Coronial

29 results for major depressive episode

TASmental health2016-01-29

Coroner's Finding: Mr D

57y · Male·Multiple fatal injuries following a fall from height onto rocks

A 57-year-old European-born man died by suicide after falling from a cliff in northern Tasmania in July 2014. He had experienced progressive mental health deterioration over 12 months, including depression, anxiety, and …

psychiatrygeneral practicecommunicationsystemescitalopram
VIChome2017-04-19

Finding into death of Lauren Pilkington

20y · Female·Asphyxia secondary to inhalation of helium

…rged from voluntary psychiatric admission at Delmont Private Hospital on 8 August 2016 after treatment for major depressive episode and generalised anxiety disorder. At discharge, the treating psychiatrist did not consi…

psychiatrygeneral practicesystemdelayfluoxetine
SAmental health2007-02-22

Coroner's Finding: CULO John

44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide

A 44-year-old man with chronic bipolar disorder and severe depression died by suicide while detained under the Mental Health Act at a psychiatric hospital. He was hit by a semi-trailer after absconding from an open ward.…

psychiatrychlorpromazine
NSWmental health2026-06-30

Inquest into the deaths of LF, Merryn Ward and Shao

33y · Female·Hanging

A 33-year-old woman with major depressive disorder died by hanging while voluntarily admitted to a mental health inpatient unit. She was …

psychiatry
SAcommunity2001-06-02

Coroner's Finding: MacLEOD Grant Alistair

38y · Male·Internal haemorrhage complicating large calibre gunshot wounds to the neck

…rvice station. MacLeod had suffered severe head injury in childhood with confirmed organic brain damage, depressive episodes, and untreated mental illness. In the week before his death, he showed increasing evidence of p…

psychiatryforensic medicinesertraline
VIC2015-10-05

Finding into death of Catherine Jane Bernard

17y · Female·multiple injuries due to impact by train

A 17-year-old girl with major depressive disorder, a history of self-harm and overdoses, parent-child conflict, and a disclosed history …

emergency medicinepsychiatrycommunicationsystemtemazepam
SAmental health2023-09-20

Coroner's Finding: Chessell, David Edward

43y · Male·compression of the neck due to hanging

…ed after a high-lethality suicide attempt involving overdose and carbon monoxide exposure, presenting with major depression and active suicidal ideation. Death occurred two days after escalation to Level 2 ITO. Clinical…

psychiatryemergency medicinesystemcommunicationmirtazapine
WAmental health2005-09-23

Inquest into the Death of Robert David Abbott

67y · Male·Ligature Compression of the Neck (Hanging)

Robert David Abbott, aged 67, died by hanging in the secure ward of Joondalup Health Campus on 19 December 2003. He had a long history of depression exacerbated by chronic pain from a 2000 motor vehicle accident, and req…

psychiatrygeneral medicineproceduralsystemvenlafaxine
VIChospital2025-07-03

Finding into death of JV M

19y · Female·multiple injuries sustained in a train incident

JVM was a 19-year-old with major depressive disorder, anxiety, and possible first-episode psychosis who died by suicide after jumping in fr…

psychiatryemergency medicinecommunicationsystemsertraline
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicid…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWhome2021-07-07

Inquest into the death of Kimberley APPLEBY

56y · Female·acute pentobarbitone toxicity

56-year-old woman died from acute pentobarbitone toxicity in her Sydney apartment on 27-28 May 2016. She had a long history of mental health issues, depression, substance use, and prior self-harm. She had recently obtain…

psychiatrypsychologysystemproceduralpentobarbitone
VIChospital2014-11-17

Finding into death of Allan Phipps

76y · Male·exsanguination secondary to pulmonary aortic fistula and thoracic aorta aneurysm…

Allan Phipps was a 76-year-old man with a known thoracic aortic aneurysm and severe depression admitted to Austin Hospital in October 2012 for unstable angina and depression management. His aneurysm, discovered in March …

vascular surgerycardiologysystemdelayquetiapine
VIC2010-01-11

Finding into death of Glenn Leslie Stevenson

45y · Male·Multiple injuries and fall from a height

Glenn Stevenson, 45, died by suicide by jumping from the Westgate Bridge on 6 April 2008. He had been admitted to Sunshine Psychiatric Hospital the previous day after presenting to the Royal Melbourne Hospital ED intoxic…

psychiatryemergency medicinesystemalcohol
NSWhospital2018-04-27

Inquest into the death of Matthew Wilson Leary

25y · Male·drowning

…mized. Treating teams did not obtain collateral histories from the psychologist who had diagnosed him with major depression. Communication protocols for family concerns were inadequate. Discharge decisions proceeded des…

psychiatryemergency medicinediagnosticcommunicationcitalopram
QLDPodcast2020-06-30

Ayliffe-Chung, Mia Mishka Annie and; Jackson, Thomas Leslie - Non-inquest findings

Unknown·Mia: Stab wound to heart; Thomas: Stab wound to brain

… was psychotic and cannabis-intoxicated. Ayad had displayed paranoid ideation, paranoid schizophrenia, and major depression. Clinical lessons include: (1) recognizing prodromal psychotic symptoms in individuals under st…

psychiatryemergency medicinesystemcommunicationcannabis
TAShome2018-02-28

Coroner's Finding: Evans, Jillian and John

62y · Male·Mr Evans: self-inflicted gunshot wound to head and asphyxiation by hanging. Mrs …

…was admitted to Launceston General Hospital on 17 July after acute deterioration, correctly diagnosed with major depression with psychotic features, and treated with Risperidone. He was transferred to St Luke's hospital…

psychiatrygeneral practicediagnosticcommunicationrisperidone
VICmental health2016-02-26

Finding into death of Maree Rosalie Jones

47y · Female·plastic bag asphyxia

A 47-year-old woman with depression following relationship breakdown was admitted involuntarily to St Vincent's Mental Health with high suicide risk. After 2 days in the secure Extra Care Unit, she was transferred to the…

psychiatrycommunicationsystemtemazepam
TAScustody2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

Robert Harold Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suici…

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
VIChome2023-04-13

Finding into death of Martin William Sheahan

57y · Male·Gunshot wounds to the head and abdomen

Martin Sheahan, 57, was fatally shot by Glenn Usher-Clarke at his home on 26 January 2022. Usher-Clarke, who held a NSW firearms licence and permit to acquire, legally purchased a shotgun in Victoria on 17 December 2021 …

general practicepsychiatrycommunicationsystemmirtazapine
NSWmental health2019-11-29

Inquest into the death of Harold EDWARDS (a pseudonym)

49y · Male·Hanging

A 49-year-old man with major depression, suicidality and previous suicide attempts was admitted to the Acute Mental Health Unit at Nepe…

psychiatrydiagnosticcommunicationtemazepam

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