Coronial

151 results for paranoid psychosis

NSW2018-07-13

Inquest into the death of Fenika Junior Tautuliu Fenika (Junior Fenika)

24y · Male·Massive blood loss caused by incised wounds of left upper extremity

A 24-year-old man with schizophrenia and psychotic symptoms died from massive blood loss after self-inflicted wrist lacerations in prison custody. He called for help twice via the cell alarm system at 9:17pm and 9:23pm, …

psychiatryemergency medicinecommunicationsystemamisulpride
VIChospital2025-01-10

Finding into death of William Thomas Gourley

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

…d Torres Strait Islander man with a long history of mental illness, depression, cannabis dependence, and psychosis, presented to the Latrobe Regional Hospital ED on 6 March 2022 with suicidal ideation, delusions of pois…

emergency medicinepsychiatrydiagnosticcommunicationolanzapine
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

36y · Male·Multi-organ failure due to consequences of multiple injuries sustained following…

A 36-year-old man with chronic treatment-refractory paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Des…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
VICmental health2012-03-13

Finding into death of Matthew Spalding

28y · Male·neck compression subsequent upon hanging

Matthew Spalding, a 28-year-old psychiatric inpatient with borderline personality disorder and recent psychotic symptoms, died by hanging on 25 April 2009. He had been admitted to the Adult Acute Unit at Ballarat Health …

psychiatryemergency medicinecommunicationsystemaripiprazole
VIC2013-12-31

Finding into death of Wayne Joannou

26y · Male·Gunshot wound to head

…tric support mentioned as available, there was no documented psychiatric assessment of acute paranoia or psychosis post-procedure. Joannou continued using cocaine and other drugs despite the implant. Critical clinical l…

addiction medicinepsychiatrysystemcommunicationheroin
VICmental health2025-05-19

Finding into death of Anna Lee

70y · Female·Asphyxia due to airway obstruction

…e risk despite apparent clinical improvement, ensuring comprehensive safety assessments in first-episode psychosis, and developing robust evidence preservation protocols in mental health settings.

psychiatrygeriatric medicinesystemolanzapine
VIChome2009-06-02

Finding into death of Mark Andrew Downie

32y · Male·overdose of a combination of chlorpromazine, mirtazapine, and diazepam

Mark Downie, aged 32, died from an overdose of chlorpromazine, mirtazapine, and diazepam at home on 16 January 2007, eleven days after discharge from psychiatric hospital. He had a history of depression, polysubstance ab…

psychiatrysystemdelaychlorpromazine
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

36y · Male·Multi-organ failure complicating injecting drug use

A 36-year-old man with a 13-year history of schizophrenia and substance abuse was admitted involuntarily to a psychiatric unit on 15 September 2012 after community deterioration. He improved over several weeks and was tr…

psychiatryintensive carecommunicationdelayheroin
VICcommunity2019-10-09

Finding into death of Michael Travis Kidd

35y · Male·Clozapine toxicity

A 35-year-old Aboriginal man with schizophrenia and alcohol use disorder died from clozapine toxicity while residing at a non-clinical peer recovery facility. He presented with psychiatric distress on 10 December 2016, r…

psychiatryforensic medicinecommunicationsystemclozapine
VIChome2015-05-31

Finding into death of Suzanne Berg

62y · Female·unascertained

Suzanne Berg, a 62-year-old woman with schizophrenia, died in her home between January and May 2013 with an unascertained cause. She had a long history of disengaging from treatment despite having medication-controlled d…

general practicepsychiatrysystemzuclopenthixol
VICcommunity2017-10-24

Finding into death of Glenn Albert Sanders

48y · Male·Injuries sustained in an explosion

Glenn Sanders died from injuries sustained in explosions on his property during a police siege. Sanders had severe mental illness (Delusional Disorder/Schizophrenia), polysubstance abuse, and had rigged his house and far…

psychiatrygeneral practicecommunicationsystemrisperidone
NSW2017-08-31

Inquest into the death of David WOTHERSPOON

31y · Male·Hypoxic encephalopathy caused by neck compression due to hanging

David Wotherspoon, a 31-year-old Aboriginal man with schizophrenia, died from hypoxic encephalopathy following hanging in a prison mental health unit. Despite being psychotic and refusing medication, he was not transferr…

psychiatrycorrectional healthsystemcommunicationrisperidone
WA2024-02-06

Inquest into the Death of Phillip John ALLEN

47y · Male·ligature compression of the neck (hanging)

…an died by suicide in custody at Roebourne Regional Prison while on SAMS mental health monitoring. He had paranoid ideation, delusions about 'black magic', and auditory hallucinations, which were reviewed by prison psych…

psychiatrycorrectional healthcommunicationsystem
TAShome2020-08-13

Coroner's Finding: Wellington, Timothy John

44y · Male·intravenous injection of foreign debris (crushed tablets) associated with chroni…

…ised oral consumption at the pharmacy. While Wellington's complex mental health comorbidities (including psychosis, depression, and anxiety) and concurrent psychotropic medications were clinically defensible, the prescr…

general practiceaddiction medicinemedicationsystemmethadone
QLDmental health2013-07-02

Saccu, Jonathan Clarence

20y · Male·Multiple injuries due to contact with a train

Jonathan Saccu, a 20-year-old with severe treatment-resistant schizophrenia, absconded from an open mental health unit and was fatally struck by a train approximately 3 hours later. He was admitted on an involuntary trea…

psychiatrydiagnosticcommunicationdiazepam
ACTmental health2021-03-04

Inquest into the deaths of ANTHONY LEIGH BEARHAM, NICOLA JOY FISHER, CHRISTINE BELLE DOUCH andKEN ALEXANDER LUCAS

Bearham: hypoxic brain injury from hanging; Fisher: asphyxiation from hanging by…

Four inpatient suicides occurred at The Canberra Hospital mental health units between January 2015 and November 2016: three by hanging and one by jumping. The coroner found systemic failures including inadequate ligature…

psychiatryemergency medicinediagnosticsystem
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
SAmental health2020-09-22

Coroner's Finding: NOONAN Ricky Dale

54y · Male·Hypoxic-ischaemic brain injury attributed to cardiac arrest due to choking

A 54-year-old man with paranoid schizophrenia died of hypoxic-ischaemic brain injury from choking on food whilst in seclusion in a psychi…

psychiatryemergency medicinecommunicationsystemhaloperidol
SAcommunity2006-12-13

Coroner's Finding: ELDRIDGE Michael and GERARD David

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

…e discharge planning and community follow-up for Butler; premature discharge of Simper despite continued psychosis; failure to apply for or renew CTOs; inadequate documentation of violent history; under-resourcing of co…

psychiatryemergency medicinecommunicationsystemzuclopenthixol deconate
WAhospital2012-03-30

Inquest into the Death of Ellery

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

David Peter Ellery, a 25-year-old man with long-standing amphetamine addiction and deteriorating mental health, died by hanging on 31 July 2007. He presented to Bentley Hospital on 31 July with active suicidal ideation, …

emergency medicinepsychiatrycommunicationsystemamphetamine
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