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VICmental health2017-04-07

Finding into death of Natasha Calleja

32y · Female·combined drug toxicity, mainly heroin

Natasha Calleja, 32 years old, died from combined drug toxicity (mainly heroin) while an involuntary inpatient at Swanston Centre psychiatric unit after her de facto partner supplied heroin during an unsupervised visit. …

psychiatryemergency medicinecommunicationsystemheroin
VICcommunity2016-11-29

Finding into death of Phillip Richard Anderson

32y · Male·Complications of mixed drug use

A 32-year-old man with schizoaffective disorder and polysubstance abuse disorder died from complications of mixed drug use after boarding a train in an intoxicated state. He remained slumped in a train seat for nearly th…

psychiatryforensic medicinecommunicationzuclopenthixol
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxicated. Despite police concerns, family requests for adm…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VIChome2016-06-06

Finding into death of Jim Zanis

33y · Male·Mixed drug toxicity (heroin, buprenorphine and benzodiazepines)

A 33-year-old man with polysubstance abuse disorder and mental illness died from mixed drug toxicity (heroin, buprenorphine, and benzodiazepines). He engaged in 'prescription shopping' across multiple medical practices, …

general practiceemergency medicinediagnosticcommunicationheroin
VICmental health2016-04-20

Finding into death of Chris Pravin Prasad

51y · Male·undetermined natural causes

Chris Prasad, a 51-year-old involuntary psychiatric inpatient with schizoaffective disorder, diabetes type 2, hypertension, and obesity (BMI 30.8), was granted day leave on 17 January 2013 during extreme heat (38°C) at C…

psychiatrygeneral medicinemedicationdiagnosticpaliperidone
WAhome2016-02-15

Inquest into the Death of John Stephen PASSMORE

53y · Male·ligature compression of the neck (hanging)

John Stephen Passmore, a 53-year-old man with severe treatment-resistant paranoid schizophrenia, died by suicide while on community leave from psychiatric hospital. He had been an involuntary patient at Graylands Hospita…

psychiatryrehabilitation medicineolanzapine
VIChome2016

Finding into death of Alexander James McCulloch

35y · Male·Complications of morbid obesity in a man with cardiomegaly and schizophrenia

Alexander McCulloch, a 35-year-old man with schizophrenia, morbid obesity (BMI 45), and cardiomegaly, was found dead in bed. Autopsy attributed death to complications of morbid obesity with cardiomegaly and schizophrenia…

psychiatrygeneral practicecommunicationsystemfluphenthixol decanoate
VIChospital2015-10-14

Finding into death of Marc Phillip Vella

39y · Male·Infective endocarditis, with intravenous drug use as a contributing factor

Marc Vella, a 39-year-old man with schizophrenia and intravenous drug use, presented to St Vincent's Hospital with respiratory symptoms and chest pain. Clinical assessment identified pneumonia, septicaemia, and possible …

emergency medicinegeneral medicinemethamphetamine
WAhome2015-09-02

Inquest into the Death of Priscilla Fay STEPHENSON

28y · Female·combined drug toxicity (heroin and prescribed psychiatric medications)

Priscilla Stephenson, a 28-year-old Aboriginal woman with longstanding mental illness and polysubstance abuse, died from combined drug toxicity (heroin plus prescribed psychiatric medications) shortly after discharge fro…

psychiatryemergency medicineheroin
VICmental health2015-07-03

Finding into death of Anthony Travaglini

40y · Male·combined drug toxicity in a man with asthma (undiagnosed) and sleep apnoea

Anthony Travaglini, a 40-year-old with schizoaffective disorder, severe sleep apnoea, and undiagnosed asthma, died from combined drug toxicity on a psychiatric high-dependency unit. Critically, his earlier clinical recor…

psychiatryrespiratory medicinesystemcommunicationzuclopenthixol
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

37y · Male·Hanging, self-inflicted with intention of taking own life

A 37-year-old man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on…

psychiatrycommunicationzuclopenthixol
VIChome2015-05-31

Finding into death of Suzanne Berg

62y · Female·unascertained

Suzanne Berg, a 62-year-old woman with schizophrenia, died in her home between January and May 2013 with an unascertained cause. She had a long history of disengaging from treatment despite having medication-controlled d…

general practicepsychiatrysystemzuclopenthixol
VICmental health2015-05-29

Finding into death of Majang Ngor

23y · Male·Hanging

Majang Ngor, a 23-year-old man in custody at Thomas Embling Hospital's Argyle Unit following arrest for serious criminal offences, died by hanging in a disabled bathroom on 24 June 2013. He was admitted under the Mental …

psychiatryemergency medicinesystemcommunicationamisulpride
VICmental health2015-05-27

Finding into death of Waldemar Ariel Ogon

45y · Male·spontaneous lethal arrhythmia arising from focal myocardial fibrosis

45-year-old man with bipolar disorder admitted to psychiatric unit involuntarily died from spontaneous lethal arrhythmia due to focal myocardial fibrosis. Critical issue was inadequate visual observations overnight—the p…

psychiatryforensic medicinecommunicationsystemolanzapine
VICmental health2014-12-23

Finding into death of David John McLeod

58y · Male·Cardiomegaly and severe single vessel coronary artery atherosclerosis in a man w…

David John McLeod, a 58-year-old man with schizoaffective disorder, was admitted to a psychiatric inpatient unit on 21 August 2012 following mental health deterioration. He presented with signs of infection, received app…

psychiatrygeneral medicinerisperidone
VIChome2014-08-06

Finding into death of Steven Simon Karastavrou

48y · Male·Cardiomegaly and fatty liver in a man with alcohol intoxication

Steven Karastavrou, a 48-year-old man with paranoid schizophrenia, poly-substance abuse (alcohol, cannabis, amphetamines), hypertension, high cholesterol, and diabetes, died suddenly at home from cardiomegaly and fatty l…

psychiatrygeneral practicezuclopenthixol
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

31-year-old with bipolar disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment Order and his treating team reduced his antipsychotic dose while he deteriorated…

psychiatryemergency medicinediagnosticcommunicationquetiapine
VICcommunity2013-05-08

Finding into death of Marella Johnson

32y · Female·Bilateral haemothoraces with multiple rib fractures and fracture dislocation of …

Marella Johnson, a 32-year-old Aboriginal woman with schizophrenia and schizoaffective disorder, was involuntarily admitted to Alexander Bayne Centre on 17 February 2008 after presenting to Echuca Regional Health intoxic…

psychiatryemergency medicinesystemdelayzuclopenthixol
VICmental health2013-02-11

Finding into death of Geoffrey Edward Farrow

67y · Male·Hypertensive cardiomegaly and ischaemic heart disease

Geoffrey Edward Farrow, 67, with long-standing untreated hypertension and schizophrenia, was arrested after making threats at Federal Police offices. He was admitted involuntarily to John Cade Psychiatric Unit under the …

psychiatryintensive careolanzapine
NSWcommunity2012-09-05

Inquest into the death of Lynda Vanessa CLIFFORD

29y · Female·respiratory depression as a result of the interaction of prescribed medications

A 29-year-old woman with mental illness and substance use was admitted to hospital with psychosis and suicidality. She was discharged on six CNS-depressant medications including three antipsychotics, an antidepressant, a…

psychiatrygeneral practicecommunicationsystemclozapine

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