Coronial

78 results for severe chronic schizophrenia

WAhome2022-04-13

Inquest into the Death of Boris DRLESKI

45y · Male·bronchopneumonia and combined drug toxicity

Boris Drleski, a 45-year-old with treatment-resistant chronic paranoid schizophrenia, antisocial personality disorder, and polysubstance use disorder, died from bronch…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
VIChospital2025

Finding into death of TBL

81y · Female·Multisystem failure in the setting of hyponatraemia secondary to chronic malnutr…

An 81-year-old woman with chronic schizophrenia, heart failure, and dementia died from multisystem failure secondary to severe malnutrition…

psychiatrygeneral practicesystemdelayrisperidone
SAhospital2020-07-02

Coroner's Finding: WHATLEY Deborah Rose

55y · Female·ischaemic heart disease complicated by epilepsy, asthma and schizophrenia

A 55-year-old woman with schizophrenia, epilepsy, asthma and COPD presented to hospital with abdominal pain and confusion. Initial ED assessm…

emergency medicinepsychiatryclozapine
SAhospital2005-08-30

Coroner's Finding: O'BRIEN Barbara Ann

57y · Female·right bronchopneumonia following hypoxic brain damage secondary to cardiac arres…

A 57-year-old woman with chronic schizophrenia and non-insulin dependent diabetes was admitted to a psychiatric ward after detention under…

psychiatryemergency medicinediagnosticcommunicationclozapine
VIChome2014-08-06

Finding into death of Steven Simon Karastavrou

48y · Male·Cardiomegaly and fatty liver in a man with alcohol intoxication

Steven Karastavrou, a 48-year-old man with paranoid schizophrenia, poly-substance abuse (alcohol, cannabis, amphetamines), hypertension, high cholesterol, and diabetes,…

psychiatrygeneral practicezuclopenthixol
NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Recommendations

Deaths from injuries sustained in a mass stabbing attack

…ck at Westfield Bondi Junction on 13 April 2024. The perpetrator, Joel Cauchi, had treatment-resistant schizophrenia and had ceased antipsychotic medication. Key clinical findings identified serious deficiencies in psyc…

psychiatryemergency medicinesystemcommunicationantipsychotic medication
SAhospital2004-02-13

Coroner's Finding: CUCUK Radomir

38y · Male·multi organ failure secondary to intestinal ischaemia from toxic megacolon relat…

A 38-year-old man with chronic schizophrenia died from multi-organ failure secondary to intestinal ischaemia caused by toxic megacolon f…

psychiatryemergency medicineclozapine
VICcommunity2023-07-28

Finding into death of Marcus William Caldwell

27y · Male·Hanging

Marcus Caldwell, a 27-year-old with well-controlled schizophrenia on clozapine, died by suicide in February 2018. He worked at a pet boarding facility that experienced …

psychiatrygeneral practicesystemcommunicationclozapine
WAmental health2013

Inquest into the Death of Vos, Glenis June

60y · Female·Focal pneumonia in a woman with emphysema and ischaemic heart disease

A 60-year-old woman with long-standing schizophrenia/bipolar disorder, emphysema, and ischaemic heart disease died of focal pneumonia at Graylands Hospital…

psychiatrygeneral medicinetemazepam
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following hi…

psychiatryemergency medicinediagnosticcommunicationheroin
TAScommunity2020-08-13

Coroner's Finding: Wright, Maria Rebekah

31y · Female·drowning, deliberately self-inflicted with intention of ending life

Maria Rebekah Wright, a 31-year-old woman with severe borderline personality disorder and chronic suicidality, died by drowning at Howrah Beach, Tasmania on 14 …

psychiatrypsychologyparacetamol
TAScommunity2025-12-03

Coroner's Finding: de-identified JI

54y · Male·Global hypoxic brain injury, cardiac arrest and blunt trauma to cervical spine

JI, a 54-year-old man with chronic schizophrenia, died from global hypoxic brain injury, cardiac arrest and cervical spine trauma following …

psychiatrygeneral practicesystemdiazepam
SAhospital2007-06-29

Coroner's Finding: COCKBURN Michael Philip

40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)

Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide H…

psychiatryemergency medicinemedicationcommunicationhaloperidol
NSWcommunity2025-09-08

Inquest into the death of Rohan Lloyd

37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …

A 37-year-old man with schizophrenia died between 14–18 August 2020 in bushland near Whiteman Creek NSW, from presumed heavy metal poisonin…

psychiatrygeneral practicediagnosticmedicationrisperidone
WAmental health2020-08-06

Inquest into the Death of Stephen Michael KELL

35y · Male·acute vomit aspiration in a man with acute large intestine obstruction (severe m…

Stephen Michael Kell, a 35-year-old man with treatment-resistant schizophrenia, died at Graylands Hospital from acute vomit aspiration in the setting of acute large bowel obstructio…

psychiatrygastroenterologysystemdelayclozapine
NSWmental health2019-02-12

Inquest into the death of Kevin O’Halloran

55y · Male·positional asphyxia, with sedation as an underlying risk factor

Kevin O'Halloran, a 55-year-old with chronic schizophrenia, presented with acute severe behavioural disturbance related to medication changes and poss…

emergency medicinepsychiatrycommunicationproceduralmidazolam
NSWcommunity2024-01-23

Inquest into the disappearance and suspected death of Bruce Robinson

72y · Male·The available evidence does not allow for any finding to be made as to the cause…

Bruce Robinson, a 72-year-old man with a history of non-Hodgkin's lymphoma, schizophrenia, psychosis, and dementia, died on 27 October 2022 after jumping from a ferry into Sydney Harbour. He h…

psychiatryemergency medicinesystemolanzapine
WAhospital2003-07

Inquest into the Death of Mark Andrew Burnside

45y · Male·Natural causes - cardiac arrest, most likely secondary to severe tardive dyskine…

Mark Andrew Burnside, a 45-year-old man with intellectual disability and chronic mental illness, died of natural causes on 7 November 2001 at Royal Perth Hospital. He had been prescribed…

general practicepsychiatrythioridazine
VIC2015-10-30

Finding into death of Robert Przychodski

48y · Male·Anaplastic astrocytoma

…to comorbidities. Palliative care was initiated. The case illustrates management of a complex patient with severe psychiatric and neurological comorbidities requiring multidisciplinary coordination. Clinical lessons incl…

psychiatryneurosurgery
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…

…t 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 confirmation bias and …

psychiatrygeneral practicediagnosticcommunicationclozapine

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