Coronial

402 results for suicide risk high

SAmental health2012-10-26

Coroner's Finding: Mitton Paul Laurie

32y · Male·hanging

A 32-year-old man with bipolar disorder and recent suicide attempt died by hanging in a closed psychiatric ward. He was admitted following overdose and suicidal ide…

psychiatryemergency medicinesystemcommunicationdiazepam
SAmental health2013-09-19

Coroner's Finding: SZCZEPANIAK Eugeniusz

75y · Male·neck compression due to hanging

A 75-year-old man with chronic paranoid schizophrenia, detained under the Mental Health Act in a high-dependency psychiatric unit, died by hanging in his ensuite bathroom. He had been admitted after allegedly …

psychiatrygeriatric medicinedocumentationsystemrisperidone
VICmental health2010-09-16

Finding into death of Louise Litis

37y · Female·Hypoxic brain injury consequent upon hanging

…Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two weeks prior (overdose). Despite being assessed as high-risk on 4 December and placed on hourly observ…

psychiatryintensive carediagnosticcommunicationsertraline
QLDhome2016-05-03

Tauati, Tui Dace - Non-inquest findings

21y · Male·hanging

…lence perpetration with a protection order breached three times in the preceding months. Despite identified high-risk factors for suicide (young male in post-separation period, substance use, relationship distress, possi…

systemmethamphetamine
WAhospital2015-07-16

Inquest into the Death of James Anthony STANCZYK

31y · Male·ligature compression of the neck (hanging)

… man with depression, suicidal ideation, and recent HIV diagnosis presented to emergency department after suicide attempt (carbon monoxide inhalation and diazepam overdose). Despite psychiatrists identifying him as extr…

emergency medicinepsychiatrycommunicationsystemdiazepam
QLD2007-01-19

Carroll, Leon Mark

Male·Self-inflicted hanging

… died by hanging in prison while on remand for sexual offences. Initial assessment identified significant suicide risk, but this was reversed by the High Risk Assessment Team after only 5-6 minutes consideration, result…

psychiatrypsychologydiagnosticsystemdiazepam
VICmental health2017-06-29

Finding into death of Peter James Nolan

75y · Male·Hanging

Peter Nolan, a 75-year-old man with depression, chronic pain, alcohol dependence, and recent suicide attempts, died by hanging in an aged psychiatric mental health unit. He was admitted to Broadmeadows Aged…

psychiatrygeriatric medicinesystemcommunicationsertraline
WAcommunity

Inquest into the Death of Gary John LYDDIETH

54y · Male·Unknown - death established on balance of probabilities but manner and cause und…

…ality, and alcohol abuse was discharged from psychiatric hospital on 23 April 2014 while remaining at "very high chronic suicide risk." He had multiple prior suicide attempts and severe family conflict. Despite psychiatr…

psychiatrygeneral medicinesystemcommunication
VIChome2019-12-13

Finding into death of Kyle Horne

19y · Male·Hanging

Kyle Horne, a 19-year-old with high-functioning autism, died by hanging on 15 March 2018 following relationship breakdown. He presented to his …

general practicepsychiatrydiagnostic
QLD2014-05-29

Humm, Deborah Lee

54y · Female·Multiple injuries sustained in fall from height

Ms Deborah Lee Humm, 54, died by suicide on 14 May 2013 after jumping from a fourth-floor balcony at a Cairns hotel. She was highly intoxicated (B…

psychiatryophthalmologyantidepressant medication
VIChospital2011-02-28

Finding into death of Carl Ranthe

26y · Male·multiple injuries

…l consumption. Social worker Manfred Rapp conducted a 15-minute assessment, found Carl not psychotic, low suicide risk, and arranged return to the Community Care Unit via taxi. Carl left the ED without taking the taxi a…

psychiatryemergency medicine
VIC2013-06-05

Finding into death of Leigh Ronald Bellingham

37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline

…2008. He was prescribed psychotropic medications and benzodiazepines by his GP despite being a documented suicide risk. Large quantities of medications were dispensed by multiple pharmacies over several months without a…

general practicepsychiatrycommunicationsystemheroin
VICmental health2013-08-23

Finding into death of James Falzon

65y · Male·Hanging

…zon, a 65-year-old man with psychotic depression admitted to Peter James Centre psychiatric ward, died by suicide via hanging. He had been assessed as high-risk and was on 15-minute observations as ordered by his psychi…

psychiatryforensic medicinesystemproceduralrisperidone
VICcommunity2015-04-13

Finding into death of KJ

18y · Female·Multiple injuries due to impact by train

KJ was an 18-year-old girl who died by suicide by train on 30 November 2012, six months after a suicide attempt. She had a complex trauma history, inclu…

psychiatrygeneral practicediagnosticcommunicationfluoxetine
VIC2024-10-16

Finding into death of Jessica Anne Thomas

33y · Unknown·neck compression secondary to hanging

…d by hanging while remanded in custody at Dame Phyllis Frost Centre on 2 September 2023. They had a chronic high risk of suicide with multiple prior attempts. At the time of death, they were on a S4 suicide risk rating a…

psychiatryemergency medicinesystemaripiprazole
WAhome2013

Inquest into the Death of Deniro, Alen

28y · Male·Gunshot wound to the head

Alen Deniro died by suicide on 5 May 2011 after learning of his de facto partner's death from terminal lung cancer. Psychiatrists app…

psychiatrygeneral medicinecommunication
ACT2017-12-07

AN INQUEST INTO THE DEATH OF JACOB JAMES KELLY

24y · Male·Multiple injuries due to motor vehicle collision with retaining wall

Jacob Kelly, a 24-year-old man, died by suicide when he intentionally drove a vehicle at high speed into a retaining wall at the intersection of Mount Ai…

VIChospital2013-09-10

Finding into death of Paul Gary Larman

28y · Male·Overdose of Clozapine

…ance abuse history died from clozapine overdose. Key clinical failures included: inadequate assessment of suicide risk when prescribing one month's supply to a patient presenting sedated and under substance influence wi…

psychiatryemergency medicinediagnosticmedicationclozapine
NSWmental health2022-03-29

Inquest into the disappearance and suspected death of Helen Stacey

19y · Female·The available evidence does not allow for a finding as to the cause of death

…rred for urgent psychiatric admission following concerning disclosures of suicidal ideation, knowledge of suicide methods, and increasing depression after a relationship ended. Medical staff documented her as a real sui…

psychiatrygeneral medicinesystem
SA2019-04-30

Coroner's Finding: BELL Nicholas Edward

29y · Male·neck compression due to hanging

…d by hanging in Mobilong Prison on 29 April 2015. He had a documented history of mental illness, previous suicide attempts, substance abuse (methamphetamine, heroin, alcohol), and was assessed as high-risk upon remand. …

psychiatrycorrectional healthmethamphetamine
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