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VICcommunity2022-11-15

Finding into death of Katica Perinovic

42y · Female·Multiple stab wounds

A 42-year-old woman with first episode psychosis was referred to community mental health services in November 2020 after acute onset of paranoid delusions. She was commenced on risperidone but showed poor engagement and …

psychiatrygeneral practicediagnosticcommunicationrisperidone
VIChome2022-11-15

Finding into death of Anna Perinovic

5y · Female·Multiple stab wounds to the back

Anna Perinovic, age 5, died from multiple stab wounds inflicted by her mother Katica during a first episode psychosis. Katica had been referred to NorthWestern Mental Health in November 2020 after developing paranoid tho…

psychiatrygeneral practicediagnosticcommunicationrisperidone
VIChome2022-11-15

Finding into death of Claire Perinovic

7y · Female·Multiple stab wounds to the back

Claire Perinovic, aged 7, died from multiple stab wounds inflicted by her mother Katica during a filicide-suicide incident. Katica had been diagnosed with First Episode Psychosis in November 2020 and treated by NorthWest…

psychiatrygeneral practicecommunicationsystemrisperidone
VIChome2022-11-15

Finding into death of Matthew Perinovic

3y · Male·Multiple stab wounds to the back

Matthew Perinovic, aged 3 years, died from multiple stab wounds inflicted by his mother Katica during a first-episode psychosis. Katica had been receiving mental health treatment from NorthWestern Mental Health Service f…

psychiatrygeneral practicecommunicationsystemrisperidone
NSW2022-11-08

Inquest into the death of Andrew Gilbertson

42y · Male·methadone toxicity

Andrew Gilbertson, a 42-year-old man with bipolar disorder and substance use disorder, died from methadone toxicity while in custody at Long Bay Correctional Centre. He was not enrolled in opioid substitution therapy but…

forensic medicinepsychiatrysystemdelaymethadone
NSWhome2022-11-04

Inquest into the death of EW

75y · Female·Plastic bag asphyxia in the setting of blunt force head injury

EW, aged 75, died from asphyxiation in July 2019 after being struck by her husband MW, who then took his own life. EW had advancing dementia and severe mobility limitations, with MW as her sole carer. The coroner found t…

geriatric medicineoccupational therapysystemcommunication
TAShome2022-10-31

Coroner's Finding: Lampkin, Christopher Maxwell

57y · Male·hanging

Christopher Maxwell Lampkin, a 57-year-old man with longstanding depression and alcohol dependence, died by hanging in July 2021. He had been treated for depression since 2009 and had attended an alcohol and drugs servic…

general practicepsychiatryantidepressant
TAShome2022-10-28

Coroner's Finding: O'Shea, Amie Maree

39y · Female·mixed prescription drug and alcohol toxicity (ethanol, tapentadol, tramadol, pro…

Amie Maree O'Shea, aged 39, died from mixed prescription drug and alcohol toxicity on 19-20 May 2019. She consumed excessive alcohol at a social gathering then ingested multiple CNS depressants (tapentadol, tramadol, pro…

pathologytoxicologytapentadol
NSWhospital2022-10-28

Inquest into death of Dane LOCKWOOD

33y · Male·methylamphetamine toxicity; antecedent causes being the physiological effects of…

A 33-year-old man with methamphetamine addiction and possible schizophrenia attended the ED seeking help while acutely intoxicated, psychotic and sleep-deprived. After initially agreeing to medication, he attempted to le…

emergency medicinepsychiatrysystemdelaymethamphetamine
VICaged care2022-10-27

Finding into death of Gary William Kennedy

71y · Male·Sudden death in a man with chronic aspiration pneumonia, COVID-19 infection, sch…

Gary Kennedy, a 71-year-old man with Parkinson's disease, schizophrenia, and seizure disorder living in a disability care facility, died from sudden death associated with chronic aspiration pneumonia and concurrent COVID…

geriatric medicinerespiratory medicinebenzotropine
TAShome2022-10-25

Coroner's Finding: Meyer, Glenn Sturley

45y · Male·mixed drug toxicity

Glenn Sturley Meyer, aged 45, died from mixed drug toxicity on 22 August 2019. He had chronic pain, PTSD, depression and anxiety managed with oxycodone and diazepam. He also had obesity and probable obstructive sleep apn…

general practicepsychiatryoxycodone
TAScommunity2022-10-24

Coroner's Finding: Woldemichael, Nazrawi

19y · Male·unable to be determined

Nazrawi Woldemichael, a 19-year-old with a history of severe mental illness, traumatic brain injury, suicidal ideation, and substance abuse, disappeared on 9 October 2016 from North Hobart. The coroner determined he is d…

psychiatrytrauma surgerycommunicationsystemcannabis
VIChome2022-10-24

Finding into death of Ying Ying Zhou

36y · Female·Stab wound to the neck

Ying Ying Zhou, aged 36, was fatally stabbed in the neck by her husband Wei Hu on 14 September 2019 in a domestic violence homicide-suicide. The death was preceded by escalating family violence including threats, sexual …

general practicepsychiatrycommunicationsystem
NSW2022-10-24

Inquest into the death of GL

69y · Male·neck compression due to hanging

GL, a 69-year-old Chinese national, died by hanging in Long Bay Correctional Centre's Medical Services Unit on 12 April 2022. He was incarcerated following the murder of his wife in September 2020 and had become a parapl…

psychiatrygeriatric medicine
NSWout-of-home care2022-10-21

Inquest into the death of Alex Raichman

11y · Male·Multiple injuries sustained when struck by train

Alex Raichman, 11, died when struck by a train after absconding from respite care at Civic Disability Services. Alex had autism, intellectual disability, and seizure disorder with documented absconding risk. Civic knew w…

paediatricspsychiatrysystemproceduralaripiprazole
NSW2022-10-12

Inquest into the death of ZH

29y · Male·Hanging

ZH, a 29-year-old man serving a 9-year sentence for drug supply, died by hanging in his minimum-security cell at Parklea Correctional Centre on 11 August 2021. The coroner found his death was self-inflicted. Key clinical…

psychiatrygeneral practicecommunicationsystemmethamphetamine
VIChospital2022-10-11

Finding into death of Mr H

73y · Male·Infectious Exacerbation of Chronic Obstructive Airways Disease with the Contribu…

Mr H, a 73-year-old man with chronic obstructive airways disease and Lewy body dementia, was admitted to hospital on 6 January 2021 following a psychiatric incident and was found to have pneumonia and severe infection. H…

geriatric medicinepsychiatrydelay
VIC2022-10-10

Finding into death of Muhammad Jaffar Hassan

45y · Male·Plastic bag asphyxia

Muhammad Jaffar Hassan, aged 45, died in custody at Metropolitan Remand Centre by plastic bag asphyxia on 9 October 2018. He was remanded for murder following the death of his partner Ms Fatima Batool. Clinical assessmen…

psychiatryforensic medicinesystemcommunication
VIChome2022-10-10

Finding into death of Fatima Batool

39y · Female·ligature strangulation

Fatima Batool, a 39-year-old woman from Pakistan, was fatally strangled by her husband on 7 July 2018. She had experienced ongoing family violence including physical assault, controlling behaviour, surveillance, and isol…

general practicepsychologydiagnosticcommunicationavanza soltab
VIChospital2022-10-10

Finding into death of Oliver Vincent Paul Cronin

13y · Male·Hanging

Oliver Cronin, a 13-year-old boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, …

psychiatrypsychologydiagnosticsystem

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