Coronial

301 results for psychotic disorder

QLDhospital2007-01-10

West, Ian Leslie

26y · Male·bronchopneumonia following severe head injury

Ian Leslie West, a 26-year-old man with bipolar affective disorder, died from bronchopneumonia following severe head injury sustained when he fell from a hospital balcony o…

psychiatryemergency medicinemedicationcommunicationacuphase
VICmental health2022-12-21

Finding into death of Kai Wesley Wu

23y · Male·Injuries sustained when struck by train

…e psychiatric management and good clinical care, he experienced medication side-effects and intermittent psychotic symptoms. On 10 February 2018, while on approved escorted leave with his father, he was left alone to bu…

psychiatrycommunicationsystemhaloperidol
VICprison2014-01-24

Finding into death of Adam Sasha Omerovic

40y · Male·Ligature compression of the neck in circumstances of being hanged

Adam Omerovic, a 40-year-old man with a long history of depression, substance abuse, and prior suicide attempts, died by hanging in a Melbourne Assessment Prison cell on 23 March 2010. He had been remanded on armed robbe…

psychiatrycorrectional healthdiagnosticsystemescitalopram
NSW2018-07-13

Inquest into the death of Fenika Junior Tautuliu Fenika (Junior Fenika)

24y · Male·Massive blood loss caused by incised wounds of left upper extremity

A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He calle…

psychiatryemergency medicinecommunicationsystemamisulpride
WAmental health2024-07-19

Inquest into the Death of Phillip Benjamin VELTMAN

49y · Male·Unascertained - cardiac arrhythmia with terminal aspiration in an overweight man…

Phillip Veltman, 49, died of unascertained cause (likely cardiac arrhythmia with terminal aspiration) while an involuntary psychiatric patient at Bentley Mental Health Services. He presented to Royal Perth Hospital ED on…

psychiatryemergency medicinecommunicationsystemketamine
VIChome2023-10-12

Finding into death of Amanda Jane Harris

36y · Female·Stab wound to the right chest

…rris multiple times, set fire to the home, and was arrested. Two forensic psychiatrists concluded he was psychotic at the time. The coroner found the GP's prescribing of high-dose tramadol over 22 months without special…

general practicepain medicinemedicationcommunicationtramadol
VIChome2022-09-07

Finding into death of Kim Rebecca Lynch

41y · Female·neck compression

Kim Lynch, 41, died from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence inc…

psychiatryemergency medicinecommunicationsystemmethadone
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

Gerard Guy Vaz, a 61-year-old man with bipolar disorder, obstructive sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with …

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
SA2006-04-28

Coroner's Finding: WALKER Darryl Kym

31y · Male·hanging (self-inflicted)

Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an isolated management unit (Unit 7) on 1 June after …

psychiatrygeneral practicediagnosticcommunicationchlorpromazine
VICcommunity2022-12-01

Finding into death of Gabriel Messo

30y · Male·Gunshot wounds to the chest

Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mot…

psychiatryemergency medicinecommunicationsystem
NSW2024-05-21

Inquest into the death of Mohamed Warwar

35y · Male·cardiac arrhythmia with amisulpride toxicity, and myocarditis being contributory…

35-year-old Mohamed Warwar died in custody at Metropolitan Remand & Reception Centre from cardiac arrhythmia with amisulpride toxicity and myocarditis. He was admitted to custody with a history of mental health issues an…

psychiatrycardiologycommunicationdiagnosticamisulpride
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

…family and treating psychiatrist should guide assessment alongside patient's presentation; patients with psychotic illnesses may minimise symptoms; junior clinicians managing complex psychiatric presentations should con…

psychiatryemergency medicinediagnosticcommunicationdiazepam
WA2026-04-28

Inquest into the Death of Corey Desmond DEVREE

41y · Male·Ligature compression of the neck (hanging) and penetrating sharp force injury (s…

Corey Desmond Devree, aged 41, died by suicide in Bunbury Regional Prison on 14 October 2024 through ligature compression of the neck and a self-inflicted stab wound to the chest. Key clinical and systemic lessons includ…

psychiatrygeneral practicediagnosticcommunication
QLDmental health2006-11-31

Jeffrey, Helen

38y · Female·Asphyxiation by plastic bag

Helen Jeffery, aged 38, died by asphyxiation using a plastic bag in Ward GE of Nambour Hospital on 24 March 2005, five days after admission for psychiatric care following a suicide attempt. The coroner found no criminal …

psychiatryemergency medicinesystemcommunication
WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

…n 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and psychotic symptoms. A triage nurse (Marcelle Rust) attempted to assist but lacked legal authority to detain him. T…

emergency medicinepsychiatrycommunicationsystemamphetamine
WAhome2024-07-31

Inquest into the Death of Joseph Charles ABELA

34y · Male·Gunshot injuries to chest and left shoulder

…dicated, he was not placed on a Community Treatment Order (CTO) and did not receive prescribed depot antipsychotic medication following releases from prison in March and July 2021. After his mother reported severe paran…

psychiatrycorrectional healthdiagnosticsystemhaloperidol
NThome2011-02-04

Inquest into the death of Emma Jane Claridge

19y · Female·neck compression due to hanging

Emma Jane Claridge, 19, died by hanging at her home on 26 September 2009, nine hours after being granted day leave from the Cowdy Ward psychiatric ward where she was a voluntary patient. She had been admitted following a…

psychiatrycommunicationsystemrisperidone
SAhospital2005-05-24

Coroner's Finding: WALLACE-MOHLMANN Candice Mackenzie

30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…

…ed under Mental Health Act detention for acute psychosis. Critical clinical lessons include: (1) her antipsychotic medication was inadequate despite florid psychosis; (2) she required one-to-one nursing observation but …

psychiatryemergency medicinediagnosticmedicationvecuronium
WAcommunity2017-09-06

Inquest into the Death of Mamadou Hady DIALLO

39y · Male·multiple injuries from motor vehicle collision

…der died by suicide in a head-on motor vehicle collision. He had been appropriately managed on depot antipsychotic medication with generally good psychiatric care. However, a critical gap occurred when his GP (Dr C.), l…

psychiatrygeneral practicecommunicationdiagnosticrisperidone
QLDmental health2015-06-10

McDonnell, Kevin Joseph John

80y · Male·Drowning

An 80-year-old man with severe depression, suicidal ideation, and probable vascular dementia died by drowning after leaving a psychiatric ward. He was appropriately treated with ECT, medication, and placed on an ITO. How…

psychiatryemergency medicinedocumentationcommunicationolanzapine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.