Coronial

123 results for paranoid ideation

VIChome2024-03-07

Finding into death of Claire Louise Carroll

45y · Female·Neck compression secondary to hanging

…died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had complex mental health diagnoses (borderline personality diso…

psychiatrygeneral practicesystemcommunicationclonazepam
TASprison2024-04-18

Coroner's Finding: Gerard, Robert Harold

48y · Male·Hanging (partially suspended hanging using shoelaces as ligature)

…Gerard, aged 48, died by hanging in Risdon Prison in May 2022 while on remand for serious charges. He had paranoid schizophrenia, a long history of substance abuse, and was experiencing depression and suicidal ideation. …

psychiatrycorrectional healthsystemdelayzuclopenthixol decanoate
VICcommunity2020-08-28

Finding into death of Heather Telfer

69y · Female·Toxicity to pentobarbitone in circumstances where she intended to end her own li…

…ied from pentobarbitone toxicity. She had a prior suicide attempt 12 years earlier and expressed suicidal ideation to her son and doctor. Over two years, she became increasingly estranged from family, held unrealistic ex…

general practicerespiratory medicinecommunicationsystempentobarbitone
WAcommunity2019-07-17

Inquest into the Death of Mark Quenton FLEURY

38y · Male·ligature compression of the neck (hanging)

Mark Quenton Fleury, a 38-year-old man with paranoid schizophrenia, died by suicide on 14 February 2016 while subject to a Community Treatment Order. In the f…

psychiatryemergency medicinecommunicationsystemrisperidone
VIChome2009-12-01

Finding into death of Nicholas Raymond Lobo

60y · Male·Drowning; elevated blood ethanol level

…s. Despite assessment for day leave by a psychiatry medical officer and phone contact showing no suicidal ideation, he drowned in his bathtub at home. The coroner found the death was intentional, not accidental. While th…

psychiatry
NSWmental health2018-09-07

Inquest into the disappearance and suspected death of Christine Joyce Dorothy Young

40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…

Christine Young, a 40-year-old Aboriginal woman with paranoid schizophrenia, absconded from a locked mental health inpatient unit and walked into desert scrubland wher…

psychiatryemergency medicinediagnosticcommunicationpaliperidone
WA2002-04-12

Inquest into the Death of Scott Davidson

26y · Male·Ligature compression of the neck (Hanging)

Scott Davidson, a 26-year-old recently sentenced prisoner with paranoid schizophrenia, died by suicide in Casuarina Prison on 5 June 2000. Following sentencing to 9 years impris…

psychiatrycorrectional healthdiagnosticcommunicationolanzapine
WA2016-11-04

Inquest into the Death of Simon John ROWE

37y · Male·multiple injuries in a man with methylamphetamine effect (suicide by jumping fro…

Simon John Rowe, a 37-year-old man with a history of drug use and imprisonment, died by suicide on 12 April 2012 after deliberately jumping from a 12th-floor hotel window during a police siege. He had smashed the window,…

emergency medicinepsychiatrymethamphetamine
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 b…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2017-12-14

Finding into death of Craig Michael Akerblom

31y · Male·Hypoxic ischaemic brain injury secondary to hanging

…sychologist, dietician) but there was no coordinated care plan. In April 2015, he presented with suicidal ideation and paranoid thoughts; psychiatric admission was suggested but he declined. His psychiatrist had relocate…

general practicepsychiatrycommunicationsystemvenlafaxine
VIChome2022-12-01

Finding into death of Reece John Pullen

27y · Male·Multiple injuries sustained in a fall from height

Reece Pullen, 27, died from multiple injuries sustained in a fall from a seventh-floor balcony on 27 October 2021. He had a history of drug-induced psychosis following methamphetamine use, treated at Orygen Youth Health …

psychiatryemergency medicinearipiprazole
VICcommunity2025-11-10

Finding into death of Ayman Peter Fatho

31y · Male·Gunshot injury to the chest

A 31-year-old male died from a gunshot wound to the chest inflicted during a violent confrontation. The deceased had stalked and threatened the shooter following an unfounded belief that the shooter was romantically invo…

methamphetamine
TAShospital2021-07-26

Coroner's Finding: Sowden, James Robert

65y · Male·Self-inflicted incised and stab wounds to neck and incised wounds to wrists

…65, died by self-inflicted neck and wrist wounds on 28-29 March 2018. He had a history of depression with paranoid features (diagnosed 2003) and autoimmune thyroiditis. In the week before death, he experienced adverse me…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAShome2019-10-16

Coroner's Finding: Powell, Stephen Maxwell

72y · Male·exsanguination (blood loss) from severed femoral artery

…e planning, and regular follow-up. Risk of self-harm had been assessed as low with no documented suicidal ideation. The coroner determined the death was self-inflicted but made no recommendations or criticisms regarding …

psychiatrygeneral practicehaloperidol decanoate
NThome2013-10-15

Inquest into the death of Gwyyneth Cassiopeia-Roennfeldt

36y · Female·Internal injuries consequent on being stabbed repeatedly by Rocky Manu, a man wi…

… at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky had been non-compliant with antipsychotic medication for 3.5 months before the fatal…

psychiatrysystemcommunicationantipsychotic medication
VICaged care2015-05-14

Finding into death of Philip John Roberts Hewitt

64y · Male·Acute traumatic subarachnoid haemorrhage secondary to single penetrating injury …

…sing mental health risks. The facility's care plan for the perpetrator made no reference to his homicidal ideation despite documented history. Key failures included inadequate information gathering at admission, lack of …

psychiatrygeneral practicediagnosticcommunicationolanzapine
QLD2012-08-29

Cartledge, Adam

38y · Male·Hanging

… Correctional 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 eleva…

psychiatrypsychologysystemchlorpromazine
WAhospital2024-05-06

Inquest into the Death of Devan Beau GINBEY

20y · Male·Hypoxic brain injury following ligature compression of the neck (hanging)

…is, ADHD, and substance abuse, presented to Peel ED on 12 January 2022 with self-harm and active suicidal ideation with a stated plan. Despite appropriate initial medical and psychiatric assessment, he was placed in a no…

emergency medicinepsychiatrysystemdelay
VIChome2009-06-02

Finding into death of Mark Andrew Downie

32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam

… suicide attempts while imprisoned. Despite hospital staff awareness of his ongoing paranoia and suicidal ideation, he was discharged to his mother's care with verbal advice about medication storage. The deceased conceal…

psychiatrysystemdelaychlorpromazine
TASmental health2019-06-28

Coroner's Finding: Hughes, Joan May

85y · Female·aspiration of gastric contents following vomiting

Joan May Hughes, age 85, died on 16 June 2014 from aspiration of gastric contents following vomiting. She was admitted to the Roy Fagan Centre with psychotic depression and was under a Mental Health Act treatment order. …

psychiatrygeriatric medicinecitalopram

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