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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
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
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
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
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
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
NSWcommunity2023-12-14

Inquest into the disappearance and suspected death of XA

36y · Male·Unascertained

…ld male psychiatrist disappeared on 25 January 2023 and is presumed deceased. He had treatment-resistant depression, was in significant pain from a recent back injury, and was prescribed opioids (Lyrica, Endone, Oxycodon…

psychiatrygeneral practicepregabalin
VIChospital2015-12-09

Finding into death of Benjamin David Johnston

36y · Male·Global hypoxic brain injury due to hanging

…gnificant behavioral changes: withdrawal, irritability, anger, and sleep difficulty. He had a history of depression in 2010 but was assessed as depression-free before varenicline prescription. On the day of death, he had…

general practicepsychiatryvarenicline
VIChome2024-10-07

Finding into death of Suzanne Norah Evans

50y · Female·Combined drug toxicity in a woman with tension pneumothorax

… combined drug toxicity in the setting of tension pneumothorax. She had a history of alcohol dependence, depression, and borderline personality disorder. Following an argument with her partner on 7 January 2020, she was …

emergency medicinetoxicologybaclofen
VICcommunity

Finding into death of Jacob Anton Van Berlo

19y · Male·Hanging (self-inflicted)

Jacob Van Berlo, a 19-year-old male, died by hanging following a suicide. He had a history of depression treated with sertraline and an uncontrolled gambling addiction. On the day of death, after receiving his…

general practicepsychologycommunicationsystemsertraline
SAhome2021-05-28

Coroner's Finding: LOCKWOOD Andrew James

49y · Male·Shotgun wound to the head

Andrew Lockwood, a 49-year-old man with depression and significant marital discord, died from a self-inflicted shotgun wound to the head on 2 April 2017. H…

general practicepsychiatrysertraline
WA2020-09-04

Inquest into the Suspected Death of Marek PETERA

41y · Male·suicide by unknown method, either through deliberate self-harm or by placing him…

…n Australia on 27 July 1999. He had left a suicide note for his daughter in June 1999, describing severe depression and stating his intention to undertake a 'one-way ticket' journey with the wish to 'perish without a tra…

psychiatrygeneral practicediazepam
QLDhome2010-06-09

Edwards, Peeta Louise Josephine

32y · Female·Opiate toxicity; toxic combination of morphine and codeine causing respiratory d…

Mrs Edwards, a 32-year-old woman with severe depression and psychiatric history, was found dead in bed. Autopsy revealed opiate toxicity with high levels of mor…

general practicepsychiatrysystemdelaymorphine
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