Coronial

19 results for suicidal behavior

SAcommunity2003-10-29

Coroner's Finding: NICHOLLS Geoffrey Douglas

41y · Male·Shotgun wound to the left side of the chest with laceration of the heart and hae…

…med incident at Oodnadatta, South Australia. He had a history of mental illness including depression with suicidal ideation, Bartter's syndrome (causing electrolyte imbalance and weakness), and had recently been discharg…

emergency medicinepsychiatrysystemdelay
WA2002-01-11

Inquest into the Death of Leslie William Wesley

32y · Male·Ligature Compression of Neck (Hanging)

… without discernible triggers on the day. Wesley had been assessed earlier in his detention as expressing suicidal ideation and self-harm behavior, but staff found no specific risk on 7 May 2000. The coroner found no cau…

psychiatrycorrectional health
NSWcommunity2010-10-26

Inquest into the death of AB (429/09)

Female·Exsanguination following self-infliction of a wound with the intention of taking…

…. She had recently been discharged from private hospital care and was awaiting admission to a dialectical behavioral therapy program. Following family notification of her expressed intent to self-harm, police rapidly ini…

VICmental health2024-02-27

Finding into death of Sidarthan Gajaharan

26y · Male·Craniocervical injuries following a train collision (pedestrian)

…al lessons include: patchy medication adherence (clozapine) contributed to ongoing psychotic symptoms and suicidal ideation; smoking affected clozapine metabolism and blood levels; monitoring of medication compliance nee…

psychiatryrehabilitation medicinecommunicationdelayclozapine
SAcommunity2001-06-02

Coroner's Finding: MacLEOD Grant Alistair

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

…the week before his death, he showed increasing evidence of psychotic illness (paranoid ideation, bizarre behavior, delusional statements about being 'possessed by a witch'). During the confrontation, he lunged repeatedl…

psychiatryforensic medicinesertraline
SAhome2019-03-08

Coroner's Finding: BIRD David Michael

43y · Male·neck compression due to hanging

Michael David Bird, aged 43, died by hanging at his home while on home detention bail. He had a history of anxiety, depression, and chronic pain, managed by a psychiatrist (Dr T.) with weekly appointments described as hi…

psychiatrygeneral practicequetiapine
VIC2023-09-14

Finding into death of Darren Ricky Culleton

31y · Male·Hypoxic ischaemic encephalopathy following out of hospital cardiac arrest in a m…

… while in police custody. He had presented to St Vincent's Hospital with acute intoxication and self-harm behavior (attempting to light himself on fire), was assessed by psychiatry and deemed not to meet criteria for inv…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
NSWhospital2011-03-04

Williammackenzie 2011 03 04 12 58 08 816

60y · Male·Multiple injuries sustained after jumping from 15th storey home unit

… disorder and recent involuntary hospitalization, presented to St. Vincent's Hospital on 9 June 2008 with suicidal ideation after being found lying in traffic. Dr W. correctly assessed him as mentally ill and placed him …

psychiatryemergency medicinediagnosticproceduralolanzapine
TAShome2022-05-27

Coroner's Finding: TS de-identified

47y · Female·Traumatic closed head injury likely sustained in a fall from standing

TS, a 47-year-old woman with a 18-year history of anorexia nervosa, bulimia, and severe alcoholism, died from a traumatic closed head injury sustained in a fall from standing. At autopsy, blood alcohol concentration was …

emergency medicinegeneral practicecommunicationsystemalcohol
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

Anna Lee, a 70-year-old retired psychiatric nurse, died from asphyxia due to airway obstruction while an inpatient in a mental health unit. She was admitted with first-episode mania with psychotic features, triggered by …

psychiatrygeriatric medicinesystemolanzapine
VIChospital2014-07-10

Finding into death of Peter Shane Nancarrow

52y · Male·Hanging

Peter Nancarrow, 52, was apprehended under Mental Health Act Section 10 following acute suicidal behavior including threatening self-harm with weapons. Police explicitly warned Emergency Department staf…

emergency medicinepsychiatrycommunicationsystemalcohol
QLDcommunity2015-12-14

Young, Anthony William; Young, David Kenneth Baring; Dekens, Louise Alexandra

42y · Male·Anthony Young: multiple gunshot wounds to the body and arm; David Young: multipl…

Anthony Young, aged 42, shot by police after fatally stabbing his brother David and David's partner Louise. Anthony had deteriorating mental health including paranoia, substance use, and lack of psychiatric engagement de…

psychiatryforensic medicinediazepam
SA2006-10-18

Coroner's Finding: TURNER Barry Michael and GLENNIE Troy Michael

Neck compression due to hanging (self-inflicted)

… Troy Michael Glennie (28), died by hanging in Adelaide Remand Centre while on remand. Both had expressed suicidal ideation and were being monitored via 'yellow sheet' daily nursing assessments. Turner's assessment was o…

psychiatrycorrectional healthsystemcommunicationquetiapine
VICcommunity2018

Finding into death of Konstantinos Eleftheriou-Tragakis

36y · Male·Hanging

A 36-year-old man with schizoaffective disorder, substance use disorder, and previous psychotic episodes was discharged from psychiatric inpatient care after being absent without leave for 72 hours. On 4 June 2017, he co…

psychiatrycommunicationsystemrisperidone
NThome2003-12-19

Inquest into the death of Sunjay Chandra

25y · Male·hanging (self-inflicted)

…ents provided detailed observations of psychotic symptoms including auditory hallucinations, disorganized behavior, and poor hygiene, but treating clinicians did not arrange earlier intervention despite multiple parental…

psychiatrypsychologycommunicationsystemclozapine
VIChospital2015-08-28

Finding into death of Moufid Sawan

61y · Male·Complications of cutaneous burns

A 61-year-old man with severe chronic schizophrenia and extensive history of arson, suicide attempts and self-harm was admitted as a voluntary patient to a psychiatric inpatient unit and later made involuntary. Despite c…

psychiatryemergency medicinecommunicationdiagnosticrisperidone
QLD2021-05-28

Scorsese, Liam Cooper

31y · Male·Gunshot wounds to the neck and chest

Liam Scorsese, 31, died from gunshot wounds inflicted by police during a confrontation at his estranged partner's parents' home in Queensland. He had a history of violence, substance abuse (methamphetamine, cocaine), and…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
WA2025-03-10

Inquest into the Death of Ricky-Lee COUND

22y · Male·ligature compression of the neck (hanging)

Ricky-Lee Cound, 22, an Aboriginal man with FASD, died by hanging in his Hakea Prison cell on 25 March 2022. At 4.11pm, Mr Cound called requesting a monitored safe cell to prevent self-harm, demonstrating clear risk perc…

psychologygeneral medicinediagnosticcommunicationaripiprazole
SAcommunity2005-03-14

Coroner's Finding: Ryan Kunmanara

Unknown·Multiple; Kunmanara Ward: neck compression due to hanging; Kunmanara Ken: exposu…

Four Aboriginal individuals died on Anangu Pitjantjatjara Lands between May 2003 and March 2004. Ward (19) and Ryan (25) died by hanging with evidence of petrol intoxication. Ken (35) died from exposure after wandering a…

psychiatryemergency medicinedelaysystempetrol

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