Coronial

8 results for clozapine trial

WAhome2022-04-13

Inquest into the Death of Boris DRLESKI

45y · Male·bronchopneumonia and combined drug toxicity

…ments after August 2018 with no recorded face-to-face reviews; (3) limited therapeutic options available—clozapine trial was not pursued, long-term hospitalisation was not attempted, and integrated mental health/substan…

psychiatryemergency medicinecommunicationsystemzuclopenthixol decanoate
VICmental health2020-09-18

Finding into death of Harley Robert Larking

23y · Male·Effects of fire

…e disorder, died from effects of fire on 13 May 2016 while absconding from a psychiatric unit. He was on clozapine for only two weeks when trialled unsupervised in the Low Dependency Unit under staff shortage conditions…

psychiatryAboriginal healthsystemdelayclozapine
WAcommunity2026-08-07

Inquest into the Death of Bradley Craig BUSWELL

41y · Male·combined drug toxicity

Bradley Craig Buswell, 41, died from combined drug toxicity (olanzapine, mirtazapine, doxylamine) on 31 March 2025 at his home in Eaton. He had treatment-resistant schizophrenia with chronic psychotic symptoms including …

psychiatrygeneral practiceolanzapine
WAhome2016-02-15

Inquest into the Death of John Stephen PASSMORE

53y · Male·ligature compression of the neck (hanging)

…ospital for nearly 10 months (May 2011 to March 2012) during which multiple antipsychotic medications were trialled without significant improvement. The treating team faced an ethical dilemma: continued hospitalisation …

psychiatryrehabilitation medicineolanzapine
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 …

Joel Cauchi, a 40-year-old man with chronic treatment-resistant schizophrenia, carried out a stabbing attack at Westfield Bondi Junction shopping centre in Sydney on 13 April 2024, killing six people (Dawn Singleton, Jad…

psychiatrygeneral practicecommunicationsystemclozapine
SAmental health2006-12-21

Coroner's Finding: DOOMA Renato

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

…ry paranoid schizophrenia was involuntarily detained in an acute psychiatric ward after a failed community trial. Despite being a documented high absconding risk, he was transferred from the secure closed ward to an ope…

psychiatrytrauma surgerysystemcommunicationzuclopenthixol
NSWmental health2026-02-05

Inquest into the deaths at Westfield Bondi Junction Executive Summary

41y · Male·Gunshot wounds to neck and chest (perpetrator Joel Cauchi); stab wounds (six vic…

…before the attack. Key clinical failures identified: (1) gradual cessation of antipsychotic medications (clozapine 2012–2018) without adequate monitoring; (2) inadequate response to early warning signs of relapse report…

psychiatrygeneral practicediagnosticcommunicationclozapine
NSW2025-03-06

Inquest into the death of Moses Kellie

33y · Male·hanging

Moses Kellie, aged 33, died by hanging at Villawood Immigration Detention Centre in January 2019 after four years in immigration detention. He had schizophrenia, PTSD, and substance dependence, with a prior suicide attem…

psychiatrygeneral practicesystemcommunicationpaliperidone

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