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WAhome2017-06-29

Inquest into the Death of Ejub MEHINOVIC

50y · Male·coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia

Ejub Mehinovic, a 50-year-old man with treatment-resistant paranoid schizophrenia managed on clozapine, died from coronary artery atherosclerosis causing sudden fatal cardiac arrhythmia. He was under a Community Treatmen…

psychiatrygeneral practicedelayclozapine
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 Psychiatric M…

psychiatrygeriatric medicinesystemcommunicationsertraline
SA2017-06-28

Coroner's Finding: MCCONNAL Brenton Winton

47y · Male·gunshot wound of the head (self-inflicted)

A 47-year-old man with delusional disorder was discharged from mental health detention with a firearm prohibition order. He attended a commercial firing range and fatally shot himself. The coroner found his death was pre…

psychiatryforensic medicinesystemcommunicationpaliperidone
QLDaged care2017-06-09

DR - Non-inquest findings

46y · Female·Dilated cardiomyopathy (acute complication with sudden cardiac arrhythmia)

A 46-year-old woman with bipolar/schizoaffective disorder, poorly controlled type 2 diabetes, morbid obesity, severe obstructive sleep apnoea, and pulmonary hypertension died from acute dilated cardiomyopathy with sudden…

general medicineemergency medicinecommunicationsystemquetiapine
NSWmental health2017-06-09

Inquest into the death of Ahlia RAFTERY

18y · Female·neck compression due to hanging

An 18-year-old female with depression and anxiety was admitted to a psychiatric intensive care unit (PICU) following acute suicidal ideation. Clinically significant issues included: inadequate communication of previous s…

psychiatrydiagnosticcommunicationfluoxetine
NSWcommunity2017-06-09

Inquest into the disappearance and suspected death of Katherine ACKLING-BRYEN

37y · Female·open finding - undetermined

Katherine Ackling-Bryen disappeared on 19 February 2016 and is presumed dead. She had a history of schizophreniform psychosis with a 2013 hospitalisation during which she expressed suicidal ideation. Post-discharge, she …

psychiatrygeneral practicesystemcommunicationanti-psychotic medication
TAScommunity2017-05-04

Coroner's Finding: Higgins, Elizabeth Ann

61y · Female·Drowning due to asphyxia from saltwater ingestion

Ms Elizabeth Ann Higgins, aged 61, drowned at Little Howrah Beach on 14 March 2011. The coroner found she was an inexperienced swimmer who entered water beyond her depth. While her son-in-law Mr Lacroix shouted loudly at…

general practicepsychiatrydelay
NSWcommunity2017-05

lindt cafe findings-and-recommendations

Tori Johnson: executed by gunshot wound inflicted by Man Haron Monis; Katrina Da…

On 15-16 December 2014, Man Haron Monis took 18 hostages at the Lindt Café in Sydney's Martin Place, claiming Islamic State affiliation and possession of explosives. Over 16.5 hours, police negotiators attempted peaceful…

psychiatryemergency medicinecommunicationsystem
VIChome2017-04-19

Finding into death of Lauren Pilkington

20y · Female·Asphyxia secondary to inhalation of helium

Lauren Pilkington, a 20-year-old postgraduate student, died by asphyxia from helium inhalation. She had a history of anxiety and previous suicide attempt, and was recently discharged from voluntary psychiatric admission …

psychiatrygeneral practicesystemdelayfluoxetine
NSWaged care2017-04-06

Inquest into the death of AR

29y · Male·Unascertained

AR was a 29-year-old man with autism, developmental disability and epilepsy living in a residential disability care facility. He was found unconscious and died suddenly on 30 August 2010. Initial post-mortem findings sug…

neurologypsychiatrydelayfluvoxamine
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

Bradley Karl Coolwell, a 39-year-old Indigenous Australian with schizo-affective disorder and significant comorbidities (obesity, respiratory infection, diabetes), presented to Logan Hospital after police noted concernin…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
NSWprison2017-03-31

Inquest into the death of Keith HOWLETT

49y · Male·complications of non-small cell carcinoma of the lung

Keith Howlett, 49 years old, died from complications of non-small cell carcinoma of the lung while in custody at Junee Correctional Centre after 5 weeks of incarceration. He had complex medical needs including HIV, perip…

general practiceoncologydiagnosticsystem
NSWhome2017-03-30

Inquest into the death of John Inman BALE

60y · Male·single gunshot wound to the head, self-inflicted

A 60-year-old man with bipolar disorder, depression, and recent bereavement made a 000 call stating suicidal intent with a firearm. A PoliceLink telephonist (Mr Tant) engaged him for 17 minutes in skilled de facto negoti…

psychiatryemergency medicinecommunicationsystemolanzapine
ACThome2017-03-23

AN INQUEST INTO THE DEATH OF PAP

55y · Male·Septicaemia due to hydronephrosis and infection

A 55-year-old man with complex medical and social problems died of septicaemia from renal infection. He had a history of cardiac disease requiring anticoagulation, alcohol dependence, depression, and chronic hoarding beh…

cardiologypsychiatrysystemcommunicationwarfarin
NSWhome2017-03-15

Inquest into the death of Meaghan Gardner

44y · Female·Acute bronchopneumonia complicating multi-drug toxicity (alprazolam, opiates, be…

Meaghan Gardner, a 44-year-old woman with a history of respiratory problems, pneumonia, schizophrenia, and substance abuse, died from acute bronchopneumonia complicated by multi-drug toxicity (alprazolam, opiates, benzod…

respiratory medicinepsychiatrydelaycommunicationalprazolam
WAprison2017-02-28

Inquest into the Death of Jayden Stafford BENNELL

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

Jayden Stafford Bennell, a 20-year-old Aboriginal man and sentenced prisoner at Casuarina Prison, died by ligature compression of the neck (hanging) in a cleaning storeroom on 6 March 2013. He had a complex psychiatric h…

psychiatrycorrectional healthcommunicationsystemquetiapine
VIC2017-02-28

Finding into death of Daniel Christian McKindley

40y · Male·Injuries sustained in a fall from height

Daniel McKindley, 40, died from injuries sustained in a fall from the 16-metre platform of Poppet Head Lookout tower in Bendigo. He had depression and anxiety treated by his GP with antidepressants (mirtazapine then sert…

general practicepsychiatrydiagnosticcommunicationmirtazapine
NSWmental health2017-02-28

Inquest into the death of RC

53y · Male·Gunshot wound to the head

RC, a 53-year-old man with longstanding depression, died by suicide on 15 April 2014. He was under care of Campbelltown Community Mental Health (CoMHET) when a critical clinical failure occurred: a handwritten progress n…

psychiatrypsychologycommunicationsystemlithium
VIChome2017-02-22

Finding into death of KD

56y · Male·Aspiration of gastric content secondary to combined drug toxicity

A 56-year-old de-registered doctor died from aspiration of gastric content secondary to combined drug toxicity. He had a long history of prescription drug dependency and multiple mental health issues. Two general practit…

general practicepsychiatrycommunicationsystemdiazepam
VICcommunity2017-02-20

Finding into death of Finding Peter Graham Chaucer

48y · Male·Injuries sustained when struck by a train

A 48-year-old man with mental health issues including depression and possible bipolar disorder died by suicide following train strike. He had a complex presentation with diagnostic uncertainty between bipolar affective d…

psychiatryemergency medicinecommunicationsystemlithium
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