Coronial

61 results for psychotic relapse

VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

… forensic mental health facility. The deceased had multiple admissions for medication non-compliance and psychotic relapse. The co-patient, classified as extremely high-risk for interpersonal violence, was released from…

psychiatrycorrectional healthsystemdelayclozapine
WAmental health2019-05-22

Inquest into the Death of Pamela Edith ASHLEY

64y · Female·fatal cardiac arrhythmia in a lady with obstructed sleep apnoea, obesity and suf…

… woman with bipolar disorder, severe obstructive sleep apnoea, obesity and diabetes presented with acute psychotic relapse following stress and sleep deprivation. Initially admitted to ED where she was sedated with halo…

psychiatryemergency medicinecommunicationsystemchlorpromazine
VICcommunity2012-08-17

Finding into death of Jesse Ross Sangster

28y · Male·Multiple injuries sustained in a motor vehicle collision (driver)

…agnosis patients; clinicians' interpretation of the Mental Health Act as precluding detention once acute psychotic symptoms resolved despite ongoing serious risks; discharge on Friday 29 January without case manager inv…

psychiatryparamedicinesystemdelayalcohol
NSWhospital2014-12-19

Inquest into the death of JX

32y · Male·multiple injuries sustained in a fall from height

A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic

psychiatrypsychologycommunicationsystemvenlafaxine
NSWhome2011-10-14

Coroner's Finding: Adam Quddus Salter

36y · Male·Gunshot wound to chest

Adam Quddus Salter, aged 36, experienced acute psychiatric decompensation on 18 November 2009 while living at his family home. After stabbing himself multiple times, paramedics and police were called. While paramedics tr…

general practicepsychiatrydiagnosticsystemefexor xr
VIChospital2026-05-22

Finding into death of Stratos Ioannidis

45y · Male·focal coronary artery disease and cardiomegaly

…onse and Mental Health Act detention. During his 2-day hospital stay, clinicians prescribed multiple antipsychotic and sedative medications to manage his severe agitation and aggression. ECG monitoring revealed progress…

psychiatryemergency medicinecommunicationsystemolanzapine
QLDcommunity2025-02-11

Inquest into the death of Mohamad Ikraam Bahram

24y · Male·Multiple gunshot wounds

… an unprovoked assault on a tourist. He had presented five days prior to a psychiatrist who saw no acute psychotic symptoms and continued assertive community management. Critical systemic issues identified: excessive ps…

psychiatryforensic medicinesystemcommunicationaripiprazole
WAcommunity2017-09-06

Inquest into the Death of James Michael Chee Ming YUNG

42y · Male·Multiple injuries sustained in motor vehicle crash

…in rural Western Australia. He had poor insight, chronic medication non-adherence, and a pattern of acute relapses requiring repeated hospitalisations. In late May 2015, despite signs of relapse and non-compliance, the …

psychiatryemergency medicinedelaysystempaliperidone depot
WAcommunity2020-11-04

Inquest into the Death of Andrew John KEY

49y · Male·incised injury to the neck

…n police call-taker failed to create a dispatch task after Mr Key's mother reported suicidal ideation and relapse, falling below service standards. The coroner emphasised the importance of clinicians directly contacting…

psychiatryemergency medicinecommunicationsystemquetiapine
NSWhome2023-07-05

Inquest into the death of JY

5y · Male·multiple stab wounds

A 5-year-old boy died from multiple stab wounds inflicted by his father during an acute psychotic episode. The father, diagnosed with schizophrenia in 2003, was admitted to Hornsby Hospital in April 201…

psychiatrygeneral practicecommunicationsystemrisperidone
TASmental health2026-04-13

Coroner's Finding: de-identified DR

41y · Male·asphyxia due to neck compression following ligature suspension (hanging)

DR was a 41-year-old man with bipolar disorder, severe alcohol dependence, and multiple psychosocial stressors including family violence, homelessness, and financial crisis. In October 2023, he presented with acute mania…

psychiatryemergency medicinediagnosticcommunicationolanzapine
VIChospital2020-07-14

Finding into death of Gerard Guy Vaz

61y · Male·Undetermined

…e sleep apnoea, and renal impairment, was admitted to Maroondah Hospital on 2 April 2015 with acute manic relapse with psychosis. He was administered zuclopenthixol acetate on 3 April 2015 and subsequently died on 5 Apr…

psychiatryemergency medicinesystemdelayzuclopenthixol acetate
NSW2021-07-15

Findings into the death of MH

22y · Male·Hanging

…n changes should not be made without assessing the patient; and prison is unsuitable for managing severe psychotic illness. The coroner found the existing prison mental health model fundamentally inadequate, with expert…

psychiatrycorrectional healthdiagnosticsystemzuclopenthixol
WAmental health- 11 April 2014

Inquest into the Death of Robert Kenneth SCOTT

28y · Male·ligature compression of the neck (hanging)

Robert Kenneth Scott, a 28-year-old man with schizophrenia, died by hanging on 22 May 2008 after absconding from Graylands Hospital where he was an involuntary patient. He was last seen at 4:30pm on an open ward with 60-…

psychiatrydelayclozapine
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighte…

psychiatrydiagnosticsystemrisperidone
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
WAmental health2019-05-22

Inquest into the Death of Christopher John DEBNAM

40y · Male·Cardiomyopathy with early pneumonia in a man with reported sleep apnoea and high…

Christopher John Debnam, 40, died from cardiomyopathy with early pneumonia and obstructive sleep apnoea. He was readmitted to Graylands Hospital's mental health ward on 20 November 2014 with acute psychiatric decompensat…

psychiatryrespiratory medicinediagnosticcommunicationhaloperidol
VICcommunity2015-09-24

Finding into death of GC

42y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

A 42-year-old male with a long history of schizophrenia and dissocial personality disorder was released from prison in August 2011 without parole conditions. Despite police and forensic mental health concerns about his r…

psychiatryemergency medicinesystemdelaycannabis
WAmental health2024-05-17

Inquest into the Death of Richard Anthony BOROS

50y · Male·upper airway obstruction (choking) from tissue paper

Richard Anthony Boros, a 50-year-old man with paranoid schizophrenia, died from upper airway obstruction (asphyxiation) after intentionally swallowing a dense ball of tissue paper while in the mental health assessment un…

psychiatryemergency medicinecommunicationsystemolanzapine
QLD2008-03-17

Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael

gunshot wounds; multiple deaths during police interventions with mentally ill in…

Between October 2003 and February 2006, Queensland police shot and killed four young men suffering from severe mental illness during crisis situations. In all four cases, the shootings were legally justified as the offic…

psychiatryemergency medicinediagnosticcommunicationantipsychotic medications

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