Coronial

92 results for acute psychotic symptoms

WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

…n 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and psychotic symptoms. A triage nurse (Marcelle Rust) attempted to assist but lacked legal authority to detain him. T…

emergency medicinepsychiatrycommunicationsystemamphetamine
NSWcommunity2022-02-18

Inquest into the death of SP

36y · Male·hanging

A 36-year-old man died by hanging on 10 July 2018 after leaving his home in Blacktown, NSW. His partner called Triple Zero after 30 minutes, reporting concern for his welfare and that he was acting strangely, restless, a…

emergency medicineparamedicinecommunicationsystem
SApsychiatric ward2009-10-01

Coroner's Finding: RODRIGUEZ Antonio

49y · Male·hanging (suicide)

…EACIS telephone support only, no guaranteed home visit; (5) system failure—unavailable beds in appropriate acute wards forced prolonged inappropriate admission. The coroner emphasised that proper evaluation and transfer…

psychiatrydiagnosticcommunicationolanzapine
NT2023-02-24

Inquest into the death of Bernard Hector

31y · Male·self-inflicted hanging

…isk' following his court appearance. A mental health assessment on 14 July 2021 found no mental illness or acute suicide risk, leading to removal from 'at risk' status and closure of forensic mental health follow-up. Ho…

psychiatrycorrectional healthcommunicationsystem
WAhospital2019-05-24

Inquest into the Death of Melanie Reanna TREGONNING

31y · Female·incised wounds to the neck and arms

A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May …

emergency medicinepsychiatrycommunicationdiagnosticvenlafaxine
QLDhospital2012-02-21

Vaggs, Lyji

28y · Male·hypoxic brain injury sustained during restraint in the foyer of the Acute Mental…

…man with schizophrenia, died from hypoxic brain injury sustained during restraint at Townsville Hospital's Acute Mental Health Unit on 13 April 2010. He had declined admission at ED on 28 March despite clear psychotic s…

psychiatryemergency medicinediagnosticmedicationolanzapine
SAhospital2000-11-20

Coroner's Finding: MIDDLETON Geraldine Ruth

45y · Female·haemorrhage due to traumatic rupture of the liver

…rupture. The coroner found inadequate mental state assessment, failure to recognize suicide risk despite psychotic symptoms and recent serious self-harm, poor documentation, lack of detention despite clear indications, …

emergency medicinepsychiatrydiagnosticcommunicationdiazepam
NSWhospital2023-07-21

Inquest into the death of Ziad Hamawy

51y · Male·complications of opiate toxicity; cardiac and respiratory arrest following drug …

Ziad Hamawy, a 51-year-old man with chronic schizophrenia and polysubstance use disorder, died from opiate toxicity after cardiac arrest following his discharge from Concord Hospital's mental health unit on 18 March 2019…

psychiatryemergency medicinediagnosticcommunicationheroin
VIChospital2025-07-03

Finding into death of JV M

19y · Female·multiple injuries sustained in a train incident

JVM was a 19-year-old with major depressive disorder, anxiety, and possible first-episode psychosis who died by suicide after jumping in front of a train. She had multiple psychiatric admissions and was under care of St …

psychiatryemergency medicinecommunicationsystemsertraline
QLDmental health2013-01-25

SH and AW

25y · Female·Chest injuries due to fall from height

…isk assessment was conducted despite clinical deterioration postpartum. AW spent 462 days in an unsuitable acute ward, developed severe alcohol dependence unchecked by behavioural management, and died on the day of a Me…

psychiatrydiagnosticcommunicationhaloperidol
VICcommunity2022-12-01

Finding into death of Gabriel Messo

30y · Male·Gunshot wounds to the chest

Gabriel Messo, a 30-year-old man with bipolar affective disorder, died from gunshot wounds inflicted by Victoria Police on 16 July 2020 after violently assaulting his mother at John Coutts Reserve. Clinical lessons inclu…

psychiatryemergency medicinecommunicationsystem
NSW2021-05-12

Inquest into the death of Jack KOKAUA

30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …

…alth follow-up; and parole officer lost contact with him for seven days before death. His prescribed antipsychotic (Zuclopenthixol) dose had been missed, leaving him unmedicated for weeks. Multiple agencies failed coord…

emergency medicinepsychiatryproceduralcommunicationzuclopenthixol

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