Coronial

157 results for chronic psychosis

NTcommunity1991-06-03

Inquest into the death of Ganamu Garrawurra

48y · Male·shotgun wound to the head

A 48-year-old Yolngu man with chronic mental illness (schizophrenia) died from a shotgun wound to the head on Elcho Island, NT in April 1990. A…

psychiatryforensic medicinesystemcommunicationmelleril
WAmental health- 11 April 2014

Inquest into the Death of Ritchie GORDON

49y · Male·unascertainable; possible explanations include epileptic seizure, cardiac arrhyt…

Ritchie Gordon, a 49-year-old Aboriginal man with chronic schizophrenia, was a long-term involuntary psychiatric patient at Graylands Hospital who died on 12 July …

psychiatryforensic medicineclozapine
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
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

…ised oral consumption at the pharmacy. While Wellington's complex mental health comorbidities (including psychosis, depression, and anxiety) and concurrent psychotropic medications were clinically defensible, the prescr…

general practiceaddiction medicinemedicationsystemmethadone
WAcommunity2024-08-13

Inquest into the Death of Amy Rebecca DEANE-JOHNS

48y · Female·Combined drug toxicity (predominantly methadone)

…thorization. She had a long history of mental illness with 18 inpatient admissions between 2016 and 2022, chronic polysubstance use including methamphetamine and alcohol, and was under a Community Treatment Order (CTO) …

psychiatrymethadone
VIC2011-09-01

Finding into death of Elijah Michael Shelley

28y · Male·heroin toxicity

Elijah Shelley, a 28-year-old with borderline personality disorder, depression, anxiety, and polysubstance abuse, was admitted to Alfred Health following a suspected heroin overdose suicide attempt on 27 October 2008. Un…

psychiatryheroin
QLDhome2011-03-25

Clarke, Daniel James

36y · Male·Gunshot wound to the forehead

… psychiatric hospitalisation. The coroner found mental health care was appropriate—no objective signs of psychosis were evident on professional assessment in February 2009, though his mother reported concerning behavior…

psychiatrycorrectional healthcommunicationsystem
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

A 48-year-old man with schizoaffective disorder, poorly controlled diabetes, sleep apnoea, obesity and cardiomegaly died unexpectedly at a rural hospital following acute psychotic agitation. He had absconded from a menta…

psychiatrygeneral practicesystemdelayhaloperidol
WA2019-05-09

Inquest into the Death of Khamsani Victor JACKAMARRA (also known as Hajinoor)

36y · Male·Ligature compression of the neck (suicide by hanging)

A 36-year-old Aboriginal man with cluster B personality disorder, substance abuse, and chronic self-harm risk died by ligature suicide in prison 2 hours after admission. He pleaded guilty to arson cha…

psychiatryforensic medicinecommunicationsystemmethamphetamine
NTcommunity2009-06-10

Inquest into the death of Robert Plasto-Lehner and David Gurralpa aka Moscow

Male·David Gurralpa: sudden heart attack (coronary atherosclerosis with long-standing…

…t following police restraint during a domestic disturbance call. Robert Plasto-Lehner, a 57-year-old with chronic airways disease and heart disease, died of restraint asphyxia following police restraint in hospital whil…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VICcommunity2020-05-01

Finding into death of Joelene Therese Dowden

37y · Female·Hypoxic ischaemic brain injury complicating aspiration of gastric contents

…est. Post-mortem revealed probable alcoholic ketoacidosis with elevated 3-hydroxybutyrate and evidence of chronic alcohol use. She had a documented history of homelessness, substance abuse, and psychiatric illness. Para…

emergency medicineintensive caredoxylamine
SAcommunity2025-04-30

Coroner's Finding: Foster, Michelle Stephanie

36y · Female·head injury

A 36-year-old woman was killed by a young man with early-onset schizophrenia after a chance encounter. The death resulted from a complex series of missed opportunities in mental healthcare management. Key failures includ…

psychiatryemergency medicinediagnosticcommunicationaripiprazole
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

34y · Male·Long drop hanging resulting in complete decapitation

…ks after discharge from psychiatric admission on a Community Treatment Order. He had a 15-year history of chronic paranoid schizophrenia, chronic polysubstance abuse (marijuana, heroin, amphetamines), and recurrent suic…

psychiatryaddiction medicinesystemcommunicationmarijuana
NSWhospital2022-04-05

Inquest into the death of Ronald TURNER

81y · Male·Consequences of bowel obstruction

Ronald Turner, an 81-year-old man in lawful custody, died from consequences of bowel obstruction with aspiration pneumonia. He had a history of recurrent sigmoid volvulus despite previous surgery. On 22 January 2020, he …

colorectal surgerygeriatric medicine
NSWhome2020-06-01

Inquest into the death of A P

2y · Female·drowning

A 2-year-old child died by drowning at her home in September 2016. Her mother was suffering from acute psychosis and had stopped taking antipsychotic medication days before the death. Critical failures occurred: the c…

general practicepsychiatrycommunicationsystemtriflouperazine
SAhospital2020-12-18

Coroner's Finding: ASTACHNOWICZ Maria

76y · Female·left lower lobe pneumonia complicating metapneumovirus infection

…n at Lyell McEwin Hospital. She had extensive psychiatric history (schizoaffective disorder/bipolar) with chronic mental health admissions, managed at Clements House aged care facility. She developed respiratory symptom…

psychiatrygeriatric medicineclonazepam
VICmental health2022-12-15

Finding into death of Kira Shae James

21y · Female·Neck compression

Kira Shae James, a 21-year-old with psychosis, borderline personality disorder, and eating disorder, died by ligature at Thomas Embling Hospital while…

psychiatrypsychologyproceduralcommunication
VIChospital2015-08-11

Finding into death of Orce Petrusevski

35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…

A 35-year-old man with chronic alcohol dependence was admitted to the ED with acute alcohol withdrawal and auditory hallucinations. Desp…

emergency medicinepsychiatrydiagnosticmedicationdiazepam
NSWhome2014-05-09

Inquest into the death of Adam HAYWARD

33y · Male·multi-drug toxicity as a result of misadventure

…t. The primary clinical lesson is the extreme difficulty in managing borderline personality disorder with chronic suicidal risk, where hospitalization may reinforce harmful patterns.

psychiatryemergency medicinequetiapine
NSW2021-07-15

Findings into the death of MH

22y · Male·Hanging

A 22-year-old man with severe chronic treatment-resistant schizophrenia and substance use disorder died by hanging in prison custody. He had be…

psychiatrycorrectional healthdiagnosticsystemzuclopenthixol
14568

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