Vehicle incident affecting her back, shoulders and neck. Subsequently, she reported being bullied and isolated by colleagues, with management failing to condu…
46y · Male·Consistent with exhaust fumes toxicity (suicide by carbon monoxide)
A 46-year-old teacher, Gavin Lyle Woods, died by suicide after prolonged workplace stress and an undertreated major depressive disorder. He had been a deputy principal at Burpengary State School for on…
41y · Male·Multiple traumatic injuries
… 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 history, face-to-face consultations…
18y · Female·Mixed drug toxicity
Tiesha Marie Derbyshire, an 18-year-old with complex mental health conditions including eating disorder, PTSD, and borderline personality disorder, died from mixed drug toxicity after intentionally overdosing …
35y · Male·Hanging
…rent Reker, a 35-year-old prisoner with extensive history of suicide attempts (including hanging, overdose, and self-harm), died by hanging in Forbes Unit at Ravenhall Corrections Centre on 12 December 2019, approximate…
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