Coronial

93 results for personality disorder traits

TAShome2018-08-31

Coroner's Finding: Green, Paul William

66y · Male·carbon monoxide poisoning due to inhalation of exhaust gases from a lawn mower

Paul William Green, a 66-year-old retired engineer with longstanding depression, anxiety, PTSD, and chronic alcohol abuse, died by intentional carbon monoxide poisoning from a lawn mower exhaust. He had a prior suicide a…

psychiatrygeneral practicecommunicationsystemantidepressant medication
QLDhome2015-03-19

Press, Connon Kenneth

33y · Male·Gunshot wound to the head

A 33-year-old man with paranoid schizophrenia, polysubstance dependence (amphetamines/cannabis), and chronic suicidal ideation died from a self-inflicted gunshot wound to the head. He had been prescribed risperidone and …

psychiatryforensic medicinemethamphetamine
VIChospital2016-10-04

Finding into death of Damien Marius Van Der Korput

50y · Male·Hypoxic ischaemic brain injury in the context of hanging

A 50-year-old man with longstanding depression, anxiety, and ADHD died by hanging after an acute deterioration in mental state. He had previous psychiatric admission in 2012 for suicidality and was under regular psychiat…

psychiatryemergency medicinecommunicationsystemalcohol
VICmental health2023-09-15

Finding into death of Daylon John Roeton

28y · Male·Hanging

Daylon Roeton, 28, died by hanging in a mental health seclusion room using a ligature made from blanket binding. He was admitted involuntarily after expressing suicidal ideation and paracetamol overdose. The coroner foun…

psychiatryemergency medicinesystemproceduralolanzapam
VIC2013-06-05

Finding into death of Leigh Ronald Bellingham

37y · Male·Toxic effects of heroin in combination with mirtazapine and sertraline

Leigh Ronald Bellingham, a 37-year-old man with a history of depression, suicidality, hepatitis C, and substance abuse, died from toxic effects of heroin in combination with mirtazapine and sertraline in June 2008. He wa…

general practicepsychiatrycommunicationsystemheroin
QLDmental health2013-07-02

Justin

35y · Male·Choking due to impaction of soap in airway

…—direct assessment with listening for breathing is superior; (2) diagnostic uncertainty between psychotic disorder and personality disorder significantly impacts treatment and requires careful multidisciplinary review, p…

psychiatryintensive caresystemcommunicationrisperidone
QLD2025-10-01

Inquest into the death of Duke Allan Wayne Schafer

36y · Male·Ligature strangulation

Duke Schafer, 36-year-old prisoner, was murdered by fellow inmate Carl Bloomfield in May 2020 at Woodford Correctional Centre. Bloomfield strangled Schafer in an unsupervised laundry area during a period when officers we…

psychiatrypsychologysystemcommunicationbuprenorphine
VICmental health2024-04-26

Finding into death of Allison Leah Randall

37y · Female·Hanging

…ng acute concerns about her partner's behaviour towards their daughter. She was diagnosed with delusional disorder on 21 May 2020 and died by hanging on 22 May 2020. The coroner found the clinical care appropriate, inclu…

psychiatrysystemdiazepam
WAhome2019-09-27

Inquest into the Death of Paul STRANGE

30y · Male·ligature compression of the neck (hanging)

Paul Strange, aged 30, died by suicide through ligature compression of the neck eleven days after discharge from Royal Perth Hospital (RPH) for depression with chronic suicidality. He had a documented history of multiple…

psychiatryemergency medicinecommunicationsystemduloxetine
WAhome2021-11-29

Inquest into the Death of Ly Minh TONG

38y · Male·Multiple gunshot wounds

A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …

psychiatrytoxicologycommunicationsystemmethamphetamine
NSWhome2025-05-09

Inquest into the death of Malcolm Brown

33y · Male·sharp force injuries of the neck

Malcolm Brown, a 33-year-old Aboriginal man with a history of methamphetamine use, mental health crisis, and self-harm threats, died from sharp force injuries to his neck on 29 June 2022 following a NSW Police operation.…

psychiatrytoxicologycommunicationdelaymethamphetamine
SAhome2004-01-29

Coroner's Finding: ARANY Eva and Jeno

Eva Arany: gunshot wound to the neck; Jeno Arany: traumatic brain damage complic…

An elderly man with severe depression, suicidal ideation, and ongoing psychiatric risk was hospitalised twice in 2000 and discharged on antidepressant medication. Despite staff identifying he owned seven firearms and pos…

psychiatrygeriatric medicinecommunicationsystemparoxetine
VIChospital2014-01-29

Finding into death of Renee Andrea Treen

24y · Female·multiple injuries from jumping off Bulla Road overpass onto Tullamarine Freeway

Renee Treen, aged 24, died by suicide from the Bulla Road overpass while an involuntary psychiatric patient. Critical failures included: inadequate assessment of suicide risk (prior freeway-adjacent behaviour not weighte…

psychiatrydiagnosticsystemrisperidone
WA2020-11-28

Inquest into the Death of Wayne Thomas LARDER

42y · Male·ligature compression of the neck (hanging)

Wayne Larder, a 42-year-old man with depression, suicidal ideation, and substance use disorder, died by hanging in Hakea Prison on 22 February 2021. Critical failures in suicide risk management includ…

psychiatrypsychologydiagnosticsystemmethamphetamine
NSWhospital2017-09-08

Inquest into the death of James BARTON

21y · Male·external neck compression due to hanging; intentional self-harm

…hree days after discharge from psychiatric care. He was appropriately assessed and admitted as a mentally disordered person on 3 March following a deliberate overdose of 30 ecstasy and 5 Xanax tablets. Dr N. discharged h…

psychiatrytoxicologysystemcommunicationalprazolam
ACT1997

Inquest Into The Circumstances Surrounding The Death Of Shannon Robert Camden

21y · Male·Suffocation from hanging

Shannon Robert Camden, a 21-year-old with longstanding mental health difficulties and previous suicide attempts, died by hanging in cell A1 of the Belconnen Remand Centre on 15 April 1996 while on remand awaiting trial f…

psychiatrypsychologyproceduralsystem
VIC2017

Finding into death of Jacinta Mary Dwyer

50y · Female·Hanging

…017. Despite supportive interventions from senior judges and mental health treatment for major depressive disorder, she resigned in July 2017 and died by suicide in October 2017. The coroner found medical care was approp…

psychiatrygeneral practicesystemcommunicationcitalopram
VIChome2023-07-28

Finding into death of Jackson Desmond David Stawicki

24y · Male·Haemorrhagic shock in the setting of a sharp force injury to the left arm

Jackson Stawicki, 24, died from haemorrhagic shock following a sharp force injury to his left arm while intoxicated with multiple illicit substances. He presented to the ED three times within 24 hours (4-5 September 2020…

emergency medicinepsychiatrycommunicationsystemflualprazolam
WAhome2021-03-25

Inquest into the Death of FJ (Name Subject to Suppression Order)

35y · Female·multiple injuries sustained in fall from sixth-floor balcony

FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the crit…

psychiatrygeneral practicecommunicationsystemlithium
VIChospital2019-05-10

Finding into death of Simon Smith

22y · Male·acute blood loss from incised injuries to left forearm

Simon Smith, a 22-year-old with end-stage renal failure requiring dialysis and complex comorbidities, died by suicide during hospitalization. Despite multiple psychiatric assessments finding he had capacity to make treat…

psychiatrynephrologycommunicationsystemtemazepam

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