Coronial

139 results for paranoid_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 bronchopneumonia and combined drug toxicity. He was managed…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
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 transferred to a rehabilitation unit for reassessment…

psychiatryintensive carelorazepam
NThospital2000-12-13

Inquest into the death of Ronald Smallwood

74y · Male·disseminated carcinoma (widespread cancer); specifically haemorrhage into right …

Ronald Smallwood, a 74-year-old man with chronic paranoid schizophrenia and renal cancer, died in hospital from disseminated carcinoma. The key clinical lesson relates to institutional knowledge rather than direct patien…

psychiatrygeneral medicinesystemcommunication
NSW2016-03-14

Inquest into the death of Michael David John Nolan

30y · Male·Exsanguination due to an incision in the radial vein of his right wrist

Michael David John Nolan, aged 30, died in prison from exsanguination following a self-inflicted laceration to his radial vein. He had complex mental health needs including schizophrenia, acquired brain injury, developme…

psychiatrycorrectional healthmethadone
VIChome2014-04-30

Finding into death of Nathan Troy Chalkley

27y · Male·Toxicity to heroin

Nathan Chalkley, 27, died from heroin toxicity on 27 January 2007. He was released from Barwon Prison in October 2006 on parole after serving time for criminal offences. Despite engagement with corrections, a psychiatris…

psychiatryforensic medicinesystemheroin
VICmental health2014-10-07

Finding into death of Warren Guneratne

25y · Male·consistent with drowning in a man with multiple injuries

Warren Guneratne, a 25-year-old man with paranoid schizophrenia, was admitted involuntarily to the psychiatric unit of Royal Melbourne Hospital on 28 January 2008 after assessment by the Crisis Assessment and Treatment T…

psychiatryemergency medicinecommunicationsystemclozapine
VICmental health2011-12-02

Finding into death of Mark Ronald Connolly

27y · Male·HEAD INJURY SUSTAINED IN A MOTOR VEHICLE COLLISION (PEDESTRIAN)

Mark Connolly, 27, with paranoid schizophrenia and command hallucinations, was admitted to the Low Dependency Unit of a psychiatric hospital despite expressing intent to jump from a moving car and requesting High Depende…

psychiatrycommunicationsystemolanzapine
QLDcommunity2025-05-02

Non-inquest findings into the death of Mr T.

49y · Male·undetermined

A 49-year-old man with paranoid schizophrenia on clozapine became non-compliant with mental health appointments in July 2021. After threatening clinic staff while acutely psychotic, mental health services and police atte…

psychiatrysystemcommunicationclozapine
WAmental health2021-06-29

Inquest into the Death of Samuel Mark WALSH

38y · Male·carbon monoxide toxicity

Samuel Mark Walsh died by carbon monoxide toxicity (suicide) in October 2014 while subject to a custody order for a forensic mental health condition. He had paranoid schizophrenia and had been remarkably stable on clozap…

psychiatrypharmacydelaysystemclozapine
WAhome2018-03-22

Inquest into the Death of Aileen Helen QUARTERMAINE

60y · Female·effects of fire in a woman with alcohol effect

A 60-year-old woman with chronic paranoid schizophrenia died in a domestic fire on 26 July 2014. The day before, her son sought help from police and mental health services after noticing signs of mental health deteriorat…

psychiatryemergency medicinecommunicationdiagnosticpaliperidone
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 ball of tissue paper while in the mental health assessment un…

psychiatryemergency medicinecommunicationsystemolanzapine
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…

Jasmine Roennfeldt, a 36-year-old woman with schizoaffective disorder being treated at a community mental health clinic, died from stab wounds inflicted by her flatmate Rocky Manu, who had paranoid schizophrenia. Rocky h…

psychiatrysystemcommunicationantipsychotic medication
SA2012-11-14

Coroner's Finding: Radford Roger Gordon

69y · Male·haemopericardium due to extensive aortic dissection due to hypertensive heart di…

A 69-year-old man died in prison from haemopericardium secondary to extensive aortic dissection caused by chronic hypertension. Death was rapid and occurred in the early morning hours. The autopsy confirmed natural cause…

SAmental health2000-09-22

Coroner's Finding: McQUINN Rosemary

68y · Female·glottic obstruction by food bolus

A 68-year-old woman with Huntington's disease, schizophrenia, and schizoaffective disorder died from glottic obstruction by food bolus while eating breakfast in a psychiatric hospital where she was detained under the Men…

psychiatrypathology
SAmental health2000-11-14

Coroner's Finding: SIMMONETTE Sean Patrick

26y · Male·respiratory arrest complicating hydrocarbon inhalation (sudden sniffing death)

A 26-year-old man with schizophrenia, antisocial personality disorder, and polysubstance abuse died from sudden sniffing death syndrome after inhaling fly spray in a psychiatric ward smoking room. Three days prior, staff…

psychiatryforensic medicinecommunicationsystemchlorpromazine
QLD2012-08-29

Cartledge, Adam

38y · Male·Hanging

Adam Cartledge, 38, died by hanging in his cell at Arthur Gorrie Correctional Centre while on remand. He had a long history of psychiatric illness, including depression, paranoid schizophrenia, previous suicide attempts,…

psychiatrypsychologysystemchlorpromazine
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

Jeffrey John Hartwig, a 43-year-old with chronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medic…

psychiatryintensive caremonitoringcommunicationmethadone
VICmental health2022-03-30

Finding into death of B J

24y · Male·Hypoxic brain injury secondary to hanging

BJ, a 24-year-old with paranoid schizophrenia, substance abuse disorder, and anti-social personality disorder, died by hanging in a psychiatric unit after a suicide attempt. He was admitted on 4 January 2016 with suicida…

psychiatryemergency medicinecommunicationsystemquetiapine
SAmental health2011-08-26

Coroner's Finding: REX Michael David

41y · Male·mixed drug toxicity (methadone, valproate, zuclopenthixol)

Michael David Rex, a 41-year-old man with chronic treatment-resistant paranoid schizophrenia, died from mixed drug toxicity (methadone, valproate, zuclopenthixol) while detained in Ward 5H of the Margaret Tobin Centre ps…

psychiatrypharmacysystemdelaymethadone
WAhospital2011-11-22

Inquest into the Death of Ashdown

27y · Male·cardiac arrhythmia during restraint; mechanism involved hypoxia and asphyxiation…

Warwick Andrew Ashdown, a 27-year-old male with severe treatment-resistant paranoid schizophrenia, died at Graylands Hospital on 12 October 2007 from cardiac arrhythmia during physical restraint. After assaulting another…

psychiatryintensive careproceduralsystemhaloperidol

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