Coronial

115 results for resistant schizophrenia

TASaged care2021-11-04

Coroner's Finding: Rosendale, Dwayne Edward

36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…

A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He wa…

psychiatrygeneral medicinesystemdelayzuclopenthixol
QLD2012-08-29

Cartledge, Adam

38y · Male·Hanging

…l Centre while on remand. He had a long history of psychiatric illness, including depression, paranoid schizophrenia, previous suicide attempts, and chronic back pain. He was appropriately identified as elevated baselin…

psychiatrypsychologysystemchlorpromazine
VICmental health2025-11-11

Finding into death of Graziano Birgi

86y · Male·Oesophageal perforation

An 86-year-old man with treatment-resistant paranoid schizophrenia residing in a secure psychiatric unit died from oesophageal perforation. He exper…

psychiatrygeriatric medicine
VICaged care2013-11-21

Finding into death of Ivo John Martinov

58y · Male·Unascertained causes

A 58-year-old man with treatment-resistant schizophrenia living in aged care died suddenly 30 minutes after receiving his evening clozapine dose. A…

psychiatrygeneral practicesystemclozapine
WAhospital2016-04-13

Inquest into the Death of Stephen Kenneth RYAN

62y · Male·bronchopneumonia on background of chronic obstructive pulmonary disease

Stephen Kenneth Ryan, a 62-year-old man with treatment-resistant schizophrenia and severe COPD from lifelong smoking, died of bronchopneumonia on 12 August 2013 at Bentl…

psychiatryrespiratory medicinepalliperidone
VICmental health2022-12-21

Finding into death of Kai Wesley Wu

23y · Male·Injuries sustained when struck by train

…d been admitted to The Alfred Hospital in January 2018 under Mental Health Act compulsion with treatment-resistant schizophrenia. Despite comprehensive psychiatric management and good clinical care, he experienced medic…

psychiatrycommunicationsystemhaloperidol
SAmental health2020-06-17

Coroner's Finding: COULTER Brenton Thomas

60y · Male·Ischaemic heart disease

A 60-year-old man with schizophrenia, ischaemic heart disease, previous myocardial infarction and stenting died of acute ischaemic heart di…

psychiatrycardiologyclozapine
VICcommunity2014-09-01

Finding into death of Kirstan McRae-Jansen

31y · Female·plastic bag asphyxia

Kirstan McRae-Jansen, a 31-year-old woman with chronic schizophrenia, borderline personality disorder, and substance abuse, died by plastic bag asphyxia using an LPG bottl…

psychiatryolanzapine
NSW2021-07-15

Findings into the death of MH

22y · Male·Hanging

A 22-year-old man with severe chronic treatment-resistant schizophrenia and substance use disorder died by hanging in prison custody. He had been recently dischar…

psychiatrycorrectional healthdiagnosticsystemzuclopenthixol
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently tr…

psychiatryintensive carelorazepam
TAShome2021-12-02

Coroner's Finding: Lowe, Paul 2021 TASCD 684

42y · Male·acute methadone intoxication

Paul William Lowe, a 42-year-old man with treatment-resistant epilepsy, schizophrenia, and long-standing opioid dependence, died from acute methadone intoxication on …

addiction medicinepsychiatrymedicationmethadone
NSWmental health2026-02-05

Inquest into the deaths at Westfield Bondi Junction Executive Summary

41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…

…rmation about recent decline; (5) loss of mental health follow-up after relocation. Cauchi had treatment-resistant schizophrenia and was psychotic at time of attack. Coroner found Dr B.-Lavack's care involved confirmati…

psychiatrygeneral practicediagnosticcommunicationclozapine
SAcommunity2025-04-30

Coroner's Finding: Foster, Michelle Stephanie

36y · Female·head injury

A 36-year-old woman was killed by a young man with early-onset schizophrenia after a chance encounter. The death resulted from a complex series of missed opportunities in mental h…

psychiatryemergency medicinediagnosticcommunicationaripiprazole
NTmental health2019-09-27

Inquest into the death of Linden Kunoth

24y · Male·self-inflicted hanging

…died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command hallucinations telling him to harm himself. Although sed…

psychiatrydiagnosticsystemaripiprazole
VICmental health2019-12-17

Finding into death of Thien Cong Pham

27y · Male·ligature strangulation

A 27-year-old male with treatment-resistant schizophrenia died from ligature strangulation by a co-patient at a secure forensic mental health facili…

psychiatrycorrectional healthsystemdelayclozapine
VICcommunity2021-10-20

Finding into death of Joshua Brown

57y · Male·Clozapine toxicity on a background of right lower lobe of lung lesion (unspecifi…

Joshua Brown, a 57-year-old man with treatment-resistant schizophrenia managed in the community, died from clozapine toxicity. He had accumulated over 50 tablets…

psychiatrytoxicologycommunicationsystemclozapine
WAhospital2023-11-29

Inquest into the Death of Samuel Edward ASHBY

46y · Male·Aspiration pneumonia in an obese man with a history of diabetes mellitus, obstru…

Samuel Edward Ashby, a 46-year-old prisoner with treatment-resistant schizophrenia, died from aspiration pneumonia complicated by clozapine effect. Key clinical lessons: (1)…

psychiatrygeneral medicinediagnosticsystemclozapine
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately…

psychiatrydiagnosticcommunicationdiazepam
VIC2017-11-13

Finding into death of Colin Cannon

45y · Male·Complications of Lennox-Gastaut syndrome

Colin Vivian Cannon, a 45-year-old man with Lennox-Gastaut syndrome living in residential care, was found unresponsive and died from complications of his severe epilepsy. His seizures had increased in frequency and sever…

neurologygeneral practicesodium valproate
TAScommunityPodcast2025-06-30

Coroner's Finding: de-identified HN

42y · Male·Drowning following chest injuries sustained from jumping from the Tasman Bridge

A 42-year-old man with long-standing, well-managed paranoid schizophrenia died by suicide from the Tasman Bridge. He had been compliant with clozapine therapy for over 20 years…

psychiatrygeneral practiceclozapine

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