Coronial

115 results for resistant schizophrenia

NSWmental health2026-02-19

Inquest into the death of Jacob McDonald

51y · Male·combined effects of dilated cardiomyopathy with myocardial fibrosis and prescrip…

… levels of clozapine and aripiprazole. He was an involuntary forensic psychiatric patient with treatment-resistant schizoaffective disorder and obstructive sleep apnoea. While expert evidence confirmed excellent psychia…

psychiatrycardiologycommunicationsystemclozapine
NSW2019-07-04

Inquest into the death of RP and DJ

Male·RP: fatal pressure to the neck; DJ: neck compression

…g acute psychosis. RP died in 2010 from injuries inflicted by cellmate MA, who was suffering untreated schizophrenia with command hallucinations. DJ died in 2012 from injuries inflicted by cellmate BB, who was treatment…

psychiatrydiagnosticcommunicationquetiapine
SAmental health2011-08-26

Coroner's Finding: REX Michael David

41y · Male·mixed drug toxicity (methadone, valproate, zuclopenthixol)

Michael David Rex, a 41-year-old man with chronic treatment-resistant paranoid schizophrenia, died from mixed drug toxicity (methadone, valproate, zuclopenthixol) while detai…

psychiatrypharmacysystemdelaymethadone
VIChospital2023-04-27

Finding into death of Gary Ronald Burgess

59y · Male·Massive aspiration in the setting of intubation following complications of sever…

A 59-year-old man with treatment-resistant schizophrenia on long-term clozapine therapy died from massive aspiration following a severe ileus of un…

psychiatrygeneral medicinesystemcommunicationclozapine
WAmental health2021-10-22

Inquest into the Death of Russell David BROCKLISS

38y · Male·acute cardiac arrhythmia in a man with cardiomegaly, focal coronary atherosclero…

Russell Brockliss, a 38-year-old Aboriginal man with severe treatment-resistant schizoaffective disorder and significant cardiovascular risk factors (obesity, smoking, focal coronary a…

psychiatryemergency medicinedelaysystemrisperidone depot
WAmental health2014-04-11

Inquest into the Death of Gregory Laurence HUNT

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

Gregory Laurence Hunt, a 53-year-old man with chronic schizophrenia, died by suicide at Graylands Hospital while an involuntary patient. He hanged himself using a shower …

psychiatryemergency medicinesystem
WAhome2025-07-11

Inquest into the Death of Monique Jacinta GOMEZ

48y · Female·intracerebral haemorrhage on a background of anticoagulation therapy for a recen…

…x patients: preventing stroke whilst managing anticoagulation-related bleeding in someone with treatment-resistant mental illness unable to self-advocate. It highlights the need for careful risk communication with surro…

general medicineneurologywarfarin
NSW2022-08-18

Inquest into the death of Gavin Ellis

31y · Male·hanging

…on 2 April 2017 at the Metropolitan Remand and Reception Centre, Silverwater. He had a chronic treatment-resistant schizophrenic illness with extensive self-harm history. Following his psychiatric assessment on 20 Febru…

psychiatrycorrectional healthdiagnosticcommunicationaripiprazole
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

Todd McKenzie, a 40-year-old man with treatment-resistant schizophrenia, died of gunshot wounds after a nine-hour police siege at his Taree home on 31 July 2019. …

psychiatryforensic medicinediagnosticcommunication
VICmental health2020-09-18

Finding into death of Harley Robert Larking

23y · Male·Effects of fire

Harley Larking, a 23-year-old Aboriginal man with treatment-resistant schizoaffective disorder, died from effects of fire on 13 May 2016 while absconding from a psychiatric u…

psychiatryAboriginal healthsystemdelayclozapine
WAmental health2014-04-11

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 2005 of una…

psychiatryforensic medicineclozapine
QLDmental health2007-03-02

Lather, David Andrew

24y · Male·aspiration of gastric contents due to or as a consequence of drug toxicity follo…

…50 tablets from a medication drawer beside his bed. Andrew had a complex psychiatric history including schizophrenia, multiple suicide attempts, self-harm, and a severe overdose attempt in 2003 causing hypoxic brain inj…

psychiatryrehabilitation medicinesystemcommunicationquetiapine
TAScommunityPodcast2025-06-30

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 men…

psychiatrygeneral practicesystemdelaypaliperidone
TAScommunity2020-08-13

Coroner's Finding: Wright, Maria Rebekah

31y · Female·drowning, deliberately self-inflicted with intention of ending life

…at no one could have prevented her suicide. The case illustrates the challenging management of treatment-resistant severe personality disorder with chronic suicidality despite appropriate specialist care.

psychiatrypsychologyparacetamol
WAhospital2014-04-11

Inquest into the Death of Kevin Maxwell COLLINS

50y · Male·bronchitis (pandemic influenza A/H1N1 2009) in a man with chronic obstructive pu…

Kevin Maxwell Collins, a 50-year-old man with chronic schizophrenia, chronic obstructive pulmonary disease, and morbid obesity, died from bronchitis due to pandemic influ…

psychiatryrespiratory medicineclozapine
WAhome2026-08-04

Inquest into the Death of Paul Shen Vun WONG

40y · Male·Carbon monoxide toxicity

Paul Shen Vun Wong, a 40-year-old man with treatment-resistant schizophrenia and schizoaffective disorder, died from carbon monoxide toxicity at his Rockingham home in…

psychiatrygeneral medicinecommunicationsystemolanzapine
NSWcustody2026-03-20

Inquest into the death of Phillip Walton

48y · Male·cardiac arrhythmia which occurred in the context of physical exertion and hypoxi…

Phillip Walton, a 48-year-old with schizophrenia well-managed on clozapine for nearly 20 years, suffered an acute psychotic episode likely precipitated…

emergency medicineparamedicinediagnosticcommunicationclozapine
VICcommunity2010-10-15

Finding into death of Jason David Jenkins

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

…rom 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 suicidal ideation with p…

psychiatryaddiction medicinesystemcommunicationmarijuana
VICcommunity2014-02-07

Finding into death of Bayden Joel Quilkey

30y · Male·unascertained

…sode while being restrained by police. He had recently moved from Queensland showing signs of paranoid schizophrenia with self-inflicted lacerations. His brother Adam contacted the Mental Health Service twice seeking he…

psychiatryemergency medicinesystemcommunication
SAhospital2005-05-24

Coroner's Finding: WALLACE-MOHLMANN Candice Mackenzie

30y · Female·Hypoxic brain injury due to mixed drug toxicity (vecuronium and atropine self-in…

Candice Mackenzie Wallace-Mohlmann, a 30-year-old woman with chronic schizophrenia and substance abuse history, died from hypoxic brain injury caused by self-injection of vecuronium and…

psychiatryemergency medicinediagnosticmedicationvecuronium

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