Coronial

39 results for undiagnosed mental illness

VIChome2019-02-15

Finding into death of Seker Yildiz

59y · Female·Sharp force injuries to the neck

…her husband, Mr Dursun Yildiz, using a small axe at their home in Dallas, Victoria. The perpetrator had undiagnosed mental illness characterised by delusional beliefs that his life was at risk and auditory hallucination…

general practicepsychiatrydiagnosticparacetamol
SA2016-09-22

Coroner's Finding: HENEKER Scott Maxwell

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

…g acute psychiatric symptoms (paranoia, delusions) likely triggered by amphetamine use. He had signs of undiagnosed mental illness and was showing concerning behavioral changes in the weeks prior. Critical clinical less…

psychiatryemergency medicinedelaycommunicationmethamphetamine
VIC2016-10-20

Finding into death of Andrew James Stephen Kellett

25y · Male·Cardiomegaly

Andrew Kellett, a 25-year-old man with a history of mental illness (bipolar disorder, depression, schizophrenia, auditory hallucinations, and suicidal ideation), die…

forensic medicinecardiology
VICcommunity2022-05-26

Finding into death of Sally-Anne Wills

Unknown·Sally-Anne Wills: multiple stab wounds to the chest; Christopher Polden: single …

…sues with the police response. However, the finding notes that Mohammed may have been suffering from an undiagnosed psychiatric illness, including possible hearing of voices and paranoia following his marital separation…

forensic medicineemergency medicine
VICcommunity2015-10-06

Finding into death of Gregory Anderson

54y · Male·gunshot wound to the chest

…e, and consistent with Victoria Police training and protocols. The coroner noted Anderson likely had an undiagnosed delusional disorder and commented on systemic failures to engage him in mental health care despite prio…

psychiatryforensic medicinediagnosticsystemdiazepam
WA2025-05-05

Inquest into the Suspected Death of David Benjamin INGRAM

44y · Male·unascertained - may have been injury from fall, drowning, or predation from mari…

… from the cargo vessel Maersk Mover on 24 September 2021 in the Indian Ocean off Exmouth, WA. He had an undiagnosed paranoid schizophrenia with a history of anxiety, depression, and previous suicidal ideation, managed w…

psychiatrygeneral practicecommunicationsystemolanzapine
VIChome2019-08-01

Finding into death of Caleb Harley Pearson

17y · Male·Diabetic ketoacidosis

Caleb Pearson, a 17-year-old with undiagnosed Type 1 diabetes, presented with pharyngitis and was diagnosed and treated for a throat infection by his…

emergency medicinepaediatricsdiagnosticcommunicationpholcodine
NSWcommunity2023-06-23

Inquest into the disappearance and suspected death of Ruben Gardiol

67y · Male·Unascertained

…the week before disappearance. The coroner found no clinical diagnosis of depression but noted possible undiagnosed depression given family history and life circumstances. Despite extensive land, air and sea searches of…

VICcommunity2022-01-17

Finding into death of Parth Dayalal Patel

23y · Male·Asphyxia from helium and plastic bag over head

…ational student from India, died by asphyxia from helium inhalation via plastic bag. He had experienced undiagnosed depression characterized by social withdrawal, disengagement from studies, and financial stress, but ne…

psychiatrygeneral practicedelayhelium
VIChome2013-10-07

Finding into death of Imanthi Mayakaduwage

17y · Female·Hanging

…bance, and social withdrawal; (2) GPs assessing adolescent fatigue must screen for underlying psychiatric illness; (3) school and healthcare systems must culturally engage international students who are less likely to s…

general practicepsychiatrydiagnosticcommunication
SAcommunity2010-08-12

Coroner's Finding: BAIS Ricky James

38y · Male·ischaemic heart disease

Ricky James Bais, a 38-year-old man with paranoid schizophrenia and undiagnosed 75% left anterior descending coronary artery narrowing, died during police restraint. He had absconded …

psychiatrygeneral practicesystemcommunicationdepot zuclopenthixol
WAcommunity2026-03-30

Inquest into the Deaths of Terry James CZERNOWSKI and Lachlan Richard Francis BOWLES

25y · Male·Gunshot injury to the head (Lachlan); gunshot injuries to head and chest (Terry)

…ers acted appropriately and professionally. Post-mortem psychiatric assessment found Lachlan likely had undiagnosed autism spectrum disorder and was experiencing severe depression and anxiety with suicidal ideation. No …

cannabis
NSWcommunity2020-07-17

Inquest into the disappearance and suspected death of Max DAY

53y · Male·unknown - no postmortem examination possible

…25 January 2017. He had experienced a domestic violence incident on 6 January 2017, was detained under the Mental Health Act but assessed as not at immediate risk of self-harm, and subsequently left home with minimal bel…

psychiatryemergency medicine
VIChome2024-10-10

Finding into death of Steven David Callanan

21y · Male·Neck compression secondary to hanging

…-old footballer and plumbing apprentice, died by suicide via hanging on 26 March 2023. He had no diagnosed mental illness, no apparent stressors, and no previous threats. Toxicology detected cocaine at low levels consist…

cocaine
NSW2017-11-16

Inquest into the death of Garry Weigand

56y · Male·fatal cardiac arrhythmia due to complications from acute bronchopneumonia and ar…

…ter arrest. He died from a fatal cardiac arrhythmia resulting from acute bronchopneumonia combined with undiagnosed arrhythmogenic right ventricular dysplasia (ARVD). Heavy alcohol use prior to custody had suppressed hi…

respiratory medicinepsychiatrymetoclopramide
WAhome2022-01-17

Inquest into the Death of Shaun Andrew WILLIS

54y · Male·Ligature compression of the neck (hanging)

…t during welfare checks (neighbours were not spoken to in first two visits), critical risk information (undiagnosed mental health concerns) was not effectively transmitted to frontline officers, and there were no standa…

communicationsystemalcohol
VIChome2021-06-29

Finding into death of HM

15y · Male·Gastric perforation with early peritonitis; Acute gastric distension and chronic…

…dance, social isolation, and refused medical follow-up. HM did not communicate symptoms to parents; acute illness was only recognized when his father found him vomiting. While the gastric perforation itself was unpredic…

paediatricspsychiatrysystemdelaylovan
NSWhome2016-07-19

Inquest into the deaths of Benjamin Green and William Markee

32y · Male·Gunshot wound to the head (Benjamin Green: homicide by William Markee; William M…

…abel, NSW. Markee shot Green in his sleep, then shot himself. Clinical lesson: Markee had clear, untreated mental health issues characterised by paranoid delusions, obsessive fixation, and suicidal ideation, but never en…

psychiatrygeneral practicedelay
VIChome

Finding into death of Ross Malcolm Campbell

40y · Male·neck compression consequent upon hanging

Ross Campbell, a 40-year-old man with a history of family violence perpetration, alcohol abuse, and undiagnosed mental illness, died by hanging. He had attended a Men's Behavioural Change Program in 2011 following a…

general practicepsychiatrycommunicationsystemalcohol
TAShome2017-10-12

Coroner's Finding: Allie, Sue Denise

63y · Female·unable to determine; possibly mirtazapine toxicity, cardiac disease, or injectio…

…rom rat poison, which she attributed to handling contaminated material. Medical review suggests she had undiagnosed factitious disorder (Munchausen syndrome), deliberately ingesting rat poison and later overdosing on mi…

general practicehaematologydiagnosticbrodifacoum

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