Coronial

16 results for maternal suicidal ideation

VIChome2023-10-17

Finding into death of J H

15y · Male·Electrocution

…d Major Depressive Disorder, died by electrocution at home on 16 September 2019. He had been experiencing suicidal ideation for months and was discharged from inpatient psychiatric care (Stepping Stones) on 19 August 201…

psychiatrypaediatricssystemcommunicationfluoxetine
VIChospital2024-01-18

Finding into death of Lily Grace Arbuckle

<1y · Female·Head injury

…ermined to be infanticide. The mother had severe untreated postnatal depression and anxiety, experiencing suicidal ideation and fixated concerns about harming her baby. Maternal and Child Health services assessed her twi…

obstetricspaediatricsdiagnosticcommunication
VIChome2021-05-05

Finding into death of Aisha Devi Beck

39y · Female·Gunshot wound to the head

A 39-year-old woman with brief psychotic disorder experiencing suicidal and homicidal ideation killed her 4-year-old daughter and herself. She had been diagnosed with psychosis …

psychiatrygeneral practicecommunicationsystemolanzapine
WA2019-12-16

Inquest into the Suspected Death of Joseph Leon PATTERSON

30y · Male·Death by drowning at sea, likely following suicide. Exact manner not determined.

…and harm himself. He was extremely distressed following the recent death of Oreo's mother, who had been a maternal figure to him. Patterson was never seen again, nor was his yacht. Extensive searches found no trace of ei…

delay
WAcommunity

Inquest into the Death of Paul DICKSON

34y · Male·multiple injuries

Paul Dickson, a 34-year-old man with severe paranoid schizophrenia managed on a Community Treatment Order, died by suicide on 11 November 2013 after stepping in front of a truck. He had been discharged from Graylands Hos…

psychiatryemergency medicineolanzapine
VICmental health2011-10-14

Finding into death of Amanda Billie Jo Kennedy

26y · Female·compression of the neck consequent upon hanging

… on 24 June 2010 while under involuntary psychiatric admission. She had presented to emergency with acute suicidality on 18 June, attended police station in crisis on 21 June, and was admitted on 21 June via Section 10 M…

psychiatryemergency medicinecommunicationsystemquetiapine
VIC2016-08-22

Finding into death of Helen

68y · Female·Multiple injuries sustained in a fall

…tient care to aged care on 2 March 2015 after a protracted admission. On 2 April 2015, she presented with suicidal ideation following her mother's death and was re-admitted to psychiatric care under a Temporary Treatment…

psychiatryemergency medicinesystemmirtazapine
SAhome2024-06-28

Coroner's Finding: Evans, Caleb

<1y · Male·unascertained, in an unsafe sleeping environment, on a background of respiratory…

Baby Caleb, aged 2 months, died on 30 November 2018 in an unsafe sleeping environment while his mother co-slept with him on a fold-out sofa in a squalid home. He had a concurrent respiratory tract infection. The coroner …

paediatricsgeneral practicesystemcommunication
VIChome2024-02-05

Finding into death of Ms KSI

22y · Female·Complications of cutaneous burns

…al service system failures: Safe Steps provided insufficient mental health support despite her expressing suicidal ideation and failed to conduct adequate risk assessments; Child Protection did not link her with cultural…

general practiceemergency medicinecommunicationsystem
VIChome2021-05-05

Finding into death of Aziza Beck

3y · Female·gunshot wound to the head

A 3-year-old girl was killed by her mother, who was experiencing a severe psychotic episode with suicidal and homicidal ideation. The mother had a history of Brief Psychotic Disorder (diagnosed 2015), was on ola…

psychiatrygeneral practicecommunicationsystemolanzapine
QLDhospital2024-03-22

Ms S

Female·Hypoxic ischaemic encephalopathy due to hanging

… postnatal depression eight weeks after giving birth. She presented to the ED with anxiety, insomnia, and suicidal ideation and was admitted to the Logan Hospital Mental Health Unit for three days before discharge. The Q…

psychiatryobstetricssystemcommunication
WAhospital2005-05

Inquest into the Death of Olivia ("Peta") Dawson

26y · Female·Asphyxiation due to Ligature Compression of Neck

Peta Dawson, a 26-year-old woman with a history of depression, self-harm, and suicidal ideation following miscarriage and maternal rejection, was admitted to Merredin Hospital on 10 August 200…

emergency medicinepsychiatrysystemdelaykalma
SAhome2000-03-08

Coroner's Finding: KAPTSIS Michael Vasilious

3y · Male·smothering

…atrist on 28 January 1998 (two days before the death). The psychiatrist found no evidence of psychosis or suicidal/homicidal ideation at that consultation. The coroner found no grounds to criticise the psychiatrist's cli…

psychiatryemergency medicinelithium carbonate
WAmental health2015-12-31

Inquest into the Death of Stephen Colin ROBSON

Unknown·Ruby Nicholls-Diver: ligature compression of neck (hanging); Carly Jean Elliott:…

Five psychiatric patients of Alma Street Centre died between March 2011 and March 2012. Two (Ruby Nicholls-Diver and Anthony Edwards) died within 24 hours of discharge; two (Carly Elliott and Michael Thomas) died shortly…

psychiatryemergency medicinediagnosticcommunicationclozapine
NThome2026-06-19

Inquest into the death of RL

17y · Male·Suicide by self-inflicted hanging

RL was a 17-year-old Alice Springs teenager who died by suicide while under Northern Territory mental health services' care. Critical clinical lessons emerged: failure to inform his mother about mental health deteriorati…

psychiatrypsychologycommunicationdiagnostic
NThome2021-11-25

Inquest into the death of Sammy

9y · Female·suicide by hanging

A 9-year-old Aboriginal girl died by suicide while in out-of-home care. She had been removed from her Aboriginal parents at 10 months of age and placed with non-Aboriginal carers despite legislation requiring Aboriginal …

paediatricspsychiatrysystemdelaymethylphenidate

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