Coronial
SAhospital

Coroner's Finding: HARRAP Jean

Deceased

Jean Harrap

Demographics

82y, female

Date of death

2015-09-16

Finding date

2019-06-12

Cause of death

bilateral pulmonary thromboembolism due to left calf deep vein thrombosis

AI-generated summary

Jean Harrap, 82, died from bilateral pulmonary embolism secondary to left calf deep vein thrombosis while detained under a Mental Health Act Inpatient Treatment Order. She presented to ED with altered mental state, self-harm, and suicidality. Investigations (bloods, CXR, CT) were normal. She was appropriately detained for psychiatric assessment. The coroner found the DVT could not have been anticipated or identified, and that death could not have been prevented. No clinical errors in diagnosis, mental health assessment, or management were identified. The case highlights the challenge of detecting occult thromboembolism in acutely unwell elderly patients presenting with psychiatric symptoms.

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

Contributing factors

  • immobility during mental health detention
  • undetected DVT
  • acute mental health crisis with altered behaviour
Full text

Source and disclaimer

This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.

Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.

Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —