Coronial

273 results for acute mental illness

VICcommunity2025-08-27

Finding into death of Conan James Smith

37y · Male·Multiple injuries sustained in a motor vehicle incident (driver)

…d on a rural road in good conditions; the truck driver was blameless. Clinical lessons include recognising acute suicide risk in bereaved individuals, particularly those with existing mental health conditions and caregi…

psychiatrygeneral practicecommunicationdelaymirtazapine
VIChospital2026-02-27

Finding into death of PDR

78y · Male·Acute pancreatitis

A 78-year-old man with a long history of mental illness and multiple chronic physical conditions died from acute pancreatitis on 12 May 2025, nine days af…

emergency medicinepsychiatryolanzapine
VIChospital2011-10-26

Finding into death of John Threadgold

55y · Male·Cardiopulmonary arrest, respiratory failure and chronic obstructive airways dise…

…l abuse, died from cardiopulmonary arrest and respiratory failure. He was admitted involuntarily under the Mental Health Act in July 2010 and transferred to a Prevention and Recovery Care unit. His condition deteriorated…

psychiatryemergency medicinecommunicationsystemantipsychotic medications
WAhospital2019-03-12

Inquest into the Death of Lorna May WOODS

39y · Female·pulmonary thromboembolism due to deep vein thrombosis and sepsis due to pyelonep…

…ed ovarian cancer, bilateral pulmonary emboli, and a chronically infected left kidney. She was placed on a Mental Health Act treatment order due to schizophrenia relapse complicated by delirium. The coroner found the sup…

emergency medicinepsychiatryheparin
QLDhospital2017-04-04

Coolwell, Bradley Karl

39y · Male·respiratory failure and cardiac arrest

…dministration. Despite these serious findings suggesting respiratory compromise, he was transferred to the mental health ward where acute medical support was unavailable. During admission processes there, he was placed i…

emergency medicinepsychiatrydiagnosticcommunicationmidazolam
VIChome2014-09-12

Finding into death of Pedro Arcos-Vazquez

41y · Male·Incised injury to the neck

Pedro Arcos-Vazquez, a 41-year-old man with a history of depression, was killed by a boardhouse resident with a psychiatric history. The resident had been discharged from a Community Treatment Order (CTO) on 27 October 2…

psychiatrygeneral practicecommunicationsystemquetiapine
TAShome2021-12-03

Coroner's Finding: Summers, Damian

42y · Male·hanging, an action taken by himself with the intention of ending his life

A 42-year-old man with acute psychosis was hospitalised for 26 days and discharged from a psychiatric facility to an isolated rural isl…

psychiatrygeneral practicecommunicationsystemolanzapine
VICaged care2010-09-08

Finding into death of Nina Solyk

87y · Female·Sepsis

…art failure, and cerebrovascular disease died of sepsis on an aged psychiatry unit. She was admitted under mental health legislation following behavioural deterioration. On 11 March, she was diagnosed with urinary tract …

geriatric medicineinfectious diseases
SAhospital2020-06-18

Coroner's Finding: BOES Johannes Josephus

92y · Male·pulmonary thromboembolic disease on a background of infective exacerbation of ch…

…iratory infection. He was admitted after a fall at home, became agitated and confused, and was placed on a Mental Health Act inpatient treatment order to facilitate medical care. A lung clot was diagnosed but he deterior…

respiratory medicineemergency medicinehaloperidol
WAmental health2000-01

Inquest into the Death of Steven Charles Indich

20y · Male·Ligature Compression of the Neck (Hanging)

…Hospital on 13 November 1998. He was admitted involuntarily after assaulting his brother and father whilst acutely psychotic. Despite appropriate antipsychotic medication and close observation during his 3-day admission…

psychiatryintensive caresystemhaloperidol
SAhospital2006-12-14

Coroner's Finding: PETTER Elemer

79y · Male·myocardial infarction

…iabetes, peripheral vascular disease) was admitted to hospital with anorexia and weight loss. He developed acute confusion and delirium, initially refusing vascular intervention for gangrenous toes. He was detained unde…

cardiologypsychiatrycommunicationhaloperidol
VIC2011-02-17

Finding into death of Sean Wayne Lee

20y · Male·Head injury

…nxiety-depression diagnosed in May 2008 (referrals not pursued), stress over pending university exams, and acute stress from the vehicle impoundment. The coroner determined this was an intentional act despite no obvious…

neurosurgerytrauma surgery
SAhospital2026-02-26

Coroner's Finding: Lowery, Nahuel Sebastian

41y · Male·Acute liver failure with contributing Castleman's disease

A 41-year-old Aboriginal man with HIV and Castleman's disease died from acute liver failure while on home detention. He had variable compliance with antiretroviral therapy, exacerbated…

infectious diseasesintensive careantiretroviral therapy
SA2005-04-11

Coroner's Finding: POTTER Claire Elizabeth

26y · Female·multiple injuries sustained as a result of being struck by a motor vehicle on th…

A 26-year-old woman with schizo-affective disorder, detained under the Mental Health Act, absconded from a psychiatric hospital and was fatally struck by a vehicle on a freeway. Clinic…

psychiatryemergency medicinecommunicationsystemolanzapine
WAhospital2025-07-22

Inquest into the Death of Samaan Salah Tilmiz ELSAMIN

21y · Male·unascertained

…o optimal care was absence of specialized facilities for patients with his complex constellation of severe mental illness, intellectual disability, and challenging behavioral needs.

psychiatryintensive caresystemdelayclozapine
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

…5% left anterior descending coronary artery narrowing, died during police restraint. He had absconded from mental health detention at Noarlunga Health Service after being detained by Dr J. at the Adaire Clinic on 22 Augu…

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
VICaged care2019-10-15

Finding into death of Patricia O'Connor

84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …

…cia O'Connor, 84-year-old woman with bipolar disorder, was admitted involuntarily to Sunshine Aged Persons Mental Health Unit on 15 August 2017 during a manic relapse. On 25 August, she fell and fractured her right femur…

psychiatrygeriatric medicinesystempaliperidone
WAmental health2001-02-02

Inquest into the Death of Giovanni Mario Franco

30y · Male·Acute Cardiac Dysrhythmia of Uncertain Aetiology

…vanni Mario Franco, a 30-year-old man with schizophrenia, died on 10 March 1998 at Graylands Hospital from acute cardiac dysrhythmia of uncertain aetiology. During his final admission in February 1998, he developed seve…

psychiatryintensive caremedicationflupenthixol decanoate
TAShospital2022-12-15

Coroner's Finding: Mather, Robert Andrew

80y · Male·asphyxia due to choking on food

Robert Mather, 80, died from asphyxia due to choking on food while hospitalised with acute psychosis, severe malnutrition, iron deficiency anaemia and urinary retention. He had schizophrenia with 4…

psychiatrygeriatric medicineantipsychotic medications
SAcommunity2011-12-22

Coroner's Finding: HYNES Simon Christopher

41y · Male·acute neck compression due to hanging

… hanging between 7 June and 5 July 2007, shortly after discharge from hospital on leave of absence under a Mental Health Act continuing detention order. He had a 20-year history of schizoaffective disorder requiring ongo…

psychiatryforensic medicinedelaycommunication
156714

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