SPB - Non-inquest findings
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxica…
89 results for “schizophrenia or psychotic disorder”
36y · Male·hanging
A 36-year-old man with 15-year history of paranoid schizophrenia and polysubstance abuse presented to hospital after violent behaviour toward his father while intoxica…
35y · Male·Hanging
Hassen Yassin, a 35-year-old man with schizophrenia, bipolar affective disorder, and PTSD, died by hanging after absconding from an involuntary psychiatri…
58y · Female·cardiac arrhythmia caused by a combination of pre-existing myocarditis and the a…
…ller, aged 58, died unexpectedly at home on 21-22 August 2013 while receiving treatment-resistant bipolar disorder management with clozapine and olanzapine. Her death was investigated thoroughly following detection of el…
36y · Male·Multiple injuries sustained from intentional jump from cliff top
Alexander Albert Steinbrenner, a 36-year-old man with schizo-affective disorder, died from multiple injuries sustained when he jumped from an 11-metre cliff at the Roundhouse in Fremant…
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…
26y · Male·multiple injuries from fall from height
A 26-year-old man with schizophrenia was discharged from mental health inpatient care on a community treatment order without meeting his al…
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 imprisonment, he …
32y · Female·Compression of the neck
… with incomplete risk assessment despite documented family violence history, poor medication compliance, psychotic symptoms, and substance abuse; (2) NLU's diagnosis remained unclear (alcohol abuse vs. psychosis) withou…
34y · Male·Gunshot injuries to chest and left shoulder
Joseph Abela, a 34-year-old with chronic paranoid schizophrenia and polysubstance use, died from gunshot wounds inflicted by police during a mental health welfare che…
41y · Male·Hanging
…ston Correctional Centre on 2 June 2015. He was subject to an involuntary treatment order for paranoid schizophrenia and was undergoing dangerous prisoner sexual offender risk assessment. Although assessed as not at-ris…
20y · Male·ligature compression of the neck (hanging)
…ding drug-induced psychosis, depression, and anxiety, for which he was frequently non-compliant with antipsychotic medications. Critical clinical failures included: (1) no psychiatrist review for seven months following …
29y · Male·Effects of fire
…r-old bus driver, was killed on 28 October 2016 when Anthony O'Donohue, an untreated patient with severe psychotic illness characterised by persecutory delusions, boarded his bus and set him on fire using a Molotov cock…
23y · Male·Neck compression as a result of hanging
…d by hanging at Junee Correctional Centre on 3 February 2018 while serving remand. He had longstanding schizophrenia with previous suicide attempts and was un-medicated for months before arrest. Critical failures in his…
24y · Male·Massive blood loss caused by incised wounds of left upper extremity
A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison c…
31y · Male·hanging (self-inflicted)
Darryl Walker, a 31-year-old Aboriginal man with chronic schizophrenia and diabetes, died by hanging in Port Lincoln Prison on 2 June 2003. He had been transferred to an iso…
61y · Male·asphyxial death due to hanging
Paul Stephen Scott, aged 61, died by hanging while on leave from psychiatric inpatient care. He had been admitted to Spencer Clinic on 11 January 2018 with suicidal ideation and complex psychiatric presentation. Despite …
32y · Male·Head and neck trauma (train impact)
Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 D…
17y · Female·Self-inflicted hanging in the context of known complex mental health and behavio…
Didbala, a 17-year-old Aboriginal girl with complex mental health conditions including psychosis, bipolar disorder and suspected FASD, died by hanging at a CASPA residential care house in Katherine on 3 October 2022. She…
41y · Female·neck compression
…from neck compression between 12-14 February 2016. She was in a relationship with LM, who had paranoid schizophrenia, substance abuse issues, and a history of violence. Following a family violence incident on 17 January…
0y · Female·Unascertainable
Shar Rose Benfield, a 7-month-old Aboriginal infant born prematurely to parents with significant psychosocial challenges, died unexpectedly on 24 June 2008 at Kalgoorlie Hospital with an unascertainable cause. The child …
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