Coronial

52 results for acute psychiatric distress

VICaged care2015-05-18

Finding into death of Krizan Vuksan

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

…an Vuksan, a 75-year-old man with chronic schizophrenia, hypertension, and cardiac risk factors, died from acute myocardial infarction secondary to ischaemic heart disease while residing in a mental health aged care fac…

psychiatrygeneral practicecommunicationsystemolanzapine
QLD2007-03-01

McGeary, Corey Allan

20y · Male·Self-inflicted hanging

…y disorder, severe childhood abuse, mild intellectual disability), died by hanging in his cell. He became distressed when transferred to a different unit but was not offered psychological support despite staff awareness …

psychiatrypsychologycommunicationsystemolanzapine
SA2000-03-02

Coroner's Finding: GRAETZ Anthony Roy

28y · Male·Traumatic brain damage complicating contact .22 calibre gunshot wound to the mid…

…individual who had no prior mental health contact and made no meaningful communication possible. Expert psychiatric evidence concluded that even with hindsight, the serious mental state and tragic outcome could not have…

forensic medicinepsychiatry
VIChospital2025-10-13

Finding into death of David Greville Edward Horne

47y · Male·Unascertained; most likely cardiac arrhythmia possibly triggered by obstructive …

…sorder, and severe obstructive sleep apnoea, died suddenly at Maroondah Hospital while under compulsory psychiatric treatment. He experienced two episodes of respiratory distress on 5 and 8 December 2023, likely exacerb…

psychiatryrespiratory medicinediazepam
VICmental health2018-09-17

Finding into death of Paquita Goldberg

87y · Female·intentional inhalation of tissue paper leading to upper airway obstruction and h…

… aged psychiatry unit under a Mental Health Act order. Over 7-8 February 2013, she experienced escalating distress, disclosed prior sexual trauma, became aggressive requiring intramuscular antipsychotics, and reported fe…

psychiatrygeriatric medicinecommunicationsystemdesvenlafaxine
VIChospital2012-12-13

Finding into death of William Andrew Poskitt

31y · Male·Injuries sustained in a fall from height

…d Pneumocystis carinii pneumonia, died by suicide during a 4-day hospital admission. Despite requesting psychiatric assessment three times and displaying clear signs of psychological distress (racing thoughts, insomnia,…

infectious diseasespsychiatrycommunicationdiagnostictrimethoprim
NSW2009-12-08

Inquest into the death of rebekah lawrence

34y · Female·Multiple injuries sustained when she stepped off the ledge of a second-floor win…

… attending an intensive self-development course called 'The Turning Point' (14–18 December), she exhibited acute psychotic symptoms including bizarre behaviour and regression to child-like states. The coroner found expe…

psychiatrysystemcommunication
VICmental health2020-07-30

Finding into death of William Thomas Flanagan

57y · Male·Multiple injuries sustained by being struck by a freight train

…ld man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management including r…

psychiatrycardiologysystemvenlafaxine
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
VIChome2021-07-14

Finding into death of Edward Michael Espino

36y · Male·neck compression in the circumstances of hanging

…th, he learned of a police 'whereabouts' alert placed six months after a minor assault allegation, causing acute anxiety about bail revocation and return to prison. He contacted police and mental health services express…

psychiatryforensic medicinesystemsodium valproate
TAShome2022-11-29

Coroner's Finding: Young, Andrew Robert

61y · Male·hanging

…ifelong depression and social phobia, died by hanging on 13-14 January 2020. He had received consistent psychiatric care from an experienced psychiatrist for 16 years using supportive psychotherapy, as he consistently d…

psychiatrygeneral practicediazepam
QLD2025-09-08

Inquest into the death of Gina Valera

49y · Female·Hanging

…sment at that time. The case highlights challenges in predicting suicide risk, the importance of timely psychiatric review in custody, and the limitations of risk assessment in newly incarcerated first-time offenders un…

psychiatrycorrectional healthcommunicationsystemmirtazapine
VICmental health2015-12-07

Finding into death of Jeffrey John Hartwig

43y · Male·Pneumonia

…hronic schizophrenia and opiate dependence, died from pneumonia following cardiorespiratory collapse on an acute psychiatric inpatient unit. He was on multiple psychoactive medications including methadone (commenced 3 d…

psychiatryintensive caremonitoringcommunicationmethadone
WA2004-03-02

Inquest into the Death of Natasha Leanne Quartermaine

25y · Female·Ligature Compression of the Neck (Hanging)

…t Risk Management System (ARMS), a protocol designed to prevent self-harm. Critical information about her distress was not communicated to supervising prison officers, and there were medication dispensing errors with her…

psychiatrygeneral practicecommunicationsystemzuclopenthixol
SAhospital2015-08-13

Coroner's Finding: DICKERSON Alexander Charles

79y · Male·multi-organ failure due to voluntary starvation on a background of severe depres…

…e found him malnourished following 30 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportive care, …

psychiatrygeneral medicine
WAhospital2019-05-24

Inquest into the Death of Melanie Reanna TREGONNING

31y · Female·incised wounds to the neck and arms

A 31-year-old illustrator with a recent onset of acute depression and suicidal ideation attended Fremantle Hospital ED via ambulance after GP referral on 12 May …

emergency medicinepsychiatrycommunicationdiagnosticvenlafaxine
SAhospital2009-12-09

Coroner's Finding: VELKOS Basile

39y · Male·Multi organ failure complicating acute paraquat and diquat toxicity

A 39-year-old man with depression and alcohol misuse died from multi-organ failure following acute paraquat and diquat toxicity. He ingested herbicide stored in a Coca-Cola bottle on 10 June 2006, arriving…

emergency medicinetoxicologyparaquat
WAmental health2015-11-18

Inquest into the Death of Anna Maria CAMERON

65y · Female·Early bronchopneumonia and hypoxic brain injury following aspiration of food (ch…

…5-year-old woman with treatment-resistant schizophrenia, died from aspiration choking while eating on a psychiatric ward. She had been recently transferred to a rehabilitation unit for reassessment of her complex medica…

psychiatryintensive carelorazepam
WAcommunity2016-09-13

Inquest into the Death of Anthony Charles EURA

42y · Male·unascertained

…e month before disappearance, he presented to Perth hospitals twice with self-harm, suicidal ideation, and acute distress following news of his brother's death. He was assessed as having alcohol abuse, personality disor…

psychiatryemergency medicinesystemdiagnosticfluphenazine
VICcommunity2011-06-17

Finding into death of Drew Aaron Boaler

39y · Male·COMPLICATIONS OF CHRONIC RENAL FAILURE

…ing requiring environmental restrictions. On the day of death, while being driven by a carer, he developed acute respiratory distress and collapsed. CPR was commenced but unsuccessful. The coroner found no evidence of i…

general practiceneurologylithium

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