Coronial

113 results for serious mental illness

ACThospital2023-05-19

Inquest into the death of NICOLE LOUISE ABBOTT

43y · Female·Complications of morbid obesity, including progressive respiratory and cardiac f…

…ment Order for schizophrenia at time of death. The coroner found care provided by Calvary Hospital and ACT Mental Health Services was appropriate. While her father raised concerns about antipsychotic medication (zuclopen…

psychiatrycardiologyzuclopenthixol
VIChome2021-02-25

Finding into death of MrP

24y · Male·Gunshot wound to the head

…r-old man with bipolar disorder and ADHD died by gunshot wound to the head approximately 5 months after a serious suicide attempt by overdose. He had been assessed as fit to hold a firearms licence by his treating psych…

psychiatrygeneral practicediagnosticsystemmethylphenidate
NSWcommunity2022-08-04

Inquest into the death of Brian Liston

51y · Male·Stab wound to the heart

…cember 2015. Cahill suffers severe treatment-resistant schizophrenia and was found not guilty by reason of mental illness. The inquest examined whether his community mental health care was adequate. Expert evidence from …

psychiatrytoxicologyclozapine
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…revealed critical hypoxemia (pO2 48mmHg, PaCO2 100mmHg) following midazolam administration. Despite these serious findings suggesting respiratory compromise, he was transferred to the mental health ward where acute medi…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
VIChospital2014-02-10

Finding into death of Glenn Stewart Hayes

36y · Male·Hypoxic/ischaemic encephalopathy and hanging

…cephalopathy. He had experienced major life stressors including business failure, relationship breakdown, serious pending criminal charges, and a sporting injury ending his competitive career. In the preceding days, he …

intensive careemergency medicinediagnosticsystemmethamphetamine
VIC2013-06-24

Finding into death of John William McPherson

52y · Male·Unascertained causes; likely drowning in the Latrobe River

…icidal ideation (including being found wet near the river). He had received electroconvulsive therapy at a mental hospital. On the evening of his disappearance, his car was found parked on a dirt track near the Latrobe R…

VIChospital2016-06-15

Finding into death of Patricia Mary Russell

76y · Female·Aspiration pneumonia complicating catatonia and depression in the setting of met…

…epression, died from aspiration pneumonia at St Vincent's Hospital. She was a compulsory patient under the Mental Health Act after presenting in a catatonic state refusing oral intake. She aspirated on 20 August 2015 and…

psychiatrypalliative care
VIChome2010-08-23

Finding into death of PC

20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …

…m pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiepin 300mg daily by a psychi…

general practicepsychiatrydiagnosticmedicationdosulepin
SAhospital2000-09-22

Coroner's Finding: FISHER Judith Mary

62y · Female·ventricular fibrillation associated with congestive cardiomyopathy

A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety follo…

psychiatrycardiology
VICcommunity2024-04-19

Finding into death of Michael Molony

68y · Male·Unknown; likely suicide by unknown means

…er withdrawal on 3 January 2020. Police investigation found no evidence he was receiving medical care for serious illness at time of disappearance. The coroner found he likely died by suicide on or about 4 January 2020,…

oncologypublic healthcommunication
VIC2015-09-24

Finding into death of Jason Govan

26y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…-on collision on the Princes Freeway when the opposing driver, suffering untreated schizophrenia and other mental health conditions, drove the wrong way on the freeway at approximately 154 km/h after a police pursuit las…

psychiatryemergency medicinediagnosticsystem
TAShome2018-09-07

Coroner's Finding: Dick, Braiden Taylor

18y · Male·asphyxia due to hanging

An 18-year-old man with a long history of mental health difficulties including depression, schizophrenia, and bipolar disorder died by hanging. He had made…

psychiatryMDMA
VICcommunity2014-12-12

Finding into death of John Raymond Gilbett

54y · Male·hanging

…11 September 2011. He had chronic pain and opioid dependence managed by general practitioners, and chronic mental illness from a 2001 motor vehicle accident. His GP prescribed varenicline (Champix) for smoking cessation …

general practicepsychiatryvarenicline
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

… have better informed clinical decisions. Key clinical lessons include: integrated management of comorbid serious mental illness and respiratory disease is complex; fluctuating low oxygen saturations may represent artif…

psychiatryrespiratory medicinedelaysystemolanzapine
VICcommunity2015-10-06

Finding into death of Gregory Anderson

54y · Male·gunshot wound to the chest

…ate with OC spray. Constable Hester discharged his firearm believing Anderson posed an imminent threat of serious injury or death. The coroner found the police response was lawful, appropriate, and consistent with Victo…

psychiatryforensic medicinediagnosticsystemdiazepam
VIC2025-09-24

Finding into death of Bryan Pham

24y · Male·multiple injuries and chest compression asphyxia (train strike)

…y, yet received only a superficial assessment by a nursing staff member who did not thoroughly explore his mental state or arrange adequate community supports. Key clinical lessons: (1) ensure psychiatric referrals are r…

psychiatrycorrectional healthcommunicationsystemmethamphetamine
SAhome2000-09-15

Coroner's Finding: DONAGHEY Luke Francis

26y · Male·.357 magnum gunshot wounds to the chest and abdomen

Luke Donaghey, a 26-year-old man with untreated psychotic illness, was shot by police after threatening his parents with a knife. Critical clinical lesson: his general pra…

general practicepsychiatrydiagnosticcommunicationhaloperidol
NSWprison2021-06-11

Inquest into the death of F

49y · Male·hanging

…te psychiatric and nursing review in his final years. Expert evidence unanimously concluded that custodial mental health resources were insufficient and fundamentally unsuitable for managing his complex, enduring illness

psychiatrycorrectional healthcommunicationsystemolanzapine
NSWcommunity2018-07-27

Inquest into the disappearance and suspected death of Kellie Anne Levitski

38y · Female·Unable to be determined

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

psychiatrysystemdelay
VIChospital2017-12-07

Finding into death of Waisele Qalubau

39y · Male·Complications of large bowel pseudo-obstruction

A 39-year-old man with schizo-affective illness, hepatic cirrhosis, and substance abuse history died from complications of large bowel pseudo-obstruction…

psychiatrygastroenterologyclozapine

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