Coronial

57 results for chronic suicidality

TAScommunity2020-08-13

Coroner's Finding: Wright, Maria Rebekah

31y · Female·drowning, deliberately self-inflicted with intention of ending life

Maria Rebekah Wright, a 31-year-old woman with severe borderline personality disorder and chronic suicidality, died by drowning at Howrah Beach, Tasmania on 14 August 2017. She had been discharged from R…

psychiatrypsychologyparacetamol
VIChome2019-10-07

Finding into death of Phillip James King

52y · Male·Mixed drug toxicity

A 52-year-old man with multiple sclerosis, chronic pain, depression and history of suicidality died from mixed drug toxicity following an intentional overdo…

general practiceneurologymedicationcommunicationfentanyl
ACThospital2024-07-25

Inquest Into The Death Of Katherine Aurelia Alexander

34y · Female·multiple drug toxicity

Katherine Alexander, a 34-year-old woman with chronic suicidality and complex mental health conditions including bipolar II disorder, borderline personality di…

psychiatryemergency medicinecommunicationsystemdosulepin
WAcommunity

Inquest into the Death of Gary John LYDDIETH

54y · Male·Unknown - death established on balance of probabilities but manner and cause und…

A 54-year-old man with major depressive disorder, chronic suicidality, and alcohol abuse was discharged from psychiatric hospital on 23 April 2014 while remaining …

psychiatrygeneral medicinesystemcommunication
VICcommunity2024-10-04

Finding into death of T K

18y · Female·Mixed drug toxicity

TK, an 18-year-old woman with borderline personality disorder, chronic suicidality, and a history of childhood trauma, died from mixed drug toxicity following intentional overd…

psychiatrygeneral practicesystemdelaytramadol
TAShome2023-04-20

Coroner's Finding: Young, Luke Trevor

42y · Male·mixed prescription drug toxicity (sertraline, amlodipine, lamotrigine, quetiapin…

…, lamotrigine, quetiapine) in a suicide by overdose. He had severe, longstanding bipolar II disorder with chronic suicidality, complicated by alcohol/drug dependence and multiple physical comorbidities. His GP provided …

psychiatrygeneral practicesystemdelaysertraline
NSWhospital2023-09-11

Inquest into the death of TE

26y · Female·multiple blunt force injuries from fall from height; significant contributing co…

…care with clear boundaries; cross-sectional risk assessment must consider historical suicide attempts and chronic suicidality; clinicians treating personality disorder patients need close supervision; inadequate records…

psychiatryemergency medicinediagnosticcommunicationpregabalin
VICmental health2026-04-27

Finding into death of GM

Female·Fulminant hepatic failure due to paracetamol toxicity

A 19-year-old female with anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing…

psychiatryintensive careparacetamol
WAcommunity2016-09-13

Inquest into the Death of Anthony Charles EURA

42y · Male·unascertained

… a 42-year-old Aboriginal man with long-standing mental health problems, alcohol and drug dependency, and chronic suicidality, disappeared in November 2006 and is presumed deceased. In the month before disappearance, he…

psychiatryemergency medicinesystemdiagnosticfluphenazine
VICcommunity2013-01-31

Finding into death of Stuart Beverley

31y · Male·Hanging

…for death was not effectively communicated to treating teams. Complex assessment of acute suicide risk in chronic BPD presents ongoing clinical challenges.

psychiatryemergency medicinecommunicationdelaydiazepam
VIChome2025-08-13

Finding into death of Lillian Rose Thomas

21y · Female·Compression of the neck secondary to hanging

… conditions including CPTSD, anxiety, depression, OCD, and personality disorder traits, with a history of chronic suicidality, self-harm, and a prior suicide attempt. In the early morning of her death, she contacted Lif…

psychiatrygeneral practicesystemdelayprazosin
ACTcommunity2024-06-17

Inquest Into The Death Of Catherine Maree Broadbent

39y · Female·multiple drug toxicity (etizolam and carisoprodol as major components)

… toxicity involving benzodiazepines (etizolam, carisoprodol) sourced from the dark web, in the context of chronic borderline personality disorder and complex PTSD with lifelong suicidality. She was managed by an intensi…

psychiatryemergency medicineetizolam
VIChome2021-08-02

Finding into death of Mark Marian Milewski

71y · Male·Mixed drug toxicity

A 71-year-old man with multiple chronic conditions including obesity, diabetes, heart failure, and chronic pain died from mixed drug toxicity inv…

general practicegeriatric medicinediagnosticoxycodone
TAShome2024-04-30

Coroner's Finding: Mason, Geoffrey

38y · Male·gunshot wound to the left side of the neck resulting in basal skull fracture, su…

…smania. Mason was intoxicated, had a long history of violent offending and mental health issues including chronic suicidality precipitated by relationship breakdown. Police were called after he assaulted family members,…

general practiceemergency medicinesystemalcohol
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

…entation of discussions with vulnerable patients about substance access; risk assessment in patients with chronic suicidality and recent stressors; examination of medication compliance and side-effects in depression tre…

psychiatrypsychologysystemproceduralpentobarbitone
NSWcommunity2024-04-17

Inquest into the death of Michael Murray

44y · Male·Multiple blunt force injuries from fall from height

…slide Lookout in the Blue Mountains. He had been diagnosed with borderline personality disorder (BPD) and chronic suicidality. His death highlighted critical gaps in BPD care provision: a seven-month waitlist for dialec…

psychiatrygeneral practicesystemdelaydiazepam
QLD2025-10-08

Inquest into the death of Peter Owen Pilkington

48y · Male·gunshot wound to chest

…police, but identified Peter's untreated mental health conditions (PTSD, borderline personality disorder, chronic suicidality), substance use, and easy access to a realistic gel blaster as contributing factors. The coro…

emergency medicinetrauma surgerysystemmethamphetamine
NSWhome2015-10-23

Inquest into the death of Scott Clements

36y · Male·Unknown - advanced decomposition precluded determination

…se, or natural causes. Clinical lessons include the challenges of assessing suicide risk in patients with chronic suicidality, importance of follow-up after crisis assessment, and engagement of isolated patients with co…

psychiatrygeneral practicecommunicationsystemmethamphetamine
WAmental health2014-06-11

Inquest into the Death of Lynn Desmond Ernest CHURCH

64y · Male·plastic bag asphyxia

A 64-year-old man with long-standing depression, personality disorder, and chronic pain died by plastic bag asphyxiation in a psychiatric hospital open ward. He had been admitted involunta…

psychiatryemergency medicinecommunicationtramadol
VICcommunity2024-12-16

Finding into death of C L

53y · Male·Cervical spine distraction and hanging

A 53-year-old man with chronic treatment-resistant depression and chronic suicidality was admitted to Northern Hospital following a seri…

psychiatryemergency medicinesystemdelaymirtazapine

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