Coronial

28 results for possible early psychosis

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
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
SA2006-01-25

Coroner's Finding: GREENLAND Daniel Aaron

18y · Male·Gunshot wound to the head (self-inflicted)

…hood documented suspected abuse. The death highlights the importance of identifying psychotic symptoms and early trauma in young people, though retrospectively preventive opportunities were limited once he had already a…

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
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
NSWhome2024-04-05

Inquest into the death of Todd McKenzie

40y · Male·gunshot wounds

…nceived and almost certainly destined to produce violent confrontation. Critical clinical lessons include: early mental health assessment and family consultation were inadequate; a consultant psychiatrist should have be…

psychiatryforensic medicinediagnosticcommunication
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
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
SAhospital2015-03-06

Coroner's Finding: SIMOS Theodoras Joannas

48y · Male·undetermined

…th. Key clinical lessons: rural hospitals managing acutely psychotic patients face significant complexity; early transfer via specialist retrieval (not RFDS/ambulance) may be preferable; careful medication choice consid…

psychiatrygeneral practicesystemdelayhaloperidol
VIChospital2022-05-17

Finding into death of Mr J

36y · Male·Multiple Sharp Force Injuries to Chest and Neck

Mr J, a 36-year-old with a history of first-episode psychosis (2012) and relapse (2014) both associated with methamphetamine use, ceased antipsychotic medication in S…

general practicepsychiatrycommunicationdiagnosticpaliperidone
NSWcommunity2023-11-17

Inquest into the death of SB

51y · Male·Stab wounds to the chest

A 51-year-old man with documented mental health issues including psychosis, paranoia, and delusions died from self-inflicted stab wounds during a police siege at his mother's home…

psychiatryemergency medicinecommunicationsystemolanzapine
SAcommunity2014-03-12

Coroner's Finding: MUNDY Michaela Jayne

15y · Female·neck compression due to hanging

…epressive symptoms. Despite evidence of clinical deterioration, risk escalation, and concerning features (possible psychosis, dissociation), Hotich assessed risk as low and did not consult psychiatry colleagues or refer …

psychiatrygeneral practicediagnosticcommunicationfluoxetine
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 para…

psychiatrygeneral practicecommunicationsystemisotretinoin
WAhome2021-11-29

Inquest into the Death of Ly Minh TONG

38y · Male·Multiple gunshot wounds

A 38-year-old man with a history of methamphetamine use and mental health issues, subject to a violence restraining order, assaulted his father at home. The father reported to police that his son was armed with a knife, …

psychiatrytoxicologycommunicationsystemmethamphetamine
VICcommunity2016-09-06

Finding into death of Antonio D'Augello

63y · Male·Drowning

…ithout assessing their capacity. The coroner found the care was not proactive, consultative, or focused on early intervention, with inadequate escalation of a deteriorating patient known to require compulsory treatment …

psychiatryemergency medicinecommunicationdelayolanzapine
WAmental health2022-02-25

Inquest into the Death of Jordan James WILLIAMS

20y · Male·head and neck injuries sustained when struck by train

…lie Health Campus mental health unit on 24 August 2018. He was involuntarily admitted with first-episode psychosis. Critical failures in supervision occurred: after his first escape, he was not confined to his room desp…

psychiatryemergency medicinesupervisioncommunicationolanzapine
NSWhome2024-03-21

Inquest into the death of Brandon Rich

29y · Male·cardiac arrhythmia triggered by myocardial ischaemia arising from physical exert…

…tical missed opportunities for de-escalation existed from the initial call through to Brandon's detention. Early gathering of information via DV SOPS procedures, clear communication of police powers under s 89A, and str…

cardiologypsychiatrycommunicationsystemmethamphetamine
NSW2024-10-17

Inquest into the death of Kevin Edwards

41y · Male·Unable to be ascertained

41-year-old male with schizophrenia/drug-induced psychosis and methamphetamine use died following police restraint on M5 motorway. Admitted to Shellharbour Hospita…

psychiatryemergency medicinediagnosticcommunicationmethamphetamine
QLDhome2011-03-25

Clarke, Daniel James

36y · Male·Gunshot wound to the forehead

… psychiatric hospitalisation. The coroner found mental health care was appropriate—no objective signs of psychosis were evident on professional assessment in February 2009, though his mother reported concerning behavior…

psychiatrycorrectional healthcommunicationsystem
VIChome2010-08-23

Finding into death of PC

20y · Male·pulmonary oedema due to acute on chronic heart failure resulting from dothiepin …

A 20-year-old man died from pulmonary oedema due to acute-on-chronic heart failure resulting from dothiepin overdose. He had complex mental health and substance use issues dating back to age 16. He was prescribed dothiep…

general practicepsychiatrydiagnosticmedicationdosulepin

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