Coronial

746 results for psychiatric treatment

NSW2011-07-07

Coroner's Finding: Brian Gerard Dunningham

42y · Male·Hanging (self-inflicted) while suffering from serious mental illness

…pression) requiring antipsychotic and antidepressant medication. The coroner found systemic failures in psychiatric care contributed directly to his death: antipsychotic medication (Olanzapine) was ceased prematurely (1…

psychiatrycorrectional healthdiagnosticmedicationmirtazapine
VIChospital2016-08-22

Finding into death of Alison Rae Wolinski

36y · Female·Hanging

…nt's Hospital. She had been admitted involuntarily following threats with a knife, placed on a Temporary Treatment Order, and assessed as at moderate self-harm risk. After only 6 days, a psychiatrist revoked her compuls…

psychiatryemergency medicinecommunicationsystemvenlafaxine
WAhome

Inquest into the death of Christine TURVILLE (aka NICHOLLS)

56y · Female·Bronchial asthma and emphysema

…n with long-standing schizophrenia, COPD, emphysema, and heavy smoking died during overnight leave from psychiatric hospitalisation. She was granted leave to check on her cat at her remote home on 24 March 2015 and was …

psychiatryrespiratory medicinedelaysystemolanzapine
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

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

… longitudinal history showed likely relapsed psychosis with probable bipolar disorder. After discharge, psychiatric care was fragmented with poor communication between services. Theo presented to emergency twice in Janu…

psychiatrygeneral practicediagnosticcommunicationolanzapine
WAhome2021-12-03

Inquest into the Death of Elia WANI

29y · Male·acquired methaemoglobinaemia in association with sodium nitrite toxicity

Elia Wani, a 29-year-old man with bipolar affective disorder managed on a community treatment order, died from methaemoglobinaemia following sodium nitrite ingestion. He purchased 50g of sodium nitr…

psychiatryemergency medicinesystemsodium nitrite
WAhospital2025-12-05

Inquest into the Death of Leslie Charles LINTON

64y · Male·acute myocardial infarction in association with coronary artery atherosclerosis

… 3pm and could not be revived. Post-mortem confirmed acute myocardial infarction. The coroner found his psychiatric and medical care reasonable and appropriate, noting he remained at persistent cardiac risk despite appr…

cardiologypsychiatryrisperidone
NSW2021-07-15

Findings into the death of MH

22y · Male·Hanging

A 22-year-old man with severe chronic treatment-resistant schizophrenia and substance use disorder died by hanging in prison custody. He had been recent…

psychiatrycorrectional healthdiagnosticsystemzuclopenthixol
TAShospital2022-02-28

Coroner's Finding: Hassanloo, Saeed

27y · Male·traumatic injuries and/or drowning from jumping from Tasman Bridge

A 27-year-old Iranian asylum seeker died by suicide after jumping from Tasman Bridge. He had a complex psychiatric history including depression, anxiety, and adjustment disorder, with multiple self-harm episodes. His s…

psychiatryemergency medicine
WAhome2025-07-11

Inquest into the Death of Monique Jacinta GOMEZ

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

…, died from a spontaneous intracerebral haemorrhage during hospitalization for stroke rehabilitation and treatment of schizoaffective disorder. An initial ischaemic stroke resulted from non-compliance with warfarin (req…

general medicineneurologywarfarin
SAhospital2020-11-02

Coroner's Finding: LAMB Dianne Patricia

67y · Female·disseminated adenocarcinoma of the colon

…s (irritability, disinhibition, aggression). She was appropriately placed on Mental Health Act Inpatient Treatment Orders to enable treatment and protect others. Her health declined and the family consented to palliativ…

oncologypsychiatrydexamethasone
SAhospital2011-08-12

Coroner's Finding: PAXTON Donald Henry

83y · Male·ongoing respiratory failure from recurrent aspiration pneumonia, complicating de…

…e due to recurrent aspiration pneumonia. He was lawfully detained under a Guardianship Board order at a psychiatric hospital for 7 months due to difficulty securing aged care placement given his suicidal risk. He develo…

geriatric medicinepsychiatrysertraline
VIChospital2022-12-22

Finding into death of Paige Dent

25y · Female·Injuries sustained in a single vehicle motor vehicle incident in which Ms Dent w…

…e-vehicle motor accident after absconding from hospital on 6 October 2018. She had a 19-year history of psychiatric admissions for schizophrenia, borderline personality disorder, and substance use disorder, with acquire…

psychiatryemergency medicinesystemcommunicationmethamphetamine
VICcommunity2014-11-28

Finding into death of Shane Kenneth Warrick

38y · Male·Multiple injuries

Mr Shane Kenneth Warrick, 38, was assessed at Sunshine Hospital's Emergency Crisis Assessment and Treatment Team (ECATT) on 25 August 2013 after reporting thoughts of harming his father. He had a complex psychiat…

psychiatryemergency medicineolanzapine
SAcommunity2023-10-13

Coroner's Finding: Adams, Michael Gerard

62y · Male·cardiac arrest complicating psychotic episode

Michael Adams, aged 62 with chronic treatment-resistant schizophrenia, died from cardiac arrest complicating psychotic episode at a supported resident…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
VIChome2014-04-30

Finding into death of Nathan Troy Chalkley

27y · Male·Toxicity to heroin

…ing on parole with conditions for drug and alcohol assessment, Chalkley did not meaningfully engage with treatment programmes—he acknowledged to his partner he was 'just going to tell them what they want to hear.' Durin…

psychiatryforensic medicinesystemheroin
SAhome2014-01-31

Coroner's Finding: HADLEY Duke Zenon

2y · Male·Asphyxiation due to neck and/or chest compression

…ession inflicted by his mother during an acute manic psychotic episode. The mother had been admitted to psychiatric care in December 2008 with psychosis and was prescribed antipsychotic medication. Following discharge t…

psychiatryemergency medicinecommunicationsystemrisperidone
TAScommunity2016-09-30

Coroner's Finding: Westbrook, Eden Jayde

15y · Female·asphyxia due to hanging

… explicitly communicated suicidal intent to family and friends. Her parents attempted to arrange medical treatment, but Eden refused to attend appointments. The coroner found no evidence of targeted bullying at school, …

psychiatrypaediatricssystemdelay
QLD2013-04-18

McCarty, Lawrence

45y · Male·exsanguination due to incised wound to neck

…ical lessons include: (1) reception staff failed to adequately explore Mr McCarty's disclosure of prior psychiatric care; his medical records documenting depression, anxiety, previous suicide attempt, and suicidal ideat…

general practicepsychiatrydiagnosticcommunicationsertraline
VIChospital2015-05-28

Finding into death of Naomi Charmaine Mahon

33y · Female·multiple injuries sustained when struck by a train

… had been brought to the ED by police under Mental Health Act section 10 after threatening suicide. The psychiatric team assessed her as not meeting involuntary treatment criteria and admitted her voluntarily to the psy…

psychiatryemergency medicinerisperidone
SAcommunity2001-09-04

Coroner's Finding: COVENTRY James Steven Joseph

27y · Male·traumatic rupture of the mid brain complicating ring fracture of the skull base

…te on 15 December 1999 were never enforced. Coventry should have been supervised by probation, required psychiatric treatment, and monitored by police—none occurred. No agency (Courts, Corrections, or Police) could conf…

forensic medicinepsychiatrysystemcommunicationmethamphetamine
156738

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