Coronial

123 results for paranoid ideation

VICcommunity2023-06-23

Finding into death of Amanda Jane Stapledon

58y · Female·Mixed drug toxicity (oxycodone, temazepam, diazepam, oxazepam, citalopram, fluox…

…n, this uncertainty persisted and progressively exacerbated her mental health. She had disclosed suicidal ideation to her treating psychologist but was reassured by protective factors. No clinical error occurred, but the…

general practicepsychologysystemoxycodone
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

34y · Male·Long drop hanging resulting in complete decapitation

… discharge from psychiatric admission on a Community Treatment Order. He had a 15-year history of chronic paranoid schizophrenia, chronic polysubstance abuse (marijuana, heroin, amphetamines), and recurrent suicidal idea…

psychiatryaddiction medicinesystemcommunicationmarijuana
WA2019-01-07

Inquest into the Death of Ali JAFFARI

Male·thermal injuries (burns)

Ali Jaffari, an immigration detainee, died by suicide at Yongah Hill Immigration Detention Centre on 16 September 2015. He sustained fatal thermal injuries from a fire he deliberately started in his room. The deceased ha…

psychiatrypsychologysystemolanzapine
NSWhome2019-10-04

Inquest into the death of C D

60y · Male·burn wounds and the consequences thereof

…r) and alcohol use disorder, set his house alight on 19 September 2017 after becoming acutely unwell with paranoid ideation and drinking relapse. His GP assessed him on 8 and 15 September but did not recognise the escala…

general practicepsychiatrydiagnosticcommunicationdiazepam
NSWcommunity2024-08-13

Inquest into the death of Brett Walker

37y · Male·multiple gunshot wounds

… 23 days post-release from prison. He had long-standing drug addiction and mental health issues including paranoid ideation, particularly during crystal methamphetamine use. Community Corrections did not meet pre-release…

psychiatryaddiction medicinesystemcommunicationcrystal methamphetamine
VICaged care2024-02-29

Finding into death of P L

92y · Female·Consequences of an assault

…ately monitor, assess, or escalate the aggressive resident's clinical deterioration, including escalating paranoid ideation, refusal of antipsychotic medications from July to September, and increasing agitation. The dece…

geriatric medicinepsychiatrydiagnosticcommunicationantipsychotic medication
QLDhospital2016-11-23

SPB - Non-inquest findings

36y · Male·hanging

A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father whi…

psychiatryemergency medicinediagnosticcommunicationdiazepam
VICmental health2011-12-02

Finding into death of Mark Ronald Connolly

27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)

Mark Connolly, 27, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospit…

psychiatrycommunicationsystemolanzapine
VIChome

Finding into death of Juana Legge

29y · Female·Multiple stab injuries to the chest

…a was having an affair. In the weeks preceding the incident, Mamour formed baseless suspicions, expressed paranoid beliefs about Sudanese men monitoring him, and purchased a knife. On the day of the incident, Juana's com…

alcohol
VIChome2025-05-20

Finding into death of CDE

33y · Female·Sharp force neck and chest injuries

…t hospital following police welfare responses; he was discharged despite erratic behaviour and delusional ideation, she was assessed and released. Critical deficiencies included police treating family violence incidents …

psychiatryemergency medicinesystemcommunicationsynthetic marijuana
TAShome2020-11-02

Coroner's Finding: Besgrove, Trevor Scott

46y · Male·cause of death cannot be determined

Trevor Besgrove, a 46-year-old man with complex mental health issues including borderline schizophrenia, depression, and a history of trauma and substance use, was found deceased in his Bicheno home after an estimated tw…

psychiatrypsychologysystemprescribed medications
VICcommunity2015-04-09

Finding into death of Tomislav Brekalo

29y · Male·Injuries sustained in a fall from a height

A 29-year-old man with chronic paranoid schizophrenia died from injuries sustained after jumping from the EJ Whitten Bridge. He had a 5-year hist…

psychiatrygeneral practicecommunicationsystemolanzapine
NSWcommunity2025-08-22

Inquest into the disappearance and suspected death of Habtom Ghilagaber

30y · Male·unknown - no postmortem examination performed

…iform psychosis/delusional disorder in December 1994 and discharged January 1995 with documented suicidal ideation. He subsequently stopped medication against medical advice, deteriorated significantly with paranoid delu…

psychiatrypsychologysystemcommunicationantipsychotic medication
NSWmental health2025-10-20

Inquest into the Death of JSZ

66y · Male·Multiple blunt force injuries

JSZ, a 66-year-old forensic patient with chronic paranoid schizophrenia, died by suicide while on unsupervised day leave from Cumberland Hospital's Bunya Unit on 2…

psychiatryproceduralcommunicationzyprexa relprevv
TAScommunity2021-09-02

Coroner's Finding: Sterling, Barbara Lynette

69y · Female·Drowning

…l abnormalities. Prior to her death, there was evidence of deteriorating mental health including reported paranoid behaviour, anxiety, and depression documented in her GP records. However, the coroner could not definitiv…

forensic medicinegeneral practice
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 psych…

psychiatryemergency medicinecommunicationsystemquetiapine
NSW2018-08-31

Inquest into the death of MC

31y · Male·hanging

…. He had been transferred to the Mental Health Screening Unit for acute psychiatric care after expressing paranoid ideation at Cessnock Correctional Centre. Critical clinical failures were identified: (1) the psychiatris…

psychiatrycorrectional healthcommunicationsystemolanzapine
QLDcommunity2015-12-14

Young, Anthony William; Young, David Kenneth Baring; Dekens, Louise Alexandra

42y · Male·Anthony Young: multiple gunshot wounds to the body and arm; David Young: multipl…

Anthony Young, aged 42, shot by police after fatally stabbing his brother David and David's partner Louise. Anthony had deteriorating mental health including paranoia, substance use, and lack of psychiatric engagement de…

psychiatryforensic medicinediazepam
VICmental health2012-04-03

Finding into death of Miles David Colman

21y · Male·Head injury sustained in fall from height

…pital courtyard wall on 1 January 2011. He had been admitted to the psychiatric unit 10 days earlier with paranoid delusions and command hallucinations telling him to commit suicide. Over the first week, his condition im…

psychiatryintensive carerisperidone
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…

…oyal 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 close observations, and that key psyc…

psychiatryemergency medicinediagnosticcommunicationescitalopram

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