Coronial

301 results for psychotic disorder

SA2021-06-02

Coroner's Finding: DUFFIELD Clinton John

35y · Male·unascertained - multifactorial cardiorespiratory arrest

…le died in police custody following arrest for dangerous driving and property damage. He displayed acute psychotic behaviour with paranoia, aggression, and 'super-strength' during restraint. Post-mortem examination reve…

forensic medicineemergency medicinecannabis
VICcommunity2014-09-01

Finding into death of Kirstan McRae-Jansen

31y · Female·plastic bag asphyxia

Kirstan McRae-Jansen, a 31-year-old woman with chronic schizophrenia, borderline personality disorder, and substance abuse, died by plastic bag asphyxia using an LPG bottle. She was under Community Treatment…

psychiatryolanzapine
NSWhospital2021-06-11

Inquest into the death of Sam Cain (a pseudonym)

23y · Male·hanging

A 23-year-old male with treatment-resistant schizophrenia died by hanging while an involuntary patient in the High Dependency Unit of Royal North Shore Hospital. He presented acutely on 4 February 2019 with severe suicid…

psychiatryemergency medicinecommunicationsystemaripiprazole
NSWcommunity2022-08-04

Inquest into the death of Brian Liston

51y · Male·Stab wound to the heart

…ssertive Treatment Team provided high-quality intensive community care appropriate to his needs. His antipsychotic medication management, including response to persistently low clozapine levels, was consistent with good…

psychiatrytoxicologyclozapine
VIChospital2023-04-03

Finding into death of David Bramwell Van Vledder

48y · Male·Drowning

A 48-year-old man with depression, problematic alcohol use, and recent onset paranoid ideation and auditory hallucinations presented twice to the Emergency Department on the morning of his death. Despite expressing suici…

emergency medicinepsychiatrydiagnosticcommunicationsertraline
NSWcommunity2025-08-25

Inquest into the death of Ashley Paull

49y · Male·Multiple injuries sustained when struck by a truck

…service failed to escalate appropriately after Sandra reported concerning behavioural changes suggesting psychotic relapse, including that community mental health did not contact the rapid response service or police des…

psychiatryemergency medicinecommunicationsystemmethamphetamine
WA2024-02-06

Inquest into the Death of Phillip John ALLEN

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

A 47-year-old Aboriginal man 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 wer…

psychiatrycorrectional healthcommunicationsystem
WAmental health2016-03-02

Inquest into the Death of Mark Warton BENNETT-ROBERTSON

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

A 25-year-old man with dexamphetamine-induced psychosis died by suicide while an involuntary psychiatric patient. He was transferred from a locked to an open ward on 19 April 2013 after appearing to improve clinically. H…

psychiatryemergency medicinecommunicationdexamphetamine sulphate
VICmental health2012-10-12

Finding into death of Grant Elliot Phillips

29y · Male·Multiple injuries sustained in a train incident (intentional self-harm)

Grant Phillips, 29-year-old with schizophrenia and complex psychiatric history including multiple suicide attempts, was admitted involuntarily to Broadmeadows Inpatient Psychiatric Unit on 5 May 2007. Despite being asses…

psychiatrydiagnosticsystemdextroamphetamine
TAScommunity2025-07-04

Coroner's Finding: de-identified KT

26y · Male·multiple injuries, primarily severe chest trauma, due to jumping from the Tasman…

…enia died by suicide jumping from the Tasman Bridge. He had been diagnosed with ADHD, generalised anxiety disorder, and sleep-wake disorder in 2021, with subsequent psychotic episodes in late 2022 and March 2023 leading …

psychiatryemergency medicinepaliperidone
SA2021-11-04

Coroner's Finding: Papageorgiou, Theo Nickolas

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

Theo Papageorgiou, a 27-year-old man with a history of psychotic and manic symptoms since November 2014, was briefly detained under a mental health order in November 201…

psychiatrygeneral practicediagnosticcommunicationolanzapine
NSWmental health2018-09-07

Inquest into the disappearance and suspected death of Christine Joyce Dorothy Young

40y · Female·The medical cause of death was unable to be determined. Manner of death: uninten…

…psychiatric assessment that night – the ED doctor did not consult the on-call psychiatrist despite clear psychotic symptoms and paranoia; (3) insufficient observation and management on the unit – she was permitted unesc…

psychiatryemergency medicinediagnosticcommunicationpaliperidone
VICcommunity2020-11-27

Finding into death of Nicholas Daniel Ficarra

26y · Male·unascertained; suspected suicide by firearm

Nicholas Daniel Ficarra, aged 26, disappeared on 14 January 2012 from his family farm in regional Victoria. He had a history of substance abuse (heroin, OxyContin, cannabis) from age 21 and severe mental illness from 200…

psychiatrygeneral practicesystemdelayheroin
SAcommunity2004-07-16

Coroner's Finding: DINSDALE Cheree Ann and KLINGNER Peter James

20y · Unknown·Traumatic brain damage complicating gunshot wound to the head

…itations of 'safety guarantees' in assessing suicide/homicide risk; the danger of delusional jealousy in psychotic illness; and the need for adequate resources to treat established schizophrenia without diagnostic manip…

psychiatryemergency medicinediagnosticcommunicationolanzapine
TAScommunity2025-07-04

Coroner's Finding: de-identified PD

41y · Male·Chest and limb injuries resulting from deliberately jumping from the Tasman Brid…

…PTSD died by suicide by jumping from the Tasman Bridge. He had a long history of methamphetamine use and psychotic episodes, with multiple involuntary mental health admissions. He disengaged from community mental health…

psychiatryemergency medicinemethamphetamine
NSWcommunity2026-02-05

Inquest into the deaths at Westfield Bondi Junction Volume 1

40y · Male·Victims: fatal stab wounds from knife attack; Joel Cauchi: fatal gunshot wounds …

…ting that his treating psychiatrist Dr B.-Lavack failed to adequately monitor him after cessation of antipsychotic medications from June 2018, did not respond appropriately to early warning signs of relapse reported by …

psychiatrygeneral practicecommunicationsystemclozapine
VICcommunity2023-09-07

Finding into death of Angelo Anthony Gioscio

55y · Male·cardiac arrest in the setting of methylamphetamine toxicity, with possible serot…

…icated by pre-existing cardiac and respiratory disease, whilst in police presence. He had schizoaffective disorder and emphysema, was taking antidepressants and antipsychotics, and presented with excited delirium-like be…

forensic medicinetoxicologymethamphetamine
QLDhome2011-02-09

Spicer, Phillip Glenn

53y · Male·Incised wound to the neck with consequential exsanguination from jugular vein la…

…terioration in previously well individuals requires urgent assessment; police confrontation with acutely psychotic patients is high-risk; and severe arterial neck injuries from self-harm are non-survivable regardless of…

emergency medicinepsychiatrysystem
TAShospital1996-10-01

Coroner's Finding: Muller Shar Marie

25y · Female·injuries sustained by jumping from the Tasman Bridge

A 25-year-old woman with longstanding borderline personality disorder, chronic suicidal ideation, and substance abuse died by jumping from the Tasman Bridge on 4 January 1996.…

psychiatryemergency medicinecommunicationsystemflunitrazepam
NSWcommunity2017-07-12

Inquest into the suspected death of missing person Benjamin Stephens

23y · Male·Unable to be determined from available evidence

… paranoia, delusions, and social withdrawal. He was treated by mental health services and prescribed antipsychotic medications but became non-compliant, ceasing medications due to perceived side effects. His mental stat…

psychiatrygeneral practicesystemdelayquetiapine
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