Coronial

746 results for psychiatric treatment

VICcommunity2017-04-05

Finding into death of KP

15y · Male·Hanging (redacted in original but indicated by reference to method of suicide)

…: lack of documented mature minor assessment, absence of clear confidentiality boundaries established at treatment outset, failure to discuss severe depression scores with parents/GP, and absence of psychiatric consulta…

psychologypsychiatrycommunicationsystem
VIChome2010-02-26

Finding into death of Mustapha Hayek

31y · Male·Hanging

…ssion and, despite repeated referrals by his GP to psychiatrists, he consistently declined mental health treatment. At the time of death, he was subject to a Community Treatment Order. He was struggling with his brother…

psychiatrygeneral practicemethamphetamine
SAcommunity2002-05-23

Coroner's Finding: DAVIES Nicole Memory Faye

17y · Female·mixed drug toxicity

…m Melbourne. Dr T. rapidly escalated her dose from 35mg to 70mg in five days without assessing previous psychiatric treatment or heroin history. Nicole was taking benzodiazepines, doxepin, and fluoxetine—creating danger…

general practiceaddiction medicinediagnosticmedicationmethadone
NTPodcast2001-10-15

Inquest into the death of Bryan G (aka) Abell Dallos

25y · Male·multiple injuries sustained in aircraft crash

Bryan G (Abel Dallos), a 25-year-old man with longstanding paranoid schizophrenia and treatment resistance, died in an aircraft crash after stealing an unlocked Piper Warrior from Alice Springs Airpor…

psychiatryaviation medicinecommunicationsystemhaloperidol
VICaged care2025-09-10

Finding into death of IWT

77y · Female·Complications of malnutrition in a woman with paranoid delusions

A 77-year-old woman with complex medical and psychiatric history died from complications of malnutrition while an inpatient with paranoid delusions and delirium…

psychiatrygeriatric medicineolanzapine
NSWcommunity2021-10-22

Inquest into the death of Liselle HOUBERT

23y · Female·Multiple injuries received in a deliberate motor vehicle collision

…th medication washout periods during mental health crises and the importance of close monitoring during psychiatric treatment transitions.

psychiatrygeneral practiceantidepressant medications
SAhome2007-11-09

Coroner's Finding: RANDALL Treenor Heather

50y · Female·mixed tablet overdosage (quetiapine and venlafaxine with codeine)

…tified critical system failures: lack of integration and continuity across services, delayed specialist psychiatric referral despite clear indications, inadequate monitoring of alcohol misuse (which significantly compli…

general practicepsychiatrycommunicationdelayquetiapine
VIChospital2012-06-06

Finding into death of Lewis Chetcuti

63y · Male·Respiratory failure due to acute exacerbation of chronic obstructive airways dis…

Lewis Chetcuti, 63-year-old involuntary psychiatric patient with longstanding schizophrenia and significant comorbidities including severe COPD, congestive…

psychiatryemergency medicine
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

Anna Maria Cameron, a 65-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been r…

psychiatryintensive carelorazepam
VIC2022-10-10

Finding into death of Muhammad Jaffar Hassan

45y · Male·Plastic bag asphyxia

…ngraded to P2/S4 by 24 July 2018. Mental health care met minimum standards; however, Mr Hassan declined psychiatric appointments at MRC and received no pharmacological treatment. The coroner found Mr Hassan intended to …

psychiatryforensic medicinesystemcommunication
SAhome2025-11-27

Coroner's Finding: Brown, Logan Reece

25y · Male·hanging

Logan Brown, a 25-year-old man on home detention bail, died by hanging. He had a complex psychiatric history including borderline personality disorder, polysubstance use disorder, and chronic suicidal ide…

psychiatrygeneral practicemethamphetamine
NSW2023-11-16

Inquest into the death of DP

52y · Male·hanging

… his depression. The coroner found his mental health was generally appropriately managed but noted that psychiatric review should have been sought when antidepressant treatment proved ineffective. Key failures included:…

psychiatrygeneral practicediagnosticsystemduloxetine
SAhospital2000-09-22

Coroner's Finding: FISHER Judith Mary

62y · Female·ventricular fibrillation associated with congestive cardiomyopathy

A 62-year-old woman detained under the Mental Health Act for acute psychiatric deterioration (psychosis, confusion, paranoia) secondary to anxiety following cardiomyopathy diagnosis …

psychiatrycardiology
VIC2015-10-30

Finding into death of Robert Przychodski

48y · Male·Anaplastic astrocytoma

Robert Przychodski, a 48-year-old man with longstanding psychiatric illness, intellectual disability, epilepsy and a progressive anaplastic astrocytoma, died in the Werrib…

psychiatryneurosurgery
WAhospital2016-03-24

Inquest into the Death of Jesse Richard DELLAR

17y · Male·ligature compression of the neck (hanging)

… a suicide attempt by hanging in the shower on the night of 26 November, he was not moved to the secure psychiatric ward. On 27 November, after a confrontation with his mother, he abruptly left the hospital and hanged h…

psychiatrygeneral practicediagnosticsystematomoxetine
SAhome2001-07-16

Coroner's Finding: BRADY Mary

64y · Female·Haemorrhagic bronchopneumonia complicating doxepin overdosage

… in December 1999 without consulting the psychiatrist, despite knowing the patient was under specialist psychiatric care. The patient appeared well at her final psychiatrist review on 5 January 2000 with no suicidal ide…

general practicepsychiatrycommunicationmedicationdoxepin
VICmental health2023-05-02

Finding into death of Duncan Stuart Sparke

48y · Male·Hanging

…n Sparke, a 48-year-old man with a history of suicidal ideation and depression, absconded from a locked psychiatric unit at The Alfred Hospital on 24 April 2017 while subject to a Temporary Treatment Order. He was repor…

psychiatryemergency medicinesystemdelayfluoxetine
VIChospital2025-10-13

Finding into death of David Greville Edward Horne

47y · Male·Unascertained; most likely cardiac arrhythmia possibly triggered by obstructive …

…sorder, and severe obstructive sleep apnoea, died suddenly at Maroondah Hospital while under compulsory psychiatric treatment. He experienced two episodes of respiratory distress on 5 and 8 December 2023, likely exacerb…

psychiatryrespiratory medicinediazepam
SAhospital2017-04-19

Coroner's Finding: FIRTH Angela Beryl

63y · Female·metastatic adenocarcinoma of the lung

…ed from metastatic adenocarcinoma of the lung with brain metastases while subject to a Level 1 Inpatient Treatment Order at Royal Adelaide Hospital. She presented with behavioural disturbance secondary to brain metastas…

oncologypsychiatry
VIChome2010-03-15

Finding into death of Terence Thomas Wilson

76y · Male·Upper airway obstruction by food bolus in a man with ischaemic heart disease

…ss surgery and bipolar affective disorder, managed with depot antipsychotic medication under a Community Treatment Order. At a barbecue, he was observed shoveling food rapidly, then choked and collapsed. Despite immedia…

emergency medicinepsychiatrysodium valporate
145638

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