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VIChospital2025-10-13

Finding into death of David Greville Edward Horne

47y · Male·Unascertained; most likely cardiac arrhythmia possibly triggered by obstructive …

David Horne, a 47-year-old man with bipolar disorder, schizoaffective disorder, and severe obstructive sleep apnoea, died suddenly at Maroondah Hospital while under compulsory psychiatric treatment. He experienced two ep…

psychiatryrespiratory medicinediazepam
VIChospital2022-12-16

Finding into death of Arthur Peter Andrianakis

51y · Male·Hyperthermia of unknown cause in a man with cardiac hypertrophy; chronic obstruc…

Arthur Andrianakis, 51, died from hyperthermia of unknown cause with cardiac hypertrophy and COPD. He presented to hospital with respiratory distress following police custody for assaulting his mother. Initial diagnosis …

emergency medicineintensive caresalbutamol
WAhome2019-07-23

Inquest into the Death of Stephen Thomas OXLEY

52y · Male·atherosclerotic and hypertensive heart disease

Stephen Thomas Oxley, a 52-year-old man with schizoaffective disorder managed on a Community Treatment Order, died of atherosclerotic and hypertensive heart disease. He had multiple modifiable cardiovascular risk factors…

psychiatrygeneral practiceflupenthixol
QLDcommunity2018-09-11

Giorgio, Pasquale

54y · Male·Ischaemic cardiomyopathy following a period of restraint on a background of morb…

A 54-year-old man with schizophrenia, homelessness, and morbid obesity was arrested for wilful exposure and disorderly conduct. During restraint in the prone position with handcuffs, he struggled for several minutes. Alt…

emergency medicineforensic medicinediagnosticcommunicationflupenthixol
NSWcommunity2017-07-12

Inquest into the suspected death of missing person Benjamin Stephens

23y · Male·Unable to be determined from available evidence

Benjamin Stephens, aged 23, went missing on 18 March 2004 from rural NSW and was confirmed deceased in 2016 when his skull was discovered via DNA matching. In the months before his disappearance, Ben developed symptoms c…

psychiatrygeneral practicesystemdelayquetiapine
WAcommunity2017-01-05

Inquest into the Death of Radinka MIHAJLOVIC

47y · Female·Multiple injuries from being struck by a train; death determined to be suicide

A 47-year-old woman with bipolar affective disorder and PTSD, originally from Bosnia, died by suicide by stepping in front of a train on 1 May 2012. She was subject to a Community Treatment Order at the time. Critical cl…

psychiatrygeneral practicecommunicationsystemolanzapine
VICmental health2014-02-10

Finding into death of Frank (Francesco) Sette

72y · Male·Cranial fracture and intracranial haemorrhage from self-inflicted fall

Frank Sette, a 72-year-old man with longstanding schizophrenia, died from a cranial fracture and intracranial haemorrhage sustained when he deliberately threw himself backwards onto the floor of a psychiatric ward. He wa…

psychiatrygeriatric medicinesodium valproate
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary trea…

psychiatrydiagnosticcommunicationdiazepam
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

Two psychiatric inpatients (SH, 25-year-old female; AW, 24-year-old male) died by suicide by jumping from the Buranda car park across from Princess Alexandra Hospital's Mental Health Unit within a 10-month period despite…

psychiatrydiagnosticcommunicationhaloperidol
VIChome2010-03-17

Finding into death of Paul Gledhill

37y · Male·smoke inhalation

Paul Gledhill, a 37-year-old man with schizophrenia managed by community mental health services on a Community Treatment Order, died from smoke inhalation in an accidental house fire. He had a blood alcohol level of 0.23…

psychiatryforensic medicineflupenthixol
QLDcommunity2006-12-15

Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane

asphyxia sequential to hanging (all three cases); Charles Barlow: schizophrenia …

Three linked suicide cases spanning February 2004 to October 2005 in Far North Queensland mental health services. Charles Barlow (36, Aboriginal) was denied admission despite requesting transfer to Cairns Base Hospital M…

psychiatrygeneral practicediagnosticcommunicationflupenthixol
WAhospital2005-02-04

Inquest into the Death of Alexander Albert Steinbrenner

36y · Male·Multiple injuries sustained from intentional jump from cliff top

Alexander Albert Steinbrenner, a 36-year-old man with schizo-affective disorder, died from multiple injuries sustained when he jumped from an 11-metre cliff at the Roundhouse in Fremantle on 27 February 2004. He was an i…

psychiatryemergency medicineflupenthixol

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