Coronial

391 results for psychiatric medication management

TAScommunity2016-05-25

Coroner's Finding: Barnes, Deearne Joan

53y · Female·mixed prescription drug toxicity

Deearne Joan Barnes, a 53-year-old woman with complex psychiatric history including depression, OCD, substance abuse disorder, and chronic non-cancer pain, died from mix…

psychiatrypain medicinediagnosticmedicationvenlafaxine
TAScommunity2025-06-30

Coroner's Finding: de-identified IB

21y · Male·drowning

…ditory hallucinations commanding him to kill himself. Following stabilisation on increased antipsychotic medication, he was transferred to Mistral Place, a community-based step-down psychiatric facility, on 29 May 2019 u…

psychiatryemergency medicinearipiprazole
WA2026-06-08

Inquest into the Death of Mason SHAHZAD

40y · Male·ligature compression of the neck (hanging)

…r suicide attempt at arrest in 2021. Throughout his custody, he received regular mental health reviews, psychiatric medication (escitalopram), and management through prison risk protocols. At Acacia, he was housed in a …

psychiatrycorrectional healthescitalopram
NSWhospitalNew2026-06-19

Inquest into the Death of Simon Myles Mackay

37y · Male·Neck compression and the complications thereof

Simon Mackay, age 37, was admitted as an involuntary psychiatric patient on 12 July 2022 for acute methamphetamine-induced psychosis with paranoia and aggression, compl…

psychiatryaddiction medicinepaliperidone
VIChospital2018-02-28

Finding into death of Samuel Carl Johansen

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

…ear-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 transit…

psychiatryintensive carecommunicationdelayheroin
VICaged care2015-05-18

Finding into death of Krizan Vuksan

75y · Male·Ischaemic heart disease secondary to coronary artery atherosclerosis; acute myoc…

…tory tract infection was diagnosed and treated with antibiotics. The coroner found no issues with health management that impacted the cause of death. However, concerns were raised about discharge planning from inpatient …

psychiatrygeneral practicecommunicationsystemolanzapine
VICmental health2015-10-15

Finding into death of Helen Maria Bryce

54y · Female·Hanging

…ession and anxiety in early 2011. After two suicide attempts, she was admitted to Austin Health's Acute Psychiatric Unit involuntarily. After 11 days of treatment and progressive day leave, she was approved for two nigh…

psychiatrygeneral practicecommunicationsystemcitalopram
WAmental health2017-06-22

Inquest into the Death of Annette SILVER

47y · Female·Multiple injuries from being struck by a train

A 47-year-old woman with major depressive disorder and anxiety died by suicide while an involuntary psychiatric inpatient. She had attempted suicide in November 2014 and was admitted to Bentley Hospital for psychiat…

psychiatrypsychologysupervisionsystemcitalopram
VIChospital2015-08-11

Finding into death of Orce Petrusevski

35y · Male·Unascertained, following autopsy. Likely drowning but circumstances undetermined…

…iamine, was not reviewed by senior ED clinicians, and was discharged after 24 hours without appropriate psychiatric review or family involvement. The discharging psychiatrist was unaware of his ED management. He was fou…

emergency medicinepsychiatrydiagnosticmedicationdiazepam
WAhome2013

Inquest into the Death of Blinkhorn, Leah Christine

29y · Female·Multiple Drug Toxicity (Lamotrigine, Doxylamine, Venlafaxine, Valproic Acid, Cod…

…sonality disorders and depression called Perth Clinic at 11:11pm reporting she had overdosed on multiple medications (lamotrigine, doxylamine, venlafaxine, valproic acid, codeine, morphine). She was evasive about details…

psychiatryemergency medicinediagnosticcommunicationlamotrigine
QLDcommunity2010-09-29

Dyer, Alan Kent

Male·Gunshot wound to the abdomen

…use of lethal force was legally justified under self-defence provisions, the coroner noted that incident management could be improved. The coroner recommended training scenarios using this case to ensure first-response o…

emergency medicinepsychiatryfluvoxamine
VIC2010-02-08

Finding into death of Craig Walter Stevens

34y · Male·Hypoxic-ischaemic brain injury caused by hanging

…schizophrenia, and prior suicide attempts. He had not been taking prescribed sertraline and had stopped psychiatric follow-up. The police lacked appropriate cutting equipment (scissors/knife) in their vehicle's first ai…

psychiatrygeneral practicesystemdelaysertraline
QLDcommunity2016-02-05

Cooper, Paul James - Non-inquest findings

41y · Male·Hanging

Paul Cooper, a 41-year-old man with bipolar disorder, died by hanging in August 2015, eleven days after psychiatric review. He had recently commenced Isotretinoin for severe acne, which coincided with development of par…

psychiatrygeneral practicecommunicationsystemisotretinoin
SAhospital2020-06-25

Coroner's Finding: ASHTON Lorraine June

78y · Female·advanced dementia (end stage)

…falls, she was placed on an Inpatient Treatment Order. She required physical restraint and intramuscular medication for safety management. Palliative care commenced on 8 September 2017. The coroner found her hospital car…

psychiatrygeriatric medicineoxazepam
SAmental health2008-10-16

Coroner's Finding: SWEETLAND Charles James

28y · Male·hanging

…chizophrenia and substance abuse died by hanging while detained under the Mental Health Act in a closed psychiatric ward. He had chronic auditory hallucinations commanding self-harm and had made previous suicide attempt…

psychiatrysystemproceduralsodium valproate
SA2008-12-03

Coroner's Finding: WHEATON Rowan Scott

18y · Male·neck compression due to hanging

…ural and mental health crises from adolescence. Despite multiple emergency department presentations and psychiatric admissions, he was repeatedly discharged with inadequate community follow-up. A critical gap existed in…

psychiatryemergency medicinediagnosticcommunicationcitalopram
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…

psychiatrypsychologycommunicationsystemclozapine
QLDhospital2017-09-07

Mr R - Non-inquest findings

63y · Male·Multiple injuries due to fall from height

…experienced severe pain, mood disturbance with suicidal ideation, and adjustment difficulties. Although psychiatric assessment documented suicidal thoughts during admission, the treating team considered him psychiatrica…

neurosurgeryneurologysystemcommunicationcitalopram
QLD2012-03-06

Ford, Stuart Cecil

56y · Male·Asphyxia

…head on 16 January 2010. He had a history of adjustment disorder with anxiety and depression, was under psychiatric care, and had previously attempted suicide. The death occurred following suspension from his laundry jo…

psychiatrypsychologyanti-anxiety drugs
QLDhome2009-03-16

Blake, Melissa Maree

Female·Drowning (suicide)

Melissa Maree Blake died by suicide by drowning on 16 January 2007 while receiving community-based treatment for psychotic depression, which developed following a miscarriage. She was referred to Sunshine Coast Mental He…

psychiatrygeneral practicemedicationcommunicationescitalopram
1891020

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