Coronial

90 results for possible psychiatric illness

NSWcommunity2022-04-08

Inquest into the death of Marcus Harrison

30y · Male·Multiple injuries due to a fall from a height

… an open finding. The case highlights challenges in caring for homeless individuals with untreated mental illness and the importance of engaging vulnerable patients with mental health services.

psychiatryforensic medicine
WAhome2005-07

Inquest into the Death of taylor

29y · Male·Penetrating wound to neck with vascular injury to the carotid sheath

Louis Bernard Taylor, a 29-year-old Aboriginal male, died from a penetrating wound to the neck inflicted by himself on 23 August 2002. Recently released from prison after four years incarceration, Louis was attempting to…

psychiatrygeneral practicecannabis
NSW2017-07-11

Inquest into the death of LP

72y · Male·multiple injuries resulting from catastrophic head injury with massive disruptio…

A 72-year-old man with schizophrenia and a history of suicidal ideation died by jumping from level 7 of a shopping centre. He had stopped taking prescribed medications and had been planning this action, making calls to f…

psychiatrycorrectional health
SAhome2025-05-20

Coroner's Finding: Johnstone, Aaron George

43y · Male·methylamphetamine and heroin toxicity

…-old man died from methylamphetamine and heroin toxicity while on home detention bail. He had a complex psychiatric history including depression, psychosis, PTSD, and polysubstance use disorder, with previous suicide at…

psychiatryaddiction medicinemethamphetamine
VICcommunity2017-08-25

Finding into death of Thomas Edward Mackenzie Hall

41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…

…is mother's car unlicensed and at excessive speed into oncoming traffic. He had a documented history of psychiatric illness with multiple involuntary admissions, medication non-compliance, and recent suicidal ideation e…

psychiatryemergency medicinecommunicationsystemrisperidone
NSWhome2021-03-11

Inquest into the death of Chan Chen

35y · Female·Stab wounds to the chest

…ober and November 2019, diagnosing depression and prescribing Valdoxan, but did not assess or refer for psychiatric evaluation despite clear evidence of psychotic symptoms and prior history of schizophrenia. Police atte…

general practicepsychiatrydiagnosticcommunicationrisperidone
VICmental health2022-12-12

Finding into death of Scott Adam Brown

50y · Male·Hanging

A 50-year-old man with Parkinson's disease died by hanging in a psychiatric inpatient unit while on a Temporary Treatment Order. His mental and behavioural symptoms were secondary…

psychiatryneurologysystemcommunicationmadopar
VIChome

Finding into death of Ross Malcolm Campbell

40y · Male·neck compression consequent upon hanging

…, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a family violence …

general practicepsychiatrycommunicationsystemalcohol
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

…level deficits: a severe lack of suitable supported accommodation services for people with chronic mental illness and complex behavioural needs. The coroner recommended urgent development of Secure Extended Care Units a…

psychiatryemergency medicinesystempaliperidone
WA2002-04-12

Inquest into the Death of Scott Davidson

26y · Male·Ligature compression of the neck (Hanging)

… self-harm attempt, and overhearing discussions about suicide methods. Although Wilson, a prisoner with psychiatric training, identified concerning psychotic behaviours and recommended reassessment, no mental health pro…

psychiatrycorrectional healthdiagnosticcommunicationolanzapine
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

…experienced severe pain, mood disturbance with suicidal ideation, and adjustment difficulties. Although psychiatric assessment documented suicidal thoughts during admission, the treating team considered him psychiatrica…

neurosurgeryneurologysystemcommunicationcitalopram
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

… long-acting injection, leading to suspected neuroleptic toxicity. Care was transferred to an intensive psychiatric acute care unit with enhanced nursing supervision. After withdrawal of anti-psychotic medications and t…

psychiatryintensive caremedicationflupenthixol decanoate
WAhome2013

Inquest into the Death of Osborne, Wendy Elaine

Female·early bronchopneumonia complicating combined drug toxicity (fentanyl overdose)

Wendy Osborne, a woman with a history of substance abuse and psychiatric issues, died from bronchopneumonia complicating fentanyl overdose. Her GP prescribed fentanyl patches (…

general practicepharmacologymedicationcommunicationfentanyl
NSWcommunity2017-04-27

Inquest into the death of Anthony FAHEY

29y · Male

Anthony Fahey, aged 29, was last seen on 3 July 2013 in Canberra after purchasing a bus ticket to Sydney. He was grappling with personal issues including alcohol use, mental health concerns, and existential questions abo…

general practicepsychiatrycannabis
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

…ncident records to assess clinical deterioration; establishing appropriate observation frequencies when psychiatric symptoms change significantly; and ensuring staff understand that patients' expressed fears and safety …

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
VICcommunity2012-11-30

Finding into death of Simon Kirwan

19y · Male·Ruptured aorta post motor vehicle incident

Simon Kirwan, 19, died by motor vehicle collision in circumstances indicating suicide after discharge from involuntary mental health care. He had made three serious suicide attempts within 7 days (overdoses, wrist lacera…

psychiatryemergency medicinediagnosticcommunicationdiazepam
WAmental health2018-09-19

Inquest into the Death of Wlodzimierz DUDEK

69y · Male·bronchopneumonia and hypoxic brain injury following aspiration of food (choking)

…male with bipolar affective disorder and suspected frontotemporal dementia, admitted involuntarily to a psychiatric hospital, choked on bread while eating breakfast unattended and suffered a cardiac arrest. Despite resu…

psychiatryemergency medicinecommunicationsystem
VIC2011-02-17

Finding into death of Sean Wayne Lee

20y · Male·Head injury

Sean Wayne Lee, a 20-year-old university student, died from a head injury sustained when he ran deliberately in front of a heavy vehicle on the Princes Freeway. After his car was impounded for speeding, he walked away fr…

neurosurgerytrauma surgery
NSWcommunity2018-07-27

Inquest into the disappearance and suspected death of Kellie Anne Levitski

38y · Female·Unable to be determined

Kellie Anne Levitski disappeared on 31 March 2014 from her father's property near Bega, NSW. She had schizoaffective disorder requiring intensive mental health support, depot antipsychotic injections, and multiple medica…

psychiatrysystemdelay
WAcommunity2017-09-06

Inquest into the Death of Mamadou Hady DIALLO

39y · Male·multiple injuries from motor vehicle collision

…icle collision. He had been appropriately managed on depot antipsychotic medication with generally good psychiatric care. However, a critical gap occurred when his GP (Dr C.), lacking awareness of psychiatrist-only requ…

psychiatrygeneral practicecommunicationdiagnosticrisperidone

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