Coronial

138 results for paranoia

VIC2012-09-21

Timothycaseypart1 127708

29y · Male·hanging

Timothy Casey, 29, charged with murder, died by hanging in Port Phillip Prison on 28 March 2008, 12 days after arrival. His death resulted from systemic failures in psychiatric assessment and care. At Melbourne Assessmen…

psychiatrycorrectional healthdiagnosticcommunicationheroin
VIChomeNew2025

Finding into death of CWQ

74y · Male·Unascertained

A 74-year-old man with a long-standing history of delusional disorder and social phobia died at his Melbourne home between August and December 2022; the cause of death was unascertained. He lived with his sister, who als…

psychiatrysystem
NSW2018-05-30

Inquest into the death of Abduelaziz Omerhaj

36y · Male·undetermined (possibly ethylene glycol poisoning; possibly natural cause such as…

A 36-year-old man with acute psychotic illness absconded from Ryde Hospital Emergency Department on 3 August 2013 after refusing oral antipsychotic medication. He evaded police efforts to locate him and was found dead in…

psychiatryemergency medicinecommunicationproceduralolanzapine
SAmental health2020-12-15

Coroner's Finding: BARTON Stephen John

43y · Male·blunt neck trauma from compression of the neck

…en ward. He was placed in shared accommodation with Barton due to bed availability despite concerns about paranoia. The coroner found dual room accommodation—unique to this facility—was a contributing factor to the death…

psychiatryemergency medicinediagnosticsystemrisperidone
WAcommunity2023-10-20

Inquest into the Death of Ashley Dean FILDES

34y · Male·gunshot injuries to the torso

Ashley Fildes, a 34-year-old man with schizophrenia, was fatally shot by police on 1 May 2020 after stabbing multiple people at a shopping centre while in acute psychosis. He had been non-compliant with depot antipsychot…

psychiatryemergency medicinepaliperidone depot
QLDcommunity2023-03-14

Forte, Brett Andrew and Maddison, Ricky Charles

41y · Male·Gunshot and shrapnel wounds to the body (SC Forte); Gunshot wound to the chest a…

Senior Constable Brett Forte was fatally shot by Ricky Maddison during a police pursuit in rural Queensland on 29 May 2017. Maddison, a high-risk domestic violence offender wanted on multiple warrants, had evaded police …

communicationsystem
NSWcommunity2018-06-19

Inquest into the death of Bryson Anderson

45y · Male·Stab wound to the chest

Detective Inspector Bryson Anderson, a 45-year-old NSW police officer, died from a stab wound to the chest sustained during a siege operation at a residential property on 6 December 2012. The incident involved responding…

emergency medicineforensic medicinesystemcommunication
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
QLD2025-10-15

Inquest into the passing of ATJ

43y · Male·Hanging

…hanced observations. However, the day before death, his cellmate observed concerning behaviours (auditory paranoia, thinking people were talking about him) that were not reported to staff and thus unavailable for clinica…

psychiatrypsychologycommunicationsystemamitriptyline
ACThospital2018-05-04

AN INQUEST INTO THE DEATH OFTAHADESSE (TAD) KAHSAI

61y · Male·exposure and dehydration, preceded by alcohol withdrawal and chronic alcoholism

A 61-year-old man with chronic alcoholism was admitted to hospital for alcohol withdrawal management. He became confused and paranoid on the ward, received appropriate medication, but left hospital unobserved approximate…

emergency medicinegeneral medicinesystemcommunicationoxazepam
SAhospital2010-12-06

Coroner's Finding: GEORGE Irene Thelma

84y · Female·septicaemia secondary to septic arthritis of the left knee

An 84-year-old woman presented to hospital with acute left knee swelling and pain. Initial assessment at Ashford Hospital ED reasonably excluded septic arthritis based on borderline blood tests and absence of fever, thou…

emergency medicinegeneral medicinediagnosticcommunicationmorphine
QLDcommunity2024-08-21

