Coronial

123 results for paranoid ideation

SAcommunity2011-12-22

Coroner's Finding: HYNES Simon Christopher

41y · Male·acute neck compression due to hanging

Simon Christopher Hynes, aged 41, died by 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 o…

psychiatryforensic medicinedelaycommunication
WAcommunity2022-08-17

Inquest into the Death of Quoc Xuan TRAN

36y · Male·Immersion (drowning)

Quoc Xuan Tran, a 36-year-old man with schizoaffective disorder and autism spectrum disorder, died by drowning in the Swan River on 10 April 2019. He was subject to a Community Treatment Order and had experienced repeate…

psychiatryemergency medicinesystempaliperidone
WAcommunity2025-09-15

Inquest into the Suspected Death of Nicholas Lutci PAVLIDIS

Male·unascertained

Nicholas Pavlidis disappeared in October 2015 after last being seen alive on 14 October 2015. His abandoned vehicle was reported to police on 24 October 2015 in Yanchep bushland, but initial police response treated it as…

general practicepsychologysystemdelayfluoxetine
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

27y · Male·compression of the neck due to hanging

…communication between services. Theo presented to emergency twice in January 2016 with worsening suicidal ideation and depression but was inadequately assessed and not admitted. He died by hanging on 24 January 2016. Key…

psychiatrygeneral practicediagnosticcommunicationolanzapine
NSWmental health2022-09-16

Inquest into the death of S B

81y · Male·cardiac arrest following neck compression due to hanging

An 81-year-old man with a history of alcohol dependence, paranoid delusions regarding his wife's infidelity, and possible vascular dementia was admitted to mental health f…

psychiatrygeriatric medicinediagnosticcommunicationolanzapine
WAcommunity2005-11-04

Inquest into the Death of Sheridan Troy Hilton

42y · Female·Ligature compression of the neck (hanging)

Sheridan Troy Hilton, a 42-year-old woman with a history of depression and substance abuse, died by suicide on 31 August 2003 while in an unwell mental state. She experienced significant psychosocial stressors including …

general practicepsychiatrycommunicationsystemmirtazapine
VIChospital2025-01-10

Finding into death of William Thomas Gourley

39y · Male·Effects of fire (self-immolation)

…is dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 2022 with suicidal ideation, delusions of poisoning, and hallucinations. His GP's referral letter documented significant safety conce…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
ACTcommunity2015-06-30

INQUEST INTO THE DEATH OF MARK RODNEY JOLLIFFE

37y · Male·Hanging, self-inflicted with intention of taking own life

A 37-year-old man with schizophrenia and a history of medication non-compliance died by suicide while subject to a Psychiatric Treatment Order. He was last seen alive on 14 February 2010 and found hanging on City Hill on…

psychiatrycommunicationzuclopenthixol
NSW2025-03-06

Inquest into the death of Muhammad Hafizuddin Bin Zaini

29y · Male·hanging

Muhammad Hafizuddin Bin Zaini, a 29-year-old detainee in immigration detention at Villawood, died by hanging on 12 December 2020. He had a history of substance-induced psychotic disorder and was prescribed antipsychotic …

psychiatrygeneral practicecommunicationolanzapine
VIChome2025-03-11

Finding into death of Stephen Peter O'Brien

68y · Male·Head injuries

Stephen O'Brien, aged 68, died from head injuries inflicted by his adult son Scott in a family violence incident. Stephen had been the primary carer for Scott, who had untreated mental illness (suspected schizophrenia), …

general practicepsychologysystemcommunication
NThome2003-12-19

Inquest into the death of Sunjay Chandra

25y · Male·hanging (self-inflicted)

A 25-year-old man with schizophrenia died by suicide while on a Community Management Order following discharge from psychiatric hospital. He had been effectively stabilized on clozapine for years, but in late 2001 reques…

psychiatrypsychologycommunicationsystemclozapine
VICmental health2014-12-05

Finding into death of Wieslaw Albin Bernacki

62y · Male·hanging

A 62-year-old man with a long history of severe schizophrenia died by hanging after being granted escorted day leave from a psychiatric inpatient unit. The coroner identified critical failures in communication between ho…

psychiatrycommunicationsystemantipsychotics
NSW2024-08-22

Inquest into the death of Russell Zaska

33y · Male·hanging

Russell Zaska, a 33-year-old man with a complex mental health history including probable methamphetamine dependence and recurrent drug-induced psychosis, died by hanging in custody at the Metropolitan Remand and Receptio…

psychiatrycorrectional healthsystemdelayolanzapine
ACTmental health2015-06-15

AN INQUEST INTO THE DEATH OF PETER ZOVAK

46y · Male·asphyxia by hanging

Peter Zovak, a 46-year-old with substance use history, presented to mental health services in November 2013 with first-episode psychosis. After initial hospital assessment and two CAT Team visits, his case was closed on …

psychiatryemergency medicinediagnosticcommunicationcannabis
VICmental health2020-12-18

Finding into death of Michelle Williams

46y · Female·Hypoxic brain injury in the setting of plastic bag asphyxia

Michelle Williams, a 46-year-old woman with longstanding schizophrenia and depression, died from hypoxic brain injury due to plastic bag asphyxia while an involuntary inpatient in a psychiatric unit. On 27 August 2016, d…

psychiatryintensive caresystemdiagnosticolanzapine
VIC2013-12-31

Finding into death of Wayne Joannou

26y · Male·Gunshot wound to head

…ngagement rather than reliance on patient compliance, and early escalation to mental health services when paranoid ideation emerges post-procedure.

addiction medicinepsychiatrysystemcommunicationheroin
VICcommunity2014-08-25

Finding into death of Travis Joseph Hartskeerl

32y · Male·Head and neck trauma (train impact)

Travis Hartskeerl, a 32-year-old man with a complex history of schizophrenia, polysubstance abuse, and multiple serious suicide attempts, died by suicide on railway tracks on 16 December 2008. He had been discharged from…

psychiatrygeneral practicecommunicationsystemzuclopenthixol decanoate
WA2024-11-15

Inquest into the death of Kingsley Dean Garlett

32y · Male·ligature compression of the neck (hanging) in a man with methadone and methylamp…

Kingsley Garlett, aged 32, died by hanging in a maximum security prison cell on 31 July 2022. The evidence indicates his death was an impulsive response to relationship conflict with his partner revealed through prison p…

psychiatrypsychologysystemdelaymethadone
VICmental health2022-05-02

Finding into death of Stuart Brant Garten

34y · Male·Hypoxic/ischaemic brain injury following resuscitated cardiac arrest and hanging

Stuart Brant Garten, a 34-year-old man with complex psychiatric diagnoses including borderline personality disorder, post-traumatic stress disorder, and schizophrenia, died by hanging in the courtyard of a secure extende…

psychiatryintensive carecommunicationsystemrisperidone
WAhospital2012-03-30

Inquest into the Death of Ellery

25y · Male·Ligature compression of the neck (hanging)

…health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, paranoia, and psychotic symptoms. A triage nurse (Marcelle Rust) attempted to assist but lacked legal au…

emergency medicinepsychiatrycommunicationsystemamphetamine

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.