Coronial

73 results for antisocial personality disorder

VICmental health2018-05-18

Finding into death of Danny Wayne Feschuk

46y · Male·Cardiomegaly in the setting of hypoventilation syndrome in an obese man with sch…

A 46-year-old man with schizophrenia, COPD, hypoventilation syndrome, obesity and cardiomegaly died suddenly on a psychiatric inpatient unit from a cardiac arrhythmia. He had experienced multiple respiratory crises requi…

psychiatryrespiratory medicineoxycodone
VICmental health2022-03-30

Finding into death of B J

24y · Male·Hypoxic brain injury secondary to hanging

BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He …

psychiatryemergency medicinecommunicationsystemquetiapine
WAhome2018-06-27

Inquest into the Death of Brook Damian CAIN

39y · Male·ligature compression of the neck (hanging)

A 39-year-old man with schizoaffective disorder and substance abuse died by suicide following arrest for criminal damage. While treated under a Community…

psychiatryemergency medicinecommunicationsystemquetiapine
WAhome2025-01-23

Inquest into the Suspected Death of Benjamin Jacob VAN TRIGT

38y · Male·electrical injury

Benjamin Van Trigt, a 38-year-old man with schizoaffective disorder, died by electrocution at home on 17 November 2022 while on a Community Treatment Order (CTO). He had exp…

psychiatryemergency medicinepaliperidone
SAcommunity2025-04-30

Coroner's Finding: Foster, Michelle Stephanie

36y · Female·head injury

…sing concerning reports; diagnostic overshadowing leading clinicians to attribute psychotic symptoms to personality disorder; inadequate information sharing across prison and health systems preventing psychiatrists acce…

psychiatryemergency medicinediagnosticcommunicationaripiprazole
VICcommunity2014-07-16

Finding into death of Shannon James Lees

23y · Male·multidrug overdose including tramadol and methadone

Shannon Lees, a 23-year-old with schizoaffective disorder and polysubstance abuse, absconded from a mental health rehabilitation unit and died from multidrug overd…

psychiatryaddiction medicinesystemmethadone
SAmental health2008-10-16

Coroner's Finding: SWEETLAND Charles James

28y · Male·hanging

A 28-year-old man with treatment-resistant paranoid schizophrenia and substance abuse died by hanging while detained under the Mental Health Act in a closed psychiatric ward. He had chronic auditory hallucinations comman…

psychiatrysystemproceduralsodium valproate
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
WAhospital2020-10-08

Inquest into the Death of Wayne Frederick LEESE

54y · Male·Complications including hepatic encephalopathy, pneumonia and multi-organ failur…

Wayne Frederick Leese, a 54-year-old prisoner, died from complications of hepatitis C and hepatocellular carcinoma including hepatic encephalopathy, pneumonia and multi-organ failure. He collapsed at Acacia Prison on 4 M…

hepatologyemergency medicinemethadone
VICcommunity2020-07-13

Finding into death of Cameron Andrew MacLellan

44y · Male·Multiple injuries sustained in a motorcycle incident

A 44-year-old man with complex psychiatric history and substance abuse was killed in a motorcycle collision while driving unlicensed and under the influence of methylamphetamine. A 92-year-old driver, disoriented after b…

psychiatryaddiction medicinesystemdelaymethamphetamine
SA2011-11-24

Coroner's Finding: BEGG Peter Albert

62y · Male·Ischaemic heart disease due to coronary atherosclerosis

Peter Albert Begg, a 62-year-old prisoner, died of ischaemic heart disease due to severe coronary atherosclerosis with contributing dothiepin toxicity. He collapsed while pushing a food trolley and did not respond to res…

forensic medicinecardiologydiagnosticdosulepin
WAhome2026-01-23

Inquest into the Death of Sean Theo WINMAR (Mr STW)

46y · Male·Complications of ligature compression of the neck (hanging)

…022 while on an interim supervision order after his release from prison. He had depression, substance use disorder, and chronic suicidal ideation. The coroner identified critical gaps in care: (1) lack of accessible psyc…

general practiceaddiction medicinesystemdelaymethamphetamine
NSWcommunity2020-06-10

Inquest into the death of Christopher McGRAIL

44y · Male·Gunshot wounds to the trunk and right thigh with subsequent blood loss

Christopher McGrail, a 44-year-old man with a history of substance abuse, depression, and trauma following his son's suicide, was shot by NSW Police during a knife confrontation. He presented with acute intoxication (alc…

emergency medicinepsychiatrymethamphetamine
VIChospital2014-05-28

Finding into death of Susan Ingrid Robb

37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…

Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…

psychiatryaddiction medicinediagnosticmedicationmethadone
VIC2026-03-30

Finding into death of Hari Prasad Dhakal

57y · Male·Neck compression and hanging

A 57-year-old man with schizophrenia and schizoaffective disorder died by hanging in prison on 4 August 2024. He had been receiving antipsychotic treatment via injection (…

psychiatrygeneral practicesystemcommunicationpaliperidone
WAhome2021-11-29

Inquest into the Death of Ly Minh TONG

38y · Male·Multiple gunshot wounds

A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …

psychiatrytoxicologycommunicationsystemmethamphetamine
NSWhome2015-07-30

Inquest into the death of Phillip Buckley

39y · Male·combined drug toxicity

Phillip Buckley, 39, died from combined drug toxicity involving oxycontin, diazepam, alcohol and venlafaxine. He had been prescribed high-dose oxycontin (40-80mg daily) and diazepam by his GP Dr C. for 12 years without c…

general practicepsychiatrymedicationcommunicationoxycodone
SAhome2025-03-07

Coroner's Finding: Bombardieri, Mark

32y · Male·Gunshot wound to the head

Mark Bombardieri, a 32-year-old man with a complex history of criminal behaviour, mental health disorders, polysubstance abuse, and multiple psychiatric admissions, died by suicide on 6 March 2019 via self-infl…

communicationmethamphetamine
VIChome2021-09-21

Finding into death of Marilyn June Burdon

70y · Female·Gunshot wounds to the head and chest

Marilyn June Burdon, aged 70, was fatally shot by her intimate partner Charles Bisucci on 21 August 2017 in Kew, Victoria. Bisucci subsequently took his own life. Critical systemic failures enabled this preventable intim…

psychiatryforensic medicinediagnosticsystem
WA2017-03-07

Inquest into the Death of Barry Matt STUART

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

Barry Matt Stuart, a 49-year-old prisoner at Hakea Prison, died by suicide via ligature compression of the neck in November 2013. Critical clinical lessons include: (1) maintaining psychiatric continuity of care is essen…

psychiatrygeneral practicemedicationsystemolanzapine

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