Coronial

301 results for psychotic disorder

WA2019-05-02

Inquest into the Death of Fazel CHEGENI NEJAD

34y · Male·ligature compression of the neck

…ention and experienced progressive mental health deterioration characterised by depression, anxiety, and psychotic-like symptoms attributed primarily to prolonged detention. Critical failures included: inexperienced con…

psychiatrygeneral practicesystemcommunicationmirtazapine
VICcommunity2023-11-23

Finding into death of Melissa Louise Arbuckle

33y · Female·Mixed drug toxicity (propranolol, oxycodone, diazepam, temazepam, lurasidone, du…

…ollowing her daughter Lily's death in July 2021, which occurred during severe postpartum depression with psychotic features. Although Ms Arbuckle showed significant recovery and positive life progress in the 12 months b…

psychiatrygeneral practicepropranolol
VICaged care2012-04-30

Finding into death of Kenneth Agnew

37y · Male·combined ethanol and drug toxicity

…espite the care team documenting excessive drinking and warning of dangerous interactions. Dr L. altered psychotic medications and referred to a liver specialist without informing Mr Agnew's general practitioner, Dr K..…

general practicegeneral medicinediagnosticcommunicationmethadone
VICcommunity2017-09-13

Finding into death of Luis Lopez

52y · Male·hanging

… failed to attend a clinic appointment. The following day, psychiatric nurses administered his depot antipsychotic injection at home; Lopez appeared calm, cooperative, and denied concerns. He left the flat that afternoo…

psychiatryemergency medicinepaliperidone
WAcommunity2025-08-11

Inquest into the Suspected Death of Simon Brian HARRINGTON

34y · Male·unascertained (suspected suicide, but body not located so no post-mortem examina…

Simon Harrington, a 34-year-old man with depression and psychotic features, disappeared on 10 January 2011 after starting a new job that triggered anxiety. He had previou…

psychiatryemergency medicinecommunicationquetiapine
WAhospital2019-08-02

Inquest into the Death of Timothy James CHANDLER

52y · Male·multiple organ failure and pulmonary thromboemboli complicating generalised seps…

…undiagnosed heart failure secondary to sleep apnoea. He lacked capacity to consent to treatment due to a psychotic illness and was appropriately placed on an involuntary treatment order. Despite aggressive multispecialt…

emergency medicinegeneral medicine
NSW2025-12-04

Inquest into the death of Wayne Campbell

57y · Male·Unknown - available evidence does not allow for any finding to be made as to the…

…than medical care. Mr Campbell had significant medical and psychiatric history including epilepsy, prior psychotic episodes, substance abuse, and a significant head injury from 2000. He was observed in an agitated, appa…

WAmental health2015-11-25

Inquest into the Death of Yvonne HENDERSON

Female·Multiple injuries

Yvonne Henderson was a middle-aged woman with chronic delusional disorder who died in a motor vehicle collision on 6 December 2010 while on approved leave from psychiatric hospita…

emergency medicinegeneral medicinesystemcommunicationrisperidone
WA2025-05-05

Inquest into the Suspected Death of David Benjamin INGRAM

44y · Male·unascertained - may have been injury from fall, drowning, or predation from mari…

…iagnoses to occupational health when relevant to safety, (3) recognising decompensation in patients with psychotic illness, particularly when medication compliance is uncertain, and (4) ensuring crew awareness of mental…

psychiatrygeneral practicecommunicationsystemolanzapine
TAS2025-07-04

Coroner's Finding: de-identified CF

24y · Male·blunt trauma and drowning due to intentional jumping from Tasman Bridge

A 24-year-old male international student and graduate employee experienced his first acute psychotic episode in December 2022, triggered by workplace stress and unsubstantiated beliefs about colleague mani…

psychiatryemergency medicinedelaycommunicationolanzapine
NTcommunity2016-03-09

Inquest into the death of Ronald Donaldson

69y · Male·Blunt head trauma

…ledgehammer in Katherine on 3 December 2013. Osborne was experiencing untreated schizophrenia with acute psychotic symptoms and believed his victim was someone else (Les Pearce). Osborne had been seen in the Katherine H…

psychiatryemergency medicinedelaymarijuana
WAmental health2019-12-20

Inquest into the Death of Jason James Sutherland MALLETT

46y · Male·cardiac arrhythmia in a man with coronary arteriosclerosis and myocarditis

Jason Mallett, a 46-year-old man with bipolar affective disorder and schizo-affective disorder, died from cardiac arrhythmia secondary to coronary arteriosclerosis and my…

psychiatrycardiologysystemcommunicationquetiapine
VIChospital2023-02-24

Finding into death of Justin Patrick Crome

39y · Male·Injuries sustained in a fall from the Camberwell train station bridge

Justin Crome, a 39-year-old man with delusional disorder and schizophrenia, died by suicide after jumping from a railway bridge on 13 February 2020. He had a hist…

psychiatryemergency medicinecommunicationdelaypaliperidone
NSWcommunity2020-02-27

Inquest into the death of DP

45y · Male·gunshot wound to the chest

… police into shooting him. His judgment was significantly impaired by methylamphetamine intoxication and psychotic symptoms; he had not taken his prescribed antipsychotic medication for at least 33 hours. Despite multip…

psychiatryemergency medicinemethamphetamine
NT2000-09-15

Inquest into the death of Glen Anthony Huitson and Rodney William Ansell

37y · Male·Sergeant Huitson: gunshot wound to chest and abdomen; Ansell: multiple gunshot w…

…s kidnapping his children. His amphetamine use and possible underlying mental illness created a paranoid psychotic state. Sergeant Huitson was fatally wounded by a bullet that penetrated his ballistic vest through the u…

psychiatryforensic medicinesystemamphetamine
WAhome2016-02-15

Inquest into the Death of John Stephen PASSMORE

53y · Male·ligature compression of the neck (hanging)

…ry patient at Graylands Hospital for nearly 10 months (May 2011 to March 2012) during which multiple antipsychotic medications were trialled without significant improvement. The treating team faced an ethical dilemma: c…

psychiatryrehabilitation medicineolanzapine
WAcommunity2022-12-12

Inquest into the Death of Lewis Henry Mark WESTON

22y · Male·ligature compression of the neck (hanging)

…died by suicide on 3 November 2020 while subject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsychotic medication throug…

psychiatryemergency medicineolanzapine
VICcommunity2012-12-10

Finding into death of Benjamin Jason Pappas

28y · Male·consistent with drowning

Benjamin Pappas, a 28-year-old with a history of substance abuse, depression, borderline personality disorder, and suicidal ideation, died by drowning on approximately 4 March 2007, following the discovery that his …

general practicepsychiatrysystemcommunicationheroin
NTcommunity2011-10-11

Inquest into the death of Aaron Nathan Stagg

28y · Male·hanging

…t pattern. Key lessons include the challenges of engaging high-functioning individuals with developmental disorders, and the need for coordinated care across fragmented services.

psychiatrypsychologysystemrisperidone
NSWcommunity2025-08-22

Inquest into the disappearance and suspected death of Habtom Ghilagaber

30y · Male·unknown - no postmortem examination performed

…d involuntary detention protocols—Habtom had been hospitalised with schizophreniform psychosis/delusional disorder in December 1994 and discharged January 1995 with documented suicidal ideation. He subsequently stopped m…

psychiatrypsychologysystemcommunicationantipsychotic medication
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