Inquest into the deaths of Charmaine, Aaleyn, Matilda, Wyatt, and Zaidok McLeod

Female·multiple injuries from motor vehicle collision (for all five deceased)

Charmaine McLeod died by intentionally driving her vehicle into an oncoming truck, killing herself and her four young children (aged 2-6). She had a longstanding history of complex mental health issues (Borderline Person…

psychiatryemergency medicinesystemcommunicationfluvoxamine
VIChome2022-11-15

Finding into death of Anna Perinovic

5y · Female·Multiple stab wounds to the back

Anna Perinovic, age 5, died from multiple stab wounds inflicted by her mother Katica during a first episode psychosis. Katica had been referred to NorthWestern Mental Health in November 2020 after developing paranoid tho…

psychiatrygeneral practicediagnosticcommunicationrisperidone
VIChospital2021-02-23

Finding into death of Christopher Douglas Ritson

22y · Male·Hypoxic ischaemic encephalopathy complicating hanging

Christopher Ritson, a 22-year-old with severe alcohol and polysubstance dependence (ICE, cannabis), depression, anxiety and social phobia, died by suicide via hanging on 17 March 2020, four days after discharge from hosp…

psychiatryemergency medicinecommunicationdelaydiazepam
NSWhome2024-08-06

Inquest into the death of Dion Moore

29y · Male·Mixed drug toxicity, most significantly methamphetamine and buprenorphine, with …

Dion Moore, a 29-year-old Aboriginal man, died on 5–6 January 2019 from mixed drug toxicity (methamphetamine and buprenorphine), with heat and dehydration as significant contributing factors. After running out of fuel wi…

diagnosticdelaymethamphetamine
QLDmental health2018-02-05

Hitchins, Steven John; Gudge, Shawn Bradley Joseph

53y · Male·Steven Hitchins: plastic bag asphyxiation; Shawn Gudge: hanging

Two inpatient suicides in a Queensland mental health unit highlight systemic failures in environmental hazard management and observation practices. Steven Hitchins (age 53) died by asphyxiation with a plastic bag in 2014…

psychiatryemergency medicinesystemcommunicationrisperidone
VIChome2022-08-11

Finding into death of Christopher David French Hunter

31y · Male·hanging

Christopher Hunter, a 31-year-old with emerging paranoid psychotic disorder, was admitted to Delmont Private Hospital for 3 days before requesting discharge against medical advice on 9 June 2015. A senior registrar (Dr T…

psychiatrycommunicationsystemolanzapine
VIChome2014-03-06

Finding into death of Samantha Jane Fowler

36y · Female·Effects of fire and stab wounds (Kylie Fowler); effects of fire (Melanie Maher);…

Kylie Fowler, a 36-year-old woman with severe schizophrenia and a 18-year history of involuntary psychiatric admissions, killed her three children (Samantha 18, Melanie 13, Matthew 11) and herself by stabbing and fire on…

psychiatrypaediatricscommunicationsystemrisperidone
SAhospital2019-03-25

Coroner's Finding: NICHOLSON James

65y · Male·hypoxic ischaemic encephalopathy complicating hanging

James Nicholson, aged 65, died from hypoxic ischaemic encephalopathy following a suicide attempt by hanging while an inpatient at Noarlunga Hospital on 18 August 2015. He had undergone extensive facial cancer surgery in …

oncologypsychiatrydiagnosticcommunicationdexamethasone
VIChome2025-08-28

Finding into death of MJU & KJH

39y · Female·MJU: stab wounds to the neck and chest; KJH: stab wounds to the back

…ple times and KJH once. Despite MJU calling emergency services at 12:40pm reporting CTH's hallucinations, paranoia and drug use, paramedics and police assessed him as not meeting Mental Health Act thresholds for involunt…

psychiatryemergency medicinediagnosticcommunicationmethamphetamine

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