39 results
69y · Female·Complications of a probable bowel malignancy
A 69-year-old woman with schizophrenia, intellectual disability, and multiple comorbidities died from complications of probable bowel malignancy. In October 2014, regional lymphadenopathy and bowel thickening were identi…
53y · Male·ligature compression of the neck (hanging)
John Stephen Passmore, a 53-year-old man with severe treatment-resistant paranoid schizophrenia, died by suicide while on community leave from psychiatric hospital. He had been an involuntary patient at Graylands Hospita…
72y · Female·Aspiration of gastric contents in a woman with a functional large bowel obstruct…
A 72-year-old woman with chronic schizophrenia, epilepsy, and constipation died from aspiration of gastric contents complicated by functional large bowel obstruction. She became unwell on 16 June 2012 with vague symptoms…
23y · Male·Hanging
Majang Ngor, a 23-year-old man in custody at Thomas Embling Hospital's Argyle Unit following arrest for serious criminal offences, died by hanging in a disabled bathroom on 24 June 2013. He was admitted under the Mental …
25y · Male·consistent with drowning in a man with multiple injuries
Warren Guneratne, a 25-year-old man with paranoid schizophrenia, was admitted involuntarily to the psychiatric unit of Royal Melbourne Hospital on 28 January 2008 after assessment by the Crisis Assessment and Treatment T…
58y · Male·Haemopericardium secondary to ruptured right coronary artery aneurysm
Anthony Mahoney, a 58-year-old man with intellectual disability living in a disability residential unit, died from haemopericardium secondary to rupture of a right coronary artery aneurysm. The aneurysm had been identifi…
37y · Female·Mixed drug toxicity (methadone, diazepam, clonazepam, amisulpride, olanzapine, h…
Susan Robb, 37, was admitted involuntarily to Northern Hospital Psychiatric Unit with deteriorating mental health and on a Community Treatment Order. Three weeks after self-discontinuing methadone, the treating team re-c…
52y · Female·ischaemic and hypertensive heart disease
A 52-year-old woman with depression, diabetes, and hypertension died at home from ischaemic and hypertensive heart disease. She was prescribed dothiepin 225mg daily for depression management. Following gallbladder surger…
29y · Male·Multiple injuries sustained in a train incident (intentional self-harm)
Grant Phillips, 29-year-old with schizophrenia and complex psychiatric history including multiple suicide attempts, was admitted involuntarily to Broadmeadows Inpatient Psychiatric Unit on 5 May 2007. Despite being asses…
29y · Male·Mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) in a morbidly …
Shane Jarrett, a 29-year-old with schizophrenia and substance abuse history, died from mixed drug toxicity (heroin, clozapine, zuclopenthixol, diazepam) complicated by morbid obesity. During psychiatric hospitalization, …
40y · Male·multiple injuries from fall from building
Mark Douglas Springgay, a 40-year-old man with chronic schizophrenia, died from multiple injuries sustained after falling from the Transport SA building in Walkerville on 19 April 2008. He was on approved leave of absenc…
Unknown·Multiple injuries from motor vehicle accident; Anthony Paul Thomson died from ru…
Motor vehicle accident involving 4 deaths on 8 May 2009 at Nambour Connection Road and Blackall Street intersection, Queensland: 5-year-old twins, a 60-year-old female driver, and 43-year-old male driver Anthony Paul Tho…
37y · Female·Hypoxic brain injury consequent upon hanging
Louise Litis, 37, died from hypoxic brain injury following a hanging at Northpark Private Hospital's Mother and Baby Unit on 7 December 2007. She had severe recurrent postpartum depression and had attempted suicide two w…
33y · Female·Hypoxic brain injury secondary to plastic bag asphyxia
Jodi McPaul, a 33-year-old woman with long-standing schizophrenia and chronic suicide risk, was admitted involuntarily to Frankston Hospital on 29 March 2007. Despite psychiatric team awareness of her vulnerability and p…
22y · Male·multi-organ failure secondary to heatstroke
Jon Edward Norman Clarke, a 22-year-old man with chronic schizophrenia-paranoid type managed with Clozapine 500mg daily plus Solian and Efexor XR, collapsed from heatstroke while working as a trolley boy on 27 January 20…
40y · Male·respiratory failure due to Adult Respiratory Distress Syndrome (ARDS)
Michael Cockburn, a 40-year-old man with treatment-resistant schizophrenia and documented severe adverse reactions to antipsychotic medications, was admitted to Royal Adelaide Hospital from psychiatric detention for anae…
Multiple stab wounds to chest (David Gerard: stab wound to chest piercing heart;…
Joint inquest into two homicides by individuals with schizophrenia who were managed by mental health services. Anthony Butler stabbed David Gerard in 2001 after being discharged from Glenside Hospital without Community T…
46y · Male·self-inflicted hanging
William Mark Bunting, a 46-year-old man with depression and alcoholism, died by hanging in Alice Springs Hospital on 15 December 2003 while a voluntary mental health patient. He had been admitted for the second time on 5…
25y · Male·hanging (self-inflicted)
A 25-year-old man with schizophrenia died by suicide while on a Community Management Order following discharge from psychiatric hospital. He had been effectively stabilized on clozapine for years, but in late 2001 reques…
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