Deceased
Thi Thu Nguyen
Demographics
61y, female
Coroner
Coroner Paul Lawrie
Date of death
2024-01-09
Finding date
2025-09-17
Cause of death
Complications of pulmonary thromboembolism secondary to deep vein thrombosis
AI-generated summary
A 61-year-old Vietnamese woman died from pulmonary thromboembolism secondary to deep vein thrombosis while an involuntary psychiatric patient. She had been admitted following a suicide attempt and was placed on an Assessment Order due to ongoing suicidal behaviour. During her 5-day admission to the mental health unit, her physical health appeared stable though she exhibited suicidal ideation and hallucinations. She collapsed while washing her hands and suffered cardiac arrest from massive bilateral pulmonary emboli. The coroner found the medical care provided was appropriate. This case highlights the need for vigilance regarding thromboembolic risks in immobilised psychiatric patients, particularly those experiencing acute mental health crises, and the importance of early mobilisation and thromboprophylaxis assessment in mental health inpatient settings.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes. Report an inaccuracy.
Specialties
Clinical conditions
Procedures
Female·Fulminant hepatic failure due to paracetamol toxicity
A 19-year-old female with anorexia nervosa, borderline personality disorder, and chronic suicidality was admitted to St Vincent’s psychiatric inpatient unit on 28 July 2023. She reported ongoing suicidal thoughts but eng…
48y · Female·Mixed drug toxicity (morphine, codeine, venlafaxine, amitriptyline and zopiclone…
A 48-year-old woman with depression, anxiety, and bipolar disorder died from mixed drug toxicity while on voluntary inpatient psychiatric admission. She had undisclosed significant illicit drug use, which was not identif…
86y · Male·Oesophageal perforation
An 86-year-old man with treatment-resistant paranoid schizophrenia residing in a secure psychiatric unit died from oesophageal perforation. He experienced two unwitnessed falls on 20 October 2024 and declined post-fall m…
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