Coronial

99 results for early psychosis

NSWmental health2012-04-17

Coroner's Finding: DB

28y · Male·ligature strangulation

DB, a 28-year-old with first episode psychosis, was admitted to Nepean Hospital on 31 March 2009 after self-harming. He was appropriately diagnosed and…

psychiatrycommunicationsystemolanzapine
VIC2014-05-01

Finding into death of James Leslie Kuti

16y · Male·Multiple injuries as a result of high speed impact (train)

…en he jumped in front of a train. He was receiving comprehensive mental health care from Southern Health's Early Psychosis Service and was on appropriate antipsychotic medication (intramuscular Resperidone depot injecti…

psychiatryresperidone
VICcommunity2021-03-10

Finding into death of Casey Evan Cahill

19y · Male·Multiple injuries sustained on a train impact (pedestrian)

…e misuse involving methamphetamine, cannabis, cocaine, and alcohol. He was enrolled in the Headspace Youth Early Psychosis Program and was receiving treatment with antipsychotic medication (aripiprazole depot). Key clin…

psychiatryaddiction medicinesystemalcohol
NSWcommunity2021-08-18

Inquest into the death of A F

24y · Male·multiple stab wounds to the chest that he inflicted upon himself

…he chest. Clinical lessons include the critical importance of medication adherence in psychotic disorders, early intervention when psychiatric symptoms re-emerge or medication is discontinued, and close liaison between …

psychiatrygeneral practicesystemcommunicationlurasidone
VIChome2026-04-14

Finding into death of Justin James Filardo

45y · Male·Gunshot wounds to the head and left shoulder

…ude: importance of monitoring medication adherence in community-based antipsychotic treatment, recognising early relapse signs (behaviour change, sleep/hygiene disruption), and the critical role of family communication …

psychiatrygeneral practicesystemdelayclozapine
NTcommunity2016-03-09

Inquest into the death of Ronald Donaldson

69y · Male·Blunt head trauma

…detention. The Coroner found no criticism of the hospital assessment. The critical clinical lesson is that early recognition of deteriorating mental health in the community—particularly signs of command hallucinations a…

psychiatryemergency medicinedelaymarijuana
TAScommunity2026-04-27

Coroner's Finding: de-identified TP

32y · Male·multiple injuries caused by a single vehicle crash

A 32-year-old man with long-standing methamphetamine addiction and drug-induced psychosis died in a motor vehicle crash on 6 January 2024. Although he received hospital treatment for severe psyc…

general practicepsychiatrymethamphetamine
VIChome2015-04-13

Finding into death of Athiel Deng

59y · Female·head injury

…ailable supports; and (5) the challenge of maintaining engagement with voluntary patients post-CCO expiry. Early proactive intervention at signs of substance re-use and deteriorating presentation, potentially including …

psychiatryemergency medicinesystemdelaycannabis
NSWmental health2011-12-13

Coroner's Finding: Samuel Dibley

23y · Male·cerebral hypoxia secondary to strangulation from hanging by belt

…bley, aged 23, was involuntarily admitted to the Mental Health Unit on 19 May 2009 with cannabis-induced psychosis and suicidal ideation. He was placed in the Low Dependence Unit (LDU) based on risk assessment. Nursing …

psychiatryemergency medicinerisperdone
VIChome2016-04-04

Finding into death of Jacinta Pompei

32y · Female·Blunt force trauma to the head

…te with regular contact, risk assessments, and medication encouragement. Although Mr Ellard displayed some early warning signs of deterioration in the two weeks prior and had substance use issues, minimal typical early

psychiatryforensic medicineclozapine
VICcommunity2021-08-18

Finding into death of David Perry

35y · Male·unascertained - multifactorial: underlying ischaemic heart disease, drug intoxic…

…was arrested by police and developed cardiac arrest while in prone restraint. Autopsy revealed significant early-onset atherosclerotic heart disease. The coroner found the police use of force was reasonable and proporti…

emergency medicinepsychiatrysynthetic cannabinoids
NTmental health2002-03-12

Inquest into the death of Luke Peter Littlewood

21y · Male·multiple injuries from fall from water tower

A 21-year-old man with acute psychosis was admitted involuntarily to a psychiatric ward after being found climbing a power pole. After 8 days, …

psychiatrycommunicationproceduralolanzapine
WAmental health2023-02-13

Inquest into the Death of Philip SULLEY

58y · Male·coronary artery arteriosclerosis (natural causes)

…iour but was discharged; his presentation was judged appropriate at the time despite later appearing to be early relapse. He re-presented on 22 April 2020 with florid psychosis and was admitted to BMHU under a Form 6A i…

psychiatryemergency medicinecommunicationolanzapine
QLDhome2012-11-14

Galeano, Antonio Carmelo

39y · Male·Excited delirium, probably caused by amphetamine toxicity-induced psychosis. Dea…

…utcomes would require immediate recognition as medical emergency, rapid restraint with adequate personnel, early medical involvement, and transport to hospital rather than prolonged field management.

emergency medicinepsychiatryproceduralcommunicationamphetamine
NSWcommunity2017-06-09

Inquest into the disappearance and suspected death of Katherine ACKLING-BRYEN

37y · Female·open finding - undetermined

…ckling-Bryen disappeared on 19 February 2016 and is presumed dead. She had a history of schizophreniform psychosis with a 2013 hospitalisation during which she expressed suicidal ideation. Post-discharge, she received i…

psychiatrygeneral practicesystemcommunicationanti-psychotic medication
NSWcommunity2017-07-12

Inquest into the suspected death of missing person Benjamin Stephens

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

…mpliant, ceasing medications due to perceived side effects. His mental state deteriorated significantly in early March 2004, with intensifying paranoia and behavioural changes. He was last seen leaving his mother's home…

psychiatrygeneral practicesystemdelayquetiapine
NSWmental health2022-03-29

Inquest into the disappearance and suspected death of Helen Stacey

19y · Female·The available evidence does not allow for a finding as to the cause of death

…depression after a relationship ended. Medical staff documented her as a real suicide risk with signs of psychosis and possible severe personality disorder. Despite her family's extensive search and modern investigative…

psychiatrygeneral medicinesystem
VIC2021-04-29

Finding into death of Spiros Boursinos

45y · Male·coronary artery disease and mechanical asphyxia in a man using cocaine

A 45-year-old man with a history of drug-induced psychosis, cocaine use, and underlying coronary artery disease died in police custody following physical restraint…

emergency medicinepsychiatrycocaine
NTcommunity2011-10-11

Inquest into the death of Aaron Nathan Stagg

28y · Male·hanging

Aaron Nathan Stagg, 28-year-old man with likely Asperger's Syndrome and emerging paranoid psychosis, died by hanging on 5 March 2010 after a period of disengagement from mental health services. He was ref…

psychiatrypsychologysystemrisperidone
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

36y · Male·Hypoxic ischaemic encephalopathy due to cardiac arrest occurring during restrain…

… showing concerning behavioral changes in the weeks prior. Critical clinical lessons include: the need for early recognition of acute psychiatric symptoms and drug-induced psychosis; the importance of mental health asse…

psychiatryemergency medicinedelaycommunicationmethamphetamine

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