Coronial

366 results for psychiatric admission assessment

QLDhospital2007-08-17

Mental Health patient

71y · Male·hypoxic brain injury due to hanging

…of major depressive disorder with melancholic features died by hanging on 22 July 2005, three days after admission to a private psychiatric hospital (Belmont) following a medication overdose of uncertain intent. His psy…

psychiatryemergency medicinecommunicationdiagnostictemazepam
NSWmental health2019-06-04

Inquest into the death of Andrea Sewell

46y · Female·hypoxic ischaemic brain injury as a result of cardiac arrest following a choking…

Andrea Sewell, a 46-year-old woman with Osmotic Demyelination Syndrome (ODS) and acute psychiatric illness, died from hypoxic brain injury following a choking episode during a meal in a psychiatric inte…

psychiatryneurologyantipsychotic medications
VIChospital2016-07-28

Finding into death of Dianne Kaye Quinlan

51y · Female·Pulmonary thromboembolism in the setting of morbid obesity

…ipolar disorder and recent diabetes diagnosis, died from pulmonary thromboembolism while an involuntary psychiatric inpatient. She presented with leg pain and swelling in May 2014; ultrasound was technically difficult d…

psychiatrygeneral medicinediagnosticcommunicationrisperidone
VICmental health2025-09-17

Finding into death of Thi Thu Nguyen

61y · Female·Complications of pulmonary thromboembolism secondary to deep vein thrombosis

…namese 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…

psychiatryemergency medicine
TAScommunity2020-07-17

Coroner's Finding: Lyons, Matthew Clayton

47y · Male·mixed prescription drug toxicity (quetiapine, olanzapam, lorazepam and diazepam)

…caseworker how many tablets would be needed for overdose. After two emergency department visits without psychiatric admission despite expressing suicidal intent, he sought respite care on 15 October 2018 but was unable …

psychiatrygeneral practicecommunicationsystemquetiapine
VICmental health2014-10-07

Finding into death of Warren Guneratne

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 Treat…

psychiatryemergency medicinecommunicationsystemclozapine
SA2005-04-11

Coroner's Finding: POTTER Claire Elizabeth

26y · Female·multiple injuries sustained as a result of being struck by a motor vehicle on th…

…6-year-old woman with schizo-affective disorder, detained under the Mental Health Act, absconded from a psychiatric hospital and was fatally struck by a vehicle on a freeway. Clinical concerns include: (1) inadequate ps…

psychiatryemergency medicinecommunicationsystemolanzapine
VIChospital2011-06-07

Finding into death of Angelo Lombardo

46y · Male·Coronary artery atherosclerosis

…e monitored and managed appropriately after respiratory depression emerged, he spent ~14 hours awaiting psychiatric admission with delayed registrar assessment. He died from coronary artery atherosclerosis (underlying c…

emergency medicinepsychiatrymedicationsystemclonazepam
VICmental health2022-06-29

Finding into death of Melissa Gaultier

34y · Female·Multiple injuries sustained in a motor vehicle incident (pedestrian), in circums…

Melissa Gaultier, 34 years old, was discharged from Latrobe Regional Hospital's psychiatric ward (Flynn Unit) less than 24 hours after admission on 13 April 2017, despite comprehensive warnings f…

psychiatryobstetricscommunicationdiagnostic
VIChospital2010-03-24

Coroner's Finding: Janet Carol Rosse

32y · Female·Mexiletine toxicity

… Hospital with generalised weakness. The neurology team failed to notify her psychiatrist, Dr C., of her admission despite her known psychiatric history and her visibly depressed and anxious presentation immediately pri…

neurologypsychiatrycommunicationsystemmexiletine
WAhospital2022-10-07

Inquest into the Death of Justine PAINTER

51y · Female·Multiple injuries sustained from a fall from the top floor of a multi-storey car…

…hallucinations, liver cirrhosis, and required secure residential care. During a planned gastroenterology admission on 28 May 2020 for blood transfusion, Mosman Park Home staff clearly communicated her high absconding ri…

gastroenterologypsychiatrycommunicationsystempaliperidone
VIChospital2024-07-29

Finding into death of Shane Anthony Pappas

54y · Male·quetiapine toxicity in a man with ischaemic heart disease

…e Coroner found several key deficiencies in his mental health management: the initial ICU psychiatrist's assessment was inadequate, failing to comprehensively explore his suicidal ideation and with insufficient risk miti…

psychiatryemergency medicinediagnosticcommunicationquetiapine
TAShospital2022-03-21

Coroner's Finding: Rouse, Rex

86y · Male·pulmonary embolism following deep vein thrombosis

Rex Rouse, 86, died from pulmonary embolism following deep vein thrombosis while admitted to the psychiatric unit at Launceston General Hospital on 26 May 2020. He was admitted under a Mental Health Act assessmen…

psychiatryemergency medicinemirtazapine
WAhospital2012-08-31

Inquest into the Death of Stone

62y · Female·Multiple injuries sustained from jumping from rocks at Torndirrup National Park …

…violent altercation at home, having been sedated by paramedics. She was placed on a Form 1 mental health assessment order by Dr L.. However, the G Ward psychiatric unit had no bed capacity, and both available consultant …

emergency medicinegeneral practicesystemcommunicationmidazolam
WAhospital2013-02-11

Inquest into the Death of Carroll

21y · Male·Acute hypoxic ischaemic encephalopathy and pneumonia in a man with recent trauma…

…e) after orthopaedic surgery for a wrist fracture sustained while intoxicated. Carroll had a documented psychiatric history including recent involuntary mental health admission (discharged 27 May 2007) for attempted sui…

emergency medicineorthopaedic surgerycommunicationsystemoxycodone
QLDhospital2007-09-03

Henderson, Robert Joseph

31y · Male·mixed drug toxicity

…scalating violence, substance abuse, and non-compliance with medication. However, he absconded from the psychiatric ward the next morning before psychiatric review. Critical clinical lessons include: psychiatric assessm…

psychiatryemergency medicinediagnosticdelaymorphine
VICmental health2013-02-11

Finding into death of Geoffrey Edward Farrow

67y · Male·Hypertensive cardiomegaly and ischaemic heart disease

…was arrested after making threats at Federal Police offices. He was admitted involuntarily to John Cade Psychiatric Unit under the Mental Health Act 1986. On admission, psychiatry certified him as involuntary and admini…

psychiatryintensive careolanzapine
TAScommunity2019-08-13

Coroner's Finding: Jeffrey, Angela Joy

53y · Female·Unable to determine; circumstances suggest death by suicide but body never recov…

…ela Joy Jeffrey, a 53-year-old woman with a long history of depression managed with antidepressants and psychiatric care, disappeared on 1 June 2016 from Bakers Beach, Tasmania. She had experienced a significant mood de…

psychiatrygeneral practiceantidepressant medication
VICmental health2015-02-26

Finding into death of Paul Bernard Finck

47y · Male·pulmonary thromboembolism and deep vein thrombosis

Paul Finck, 47, an involuntary psychiatric patient with schizophrenia, died from pulmonary thromboembolism and deep vein thrombosis while admitted…

psychiatryemergency medicinearipiprazole
TASmental health2024-02-08

Coroner's Finding: de-identified PU

45y · Male·hanging

…isuse was admitted to Spencer Clinic following a medication overdose suicide attempt. During his six-day admission, he improved clinically, denied suicidal ideation, and was assessed as suitable for day leave as part of…

psychiatrygeneral practice
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