Coronial
SAhospital

Coroner's Finding: DICKERSON Alexander Charles

Deceased

Alexander Charles Dickerson

Demographics

79y, male

Date of death

2010-03-21

Finding date

2015-08-13

Cause of death

multi-organ failure due to voluntary starvation on a background of severe depression

AI-generated summary

A 79-year-old man died from multi-organ failure secondary to voluntary starvation in the context of severe depression following his wife's death. He was admitted after police found him malnourished following 30 days of intentional food refusal. Despite appropriate medical and psychiatric interventions including nasogastric feeding, electroconvulsive therapy, and intensive supportive care, he continued refusing oral intake. His condition deteriorated acutely with dehydration, hypotension, respiratory failure, and sepsis. The coroner found that clinical staff provided appropriate treatment within the bounds of preserving dignity. All interventions were timely and appropriate. No preventable failures in care were identified.

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

Specialties

psychiatrygeneral medicineintensive caredietetics

Clinical conditions

severe depressionpathological griefmalnutritioncachexiahospital-acquired pneumoniaatrial fibrillationdehydrationhypovolemic shocktype 1 respiratory failureARDSmulti-organ failurelactic acidosisischaemic bowelrenal failurecoagulopathy

Procedures

nasogastric tube insertionelectroconvulsive therapyintubationmechanical ventilationintravenous fluid therapyinotrope administrationblood transfusiondialysiscatheter insertion

Contributing factors

  • severe depression following spouse's death
  • intentional food and fluid refusal
  • malnutrition and cachexia
  • hospital-acquired pneumonia
  • dehydration
  • acute circulatory collapse
  • lactic acidosis
  • ischaemic bowel
Full text

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