Coronial

301 results for psychotic disorder

VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighte…

psychiatrydiagnosticsystemrisperidone
WA2000-02-11

Inquest into the Death of Sean Kevin Hayes

24y · Male·plastic bag asphyxiation

Sean Kevin Hayes, a 24-year-old male remand prisoner, died from plastic bag asphyxiation in his cell at Canning Vale Remand Centre in Western Australia on 20-21 August 1997. He had a history of psychiatric illness, previ…

psychiatrycorrectional healthsystemcommunicationstelazine
SAhospital2005-04-07

Coroner's Finding: HARRIS Margret Lillian

48y · Female·Chronic Obstructive Airway Disease

Margret Lillian Harris, aged 48, died of chronic obstructive airway disease while detained under the Mental Health Act at Royal Adelaide Hospital. She had longstanding COAD, right heart failure, chronic hypoxia and cyano…

psychiatryrespiratory medicinediuretics
VICmental health2015-02-02

Finding into death of CB

27y · Female·hanging

A 27-year-old woman with borderline personality disorder and adjustment disorder died by hanging while voluntarily admitted to a psychiatric inpatient unit. She h…

psychiatryemergency medicinediagnosticcommunicationquetiapine
QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

… died from a self-inflicted gunshot wound to the head. He had been prescribed risperidone and prozac for psychotic symptoms and was experiencing significant paranoid delusions on the morning of his death. Post-mortem to…

psychiatryforensic medicinemethamphetamine
NSWhome2021-04-30

Inquest into the deaths of Gabriella THOMPSON and Tafari WALTON

27y · Male·Gabriella: Multiple stab wounds; Tafari: Gunshot injuries to the head and abdome…

…ortunity to intervene. Critical clinical and system factors in Tafari's case (22 years old, mental health disorder, substance misuse) were inadequately managed: he admitted drug use on parole but was not subjected to man…

psychiatrygeneral practicecommunicationsystemmethamphetamine
WAmental health2024-03-07

Inquest into the Death of Petya Evgenieva PETROVA-CIZEK

41y · Female·ligature compression of the neck (hanging)

…tric patient at Bentley Health Service Ward 6 on 16 December 2020. She had been admitted following acute psychotic symptoms with paranoia and suicidal ideation. The coroner found multiple inadequacies in her care: failu…

psychiatrydiagnosticcommunicationescitalopram
QLDcommunity2025-02-11

Inquest into the death of Mohamad Ikraam Bahram

24y · Male·Multiple gunshot wounds

… an unprovoked assault on a tourist. He had presented five days prior to a psychiatrist who saw no acute psychotic symptoms and continued assertive community management. Critical systemic issues identified: excessive ps…

psychiatryforensic medicinesystemcommunicationaripiprazole
NSWaged care2016-12-16

Inquest into the death of Frederick PEISLEY

58y · Male·blunt force head injury

Frederick Peisley, an Aboriginal man with acquired brain injury and schizoaffective disorder, died from a head injury after falling from stairs at an aged care facility. Critical failures included p…

psychiatrygeneral practicecommunicationsystempaliperidone
WAcommunity2017-09-06

Inquest into the Death of James Michael Chee Ming YUNG

42y · Male·Multiple injuries sustained in motor vehicle crash

A 42-year-old man with schizoaffective disorder subject to a Community Treatment Order died in a single-vehicle motor crash in rural Western Australia. H…

psychiatryemergency medicinedelaysystempaliperidone depot
WA2017-03-07

Inquest into the Death of Barry Matt STUART

49y · Male·ligature compression of the neck (hanging)

…clinical lessons include: (1) maintaining psychiatric continuity of care is essential for prisoners with psychotic symptoms and depression, particularly regarding medication decisions; (2) when psychiatric review is del…

psychiatrygeneral practicemedicationsystemolanzapine
WA2019-05-22

Inquest into the 5 Deaths in Casuarina Prison who are Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM

Male·Multiple: ligature compression of neck (hanging) in four cases; incised injury t…

…rison Counselling Service (PCS) and mental health staffing despite known high prevalence of mental health disorders (40% with mood/anxiety disorders, 38% with personality disorders); over-reliance on prisoner denials of …

psychiatrypsychologysystemcommunication
SAmental health2010-05-07

Coroner's Finding: DOBRIJEVIC Sofija

73y · Female·neck compression by ligature

…ward at Glenside Hospital. She had chronic pain since a 2002 fall, depression, and histrionic personality disorder. Two days before her death, she told her son she would be 'found dead tomorrow' and he would 'be planning…

psychiatrygeriatric medicinecommunicationdiagnosticrisperidone
SAhome2002-01-03

Coroner's Finding: THOMSON Wayne Mark

47y · Male·neck compression due to hanging

Wayne Mark Thomson, aged 47, died by hanging on 14 February 2000. He made multiple attempts to seek help for suicidal ideation in the preceding three days, including visiting his GP, calling a crisis assessment service (…

general practicepsychiatrydiagnosticcommunicationfluoxetine
NSWhome2025-05-09

Inquest into the death of Malcolm Brown

33y · Male·sharp force injuries of the neck

Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to his neck on 29 June 2022 following a NSW Police operation.…

psychiatrytoxicologycommunicationdelaymethamphetamine
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

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

…ound 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 psychiat…

psychiatrycommunicationzuclopenthixol
SAhome2004-01-29

Coroner's Finding: ARANY Eva and Jeno

Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…

An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identifying he owned seven firearms and pos…

psychiatrygeriatric medicinecommunicationsystemparoxetine
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

…y died from asphyxiation due to chest and neck compression inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis and was prescr…

psychiatryemergency medicinecommunicationsystemrisperidone
QLDcommunity2024-11-04

Inquest into the death of Damon Paul William Savage

27y · Male·Multiple gunshot wounds

Damon Savage, 27, died from multiple gunshot wounds during a police response to a domestic violence incident. He had called police while assaulting his partner, armed himself with two large knives, advanced towards offic…

psychiatryemergency medicinecommunicationsystemmethamphetamine
NSWhospital2021-05-07

Inquest into the death of Channa

26y · Male·multiple injuries from fall from height

A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his allocated case manager, confirmed accommodation, or drug and alcohol intervention. …

psychiatryemergency medicinecommunicationdelaypaliperidone
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