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…
587 results for “psychosis”
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…
27y · Male·Multiple injuries sustained in a fall from height
…es sustained in a fall from a seventh-floor balcony on 27 October 2021. He had a history of drug-induced psychosis following methamphetamine use, treated at Orygen Youth Health and NorthWestern Mental Health with antips…
23y · Male·neck compression due to hanging
A 23-year-old male with drug-induced psychosis died by hanging. He had a long history of substance abuse and behavioural problems, with multiple presen…
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…
41y · Male·unascertained
…ared from a remote homestead on the Dampier Peninsula in October 2010. He was last seen exhibiting acute psychosis with auditory hallucinations and paranoid delusions about evil spirits and bush men. Despite an extensiv…
16y · Male·Multiple injuries as a result of high speed impact (train)
…mped 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 injections) wit…
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, …
22y · Male·Multiple injuries from fall from height
…floor balcony five days after discharge from his first psychiatric admission for post-ictal/drug-induced psychosis. He had intellectual disability, epilepsy, and acquired brain injury. Critical deficiencies included: in…
22y · Male·ligature compression of the neck (hanging)
…bject to a Community Treatment Order (CTO) for Schizoaffective Disorder. He presented with first-episode psychosis in 2017 and repeatedly refused antipsychotic medication throughout his illness, requiring three CTOs bet…
23y · Male·Haemorrhage from incised wounds to the neck and wrists
…sure, paternal heroin overdose witnessed as a teenager, chronic substance use disorder with drug-induced psychosis, and recent suicide loss of a close friend. Despite police deploying appropriate de-escalation technique…
69y · Male·unknown
John Joseph Moran, a 69-year-old man with a history of mental health problems including schizophreniform psychosis and organic delusional disorder following a stroke, disappeared in February 2006 while in a remote area …
57y · Male·Neck compression and hanging
…rt suicidal ideation or self-harm. The coroner found no evidence the death was foreseeable and noted his psychosis was challenging to manage even by specialist forensic standards. Key clinical lessons include: improved …
28y · Male·Hanging
…lan Bell, 28, died by hanging following discharge from Redland Hospital ED where he presented with acute psychosis, suicidal and homicidal ideation, and made three self-harm attempts by strangulation. Despite a concerni…
38y · Male·Unascertained; death in the waters of the Indian Ocean off Rottnest Island
…is wife and parents. He had a history of depression, alcohol and drug addiction, and recent drug-induced psychosis for which he was prescribed lurasidone. After an argument with his wife about hidden alcohol, he left th…
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 …
25y · Male·ligature compression of the neck (hanging)
A 25-year-old man with dexamphetamine-induced psychosis died by suicide while an involuntary psychiatric patient. He was transferred from a locked to an open wa…
29y · Male·gunshot wound to the chest
…th crises with weapons can prevent de-escalation, and that medication non-compliance combined with acute psychosis significantly increases risk. Better pre-hospital information systems and consideration of mental health…
84y · Female·sepsis and cardiac failure in a woman with hypertensive ischaemic and valvular h…
…ure. She was admitted to hospital in June 2016 with decompensated cardiac failure and developed paranoid psychosis requiring an Inpatient Treatment Order. The psychosis initially impaired her cooperation with essential …
34y · Male·gunshot wound to the neck
…reatment was appropriate and supported by his family, the incident highlights challenges managing severe psychosis with inadequate medication compliance, the dangers posed by illicit drug use in psychotic patients, and …
24y · Male·self-inflicted hanging
…ave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command hallucinations telling him to harm himself. Although sedated initially, he remained actively…
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