Coronial

40 results for substance-induced psychotic disorder

WAcommunity2022-12-12

Inquest into the Death of Lewis Henry Mark WESTON

22y · Male·ligature compression of the neck (hanging)

…died by suicide on 3 November 2020 while subject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsychotic medication throug…

psychiatryemergency medicineolanzapine
ACTmental health2015-06-15

AN INQUEST INTO THE DEATH OF PETER ZOVAK

46y · Male·asphyxia by hanging

…d adequately to the crisis call, causation could not be established. Key lessons: assess calls reporting psychotic symptoms thoroughly, avoid relying on previous treatment refusals when acute deterioration is reported, …

psychiatryemergency medicinediagnosticcommunicationcannabis
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 ge…

general practicepsychiatrydiagnosticcommunicationhaloperidol
NSWhome2016-09-30

Inquest into the death of Terry Riordan

45y · Male·multi-drug toxicity from ingestion of methadone and amitriptyline

Terry Riordan, 45, died from multi-drug toxicity caused by ingesting amitriptyline and methadone in April 2015. He had complex medical and psychiatric comorbidities, substance abuse issues, and was under care of his GP D…

general practicepsychiatrymedicationdiagnosticmethadone
VICcommunity2014-11-28

Finding into death of Shane Kenneth Warrick

38y · Male·Multiple injuries

Mr Shane Kenneth Warrick, 38, was assessed at Sunshine Hospital's Emergency Crisis Assessment and Treatment Team (ECATT) on 25 August 2013 after reporting thoughts of harming his father. He had a complex psychiatric hist…

psychiatryemergency medicineolanzapine
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…

…the Rebels Outlaw Motorcycle Gang. TBD, a 31-year-old former ADF member with severe post-traumatic stress disorder (PTSD), alcohol use disorder, and stimulant use disorder, shot and killed Darren Wallace (32) at a servic…

psychiatryemergency medicinesystemdelaysertraline
WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

…ention and experienced progressive mental health deterioration characterised by depression, anxiety, and psychotic-like symptoms attributed primarily to prolonged detention. Critical failures included: inexperienced con…

psychiatrygeneral practicesystemcommunicationmirtazapine
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
SAmental health2025-04-17

Coroner's Finding: Furlan, Mark John & Miller, Richard John

50; 37y · Male; male·Mark John Furlan: hypoxic brain injury due to acute neck compression due to hang…

…t treatment orders at Ward 2G of Royal Adelaide Hospital. Mark Furlan (50) died in 2018 after developing psychotic depression with suicidal ideation. The coroner found he should have been under continuous rather than cl…

psychiatryemergency medicinediagnosticcommunicationescitalopram
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
WAhome2024-04-04

Inquest into the Death of Child LT (Name Subject to Suppression Order)

11y · Male·unascertained

An 11-year-old child with Cornelia de Lange Syndrome and severe congenital heart disease died alone at home while his mother was intoxicated and unwell. He had complex care needs and was non-verbal. The Department of Com…

paediatricscardiologycommunicationsystemcocaine
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
QLDhome2022-11-25

Ho, Duy Linh

41y · Male·Gunshot wounds to the head and torso

Duy Linh Ho, a 41-year-old man with long-standing substance use disorder and untreated mental health issues, died from gunshot wounds after a police response to his self-harm and…

emergency medicinepsychiatrycommunicationsystemmethamphetamine
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
WA2004-12-14

Inquest into the Death of Damien George Garlett

18y · Male·Ligature compression of the neck (hanging)

…onic suicidal ideation monitoring into acute crisis response, lack of psychiatric assessment despite his psychotic history, and poor continuity of care after counselling services separated from health services.

psychiatrypsychologydiagnosticcommunication
SAhospital2002-11-29

Coroner's Finding: RICHARDSON Corey Shane

21y · Male·Cardiorespiratory arrest associated with butane abuse by inhalation

A 21-year-old detained psychiatric patient died from cardiorespiratory arrest following deliberate butane inhalation in a hospital wardrobe. He was admitted to an open mental health ward following acute psychosis, with d…

psychiatryforensic medicinesystemcommunicationbutane
NSWcommunity2023-11-17

Inquest into the death of SB

51y · Male·Stab wounds to the chest

A 51-year-old man with documented mental health issues including psychosis, paranoia, and delusions died from self-inflicted stab wounds during a police siege at his mother's home. He had breached a domestic violence ord…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDhospital2009-03-20

Wright, Liam John and Powell, Charles Michael

Male·Multiple injuries due to train over-run (suicide by train)

Two separate suicides by train in July 2006 of young men admitted to Logan Hospital mental health services. Liam Wright (19) was transferred from the secure Acute Observation Area (AOA) to an open ward on 14 July 2006 de…

psychiatryemergency medicinediagnosticcommunicationolanzapine
QLD2018-05-16

Houdini, Franky

41y · Male·Hanging

Franky Houdini, aged 41, died by hanging in his prison cell at Wolston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner…

psychiatrycorrectional healthcommunicationsystemrisperidone
WAhome2012-04

Inquest into the Death of BENFIELD

0y · Female·Unascertainable

Shar Rose Benfield, a 7-month-old Aboriginal infant born prematurely to parents with significant psychosocial challenges, died unexpectedly on 24 June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child …

paediatricspsychiatrysystemdelay

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