Coronial

333 results for treatment non-compliance

SAhospital2014-11-28

Coroner's Finding: ANDERSON Joel Kenneth

50y · Male·hepatic encephalopathy secondary to liver cirrhosis with background of hepatitis…

…ate medical management including fluid drainage, PICC line insertion for medication delivery, antibiotic treatment for peritonitis, and endoscopic assessment revealing oesophageal varices, his condition rapidly deterior…

gastroenterologyhepatologyspironolactone
QLDcommunity2017-08-17

JJKD - Non-inquest findings

34y · Male·drowning

…ssed clinical escalation opportunities despite multiple warning signs (McDonald's incident, medication non-compliance, illicit drug use, family concerns), and failure to implement structured case reviews. The coroner fou…

psychiatrycommunicationsystemclozapine
ACThome2023-06-28

Inquest into the death of LIAM FLETCHER MOORS

46y · Male·Acute purulent pericarditis as a consequence of an infected injection, in the co…

…rulent pericarditis secondary to a self-administered infected injection. He was subject to a Psychiatric Treatment Order at the time of death. The coroner found that ACT Mental Health Services provided appropriate care …

psychiatryforensic medicinemethamphetamine
NThospital2011-07-13

Inquest into the death of Kumanjai Marshall

51y · Male·pneumonia secondary to hepatocellular carcinoma and chronic liver disease

… at Royal Darwin Hospital confirmed advanced multifocal hepatocellular carcinoma unsuitable for curative treatment. The coroner found that staff at both the correctional centre and hospital provided exemplary care and s…

general medicineemergency medicineanalgesics
WAmental health2014-04-11

Inquest into the Death of Rutherford Sarah

28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…

…atient at Graylands Hospital at the time, admitted on 3 December 2009 following a relapse triggered by non-compliance with antipsychotic medication. After initial stabilisation on a secure ward with 30-minute observation…

psychiatryintensive carerisperidone
QLD2022-06-03

Kermode, Jesse Aaron

24y · Male·Gunshot wounds to the chest and abdomen

…r being shot by police at Ipswich Railway Station on 16 September 2018. He had a longstanding history of treatment-resistant schizophrenia and substance abuse, with repeated documented psychotic episodes and poor medica…

psychiatryaddiction medicinemethamphetamine
SAhospital2001-12-14

Coroner's Finding: OVERLAND Harold Kelvin

74y · Male·myocardial infarction

…ct at Royal Adelaide Hospital. He had presented with hypokalaemia and sigmoid volvulus, refusing initial treatment. He was detained due to delirium and combativeness, allowing restraint and treatment. His condition dete…

emergency medicinecardiologyproceduralcommunication
TAShome2017-02-23

Coroner's Finding: Greer, Rita

62y · Female·multiple self-inflicted stab wounds to the neck, thorax and abdomen

…amily (husband Samuel and son Robert) had cared for her in Tasmania since 2005, balancing her refusal of treatment with her expressed wishes to remain unmedicated. While a psychiatrist suggested involuntary treatment sh…

psychiatryforensic medicinecannabis
VIChome2013-09-23

Finding into death of Jeffrey Stuart Whitling

45y · Male·Consistent with hanging

…g, a 45-year-old man with schizophrenia, died by hanging in March 2010. He had a documented history of non-compliance with antipsychotic medication, forensic involvement, and repeated disengagement from mental health ser…

psychiatrygeneral practicecommunicationsystemrisperidone
WAhospital2019-04-04

Inquest into the Death of Maris KUGIS

68y · Male·Bronchopneumonia in a man with chronic obstructive pulmonary disease

…carcinoma, died from bronchopneumonia. He was a long-term involuntary psychiatric inpatient resistant to treatment and management. His mental health issues substantially complicated medical care; he frequently refused i…

psychiatryrespiratory medicinehaloperidol
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 intoxi…

addiction medicinepsychiatrymedicationmethadone
WAhospital2024-04-05

Inquest into the Suspected Death of Neil Lindsay KOBELT

27y · Male·unascertained

…ulsory medication in South Australia. After being found naked in the street and admitted for psychiatric treatment on 6 February 1982, he was discharged on 8 February 1982 and never seen again. The critical clinical les…

psychiatrygeneral medicinecommunicationsystem
WAcommunity2017-01-05

Inquest into the Death of Radinka MIHAJLOVIC

47y · Female·Multiple injuries from being struck by a train; death determined to be suicide

…om Bosnia, died by suicide by stepping in front of a train on 1 May 2012. She was subject to a Community Treatment Order at the time. Critical clinical lessons include: (1) discharge planning from inpatient psychiatric …

psychiatrygeneral practicecommunicationsystemolanzapine
SAhospital2013-04-05

Coroner's Finding: RICCI John Peter

57y · Male·Acute renal failure complicating end stage liver cirrhosis with resultant enceph…

…veloped acute renal failure with very poor prognosis. The coroner found his detention lawful and medical treatment appropriate given the limitations of his advanced liver disease and lack of cooperation. His death resul…

psychiatrygastroenterologylactulose
WAhospital2015-08-06

Inquest into the Death of Francis Gerald ROBERTS

62y · Male·fatal cardiac arrhythmia secondary to end-stage ischaemic cardiomyopathy

…ations and hospital transfers but was frequently non-compliant with medical management, using refusal of treatment as a means of controlling his prison placement. His condition progressively deteriorated despite intensi…

cardiologycardiothoracic surgeryfurosemide
SAhospital2020-11-02

Coroner's Finding: NIXON Viola Daphne

92y · Female·decompensated congestive cardiac failure secondary to haemophilus influenzae low…

…us influenzae lower respiratory tract infection. She was admitted to psychiatric care under an Inpatient Treatment Order due to severe dementia-related behavioural disturbance and medication non-compliance. The coroner …

psychiatryemergency medicine
VICcommunity2023-09-13

Finding into death of Joshua Tovey

29y · Male·Stab wound to the chest

…er proactive intervention, particularly swift contravention proceedings and enforcement of court-ordered treatment, represented a missed opportunity to manage Jesse's risk and hold him accountable, though the coroner ac…

systemdelaymethamphetamine
NSW2016-03-08

Inquest into the death of David FLEMING

61y · Male·pulmonary thromboembolus

…are. The coroner found no evidence of inadequate medical care, noting Fleming frequently refused offered treatments and was highly resistant to medical management. The coroner concluded appropriate healthcare was provid…

forensic medicinecardiology
VIChome2019-10-07

Finding into death of Tre Leigh Lawson

21y · Male·Hanging

…-sentence assessment for a Community Corrections Order in October 2017 failed to recommend mental health treatment conditions, despite evidence of prior required attendance at mental health services and documented self-…

psychiatryemergency medicinecommunicationsystemmethamphetamine
WAcommunity

Inquest into the Death of Sarah Jane RUTHERFORD

28y · Female·multiple injuries

… while on leave from Graylands Hospital. She had been admitted on 3 December 2009 following medication non-compliance and suicidal ideation. Her condition improved significantly with antipsychotic medication; she was dis…

psychiatryemergency medicinerisperidone

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