Coronial

333 results for treatment non-compliance

VIChome2021-08-12

Finding into death of M J

37y · Male·Acute external and internal blood loss from single stab wound to upper left ches…

…s in Community Corrections management of both offenders' orders. MWJ failed to engage with mandated drug treatment and mental health services despite strong recommendations from ASCO for GP referral for mental health ca…

general practicepsychiatrysystemcommunicationmethamphetamine
VIChome2021-08-03

Finding into death of Ashley Wayne Phillips

44y · Male·Strangulation

… high-risk), failure to conduct extended pre-sentence assessment despite significant criminal history, non-compliance with drug treatment not properly monitored, 11 missed supervision appointments not actioned, and criti…

correctional healthforensic medicinesystemcommunicationmethamphetamine
VIChome2013-05-21

Finding into death of John Crivera

31y · Male·Quetiapine toxicity in a man consuming sertraline and mirtazapine

…disorder died from quetiapine toxicity while taking sertraline and mirtazapine. He was under a Community Treatment Order and his treating team reduced his antipsychotic dose while he deteriorated between October-Novembe…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAScommunity2021-12-10

Coroner's Finding: McCoy, Mathew

27y · Male·Cause of death cannot be determined; most likely cardiac arrhythmia in the setti…

A 27-year-old man with schizophrenia subject to a Mental Health Act Treatment Order died of unknown cause, most likely cardiac arrhythmia. He had appropriate community mental health …

psychiatryforensic medicineclozapine
VIC2017-12-01

Finding into death of Thuy Xuan Nguyen

52y · Male·Intracerebral haemorrhage

…nosed with moderate hypertension in June 2015 and commenced on Ramipril. He experienced two periods of non-compliance with medication (July-August and September-November 2015). While a non-compliance clinic was scheduled…

neurosurgeryneurologycommunicationsystemramipril
VICcommunity2015-05-29

Finding into death of Craig Doherty

49y · Male·Multiple injuries from a fall from height

…e was seen by his GP and mental health crisis team, both noting deterioration, paranoid delusions, and non-compliance with Olanzapine. Despite being assessed as requiring either hospital admission or supervised community…

psychiatrygeneral practicelithium
VIChome2022-11-15

Finding into death of Matthew Perinovic

3y · Male·Multiple stab wounds to the back

…inflicted by his mother Katica during a first-episode psychosis. Katica had been receiving mental health treatment from NorthWestern Mental Health Service for approximately 8 weeks before the fatal incident. Critical cl…

psychiatrygeneral practicecommunicationsystemrisperidone
WAhospital2015-07-08

Inquest into the Death of Roy Charles GILBERT

49y · Male·Complications in Association with Advanced Gastric Malignancy

… by Royal Perth Hospital (oncology and gastroenterology) and prison medical services. Despite aggressive treatment, his cancer progressed with extensive peritoneal metastases. His compliance with treatment was inconsist…

oncologygastroenterology
QLDhome2005-11-16

Perry, Jye Conrad (a child)

3y · Male·fatal stab wounds to the heart inflicted by his aunt Natalia Perry during an app…

…s fatally stabbed by his aunt, Natalia Perry, a forensic patient with schizophrenia on limited community treatment (LCT), shortly after being discharged from emergency department. Perry had jumped from a ferry days earl…

psychiatryemergency medicinediagnosticcommunicationrisperidone
SAhospital2020-05-21

Coroner's Finding: SNIECIKOWSKA Alicja

68y · Female·chronic obstructive pulmonary disease

…ic imaging (CTPA), and became increasingly agitated. She was placed on a Level 1 Mental Health Inpatient Treatment Order after refusing escalation of care. Conservative management continued with palliative focus. She di…

respiratory medicineemergency medicinemorphine
NSW2011-08-19

Coroner's Finding: Terry Griffiths

21y · Male·Suicide by hanging

… on building 'trust' rather than risk assessment, disregarding warnings of manipulation and medication non-compliance; (3) failure to prescribe depot injections despite established history of oral medication non-complian…

psychiatrydiagnosticmedicationresperidone
NSWcommunity2017-07-12

Inquest into the suspected death of missing person Benjamin Stephens

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

…ld not be determined from skeletal remains, the coroner noted his untreated mental illness, medication non-compliance, increasing paranoia, and social isolation may have contributed. No evidence of foul play was identifi…

psychiatrygeneral practicesystemdelayquetiapine
VIChome2026-04-14

Finding into death of Justin James Filardo

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

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

psychiatrygeneral practicesystemdelayclozapine
SAhospital2017-05-11

Coroner's Finding: ROBINSON Scott Alexander

44y · Male·neck compression consistent with hanging

Scott Alexander Robinson, a 44-year-old man with treatment-resistant schizophrenia and obsessive-compulsive disorder, died by hanging while on an Inpatient Treatme…

psychiatrypaliperidone
VIChome2010-04-27

Finding into death of David Mathew Smith

32y · Male·plastic bag asphyxia

…and a history of explosive-making offences. He was subject to concurrent bail conditions and a Community Treatment Order requiring depot risperidone injections and forensic counselling. Smith rejected his mental illness…

psychiatryforensic medicinemedicationcommunicationrisperidone
VIChome2022-11-15

Finding into death of Anna Perinovic

5y · Female·Multiple stab wounds to the back

…r 2020 after developing paranoid thoughts and anxiety. Clinical review revealed suboptimal mental health treatment: inadequate face-to-face contact from 8 December onwards (mostly brief phone calls), poor mental state a…

psychiatrygeneral practicediagnosticcommunicationrisperidone
SAhospital2020-06-25

Coroner's Finding: KARTINYERI Laura Rose

44y · Female·multi-organ failure and polypharmaceutical overdose on a background of severe ch…

…polypharmaceutical overdose on a background of severe COPD. She had a long history of substance abuse, non-compliance with treatment, and hospital presentations with refusal of care. In the months before death, her COPD …

respiratory medicineintensive carepregabalin
WAhome2025-07-11

Inquest into the Death of Monique Jacinta GOMEZ

48y · Female·intracerebral haemorrhage on a background of anticoagulation therapy for a recen…

…, died from a spontaneous intracerebral haemorrhage during hospitalization for stroke rehabilitation and treatment of schizoaffective disorder. An initial ischaemic stroke resulted from non-compliance with warfarin (req…

general medicineneurologywarfarin
NSWhome2018-04-26

Inquest into the death of FW

79y · Male·external neck compression as a result of hanging

A 79-year-old man with bipolar affective disorder and a documented history of medication non-compliance died by suicide while living in rural NSW. He had been subject to a Victorian Community Treatment Orde…

psychiatrygeneral practicecommunicationsystemrisperidone
NT2016-09-02

Inquest into the death of Marrianne Munkara

45y · Female·Bronchiectasis

…otective custody. She had 15 hospital admissions in 2015 for acute exacerbations related to medication non-compliance associated with alcohol use. Police failed to identify her during the custody episode, missing a criti…

respiratory medicineemergency medicinesystemcommunication
1217

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.