Coronial

746 results for psychiatric treatment

NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Volume 1

40y · Male·Victims: fatal stab wounds from knife attack; Joel Cauchi: fatal gunshot wounds …

Joel Cauchi, a 40-year-old man with chronic treatment-resistant schizophrenia, carried out a stabbing attack at Westfield Bondi Junction shopping centre in Sy…

psychiatrygeneral practicecommunicationsystemclozapine
SAhospital2020-01-10

Coroner's Finding: PLAYFORD Aldona Mariana

84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…

… in June 2016 with decompensated cardiac failure and developed paranoid psychosis requiring an Inpatient Treatment Order. The psychosis initially impaired her cooperation with essential medical care, particularly diuret…

cardiologypsychiatryfurosemide
VIC2010-02-17

Finding into death of Trevor Frawley

40y · Male·gunshot wound to head

Trevor Frawley, a 40-year-old man with a history of psychiatric illness and documented suicide risk, died from a self-inflicted gunshot wound to the head while attendi…

psychiatryforensic medicinesystemcommunication
VIChome2016

Finding into death of Alexander James McCulloch

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

…udden cardiac death. The coroner identified systemic care gaps: no documented communication between his psychiatric service (Casey Continuing Care Team) and general practice (Pound Medical Centre) after March 2015, desp…

psychiatrygeneral practicecommunicationsystemfluphenthixol decanoate
WAmental health- 11 April 2014

Inquest into the Death of Gregory Laurence HUNT

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

…sing a shower hose in a bathroom on an open ward. The coroner found he received appropriate supervision, treatment and care, and there was no clinical basis for staff to anticipate suicide risk—he had no documented suic…

psychiatryemergency medicinesystem
SAhome2016-05-05

Coroner's Finding: MITTON Rodney Lyle

63y · Male·coronary artery thrombosis

A 63-year-old man with complex medical and psychiatric history died of coronary artery thrombosis while on authorized leave from psychiatric admission. He had…

psychiatrycardiologyolanzapine
QLDcommunity2016-02-05

Cooper, Paul James - Non-inquest findings

41y · Male·Hanging

Paul Cooper, a 41-year-old man with bipolar disorder, died by hanging in August 2015, eleven days after psychiatric review. He had recently commenced Isotretinoin for severe acne, which coincided with development of par…

psychiatrygeneral practicecommunicationsystemisotretinoin
TAShome2016-12-05

Coroner's Finding: Lunson, Nathan

24y · Male·mixed ethanol and prescription drug toxicity

…ing borderline personality disorder, polysubstance dependence, chronic suicidal ideation, and was under psychiatric care. After a relationship conflict on 10-11 January 2015, he consumed large quantities of alcohol and …

psychiatrypsychologyalcohol
QLD2006-10-31

Ali-Haapala, Anita

20y · Female·injuries received from a fall from the viewing platform at Perriwen Lookout at M…

…ues, presented to Nambour Hospital on 17 May 2005 expressing suicidal ideation. She was admitted to the psychiatric ward with initial diagnosis of adjustment disorder with depressed mood and anxiety. On 20 May 2005, she…

psychiatrydelaysystem
SAmental health2000-12-12

Coroner's Finding: FELSTEAD Christopher John

33y · Male·carbon monoxide poisoning consistent with inhalation of car exhaust fumes

…disorder and multiple suicide attempts died by carbon monoxide poisoning after premature discharge from psychiatric inpatient care. He was admitted to Lyell McEwin Health Service on 16 February 1999 following a serious …

psychiatryemergency medicinediagnosticcommunicationcarboxyhaemoglobin
VIChome2021-03-19

Finding into death of Jessinda Kiroyan

41y · Female·Nitrate/nitrite toxicity

…9 after intentionally ingesting sodium nitrite obtained from a food ingredient supplier. She had ceased psychiatric treatment in 2014 despite a diagnosis requiring ongoing management. The coroner's investigation identif…

psychiatryforensic medicinesodium nitrite
NSWhospital2018-05-03

Inquest into the death of Naomi Watson Ley

33y · Female·hanging, self-inflicted with intention of taking her own life

…: (1) discharge staff failed to obtain the June 2013 Northside West discharge summary documenting severe treatment-resistant depression treated with ECT, which should have prompted reconsideration of major depression as…

psychiatryemergency medicinediagnosticcommunicationmoclobemide
SAmental health2010-03-11

Coroner's Finding: SHIN Jeong

35y · Female·pulmonary thrombo-emboli

A 35-year-old woman with treatment-resistant schizophrenia detained under Mental Health Act died from pulmonary thromboembolism while an in…

psychiatryemergency medicinedelayclozapine
SAhospital2019-08-30

Coroner's Finding: SHUEARD Braydon Adrian

60y · Male·Sepsis due to pressure ulcers due to immobility on a background of advancing fro…

…art disease died from sepsis secondary to pressure ulcers while subject to a Mental Health Act inpatient treatment order. He developed sacral and heel pressure injuries while immobilised at a residential facility, despi…

psychiatrygeneral medicinehaloperidol
SA2007-09-19

Coroner's Finding: SMITH Arthur Charles

30y · Male·hanging

…d man remanded in custody, died by hanging in Yatala Labour Prison on 13 January 2005. He had a complex psychiatric history including borderline personality disorder, chronic depression, polysubstance abuse, and multipl…

psychiatrycorrectional healthsystemcommunicationmirtazapine
NSWhospitalNew2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

Simon Mackay, age 37, was admitted as an involuntary psychiatric patient on 12 July 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, compl…

psychiatryaddiction medicinepaliperidone
WA2016-10-07

Inquest into the Death of Gerardus Gerritt HEIJNE

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

… to prison authorities, as he maintained his usual facade of coping well. The coroner found supervision, treatment and care appeared appropriate at the time of death. Key clinical lessons include recognition that prison…

psychiatrygeneral practicedelaycitalopram
WAmental health2020-08-06

Inquest into the Death of Stephen Michael KELL

35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…

Stephen Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute …

psychiatrygastroenterologysystemdelayclozapine
VIC2026-03-30

Finding into death of Hari Prasad Dhakal

57y · Male·Neck compression and hanging

…schizoaffective disorder died by hanging in prison on 4 August 2024. He had been receiving antipsychotic treatment via injection (paliperidone) but ceased antipsychotic medication in May 2024. Despite multiple admission…

psychiatrygeneral practicesystemcommunicationpaliperidone
VICmental health2015-09-24

Finding into death of Elaine Elizabeth Sykes

58y · Female·Multiple injuries sustained in collision with train (pedestrian)

…discharge decision was found reasonable, the coroner identified a critical gap: Community Assessment and Treatment Team (CATT) services should have been provided given Dean's expressed concerns and imminent absence. Eig…

psychiatrygeneral medicinesystemcommunication
112131438

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