Coronial

38 results for deliberate self-harm disorder

NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

…hree days after discharge from psychiatric care. He was appropriately assessed and admitted as a mentally disordered person on 3 March following a deliberate overdose of 30 ecstasy and 5 Xanax tablets. Dr N. discharged h…

psychiatrytoxicologysystemcommunicationalprazolam
NSW2024-10-31

Inquest into the death of AB

34y · Male·Incision/stab wound to the neck

…n Remand and Reception Centre. He had been discharged from Risk Intervention Team management following a self-harm incident 7 days earlier, despite recommendations for two-occupant cell placement. He was placed alone in…

psychiatryemergency medicinediagnosticsystem
TAShome2017-10-12

Coroner's Finding: Allie, Sue Denise

63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…

… she attributed to handling contaminated material. Medical review suggests she had undiagnosed factitious disorder (Munchausen syndrome), deliberately ingesting rat poison and later overdosing on mirtazapine. Treating do…

general practicehaematologydiagnosticbrodifacoum
VICmental health2014-01-23

Finding into death of Kate Tamma Miller

39y · Female·hanging

…er, 39, died by hanging at The Melbourne Clinic on 11 October 2011. She had severe borderline personality disorder with recurrent high-lethality suicide attempts and chronic self-harm urges. A shared care arrangement bet…

psychiatryintensive caresystemdiazepam
VIChome2025-08-13

Finding into death of Lillian Rose Thomas

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

…oria. She had complex mental health 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 morni…

psychiatrygeneral practicesystemdelayprazosin
SAhospital2008-01-02

Coroner's Finding: WOOD Jacqueline Moyra

17y · Female·raised intracranial pressure due to hepatic encephalopathy related cerebral oede…

… lesson: paracetamol overdose presents with non-specific gastrointestinal symptoms; active enquiry about deliberate self-harm or ingestion is essential in young people presenting with vomiting, and high index of suspicio…

paediatricsintensive carediagnosticparacetamol
TAShospital2022-02-28

Coroner's Finding: Hassanloo, Saeed

27y · Male·traumatic injuries and/or drowning from jumping from Tasman Bridge

…ng from Tasman Bridge. He had a complex psychiatric history including depression, anxiety, and adjustment disorder, with multiple self-harm episodes. His second psychiatric hospital admission for treatment-resistant depr…

psychiatryemergency medicine
NSWhospital2026-01-22

Inquest into the death of JC

30y · Male·hanging

…nd previous psychiatric episodes triggered by withdrawal. He presented to Calvary Mater Hospital after a deliberate overdose of 48 Etizolam tablets with stated intent to end his life. He was discharged after approximatel…

emergency medicinepsychiatrydiagnosticcommunicationetizolam
NSWcommunity2015-02-20

Inquest into the disappearance and suspected death of Margery Joyce TAYLOR

50y · Female·unascertained

…oyce Taylor, aged 50, disappeared on 7 September 1978 from Warren, NSW. She had a long history of bipolar disorder and depression with prior psychiatric hospitalisations. Two months before disappearance, she was discharg…

psychiatrygeneral practicesystemdelay
QLDhome2025-10-10

Inquest into the death of AB

31y · Male·Hanging

31-year-old male with borderline personality disorder, alcohol use disorder, and history of self-harm died by hanging. He had multiple presentations to emergen…

psychiatrygeneral practicesystemcommunicationalcohol
VIChome2019-01-08

Finding into death of Fiona Kellie Burke

32y · Female·hanging

Fiona Burke, aged 32, died by hanging on 17 March 2017 following a prolonged history of family violence in her relationship with Darren Mather. The death occurred in a context of escalating intimate partner violence, alc…

paediatricspsychiatrycommunicationsystemalcohol
WAhospital2025-03-06

Inquest into the Death of Jalen Hunter NORRIS

23y · Male·Multiple injuries from being struck by train

…n after an incident at his parents' home. Police brought him to hospital for medical clearance following self-harm in custody. Critical missed opportunities included: police (particularly the senior officer) failing to …

emergency medicinepsychiatrycommunicationdiagnosticcannabis
QLDhospital2025-12-04

Inquest into the death of Dylan James Bell

28y · Male·Hanging

…and Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concerning presentation—including drug-induced psychosis, prior vio…

psychiatryemergency medicinediagnosticcommunicationLSD
TAScommunity2025-09-12

Coroner's Finding: O'Connell, Stephen James

74y · Male·Drowning

… At the time of death, he was experiencing financial stress and chronic back pain. Evidence indicates he deliberately planned his death, including researching chain weight requirements to prevent body flotation and prepa…

TAScommunity2022-02-22

Coroner's Finding: BL de-identified

47y · Male·Extensive burns sustained in a deliberately set fire

A 47-year-old male died from extensive burns sustained in a deliberately set house fire on 29 November 2020. He had experienced a relationship breakdown and severe depression …

psychiatryemergency medicine
VIChome2020-01-14

Finding into death of A S

46y · Female·Combined drug toxicity in a woman found in a bath

A 46-year-old woman with borderline personality disorder and bipolar affective disorder type 2 died from combined drug toxicity. She had a long history of overdos…

psychiatrygeneral practicecommunicationsystemphentermine
VIChome2012-07-18

Finding into death of Joshua Meloury_Kaup

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 grandmother's medicatio…

paediatricspsychiatrysystemcommunicationmorphine
VIC2023-09-14

Finding into death of Darren Ricky Culleton

31y · Male·Hypoxic ischaemic encephalopathy following out of hospital cardiac arrest in a m…

…coveralls while in police custody. He had presented to St Vincent's Hospital with acute intoxication and self-harm behavior (attempting to light himself on fire), was assessed by psychiatry and deemed not to meet criter…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
WAhome2019-09-27

Inquest into the Death of Paul STRANGE

30y · Male·ligature compression of the neck (hanging)

Paul Strange, aged 30, died by suicide through ligature 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…

psychiatryemergency medicinecommunicationsystemduloxetine
SAcommunity2013-06-13

Coroner's Finding: EVANS Bernard Francis

57y · Male·multiple injuries from motor vehicle collision

… 17 January 2011 while evading apprehension under the Victorian Mental Health Act. He had schizoaffective disorder managed with lithium and olanzapine under a Community Treatment Order. After failing a clinic appointment…

psychiatryemergency medicinesystemdelaylithium

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.