Coronial

301 results for psychotic disorder

VICaged care2016-06-07

Finding into death of Margaret Jane Gardiner

70y · Female·bronchopneumonia

…an involuntary inpatient at an aged psychiatry unit. She had longstanding anxiety, depression, and eating disorder with recent significant physical and mental health deterioration. Pneumonia was diagnosed on 12 August 20…

psychiatrygeriatric medicinesertraline
VIC2013-12-06

Finding into death of Merrilyn Elaine Ireland

41y · Female·undetermined in a woman with schizophrenia

Merrilyn Ireland, a 41-year-old woman with schizophrenia and schizoaffective disorder, died unexpectedly in a community care facility while on a Community Treatment Order. Despite comprehensi…

psychiatryforensic medicine
VICmental health2024-02-27

Finding into death of Sidarthan Gajaharan

26y · Male·Craniocervical injuries following a train collision (pedestrian)

…ine management. Clinical lessons include: patchy medication adherence (clozapine) contributed to ongoing psychotic symptoms and suicidal ideation; smoking affected clozapine metabolism and blood levels; monitoring of me…

psychiatryrehabilitation medicinecommunicationdelayclozapine
VIChospital2022-04-11

Finding into death of Rudolf Weidemann

81y · Male·Complications of metastatic gastric neuroendocrine carcinoma

…cember 2024 neuropsychology assessment revealed significant cognitive impairment and major neurocognitive disorder. However, he was assessed as having adequate insight and decision-making capacity regarding his not-for-r…

oncologypalliative carerisperidone
VIChome2012-12-12

Finding into death of Kylie Jane Burnett

32y · Female·Hanging

Kylie Burnett, a 32-year-old woman with a long history of opiate dependence, depression, and psychotic episodes, died by hanging at her home in Coburg North, Victoria, between mid-January and 23 February 201…

addiction medicinepsychiatrymethadone
NSWhospital2014-12-19

Inquest into the death of JX

32y · Male·multiple injuries sustained in a fall from height

A 32-year-old man with a history of psychotic episodes and depression died by suicide after jumping from a cliff while experiencing an acute psychotic

psychiatrypsychologycommunicationsystemvenlafaxine
WAhospital2025-12-23

Inquest into the Death of Karl Albert STEINHAUSER

30y · Male·pulmonary thromboembolism in an overweight man with comorbidities (including rec…

Karl Steinhauser, a 30-year-old man with schizoaffective disorder and polysubstance misuse, died from pulmonary thromboembolism on 12 March 2023 while under Mental Health …

psychiatryintensive caresystemdelayaripiprazole depot
TASmental health2023-03-07

Coroner's Finding: Culic, Jana

35y · Female·neck and chest injuries and drowning due to intentional fall/jump from Tasman Br…

… June 2020 while subject to a Mental Health Act treatment order for schizophrenia, borderline personality disorder, and bipolar disorder. She had a long history of mental illness, polysubstance abuse, and multiple suicid…

psychiatryemergency medicinemethamphetamine
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…

Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
SAcommunity2025-04-30

Coroner's Finding: Foster, Michelle Stephanie

36y · Female·head injury

… series of missed opportunities in mental healthcare management. Key failures included: cessation of antipsychotic depot medication in April 2017 without adequate monitoring plan; failure to review historical clinical r…

psychiatryemergency medicinediagnosticcommunicationaripiprazole
QLDcommunity2015-12-14

Young, Anthony William; Young, David Kenneth Baring; Dekens, Louise Alexandra

42y · Male·Anthony Young: multiple gunshot wounds to the body and arm; David Young: multipl…

…al lesson: Anthony had documented complex PTSD and substance abuse but was never formally diagnosed with psychotic illness and had no documented homicidal risk. No health professional anticipated violent risk. However, …

psychiatryforensic medicinediazepam
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…thew Smith, 32, died by plastic bag asphyxia on 25 November 2007. He had schizophrenia, chronic motor tic disorder, sexual paraphilia, and a history of explosive-making offences. He was subject to concurrent bail conditi…

psychiatryforensic medicinemedicationcommunicationrisperidone
QLD2014-11-26

Richardson, Mathew

45y · Male·Multiple injuries due to fall from height

Mathew Richardson, a 45-year-old man with untreated antisocial personality disorder living in remote Queensland, died by suicide during a police arrest attempt. After failing to appear in c…

psychiatryemergency medicine
WAmental health

Inquest into the Death of David GRIEVE

45y · Male·Coronary Atherosclerosis

…betes medication) were not administered due to incomplete medication reconciliation while he was acutely psychotic and uncooperative. The coroner found care reasonable overall; coronary atherosclerosis is often 'silent'…

psychiatrycardiologysystemcommunicationhaloperidol
NSWcommunity2025-09-08

Inquest into the death of Rohan Lloyd

37y · Male·Combined effects of presumed heavy metal poisoning from an unknown material and …

…r Whiteman Creek NSW, from presumed heavy metal poisoning and freshwater drowning. He was experiencing a psychotic episode related to unmedicated schizophrenia when he went missing. Clinical lessons include: the critica…

psychiatrygeneral practicediagnosticmedicationrisperidone
TAShome2018-07-06

Coroner's Finding: Godley, David Geoffrey

30y · Male·Exsanguination due to self-inflicted multiple stab and incised wounds

…2016 in Tasmania. He had a long history of psychosis and depression dating from age 14, treated with antipsychotic medication with variable compliance. In the weeks before death, he experienced escalating paranoia and d…

psychiatryemergency medicinedelaymethamphetamine
VIChome2024-03-07

Finding into death of Claire Louise Carroll

45y · Female·Neck compression secondary to hanging

Claire Louise Carroll, 45, died by hanging while experiencing severe untreated psychotic symptoms including auditory hallucinations, paranoid delusions, and persecutory ideation. She had comple…

psychiatrygeneral practicesystemcommunicationclonazepam
SAmental health2000-04-07

Coroner's Finding: SANDERS Sandra June

42y · Female·salt water drowning

… from Woodleigh House psychiatric unit on 3 September 1997. She had presented with major depression with psychotic features following a recent suicide attempt, and was appropriately detained under the Mental Health Act.…

psychiatrycommunicationsystemstelazine
SAmental health2007-02-22

Coroner's Finding: CULO John

44y · Male·multiple injuries sustained when struck by a semi-trailer as a result of suicide

A 44-year-old man with chronic bipolar disorder and severe depression died by suicide while detained under the Mental Health Act at a psychiatric hospita…

psychiatrychlorpromazine
TASmental health2017-05-04

Coroner's Finding: Harris, Stephen Russell

56y · Male·Probable cardiac arrhythmia

Stephen Russell Harris, a 56-year-old man with a long history of schizophrenia and schizoaffective disorder, died of probable cardiac arrhythmia while an involuntary patient at Spencer Clinic on 18 December 2014. …

psychiatrycardiologypaliperidone depot
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