Coronial

447 results for self-harm history

QLD2021-05-24

Ahquee, Dylon James

19y · Male·Hanging

…quee, aged 19, died by hanging in Townsville Correctional Centre on 26 December 2015. Despite documented self-harm and suicidal ideation as a juvenile, no Self-Harm Episode History flag was raised at adult prison intake…

correctional healthpsychologydiagnosticsystem
QLD2010-05-20

Cockshutt, Andrew James

33y · Male·hanging

…onment, died by hanging in his cell at Lotus Glen Correctional Centre on 3 July 2008. He had a documented history of emotionally turbulent relationships with fellow prisoners and self-harm incidents in 2002 and 2006 fol…

systemcommunicationdiazepam
VIC2024-04-15

Finding into death of Angela Christy Tulloh

44y · Female·hypothermia in the setting of methylated spirits ingestion

…ine personality disorder, died from hypothermia following ingestion of methylated spirits. She had a long history of self-harm behaviours including substance ingestion. On 31 October 2022, she left her specialist disabi…

psychiatryforensic medicinemethylated spirits
NSW2026-01-30

Inquest into the death of Phuoc Van Nguyen

51y · Male·Hanging

A 51-year-old man with a complex mental health history and prior self-harm alert died by hanging in a correctional facility after a planned transfer. He request…

psychiatrypsychologycommunicationsystemalprazolam
VIC2011-05-05

Finding into death of John Christianos (AKA-Christie)

39y · Male·unascertained

…hn Christianos disappeared on 11 June 2001 from residential care and has not been sighted since. He had a history of bipolar disorder, self-harm attempts, and psychiatric admission. No financial, medical, or administrat…

psychiatry
QLD2013-05-27

Hussain, Meqdad

19y · Male·Hanging

… died by hanging in an immigration detention centre (Scherger IDC, Queensland) on 17 March 2011. He had a history of self-harm evident from scars on his forearms, noted during mental health screening on 9 December 2010.…

psychiatrygeneral medicinesystemcommunicationmirtazapine
QLD2015-03-24

E, aged 14 - Non-inquest findings

14y · Male·hanging

…ker, and mental health services, his suicide risk was not identified. CYMHS assessed him as low risk for self-harm in March 2013 despite his history of self-harm and hearing voices. The coroner found no evidence that pr…

psychiatrygeneral practicediagnosticmarijuana
VIChome2024-10-09

Finding into death of D M

43y · Female·Combined drug toxicity (tapentadol, sertraline, gabapentin, periciazine, carbama…

A 43-year-old woman with complex psychiatric history including schizoaffective disorder, borderline personality disorder, and chronic suicidality died from co…

psychiatrygeneral practicecommunicationsystemtapentadol
NSW2018-06-26

Inquest into the death of Glen Russell

32y · Male·asphyxia arising from neck compression from self-inflicted ligature strangulatio…

Glen Russell, 32, died by suicide in Cessnock Correctional Centre while on remand. He had a complex history including childhood sexual assault, schizophrenia diagnosis, heroin use, and recent self-harm episodes. A…

psychiatrygeneral practicediagnosticcommunicationmirtazapine
SA2019-05-23

Coroner's Finding: HARRIS Philip Michael

30y · Male·exsanguination due to division of left brachial artery

…ng self-inflicted lacerations to his left forearm that severed the brachial artery. He had a longstanding history of self-harm behaviour, borderline antisocial personality disorder, and mental health presentations. Desp…

psychiatryemergency medicinecarbamazepine
VIChome2024-01-10

Finding into death of Ya (Cindy) Zhao

28y · Female·Effects of fire

…Zhao, 28, died from effects of fire in her residential unit on 22 July 2022. She had schizophrenia with a history of mental health crises, depression, self-harm and suicidal ideation. She was living independently with o…

psychiatryemergency medicineamisulpride
VIC2024-12-16

Finding into death of Peter Christofidis

27y · Male·undetermined

Peter Christofidis, a 27-year-old man with a significant history of mental illness including depression and early schizophrenia, disappeared on 14 March 1983 after drivin…

psychiatrysystem
WAhome2002-07-05

Inquest into the Death of Bradley William Rapley

22y · Male·Hypoxic Ischaemic Encephalopathy due to suffocation

…suicide attempt by suffocation in a Casuarina Prison cell on 25 August 1999. Rapley was a prisoner with a history of depression, anxiety, and past self-harm attempts, though he was inconsistent in reporting these to aut…

psychiatrygeneral practicesystemcommunicationdosulepin
VICmental health2014-09-29

Finding into death of Kelvin Robert Davidson

75y · Male·Hanging

Kelvin Davidson, a 75-year-old man with complex psychiatric history including prior self-harm and attempted hanging, was admitted to Baringa Aged Psychiatric Unit on 27 Sept…

psychiatrysystemcommunicationtemazepam
VIC2013-11-28

Finding into death of Darren Robert Baxter

46y · Male·Complications of self-inflicted incised injuries to the neck

…ere attempting to take him into custody under the Mental Health Act 1986. He was an indigenous man with a history of self-harm (2008 incident with similar neck injuries). On 7 May 2013, after consuming alcohol and illic…

psychiatryemergency medicineamphetamine
SAhome2020-12-07

Coroner's Finding: ROBERTS Paul Scott

38y · Male·combined effects of inhalation of products of combustion and incineration

…oducts after setting himself alight during police attendance at his home on home detention bail. He had a history of chronic dysthymia, alcohol abuse, and previous self-harm threats. Roberts made repeated calls to his e…

communicationalcohol
WA2006-03

Inquest into the Death of Leon John Donaldson

20y · Male·Ligature compression of the neck (hanging)

Leon John Donaldson, a 20-year-old sentenced prisoner with a documented history of self-harm, depression, and suicidal ideation, died by hanging in his cell at Casuarina Prison on 2 Sep…

psychiatrypsychologysystemcommunicationsodium valproate
NSW2025-07-24

Inquest into the death of PF

45y · Male·Hanging

…onal Centre following bail refusal and adverse legal advice. The coroner found his death was intentional self-harm. Although PF had a significant history of self-harm attempts and suicidal ideation, the coroner determin…

psychiatrypsychologydelay
NSW2024-10-31

Inquest into the death of AB

34y · Male·Incision/stab wound to the neck

…n Remand and Reception Centre. He had been discharged from Risk Intervention Team management following a self-harm incident 7 days earlier, despite recommendations for two-occupant cell placement. He was placed alone in…

psychiatryemergency medicinediagnosticsystem
SAhospital2004-12-14

Coroner's Finding: O'NEILL Louise Kay

31y · Female·mixed drug toxicity (propoxyphene, fluvoxamine, and alprazolam)

A 31-year-old woman with extensive history of deliberate self-harm and prescription drug abuse died from mixed drug toxicity (propoxyphene, fluvoxam…

emergency medicinetoxicologydiagnosticcommunicationpropoxyphene
1223

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.