Coronial

5 results for behavioural dysregulation

VIChospital2022-10-10

Finding into death of Oliver Vincent Paul Cronin

13y · Male·Hanging

… boy, died by hanging at Royal Children's Hospital after a year-long escalation of gaming addiction and behavioural problems. He had become increasingly dependent on gaming platforms (Roblox, Minecraft, Clash of Clans, …

psychiatrypsychologydiagnosticsystem
NSW2022-12-15

Inquest into the death of YAKAMURRO - Findings

15y · Male·Neck compression due to hanging

…e difficulties. Years of institutional failures isolated him from family while he struggled with severe behavioural dysregulation. The suicide was impulsive but preceded by systemic child protection failures. The corone…

systemcommunication
VICcommunity2024-07-29

Finding into death of Andrew David Berry

41y · Male·sympathomimetic syndrome

…rom the van unconscious. Despite immediate first aid and later ambulance treatment, he died from acute dysregulation of his homeostatic system caused by high-level methamphetamine intoxication. Key clinical lessons: ear…

emergency medicineforensic medicinesystemdelaymethamphetamine
NTaged care2020-12-18

Inquest into the death of Barbara Francis

78y · Female·cardiorespiratory failure, ischaemic and hypertensive heart disease together wit…

…to inexperienced agency registered nurse (RN C), and breakdown of routine care for resident Mr A, whose behavioural escalation was not managed. The 1½-hour ambulance dispatch delay, while acknowledged as unacceptable, d…

geriatric medicineorthopaedic surgerysystemcommunication
NSWcommunity2021-05-21

Inquest into the death of Pono Wairua Aperahama

17y · Male·Cardiac arrhythmia during restraint, with previous traumatic brain injury as a s…

…rs. Key lessons: finalise risk assessments before permitting high-risk activities; ensure comprehensive behavioural guidance is accessible to all carers, particularly those returning after absence; commence transition p…

neurologypsychiatrysystemcommunication

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