VIC2015-09-21
Finding into death of WJ
25y · Male·Pentobarbitone toxicity
A 25-year-old man with evidence of depression died from pentobarbitone toxicity in a Melbourne hotel after deliberately ingesting the drug, which he h…
pentobarbitone
VIChome2010-05-06
Finding into death of Simon Mark Gray
31y · Male·Combined effects of multiple drugs in an obese male with findings suggestive of …
…from psychiatric hospital. He had suffered a workplace back injury in 2006 resulting in chronic pain and depression, becoming dependent on multiple CNS-depressant medications including morphine, diazepam, and alprazolam.…
psychiatrypain medicinesystemmorphine
SAhospital2020-06-18
Coroner's Finding: BOYCE Ian Charles
85y · Male·hospital acquired pneumonia on a background of metastatic colorectal carcinoma
…ed pneumonia on a background of metastatic colorectal cancer. He was admitted to hospital with psychotic depression, suicidal ideation, and severe malnutrition after two years of depression. A CT scan revealed previously…
psychiatrygeriatric medicine
VIChospital2018-06-22
Finding into death of Liaqat Ali Hamid Kayani
44y · Male·Hypoxic brain injury secondary to heroin and alcohol toxicity
…om hypoxic brain injury caused by heroin and alcohol toxicity following an overdose. He had a history of depression, financial difficulties, and prior heroin use. After collapsing at a friend's home, he was resuscitated …
emergency medicineintensive careheroin
VICcommunity2019-10-30
Finding into death of Sanaya Sahib
1y · Female·Suffocation
…k. Ms Nikat was experiencing significant social isolation, family violence from her husband and in-laws, depression, parenting difficulties, and stress. Clinical lessons include the missed opportunity for repeat postnata…
obstetricspsychiatrysystemdelaymethamphetamine
TAShome2022-10-28
Coroner's Finding: O'Shea, Amie Maree
39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…
…had chronic complex medical conditions (breast cancer post-treatment, rheumatoid arthritis, sarcoidosis, depression, anxiety) with previous overdose attempts and suicidal ideation. She disclosed feeling like a burden but…
pathologytoxicologytapentadol
TAShome2022-11-30
Coroner's Finding: Tongs, Janetta Ann
55y · Female·exsanguination due to a gunshot wound to the upper left chest
A 55-year-old woman with a 20-year history of depression died from a self-inflicted gunshot wound. She had attempted suicide twice in 2019 (July and December) an…
general practicepsychiatryvenlafaxine
TAShome2018-09-20
Coroner's Finding: NN
47y · Male·combined effects of alcohol-induced central nervous system depression, hypotherm…
A 47-year-old man with longstanding alcoholism, hypertension, liver disease, and depression died from combined alcohol-induced central nervous system depression, hypothermia, and alcohol-related h…
alcohol
NSWhome2014-12-22
Inquest into the death of Margaret Elizabeth HILLS
60y · Female·undetermined
Margaret Elizabeth Hills, a 60-year-old woman with chronic pain and depression from a work-related spinal injury, disappeared on 2 February 2010 from her home in Katoomba, NSW. Her sk…
general practicepsychiatrycommunicationdelay
VICcommunity2017-04-05
Finding into death of KP
15y · Male·Hanging (redacted in original but indicated by reference to method of suicide)
A 15-year-old boy with depression died by suicide. He had a difficult relationship with his parents and was reluctant to engage with menta…
psychologypsychiatrycommunicationsystem
TAShome2023-05-10
Coroner's Finding: PQ de-identified
51y · Male·self-inflicted chest injuries due to gunshot wound to chest
A 51-year-old man with a 37-year history of depression and alcoholism died by self-inflicted gunshot wound. He had ceased anti-depressant medication (desvenlaf…
general practicepsychiatrycommunicationsystemdesvenlafaxine
SAcommunity2022-03-01
Coroner's Finding: Della Torre, Mario
54y · Male·undetermined
…stency. He was last reliably seen on 18 October 1976. Evidence indicated he had consulted a doctor about depression and was prescribed Tofranil (an antidepressant), which he reported was ineffective. While depression and…
tofranil
NSWcommunity2017-06-16
Inquest into the disappearance and suspected death of Thanagarajah SITHAMPARAPILLAI
62y · Male·undetermined
…Coogee, most likely in or near water. Mr Sithamparapillai had recently lost his job and was experiencing depression, psychological distress, and fleeting thoughts of self-harm. He had consulted his GP and a psychiatrist …
general practicepsychiatrydosulepin
TAScommunity2018-06-12
Coroner's Finding: Osborn, James Lee
62y · Male·drowning
…the Derwent River on 30 June 2016 after a rapid deterioration in mental health. He had a long history of depression but experienced acute decompensation with paranoid delusions in the weeks before death, triggered by a p…
psychiatryemergency medicinesystemcommunicationolanzapine
TAS2021-11-25
Coroner's Finding: Nicholson, Dale Waverley
61y · Male·Unknown
Dale Waverley Nicholson, a 61-year-old man with a history of depression, alcohol and cannabis use, and a previous suicide attempt in 2012, disappeared from his home in New Norf…
escitalopram
TAShome2022-10-31
Coroner's Finding: Lampkin, Christopher Maxwell
57y · Male·hanging
Christopher Maxwell Lampkin, a 57-year-old man with longstanding depression and alcohol dependence, died by hanging in July 2021. He had been treated for depression since 2009 and …
general practicepsychiatryantidepressant
TAShome2026-03-23
Coroner's Finding: de-identified ZA
51y · Female·Unintentional prescription drug poisoning due to central nervous system depressi…
A 51-year-old woman with chronic pain, depression, and longstanding medication misuse died from unintentional prescription drug poisoning. She had been pr…
general practicepain medicineoxycodone
NSWhome2025-07-30
Inquest into the death of Hilary Gordon-Squire
65y · Male·Pneumonia, due to chronic lung disease with atherosclerotic cardiovascular disea…
…on to emergency care months earlier and subsequent primary care contacts offered adequate assessment for depression and suicidality, given documented depression history and lack of treatment. Better mental health screeni…
forensic medicinegeneral practicesystemdelaybenzodiazepines
TASmental health2016-07-09
Coroner's Finding: Slater, Timothy Guy
38y · Male·Unknown - body never located
…7 while on leave from psychiatric inpatient care at Royal Hobart Hospital where he was being treated for depression. He had a history of previous suicide attempts via overdose and self-harm, with two prior episodes of go…
psychiatry
QLDhome2016-05-03
Tauati, Tui Dace - Non-inquest findings
21y · Male·hanging
…-year-old Pacific Islander male died by hanging at home after relationship breakdown. He had undiagnosed depression, was using methamphetamine, and had a history of domestic violence perpetration with a protection order …
systemmethamphetamine
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