Coronial

7 results for depression (suspected but undiagnosed)

NSWcommunity2023-06-23

Inquest into the disappearance and suspected death of Ruben Gardiol

67y · Male·Unascertained

…, and deaths of two friends in the week before disappearance. The coroner found no clinical diagnosis of depression but noted possible undiagnosed depression given family history and life circumstances. Despite extensive…

WA2020-03-31

Inquest into the Suspected Death of Richard Lakeman RYALL

61y · Male·Suicide

…cide. Medical records revealed he had consulted Dr L. about chest pains (provisionally diagnosed as angina) but failed to follow up with a specialist referral. There was no medical evidence supporting his belief he had …

delay
WA2025-05-05

Inquest into the Suspected Death of David Benjamin INGRAM

44y · Male·unascertained - may have been injury from fall, drowning, or predation from mari…

…he Indian Ocean off Exmouth, WA. He had an undiagnosed paranoid schizophrenia with a history of anxiety, depression, and previous suicidal ideation, managed with olanzapine since July 2020. Medical records were not discl…

psychiatrygeneral practicecommunicationsystemolanzapine
WAcommunity2007-05-11

Inquest into the Death of Robson

16y · Female·Adrenal insufficiency (Addison's Disease)

…ght loss (from 48–50 kg to 38 kg), vomiting, and skin pigmentation changes over nine months, initially attributed to glandular fever. She was seen by three doctors at a rural general practice: Dr H. suspected glandular …

general practiceemergency medicinediagnosticsupervision_issue
WAcommunity2020-06-02

Inquest into the Suspected Death of Christen Lee FOGARTY

22y · Male·Unknown - Open Finding

…ameters hindered efforts to locate him. Evidence of bicycle tracks and a possible vehicle pick-up was found but never definitively linked to Fogarty. The coroner found death established beyond reasonable doubt but could…

delay
VICcommunity2025-12-04

Finding into death of Mr PNF

60y · Male·Neck compression secondary to hanging

…eriorated significantly after release from custody. The coroner found police actions fell short of protocol but did not establish causation. The case highlights systemic gaps: suspects should be explicitly informed of e…

general practicepsychiatrycommunicationsystemfluoxetine
VIChome2015-05-08

Finding into death of Nilesh Sharma

36y · Male·Hanging (Mr Sharma); Homicide by smothering/suffocation or chloroform exposure (…

… upon return to employment. Multiple healthcare professionals assessed both Mr and Ms Sharma post-collision but did not identify family violence risks or suicide risk. Cultural factors including gender role expectations…

rehabilitation medicineneurologycommunicationsystemchloroform

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