81 results
36y · Male·Complications of morbid obesity, including cardiac enlargement, aspiration of ga…
A 36-year-old man with treatment-resistant schizophrenia and Capgras syndrome died from complications of morbid obesity (183.5 kg, BMI 45.3). He was discharged from hospital on 14 January 2019 after admission for respira…
22y · Male·Hanging
A 22-year-old man with severe chronic treatment-resistant schizophrenia and substance use disorder died by hanging in prison custody. He had been recently discharged from a mental health hospital to police custody follow…
30y · Male·Malignant ventricular arrhythmia without myocardial infarction, precipitated by …
Jack Kokaua, a 30-year-old with schizophrenia and coronary artery disease, died from malignant ventricular arrhythmia during a police encounter after absconding from hospital. Contributing factors included positional asp…
31y · Male·Coronary artery disease in a man using synthetic cannabinoids
A 31-year-old man with pre-existing coronary artery disease and supraventricular tachycardia died suddenly after smoking synthetic cannabinoids (Cumyl-PeGACLONE) and drinking alcohol at home. He was found unresponsive ap…
35y · Female·multiple injuries sustained in fall from sixth-floor balcony
FJ, an Iranian woman with bipolar affective disorder and schizophrenia, died by suicide at age 35 in November 2016. Key clinical lessons include: (1) the critical importance of continuity of psychiatric care during trans…
30y · Male·unascertained
Daniel James Clement, a 30-year-old man with schizophrenia on a Psychiatric Treatment Order, disappeared from his mother's home in late May 2017 and was found deceased on the Murrumbidgee River in November 2017. His caus…
53y · Female·Heatstroke
Thi Qui Tran, a 53-year-old woman with schizophrenia on antipsychotic medications (zuclopenthixol and olanzapine), died of heatstroke on 9 February 2018 after collapsing on a street during extended unescorted leave from …
57y · Male·Multiple injuries sustained by being struck by a freight train
A 57-year-old man with 28-year history of treatment-resistant schizophrenia died by suicide when he absconded from an acute psychiatric unit and stepped in front of a train. Despite comprehensive psychiatric management i…
25y · Male·Injuries sustained when struck by a train (suicide)
Damon Brenden Amiet, a 25-year-old with schizoaffective disorder, borderline personality disorder, and antisocial personality traits, was admitted to a psychiatric inpatient unit (IPU1) on 12 April 2013 following a serio…
29y · Male·cardiac arrhythmia
David Dungay, a 29-year-old Aboriginal man with chronic schizophrenia, type 1 diabetes, and obesity, died on 29 December 2015 in Long Bay Hospital's Mental Health Unit while in custody. The immediate trigger was his refu…
23y · Female·Arrhythmia of unknown aetiology
TV died on 1 November 2016 from arrhythmia of unknown aetiology whilst in MHICU at Prince of Wales Hospital. She was a 23-year-old with severe bipolar disorder, mild intellectual disability and borderline personality tra…
84y · Female·Multisystem organ failure related to complications from a fall resulting in hip …
Patricia O'Connor, 84-year-old woman with bipolar disorder, was admitted involuntarily to Sunshine Aged Persons Mental Health Unit on 15 August 2017 during a manic relapse. On 25 August, she fell and fractured her right …
24y · Male·self-inflicted hanging
Linden Alan Kunoth, a 24-year-old Aboriginal man, died by suicide while on escorted leave from psychiatric care. He had been admitted with first-episode schizophrenia, presenting with florid psychosis and command halluci…
45y · Male·Cardiorespiratory arrest due to coronary artery disease, severe psychosis requir…
Stanley King, a 45-year-old man with severe psychosis, coronary artery disease, and obesity, died from cardiorespiratory arrest triggered by antipsychotic-induced laryngeal dystonia. Admitted involuntarily for acute psyc…
39y · Male·ligature compression of the neck (hanging)
A 39-year-old man with schizoaffective disorder and substance abuse died by suicide following arrest for criminal damage. While treated under a Community Treatment Order, he had poor medication compliance and ongoing dru…
38y · Male·metastatic poorly differentiated carcinoma on a background of delirium and schiz…
Anthony Sissons, aged 38, died of metastatic renal carcinoma while under a Mental Health Act inpatient treatment order. He presented to hospital on three separate occasions (13-15 June 2012) with constipation, which was …
54y · Male·Heroin overdose
A 54-year-old man with schizophrenia and long-standing substance use disorder died from heroin overdose in a squatter house in Collingwood. He had been discharged from psychiatric hospital six weeks prior on depot antips…
37y · Male·water intoxication and olanzapine toxicity in association with schizophrenia
A 37-year-old Aboriginal male prisoner with a long history of treatment-resistant schizophrenia died at the Darwin Correctional Precinct. He was on high-dose olanzapine (15mg twice daily) and zuclopenthixol when he devel…
41y · Male·Injuries sustained in a motor vehicle incident (driver) in a man with coronary a…
Thomas Hall, a 41-year-old man with schizophrenia and coronary atherosclerosis, died in a head-on motor vehicle collision after driving his mother's car unlicensed and at excessive speed into oncoming traffic. He had a d…
32y · Female·combined drug toxicity, mainly heroin
Natasha Calleja, 32 years old, died from combined drug toxicity (mainly heroin) while an involuntary inpatient at Swanston Centre psychiatric unit after her de facto partner supplied heroin during an unsupervised visit. …
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