Coronial

746 results for psychiatric treatment

SAhospital2013-03-27

Coroner's Finding: SMITH Norman Ebanezer John

54y · Male·Respiratory failure due to aspiration pneumonia and acute autonomic and sensory …

Norman Ebanezer John Smith, aged 54, a long-term psychiatric patient under guardianship, died of respiratory failure due to aspiration pneumonia and acute neuropath…

psychiatryintensive caresystemcommunicationantipsychotics
QLDmental health2015-06-10

McDonnell, Kevin Joseph John

80y · Male·Drowning

…h 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. However, his observation…

psychiatryemergency medicinedocumentationcommunicationolanzapine
NSWmental health2012-04-17

Coroner's Finding: DB

28y · Male·ligature strangulation

…rmation packages for first episode psychosis patients, emphasising formal family education on diagnosis, treatment, heightened suicide risk, and supervision requirements.

psychiatrycommunicationsystemolanzapine
SAmental health2020-12-15

Coroner's Finding: BARTON Stephen John

43y · Male·blunt neck trauma from compression of the neck

Stephen John Barton, aged 43, died from blunt neck trauma inflicted by roommate Lindon Sekrst in a psychiatric ward. Both were detained patients under Mental Health Act orders. Sekrst, a 23-year-old with paranoid i…

psychiatryemergency medicinediagnosticsystemrisperidone
NThospital2011-07-29

Inquest into the death of Nicholas Edward Spring

25y · Male·hanging

A 25-year-old university student with a complex history of schizoaffective disorder and substance misuse died by hanging during family leave from a mental health ward. He had been stable on depot antipsychotic medication…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
TASmental health2022-08-12

Coroner's Finding: Woolley, Jillian

58y · Female·aspiration pneumonia following palliative treatment for frontotemporal dementia

…or terminal frontotemporal dementia. She had been severely distressed with uncontrolled behavioural and psychiatric symptoms unresponsive to conventional treatments. After comprehensive discussion with her family, a Goa…

geriatric medicinepalliative carelevomepromazine
VICcommunityNew2026-05-29

Finding into death of EKU

53y · Female·Multiple injuries sustained in a fall from height

…ned voluntary hospital admission due to housesitting commitments and was placed on a Community Temporary Treatment Order (CTTO). Despite psychiatrist attempts to increase antipsychotic medication, she declined dose chan…

psychiatrypsychologybrexpiprazole
VIChome2025-03-14

Finding into death of Jonathan Mark Townsend

59y · Male·Unascertained

Jonathan Townsend, a 59-year-old Navy veteran with PTSD, alcohol use disorder, and multiple psychiatric comorbidities, died at home on 5 November 2021. The cause of death was unascertained despite autopsy an…

trauma surgerypsychiatrycommunicationsystemdiazepam
VICcommunity2011-12-16

Finding into death of Benita Judd

57y · Female·Multiple injuries

… his elevated mood settled during consultation; and he remained coherent and logical throughout. Expert psychiatric opinion supported Dr W.'s assessment that the driver was not psychotic or a danger to self or others. W…

psychiatry
NSW2025-03-06

Inquest into the death of Leah Jane Porter

50y · Female·hanging

…er and ADHD died by hanging in immigration detention. The coroner found her mental health monitoring and treatment were adequate, though she received only two psychiatrist reviews. Non-compliance with medication (65% ra…

psychiatrygeneral practicecommunicationsystemmethylphenidate
NSWcommunity2022-07-05

Inquest into the deaths of Darren WALLACE and T B D

Male·Darren Wallace: single gunshot wound to right side of neck. TBD: two self-inflic…

… on 14 November following serious threats at a pub. The coroner found that while TBD received intensive psychiatric treatment, his condition was significantly complicated by OMCG membership, which provided structure ini…

psychiatryemergency medicinesystemdelaysertraline
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

…iately managed his care during his final weeks, including appropriate risk assessments, medication, and psychiatric reviews. While Nolan was at baseline elevated suicide risk due to his conditions, the coroner found no …

psychiatrycorrectional healthmethadone
VIChome2018-08-06

Finding into death of Samuel Jack Morrison

24y · Male·Combined drug toxicity (heroin, benzodiazepine and others)

…e had a long history of depression, anxiety and illicit drug use, and had recently been discharged from psychiatric hospital where he received electroconvulsive therapy. Within days of discharge, he resumed using drugs …

psychiatrygeneral practicesystemdelayheroin
VIChome2016-04-04

Finding into death of Jacinta Pompei

32y · Female·Blunt force trauma to the head

…e coroner investigated whether her death was preventable from a mental health perspective. Mr Ellard had treatment-resistant paranoid schizophrenia and was under voluntary mental health treatment at Bendigo Health. The …

psychiatryforensic medicineclozapine
VICmental health2020-09-18

Finding into death of Harley Robert Larking

23y · Male·Effects of fire

Harley Larking, a 23-year-old Aboriginal man with treatment-resistant schizoaffective disorder, died from effects of fire on 13 May 2016 while absconding from a psy…

psychiatryAboriginal healthsystemdelayclozapine
VICcommunity2010-06-11

Finding into death of Kelvin Lea Swab

34y · Male·Hanging

…gstanding suicidal ideation, died by hanging on 12 October 2008, shortly after discharge from inpatient psychiatric care. He was assessed on 3 October and 10 October 2008 by Dr R. and RPN Jones at Waverley Clinic (Easte…

psychiatrycommunicationdiazepam
WAhome2026-05-27

Inquest into the Death of Martin Carl QUITERIO

59y · Male·Multiple injuries

…from the 14th floor of a car park in West Perth. He had been discharged five days earlier on a Community Treatment Order following a 45-day hospital admission. On the morning of his death, after receiving a phone call a…

psychiatrygeneral practicesystemcommunicationhaloperidol
SAhome2000-07-07

Coroner's Finding: EDGELL Debby

39y · Female·neck compression due to hanging

…ultiple past suicide attempts died by hanging at home on 11 February 1998. She had been discharged from psychiatric hospital 7 days earlier after a brief admission. On the evening of her death, she called a mental healt…

psychiatryemergency medicinesystemvenlafaxine
QLDmental health2007-06-20

Liddell, Matthew John

28y · Male·hypoxic encephalopathy secondary to hanging

…t-traumatic stress disorder and depression following the 1998 HMAS Westralia fire, died by hanging in a psychiatric hospital. He had been admitted on 8 November 2003 after separation from his de facto wife triggered acu…

psychiatryemergency medicinecitalopram
TAScommunity2025-06-30

Coroner's Finding: de-identified IB

21y · Male·drowning

…on increased antipsychotic medication, he was transferred to Mistral Place, a community-based step-down psychiatric facility, on 29 May 2019 under a Treatment Order. Staff documented improvement, denied suicidal ideatio…

psychiatryemergency medicinearipiprazole
115161738

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