Coronial

123 results for paranoid ideation

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.…

psychiatrygeriatric medicinecommunicationsystemparoxetine
VIC2021-04-28

Finding into death of Mohamed Omar

30y · Male·neck compression

Mohamed Omar, a 30-year-old man with schizophrenia, died in Melbourne Assessment Prison on 25 June 2017 from neck compression while on remand. He had a history of command auditory hallucinations instructing self-harm, re…

psychiatrycorrectional healthflupenthixol depot injection
VIChome2018-07-10

Finding into death of Carmelo Gusman

50y · Male·Single, contact-range shotgun discharge to the head

Carmelo Gusman, a 50-year-old man, died from a self-inflicted shotgun wound after killing his wife in a murder-suicide. His death followed a workplace back injury that caused him significant psychological distress, loss …

psychiatrypsychology
SAmental health2010-05-07

Coroner's Finding: DOBRIJEVIC Sofija

73y · Female·neck compression by ligature

…d her as moderate risk of self-harm without access to this information. Despite her longstanding suicidal ideation history, risk assessment protocols focused on acute vocalised intent rather than her longitudinal mental …

psychiatrygeriatric medicinecommunicationdiagnosticrisperidone
NSWhome2026-05-06

Inquest into death of Laila Philip Samson Lado

30y · Male·unascertained

A 30-year-old male died between 9 and 10 November 2023 with an unascertained cause. His body was discovered on 20 November in significant decomposition at his home. In the months preceding his death, his intimate relatio…

NSW2017-11-16

Inquest into the death of Garry Weigand

56y · Male·fatal cardiac arrhythmia due to complications from acute bronchopneumonia and ar…

Garry Weigand, a 56-year-old man with a history of brain injury and intellectual impairment, died in custody 17 days after arrest. He died from a fatal cardiac arrhythmia resulting from acute bronchopneumonia combined wi…

respiratory medicinepsychiatrymetoclopramide
TAScommunity2025-06-30

Coroner's Finding: de-identified XA

41y · Male·head and chest injuries from fall from height

A 41-year-old man with schizophrenia died by suicide, jumping from the Tasman Bridge on Christmas Eve 2022. He had a 15-year history of mental illness with multiple suicide attempts, previously managed with antipsychotic…

psychiatrygeneral practicesystemdelaypaliperidone
WAhome2024-07-31

Inquest into the Death of Joseph Charles ABELA

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 …

psychiatrycorrectional healthdiagnosticsystemhaloperidol
WA2024-02-06

Inquest into the Death of Phillip John ALLEN

47y · Male·ligature compression of the neck (hanging)

…an died by suicide in custody at Roebourne Regional Prison while on SAMS mental health monitoring. He had paranoid ideation, delusions about 'black magic', and auditory hallucinations, which were reviewed by prison psych…

psychiatrycorrectional healthcommunicationsystem
WAmental health2014-04-11

Inquest into the Death of Rutherford Sarah

28y · Female·multiple injuries from deliberate fall from pedestrian bridge onto Mitchell Free…

… overnight and weekend leave. During weekend leave her mental state deteriorated, but she denied suicidal ideation at her 23 December review and was discharged home on a 7-day prescription for risperidone. She left home …

psychiatryintensive carerisperidone
QLDcommunityPodcast2023-10-27

SHARMA, Manmeet

29y · Male·Effects of fire

…en discharged from community mental health services in August 2016 despite chronic suicidal and homicidal ideation, lack of insight into his illness, and refusal to engage with a general practitioner. Key clinical lesson…

psychiatrysystemcommunicationpaliperidone
WAcommunity2020-02-03

Inquest into the Death of Jose DA SILVA

34y · Male·unascertained; most likely immersion after swimming at City Beach

…, and left his apartment in an untidy state—uncharacteristic for him. While he had no documented suicidal ideation, his mental health appeared to be deteriorating. The coroner could not definitively determine whether his…

psychiatrygeneral practiceolanzapine
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

…thasone from March 2015. Initial dexamethasone-induced hypomania progressed to psychosis, depression, and paranoid delusions as the dose was reduced. On 14 August, after concerning behaviour and suicidal statements at ho…

oncologypsychiatrydiagnosticcommunicationdexamethasone
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

… by a train approximately 3 hours later. He was admitted on an involuntary treatment order after suicidal ideation and had previously absconded the same day but returned voluntarily. He was placed in a low-dependency uni…

psychiatrydiagnosticcommunicationdiazepam
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
WAhospital2025-06-30

Inquest into the death of Houston PEEL

29y · Male·ligature compression of the neck (hanging)

…h 2023 with acute psychotic symptoms including auditory and visual hallucinations, bizarre behaviour, and paranoid ideation following return from Bali. He was triaged as ATS 3 and assigned a 30-minute target, but faced a…

emergency medicinepsychiatrycommunicationdelayolanzapine
WAmental health- 11 April 2014

Inquest into the Death of Gregory Laurence HUNT

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

… care, and there was no clinical basis for staff to anticipate suicide risk—he had no documented suicidal ideation for years, showed no recent depression, and gave no warning signs. The death resulted from sudden impulsi…

psychiatryemergency medicinesystem
NSWhospital2017-08-22

Inquest into the death of Tyson MATTHEWS

30y · Male·external neck compression due to hanging

Tyson Matthews, a 30-year-old man with long-standing mental illness (psychosis, depression, antisocial personality disorder) and substance abuse, died by hanging four days after presenting to a psychiatric emergency cent…

psychiatryemergency medicinepaliperidone
WAmental health2024-03-07

Inquest into the Death of Petya Evgenieva PETROVA-CIZEK

41y · Female·ligature compression of the neck (hanging)

… on 16 December 2020. She had been admitted following acute psychotic symptoms with paranoia and suicidal ideation. The coroner found multiple inadequacies in her care: failure to remove potential ligature items (shoelac…

psychiatrydiagnosticcommunicationescitalopram
VICcommunity2019-10-09

Finding into death of Michael Travis Kidd

35y · Male·Clozapine toxicity

A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, r…

psychiatryforensic medicinecommunicationsystemclozapine

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