Coronial

20 results for antipsychotic depot injection

NSWcommunity2018-07-27

Inquest into the disappearance and suspected death of Kellie Anne Levitski

38y · Female·Unable to be determined

…her's property near Bega, NSW. She had schizoaffective disorder requiring intensive mental health support, depot antipsychotic injections, and multiple medications. Discharged from Canberra Hospital on 7 March 2014 with…

psychiatrysystemdelay
VICcommunity2017-09-13

Finding into death of Luis Lopez

52y · Male·hanging

…t when Lopez failed to attend a clinic appointment. The following day, psychiatric nurses administered his depot antipsychotic injection at home; Lopez appeared calm, cooperative, and denied concerns. He left the flat t…

psychiatryemergency medicinepaliperidone
TASmental health2017-05-04

Coroner's Finding: Harris, Stephen Russell

56y · Male·Probable cardiac arrhythmia

…ncer Clinic on 18 December 2014. He presented with agitation and head injury after missing his monthly antipsychotic injection and likely becoming non-compliant with oral medications. An ECG showed apparent QT prolongat…

psychiatrycardiologypaliperidone depot
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…ve-making offences. He was subject to concurrent bail conditions and a Community Treatment Order requiring depot risperidone injections and forensic counselling. Smith rejected his mental illness diagnosis, refused anti…

psychiatryforensic medicinemedicationcommunicationrisperidone
VICcommunity2013-02-14

Coroner's Finding: Peter Raven Fisher

55y · Male·Immersion

…odation without a Community Treatment Order, despite a recent suicide attempt, he missed his scheduled antipsychotic injection appointment on 27 February. No coordinated system existed to alert the treating team of miss…

psychiatrygeneral practicecommunicationsystemsertraline
ACThome2023-06-28

Inquest into the death of LIAM FLETCHER MOORS

46y · Male·Acute purulent pericarditis as a consequence of an infected injection, in the co…

…anding methamphetamine use died of acute purulent pericarditis secondary to a self-administered infected injection. He was subject to a Psychiatric Treatment Order at the time of death. The coroner found that ACT Mental…

psychiatryforensic medicinemethamphetamine
TAS2024-10-03

Coroner's Finding: Martin, Thomas David Findings

33y · Male·ketoacidosis, likely alcoholic ketoacidosis

…ght loss, and apparent neurological symptoms. Mental health services conducted welfare checks and provided depot injection on 29 March. Common Ground staff performed wellness checks on 1-2 April after concerns raised by…

psychiatrygeneral practicealcohol
VICcommunity2021-03-10

Finding into death of Casey Evan Cahill

19y · Male·Multiple injuries sustained on a train impact (pedestrian)

…cohol. He was enrolled in the Headspace Youth Early Psychosis Program and was receiving treatment with antipsychotic medication (aripiprazole depot). Key clinical lessons include: the importance of early identification …

psychiatryaddiction medicinesystemalcohol
WAhome2025-06-24

Inquest into the Death of Leighton Michael WOOD

44y · Male·bronchopneumonia in the setting of combined drug effect

…methylamphetamine, cannabis). He was appropriately managed on a Community Treatment Order with fortnightly depot antipsychotic injections, regular case management, and psychiatric review. The coroner found his care was …

psychiatrypathologyzuclopenthixol decanoate
SAcommunity2011-12-22

Coroner's Finding: HYNES Simon Christopher

41y · Male·acute neck compression due to hanging

…Act continuing detention order. He had a 20-year history of schizoaffective disorder requiring ongoing antipsychotic medication and community treatment orders. Despite being subject to a community treatment order requir…

psychiatryforensic medicinedelaycommunication
VICcommunity2017-12-15

Finding into death of Charlie Zarkadis

54y · Male·Heroin overdose

…se in a squatter house in Collingwood. He had been discharged from psychiatric hospital six weeks prior on depot antipsychotic therapy and was under community mental health care. On the day of death, he obtained heroin …

psychiatryforensic medicineheroin
SAcommunity2025-04-30

Coroner's Finding: Foster, Michelle Stephanie

36y · Female·head injury

…ex series of missed opportunities in mental healthcare management. Key failures included: cessation of antipsychotic depot medication in April 2017 without adequate monitoring plan; failure to review historical clinical…

psychiatryemergency medicinediagnosticcommunicationaripiprazole
VIChospital2026-05-19

Finding into death of Edward Timothy Peterson

25y · Male·Head injury sustained on impact with a train

Edward Timothy Peterson, aged 25, was involuntarily admitted to Maroondah Hospital's psychiatric unit on 11 February 2021 with first episode psychosis. Clinical care by psychiatrist Dr C. was appropriate: medications wer…

psychiatrysystempaliperidone
VICcommunity2014-08-25

Finding into death of Travis Joseph Hartskeerl

32y · Male·Head and neck trauma (train impact)

…had been discharged from Peninsula Health community mental health services to GP care in April 2008 on antipsychotic depot injections, antidepressants, and anticholinergics. Critically, Travis ceased depot injections af…

psychiatrygeneral practicecommunicationsystemzuclopenthixol decanoate
VIC2021-04-28

Finding into death of Mohamed Omar

30y · Male·neck compression

Mohamed Omar, a 30-year-old man with schizophrenia, died in Melbourne Assessment Prison on 25 June 2017 from neck compression while on remand. He had a history of command auditory hallucinations instructing self-harm, re…

psychiatrycorrectional healthflupenthixol depot injection
WAcommunity2024-08-13

Inquest into the Death of Amy Rebecca DEANE-JOHNS

48y · Female·Combined drug toxicity (predominantly methadone)

Amy Rebecca Deane-Johns, aged 48, died from combined drug toxicity predominantly involving methadone that she had taken without knowledge or authorization. She had a long history of mental illness with 18 inpatient admis…

psychiatrymethadone
WAcommunity2024-06-26

Inquest into the Death of Peter James WILSON

41y · Male·complications in association with effects of fire, with terminal palliative care

…f discharge summary to community service; absence of written information about diagnosis, new paliperidone depot injection, and potential medication side effects; and lack of weekend follow-up despite Friday discharge. …

psychiatryintensive carecommunicationsystempaliperidone
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

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

… found hanging on City Hill on 15 February 2010. His toxicology showed therapeutic levels of Clopixol (antipsychotic) and below-threshold cannabis. He was receiving fortnightly Clopixol injections and had regular psychi…

psychiatrycommunicationzuclopenthixol
NThome2013-10-15

Inquest into the death of Gwyyneth Cassiopeia-Roennfeldt

36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…

…nflicted by her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky had been non-compliant with antipsychotic medication for 3.5 months before the fatal attack while remaining acutely psychotic and experiencing p…

psychiatrysystemcommunicationantipsychotic medication
NSW2021-05-12

Inquest into the death of Jack KOKAUA

30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …

…health follow-up; and parole officer lost contact with him for seven days before death. His prescribed antipsychotic (Zuclopenthixol) dose had been missed, leaving him unmedicated for weeks. Multiple agencies failed coo…

emergency medicinepsychiatryproceduralcommunicationzuclopenthixol

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